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209 Hospital Dr #202
Highlands, NC 28741

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Is the Liquid Facelift Right for You?

Is the Liquid Facelift Right for You?

Youthful volumized face obtainable with a liquid faceliftThe signs of aging are a frustrating concern for many adults. We know certain changes will occur, and we know why. Still, we’d prefer to sidestep them if we can. As facial structure transforms over time, we need more profound correction. Is it possible to achieve this without surgery? It may be! To help patients address their cosmetic concerns, Dr. Buchanan has developed Today’s Liquid Lift™. We’ll discuss how this process works and why it is popular among our patients.

What Is A Liquid Facelift?

Just by the name alone, you can probably guess that a Liquid Facelift utilizes various injectables to correct the signs of aging. Fillers, either off the shelf or your own fat, are injected to improve volume. Botox is used in certain areas to relax muscle contractions that pull on the skin. Today’s Liquid Lift addresses the signs of aging using Botox, hyaluronic acid fillers and fat injections. This technique, developed by Dr. Buchanan to address the aging that naturally occurs after facial plastic surgery, corrects the natural deflation of the face that occurs over time.

Facial aging continues regardless of surgery or fillers and Botox. As it does, the loose skin that results from volume loss droops downward. The opposing actions of sagging skin and supportive ligaments deep beneath the skin result in cosmetic problems like undereye bags and the loss of youthful cheek contour. Nasolabial folds and marionette lines also deepen around the nose and mouth as tissue descends further. Fillers may soften the appearance of these lines but they do not correct the original problem, the loss of volume.

The purpose of Today’s Liquid Lift is to artistically restore the triangular shape of the youthful face. This technique increases the width at the top areas of the face, tapering incrementally to narrow at the jawline and chin. Treatment focuses on restoring volume in the mid-face, across the cheeks. Filling out this area naturally elevates the skin and tissue that have descended downward toward the jawline. Targeting the upper malar area near the tear trough, Dr. Buchanan can also smooth the transition from the cheek to the lower eyelid, camouflaging puffiness.

Experience the benefits of a Liquid Facelift. Contact our Highlands, NC office at Cal(828) 526-3783 to schedule your consultation.

Microneedling, An Excellent Way To Rejuvenate Skin And Reduce Wrinkling

Microneedling is one of several technologies that markedly rejuvenates the skin and reduces wrinkling.  Here we will discuss those technologies and other things that you can do to improve the quality and appearance of your skin.

Retinol/Retin-A

The cornerstone of skin care to prevent wrinkles has been, for many years, the use of a retinol or tretinoin (Retin-A) after the age of 30.  This is because the skin stops continually making collagen, the substance that thickens the skin, at around 30 years of age.  If the skin is not stimulated to continue the process of collagen production, the dermis, the support layer of the skin, thins and multiple crinkles and wrinkles result.  If you have failed to use these in the past and have developed significant crinkles and wrinkles, then use of the more potent tretinoin is still the mainstay of skin rejuvenation.

Peels & Laser Resurfacing

Once you had developed aged appearing skin, the only treatment that could correct the wrinkling/crinkling was a leveling peel or laser resurfacing that removed the surface of the skin between the wrinkles to the level of the bottom of the wrinkles and allowed the skin to grow a new surface epithelium over a smoother dermal base.  The problem with this is that, because of limitation of the body’s ability to resurface the skin, they became the procedures with the longest downtime of any of the modern plastic surgical procedures.  Although we could push the body some, the minimum downtime where the skin is somewhat raw and oozing with either of these technologies is about 1 ½ to 2 weeks.

Intradermal Filling

Although fillers have been called “dermal fillers” for many years, until recently no one actually injected the filler into the dermis, the support layer of the skin.  If they did, frequently a greenish or bluish line would appear when light reflected off the injected filler.  Only in the last 10 years have we had fillers that did not cause this blue line, the Tindal effect.  Belotero Balance® introduced in 2011 was the 1stJuvederm Volbella®, equally as good if not better, was approved in 2016.  These allowed us to actually inject fillers into the dermis elevating the surface of the wrinkle to reduce or eliminate it.  We have also discovered that if the product is placed just at the bottom or under the dermis perpendicular to the wrinkles, it can prevent further wrinkling of the skin and allow the tretinoin to use some of the product to thicken and stiffen the skin.  Other than some mild swelling and occasionally minimal bruising that could be covered with camouflage makeup, there is essentially no down time with this technique.

