Injectables

What is BOTOX?

BOTOX® is a natural, purified protein approved for cosmetic use by the FDA. Injected directly into overactive facial muscles, in very low doses, it relaxes the muscles so they do not contract as strongly. This causes the skin to become smooth and unwrinkled.

Botox Cosmetic, Dysport, Xeomin, Juveau, and Daxxify are the five FDA-approved botulinum toxins in the United States. They are all botulinum toxin type A and are produced by different companies. They have proprietary differences but all work generally in the same way.

How does it work?

BOTOX is injected directly into the wrinkle-causing muscle with a tiny microneedle temporarily blocking nerve impulses to the area. This causes the muscle to remain in a resting state giving your face a relaxed, more youthful appearance.

Where is BOTOX most effective?

BOTOX is used to soften frown lines between the eyebrows, horizontal forehead lines, and crow’s feet around the outer corners of the eyes. It is also used to raise eyebrows, treat horizontal lines on the bridge of the nose, and soften lines around the mouth, chin, and neck.

How is BOTOX used in the treatment of Hyperhidrosis?

In addition to its cosmetic applications, BOTOX has been proven safe and effective for the treatment of hyperhidrosis (excessive sweating). BOTOX helps control this condition by temporarily blocking the chemical signals from the nerves to the sweat glands thus inhibiting severe sweat production. The FDA has approved BOTOX for the treatment of severe underarm sweating that is not adequately managed with topical agents.

Hyperhidrosis typically affects the underarms, palms, and soles of the feet and is a source of great psychological and social distress for those who suffer from this condition. Dr. McAnalley is experienced with the treatment of hyperhidrosis and is a member of the International Hyperhidrosis Society. Prior to treatment with BOTOX, Dr. McAnalley will perform a thorough evaluation to rule out secondary causes of excessive sweating.

For more information on hyperhidrosis visit www.SweatSolutions.org and www.botoxseveresweating.com.

How is BOTOX used to treat migraine headaches?

Botox is an FDA-approved treatment for migraine headaches. It has become an effective and life-changing treatment for people with migraines headaches in whom no other treatment modalities have been effective. Botox is injected into the area of origin of the migraine and can mitigate the frequency and severty of migraines.

How long does it last?

Patients see results from BOTOX in 2-5 days with maximum effects typically visible in 10 days to two weeks. You can expect to maintain your result for 3-4 months. Results last significantly longer when BOTOX is used to treat hyperhidrosis.

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What is hyaluronic acid?

All of the products below are synthetic hyaluronic acids and are FDA-approved to improve the appearance of facial lines and folds. Hyaluronic acid naturally occurs in our skin to provide volume and fullness. Hyaluronic acid also binds water molecules, which furthers the youthful plumpness it provides our skin. As we age, our skin loses some of its hyaluronic acid as well as soft tissue volume. This loss of volume and hydration causes our skin to appear sunken and wrinkled. Synthetic hyaluronic acids such as Restylane® and Juvederm® can mimic the benefits that our naturally occurring hyaluronic acid provides adding volume and thickness to our skin. Different products are appropriate for different areas of the face. Dr. McAnalley will recommentd the appropriate product for your needs.

How does hyaluronic acid work?

Synthetic hyaluronic acid is injected with a tiny needle into the treatment area. It then binds with water in the tissues to fill creases, lines, wrinkles, and folds restoring volume to the skin for a more youthful appearance. All of the above products are non-animal-based and completely biocompatible with human hyaluronic acid; therefore, no allergy test is necessary.

Where is hyaluronic acid most effective?

Hyaluronic acid is effective for general volume replacement in the areas of the face where good fat is lost as we age. Precise placement of fillers serves to reshape youthful facial contours and smooth out wrinkles and lift sagging skin. Common areas of placement include cheeks, lips, hollows under the eyes, nasolabial folds, marionette lines, jawline, cheek hollows, chin, earlobes, hands, and neck. The general goal is to replace the lost volume in the places it was lost, which reshapes the face to a natural, yet younger, shape.

How long does hyaluronic acid last?

Most patients see immediate results that last a year or more. The longevity of treatment is dependent on many factors including the product used, age, skin type, lifestyle, activity of facial muscles, and injection site.

What is Sculptra Aesthetic?

Sculptra® Aesthetic is an FDA-approved aesthetic injectable that is intended to correct the signs of facial fat loss by restoring fullness to the face for a more natural appearance. It has been clinically proven safe and well-tolerated. Sculptra Aesthetic is composed of poly-L-lactic acid, a synthetic product requiring no skin test. Poly-L-lactic acid (PLLA) is biocompatible (does not harm the body) and biodegradable (able to be broken down by the body) and has been widely used for many years in dissolvable stitches, soft tissue implants, and as a vehicle for several sustained-release injectable medications.

How does it work?

Sculptra Aesthetic is injected below the surface of the skin into the areas of soft tissue loss. It is a sculpting agent that restores volume to correct the signs of facial fat loss by stimulating natural collagen production. It provides a gradual and significant increase in soft tissue and skin thickness improving the appearance of folds and sunken areas. Multiple treatment sessions may be required to attain the desired fullness. Most patients require 1-3 treatments approximately 3-6 weeks apart.

Where is Sculptra Aesthetic most effective?

Dr. McAnalley tailors each treatment to meet a patient's specific needs. Sculptra Aesthetic is most beneficial when injected into areas with significant volume loss. Though volume is lost diffusely throughout the face with age, some of the most beneficial areas to treat are the cheek hollows, temples, jawline, chin, and pre-auricular area. Collagen stimulation in these areas provides a tightening effect which helps restore a person's youthful appearance. Sagging skin around the mouth and jawline can be tightened and accordion-like lines in the cheeks diminished.

