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Raleigh - Dermal Fillers for Wrinkles: A Comparison of Popular Fillers
Dermal Fillers for Wrinkles: A Comparison of Popular Fillers
Dermal fillers are substances injected to fill facial imperfections such as wrinkles, creases and concave scars, as well as to enhance the fullness, or volume and shape of facial tissue. Dermal fillers are also often used to create fuller lips.
Dr. Michael Law
www.michaellawmd.com , a board certified plastic surgeon in Raleigh NC provides information on popular wrinkles fillers and which products he does and does not elect to use in his practice.The following is a list of most commonly used and talked about dermal fillers:
Collagen Products
Zyplast and Zyderm : the "original" fillers with FDA approval. These are bovine (cow) derived collagen products that require an allergy test. The products did not provide much longevity and are rarely used today
Evolence is a collagen-based filler approved by the U.S. FDA in 2008.
Evolence is derived from Porcine (Pig) collagen. It is a temporary filler with a longevity of about 6 months. Lumps, bumps and granuloma formation have been reported following use of Evolence. Dr. Law does not use Evolence in his practice and has no plans to introduce this product.
Hyaluronic Acid Products
Juvederm Ultra and Juvederm Ultra Plus are hyaluronic acid fillers approved by the U.S. FDA in 2006.These are the temporary fillers that are most often used in Dr. Law’s plastic surgery practice. Results can last a year. Dr. Law’s office is one of the top 5% of users of Juvederm in the U.S. The products are safe, predictable and can be administered in a way that makes them comfortable with a result that looks very natural.
Prevelle Silk is a hyaluronic acid filler with added anesthetic that was approved by the U.S. FDA in 2008. A tiny needle is used that contains filler material and lidocaine, a numbing agent for a more comfortable treatment. Prevelle is a promoted as an injection for today to look great tonight. The majority of people experience no bruising or swelling at all with Prevelle. With a price of $295.00, Prevelle is great for first time users and appealing to those on a budget. However, the results last about 3 months in comparison to Juvederm that can last up to a year.
Restylane is a hyaluronic acid filler approved by the U.S. FDA in 2004. We do like the product but our injectors and our patients give Juvederm slightly higher marks although we feel comfortable using both Restylane and Juvederm. Perlane is from the Restylane family of hyaluronic acid fillers approved by the U.S. FDA in 2007. It is a larger particle size than Restylane and some believe it can last longer and fill areas with deep depressions more effectively.
Elevess is a hyaluronic acid filler with added anesthetic that was approved by the U.S. FDA in 2006. We have not seen a side by side comparision in peer reviewed literature to Prevelle Silk but we are comfortable with the manufacturerer and stability of the company (Mentor, now J&J;) distributing Prevelle.
Semi- Permanent Fillers
Radiesse, first called Radiance received FDA clearance for the soft tissue of the vocal cords and for urinary incontinence originally. It is derived from calcium hydroxyl appetite, a component of bone. Many patients have reported lumps, bumps, migration and deformities with this product. The result is not permanent but generally very long lasting. This product seems to have fallen out of favor but was very popular with the media for a period of time. Dr. Law is proud to say he has never injected anyone with Radiance or Radiesse.
ArteFill was approved by the U.S. FDA in 2006 as the first non-absorbable dermal filler. It is based on a formulation of 20% synthetic microspheres comprised of PMMA (material used in medical
implants) and 80% bovine (cow) collagen with added anesthetic. Bad idea. This is another product reported to cause lumps, bumps. and overall less than pleasing results. Artefill is marketed as the longest lasting dermal filler for naso labial folds. It lasts a long time, which in this case is a bad thing. Another product never used in Dr. Law’s office.
Sculptra was approved by the U.S. FDA in 2004 to treat lipoatrophy (loss of facial fat) as the result of HIV (human immunodeficiency virus). It is commonly used off-label in healthy individuals for cosmetic purposes. Sculptra is comprised of poly-L-lactic-acid, a synthetic material similar to that used in absorbable medical sutures.. Dr. Law prefers to use autologous fat for restoring large areas of fat loss, from aging, genetics, HIV, or fat loss as a side effect of Thermage or IPL treatments.
New Fillers, not yet FDA approved.
Aquamid is made up polyacrylamide and does not contain microspheres, like the ones found in the recently bankrupt ArteFill, Sculptra, or Radiesse. It can be used in the lips and cheeks, and doesn't require skin testing, which are important features for the US market. It sounds like Juvederm will be the winner, but we shall see.
For more information visit
www.michaellawmd.com or call 919 256-0900Dermal Fillers for Wrinkles: A Comparison of Popular Fillers Dermal fillers are substances injected to fill facial imperfections such as wrinkles, creases and concave scars, as well as to enhance the fullness, or volume and shape of facial tissue. Dermal fillers are ... Read More
SPA SPECIALS FOR TEACHERS IN RALEIGH NC
Community Appreciation
Dr. Law was raised by his parents, Reverend Thomas Law and Gay Law, a nurse. The Laws still live in Raleigh near Saint Paul's Christian Church where Reverend Law was pastor for 30 years. They recently celebrated 50 years of marriage.