Microneedling/Fraxel Laser

The one thing that leveling peels and laser did was markedly stimulate the dermis to build significant new collagen at a faster rate than it did with just the use of tretinoin.  The 1st improvement to markedly improve the rate of the skin’s collagen production was development of the Fraxel Laser, a laser that, instead of removing the surface of the skin, simply poked holes in it.  Since injury to the dermis is the one thing that causes the skin to markedly produce collagen, this significantly turned on the body’s healing processes.  This laser, however, is quite expensive and uncomfortable.  Microneedling was developed to answer these problems.  It does the same thing by using small needles that create holes in the dermis and also turns on the body’s healing processes, markedly stimulating collagen production.

The procedure, done in a physician’s office, uses a device that pushes the needles absolutely perpendicular so that there is only a very minute entry point.  Because of the marked success of this process, “Microneedling” rollers are now being sold for home use.  The problem is that they do not produce uniform holes to the proper depth in the dermis and, instead of entering and leaving absolutely perpendicular, they enter and exit at an angle actually tearing the skin.

No Downtime Skin Rejuvenation

These latter two developments have allowed us to now achieve skin rejuvenation comparable to leveling peels and laser but without the significant downtime.  Our present protocol for rejuvenation of sun damaged, wrinkled, crinkled skin is beginning tretinoin, injection of the wrinkles to reduce as much as we can using Volbella®, and then doing a series of Microneedling procedures, all with minimal to no downtime.

If you are interested in rejuvenating your skin, schedule a consultation with Dr. Buchanan at our Highlands, NC office. Call (828) 526-3783 today.

Understanding Skin Aging Leads to Beautiful Skin

Over the years, we have come to understand  aging of the skin and how we can interact with this process to lead us to beautiful skin for much longer. Not long ago, we had only two options: age naturally or undergo plastic surgery to tighten weak, sagging tissue. The development of scientific based skin care, laser treatments, injectables, and even some plastic surgery procedures is still relatively recent. These techniques and technologies have become common and could only be created from a place of knowledge. Sure, skin aging is, to some extent, related to simple biology. However, from the study of twins with different lifestyles or different treatments, we have learned there are other factors involved. The more we understand them, the better we get at maintaining beauty at every age.

Hereditary factors are outside of our control. When we look at how our parents, siblings, and grandparents have aged, we get a good idea of how our process may go. Beyond that, though, we can alter our course by developing good habits and, when necessary, getting professional help.

Sun Exposure

It has become apparent from research that the sun ages the skin. As we have learned about the sun’s effect on the skin, we have also learned about the sun. The part of the sun responsible for the damage and aging is UVA, which is present all day, all year, and at every latitude. SPF does not let us know about protection from sun aging, only UVB and sun burn. We, therefore, need to apply a zinc oxide sunblock every day and reapply it if we wash or rub it off. Other sunscreens need to be applied every hour if outside or every 2 hours if indoors. It’s impossible to stay out of the sun. Even if we could, it would not be good for our health. The body needs a small dose of sunshine each day to produce vitamin D, which is essential for good immunity and bone strength. We also need it for proper sleep. Fortunately, we can get all we need even wearing sunblock.

Diet

We know that what we eat will affect our weight and our long-term health. We may minimize salt consumption to reduce our risk of heart disease. We may limit our sugar intake so we don’t gain too much weight. These habits are also good for the skin. Sugar and salt contribute to puffiness and inflammation that can cause skin sensitivities and premature aging. Skin-supporting foods include fresh fruits, leafy greens, lean protein, and healthy fats like nuts and olive oil, things good for you in general.

Smoking

Smoking, tobacco use, or vaping inhibits the oxygenation of tissues, including the lungs, other vital organs, and the skin. It does this by causing blood vessels to narrow. This reduces the production of collagen and elastin that firm and smooth the skin. It also reduces the repair system. Essentially smoking overwhelms the body’s regenerative processes and speeds aging.

Skin Care

Most people do skin care based on what their mother or a friend told them, what they have read, or what some company making skin care products have told them. One of the major changes over the last few decades is a scientific understanding of what proper skin care is and how to improve our skin. We don’t need most of what we are told we do. We need a cleanser, a pH balancer, an exfoliant and a sunblock as the basics. Moisturizers are, in fact, the worst thing we have ever done to our skin. Once we get to 25-30 we also need a retinol or tretinoin (Retin-A) and Obagi’s ELASTIderm to stimulate production of collagen and elastin respectively, as the body stops producing them naturally at about that age. If you have severe damage, we also now have treatment options based on science, though even some physicians are still peddling quackery.

What you do daily will affect your skin’s aging process. However, you don’t have to tackle aging on your own. In our Highlands, NC office, we offer a full complement of skin care and rejuvenation services as well as non-surgical treatments like Botox, fillers, and micro peels, which we include in our arsenal of skin care services. See how we can address your aging skin. Call (828) 526-3783 to schedule a visit with us.

Common Sunscreen Mistakes: Are You Making Them?