How long does it last?

The effects are long-lasting and have been shown in clinical studies to last up to 2 years after the first treatment in most patients.

What is Radiesse?

Radiesse® is comprised of calcium hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier. Radiesse is unique in that it works as both a filler and a collagen stimulator.

How does it work?

Collagen is the main structural protein in our skin and helps it feel and look taught and youthful. As we age, the production of collagen slows causing skin to sag. Radiesse provides immediate volume and correction through its filling effect and continues to work by stimulating the body to produce its own natural collagen for a long-lasting effect.

Radiesse is FDA-approved for both the face and hands. I personally use Radiesse to define the jawline, to refine and replenish sunken cheek hollows, and to add volume and smoothness to thinning, crepey skin in the neck. I mix the product with lidocaine and “spray” it in the areas of concern with a cannula to provide safety and comfort.

How long does it last?

The effects of Radiesse have been shown to last over a year given its filling and collagen-stimulatory effects.

PRP (Platelet Rich Plasma) for use in facial rejuvenation and hair restoration

Platelet Rich Plasma Facelift (PRP Facelift) is a natural, safe, and effective way to stimulate the body’s skin stem cells to produce everything in the skin from collagen, elastin, hyaluronic acid, and even blood vessels. PRP has a long track record of success in medicine when used in general and orthopedic surgeries, soft tissue injury, and joint problems to promote and enhance the healing process.

Where is PRP used?

PRP stimulates your own collagen to multiply and thicken. PRP skin rejuvenation therapy improves skin tone and texture, tightens skin, and softens lines and pores. PRP is used for achieving diffuse volume in faces that are beginning to look drawn, to smooth cheek indentations, to soften and fill under eye hollows, and to obtain smoothing and softening in areas where traditional hyaluronic acid fillers have been less than optimal, such as the forehead and cheek hollows. Injected into the scalp in areas of receding and thinning hairlines and patchy baldness, PRP can boost the hair follicles promoting new hair growth and improving the thickness, texture, and color of the hair.

How does PRP work?

Platelet rich plasma is created by using the patient’s own blood. The blood is separated into packed red blood cells and platelet rich plasma. The PRP contains a high concentration of platelets and growth factors that, when released, can stimulate stem cells in the skin. The activated serum behaves in the same manner as when the body suffers an actual injury. The injected PRP stimulates the healing process by releasing growth factors that trick the skin into thinking that an injury has occurred and that new skin needs to form. The PRP stimulates stem cells which initiate the process of fibroblast production which forms collagen.

What can I expect during the procedure?

A small amount of blood is drawn from the patient’s arm using a tiny butterfly needle. The blood is placed in special FDA-approved tubes and then centrifuged to separate the platelet rich plasma from the red blood cells. While the PRP is being prepared, the patient’s skin is cleansed and prepared for the treatment. Numbing cream and ice packs are used to minimize discomfort. Dr. McAnalley often first injects hyaluronic acid fillers in the same areas in which the PRP will be injected. This not only helps activate the PRP but also serves to hold the PRP in the areas of injection while growth factors are released and collagen stimulation is initiated. Also, PRP serum can prolong and amplify the filler correction with the need for less filler per treatment and a longer duration. When used for hair growth, PRP is injected directly into the areas of hair loss. The procedure takes approximately 30 minutes, and patients report little or no discomfort. One might have mild swelling or bruising with little or no downtime.

How long does PRP last?

Results begin to show 3-4 weeks after the treatment session and continue to improve with time. Three treatment sessions are generally recommended, spaced 1-2 months apart, to achieve the best outcome, but treatments are customized according to each patient’s needs and response. Since PRP is derived from the patient’s own blood, adverse reactions to the PRP are essentially nonexistent.

Silhouette InstaLift™ offers a nonsurgical alternative to lift sagging cheeks and jowls. While wrinkles, brown spots, and lost volume can be treated with existing procedures, until now there has been no minimally invasive way to lift the deeper layers of facial skin. Silhouette InstaLift is a simple procedure to re-contour your face by lifting the deeper layers of the skin for a more youthful appearance.

During the procedure, sutures with bidirectional cones will be used to reposition and elevate the skin of the face. The in-office procedure typically takes approximately 45 minutes to complete. This procedure offers immediate results with minimal recovery time. Over time the sutures will naturally be absorbed by your body while stimulating production of collagen. Results last approximately 18-24 months.

What is Kybella?

Kybella® is a prescription medicine used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.”

How does it work?

Kybella is a synthetic deoxycholic acid that dissolves fat. Naturally-occurring deoxycholic acid is a liver enzyme that dissolves dietary fat during digestion. Kybella works in a similar manner to our own naturally-occurring deoxycholic acid to dissolve fat cells.

Where is it most effective?

Kybella is FDA-approved for dissolving the fat under the chin to diminish the appearance of a double chin.

How long does it last?

Once Kybella has dissolved the fat, the dissolved fat cells are destroyed permanently. Typically, 2-4 treatments are needed to reach the desired result, but the number of treatments needed may vary from person to person.

What are the possible side effects of Kybella?

The most common side effects of Kybella include: swelling, bruising, pain, numbness, redness, and areas of hardness in the treatment area.

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Injectables

What is Sculptra Aesthetic?

How does it work?

Where is Sculptra Aesthetic most effective?

How long does it last?

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