Kile Law was raised by her mother, Gail Lee. Mrs. Lee was a schoolteacher for 48 years, electing to work the last 20 years of her career in the inner city of Los Angeles. She retired at age 70 and moved to Raleigh in 2002 to be near her daughter and family. She passed away in November 2008. Kile's father, Charles Lee, served his country and community by serving in the U.S. Air Force and by working as a law enforcement officer.He passed away in 198
Michael and Kile Law grew up witnessing the commitments and the sacrifices their parents made for their families, for others, for the community and for the good of the world at large. Their parents were rewarded immensely for the work they did, but, as is true for many with careers in public service, there were not significant financial rewards. The impetus for Blue Water Spa offering special pricing for people who make a difference in the community is a means for the owners to honor their parents and acknowledge the wonderful work that they have done.
Community Calendar 2009
http://www.bluewaterspa.com/communityappreciation.html
NC k-12 teachers, nurses, firefighters, law enforcement and military receive 20% off all services every day of the year. See calendar for 50% off specials
All community discounts are valid Monday through Wednesday only. You must provide any necessary documentation at the time of service (in most instances, a document or statement signed by a representative of the organization plus a copy of your driver license will serve as verification of donated time.) Discounts are applicable to individual services only. No packages or gift certificates may be purchased at discounted rates. No substitution of services is permitted when a discount is applied. Discounts may only be applied to retail products when they are specifically mentioned in the promotion below. Discounts are not transferable, and cannot be combined with any other promotional offers.
With all volunteerism promotions, to receive the discount you must donate a minimum of ten hours in the previous 30 days or twenty hours in the previous four months at the time of scheduling an appointment.
With donation opportunities, to receive the discount you must donate a minimum of $75 to the specified organization. Please provide receipt of donation.
Discounts apply to employees of all organizations listed
Community Appreciation Dr. Law was raised by his parents, Reverend Thomas Law and Gay Law, a nurse. The Laws still live in Raleigh near Saint Paul's Christian Church where Reverend Law was pastor for 30 years. They recently celebrated 50 years of marriag... Read More
Laser Hair Removal Raleigh NC
Laser Hair Removal - Safe, Effective Laser Hair Removal from Raleigh to Beverly Hills
Laser hair removal www.michaellaw.com/laser-hair-removal.html.com is one of the most popular treatments in medical aesthetics. Laser hair removal can be effective, safe, comfortable and affordable. But, consumers and professionals must research laser hair removal devices to determine the ideal system for each individual. This lens will provide links to articles and sites that offer reliable information and help you to make an educated decision.
Laser Hair Removal Raleigh - A Guide on Selecting the Best Laser
Laser Hair Removal Raleigh - A Guide on Selecting the Best Laser for your skin type
&Laser Hair Removal - Safe, Effective Laser Hair Removal from Raleigh to Beverly HillsLaser hair removalwww.michaellaw.com/laser-hair-removal.html.com is one of the most popular treatments in medical aesthetics. Laser hair removal can be effective, safe, comforta... Read More
Reviews
Lip injection, eyelash extensions, facials
Blue water spa is the best!! Lisa, Jamie and Melissa have all been wonderful. I would recommend this spa for any service you are considering. I visit the spa twice a month.
Excellent service, Friendly Staff
I've been to Blue Water Spa Laser Center on 2 occasions, and both times I've had an excellent experience. The receptionist is very polite and helpful, and Shea, my technician, was friendly and made me feel very comfortable during the treatments. I highly recommend Blue Water Spa!
Quick and easy
I was very surprise how quick and easy it was.The staff made me feel very comfortable. Overall I am very Satisfied I can't wait until my next appointment.
Just had a Botox treatment with Jennifer and am extremely pleased with the session. I had previous treatments with Karen and Melissa and would recommend any of these ladies for your treatments!
I had a wonderful experience at Blue Water Spa. The staff was professional and my massage therapist so experienced, I will be a repeat customer. I highly recommend Blue Water Spa!
Don't
Terrible experience! I booked a laser appointment ( actually a series of 4-6 $500 treatments) and was very clear that I was driving in from out of town. I called exactly at 12:48pm to say that I was leaving town a few minutes late as well as get the address for my gps.... I arrived 23 minutes late after calling a second time on route to make sure they knew I was late but still coming. The receptionist never mentioned a problem of any kind. When I arrived, I was told I was too late. The nurse practioner that I was apparently required to see always leaves at 2pm and therefore I could not be seen. Why would they tell me that at 12:48pm? Or 1:55pm? Or for that matter during the phone consult that morning with the nurse practioner herself? Why in the world would you schedule an out of town appointment to come in 15 minutes before a key person walks out the door and NOT inform the client that if they are late the driving on for nothing. They could care less!!!!