Sunscreen UseIn spite of the skin being the largest organ in the body, we tend to forget about it. We only notice it when we encounter a problem like a sunburn or rash or when we we begin to see the signs of aging. The fact that there are about 300 million skin cells, and that cellular turnover occurs approximately every 30 days does not preclude us from the consequences of sun damage. One unhealthy cell is enough to cause concern. We, therefore, talk with our patients about ways they can prevent and treat skin cancer and the effects of aging. Here, we discuss common sunscreen mistakes we hope you will avoid.

  •      Using sunscreen only when “in the sun.” It might seem odd to read a blog about sunscreen smack dab in the middle of winter. If this seems odd, it because most of what people believe about the sun is wrong. There are not times at which sunscreen is necessary and times it is not. Sunscreen should be worn every day, all year, rain or shine. We have been told that UVB, which is strongest in the summer, down south, and mid day, is the bad guy. It does cause sunburn, but it is UVA, which is present morning, noon, and evening, summer, winter, indoors and outdoors, even in the shade, that causes cellular injury leading to aging and skin cancer.
  • Looking for SPF when buying sunscreens. Unfortunately, all SPF tells you is that you are protected from sunburn caused by UVB. It says nothing about protecting you from UVA damage. Companies cannot call themselves a sunscreen or sunblock unless they also block UVA, but they can use SPF even if they don’t.
  • Not knowing how to use Sunblock. One of the most common mistakes we see people make when it comes to sunscreen is that they do not apply enough, nor do they reapply sunscreen often enough when using most. A sunscreen, not a product that says SPF, should be applied to otherwise unprotected skin first thing every morning. The face needs about a dime-sized amount. For a whole-body application, you need about a shot glass full of lotion. If the sunblock you are using contains zinc oxide, you need to reapply it whenever you wash or rub it off. For ALL other sunscreens, you should reapply it hourly if outside or every 2 hours if inside.
  • Limiting your options. Sun protection does not end with sunscreen use. To significantly decrease your risk of skin cancer and premature aging, think outside the tube. Wear long-sleeves and pants designed as sun protective. normal clothing does not protect from UVA. Wear a wide-brimmed hat or hat with a sun protective flap that covers the back of the neck. Also, wear sunglasses to protect your eyes.

Stay Protected by Staying Informed

We are proud to serve patients from the Highlands, NC area and beyond. In addition to plastic surgery procedures, we offer a variety of skin services to prevent and treat sun damage. To schedule a visit with us, call (828) 526-3783.

What to Expect at Your First Botox Appointment

Botox has been used for around 30 years for cosmetic purposes. After the FDA approved this drug for cosmetic rejuvenation, the first of its kind, in 2002, adults interested in looking younger have relied on Botox to achieve anti-aging goals of reduced wrinkles. While Botox is not magic, it does accomplish amazing results when treating dynamic wrinkles. We consider it a valuable adjunct to good skin care and maintaining a youthful appearance. If you have been on the sidelines and are ready to give Botox a try, you may be wondering what it will be like to get this injectable treatment. Here, we walk you through the process.

Your Botox Consultation

Because Botox has been around for so long, new patients tend to schedule visits with this treatment in mind. Regardless, an experienced provider will begin the appointment with a brief consultation. To know if Botox is right for you, we have to know what concerns you have and what you would like to achieve. Botox is a great treatment for crow’s feet, forehead lines, frown lines, and a droopy brow line. If you have concerns beyond these, such as depressed mouth corners or creases around your nose and mouth, we can discuss how to address those, as well.

Treatment

If you so choose, we can perform your Botox treatment right after your consultation. We usually use a topical anesthetic to make the injection as painless as possible. Also the injections are administered with a very small needle. You may feel tiny pinching sensations with each injection, though this is not painful. Each sensation lasts only a moment. Depending on the purpose of treatment, several injections may be given.

Recovery and Results

Botox is well-known for its convenience and safety. After treatment, most people experience nothing more than slight swelling and redness where injections have been given. Adverse side effects are rare. The most common is a slight bruising. A rare patient may develop a slight headache that may last a few hours or body aches that feel like the flu that generally disappear within 24 hours.

Full effects from the injections usually occur form about 6 hours to 6-7 days. Improvement typically lasts from 3 to 6 months. Touch-ups can be scheduled as needed.

If you’re new to Botox, you will appreciate our conservative, gentle approach. To schedule a consultation at our Highlands, NC office, call(828) 526-3783.

Photoaging: What It Is and What to Do About It

Skin aging, including that from the sun (photoaging), is inevitable. However, we do have some degree of control over how the skin changes over time and it is treatable. One of the fastest ways to age healthy, firm, youthful-looking skin is to spend too much time in the sun. Sunlight is made up of a spectrum of different rays. Some of these, the UVA rays, can even penetrate through a thick layer of clouds, penetrate into shade and buildings and cars, and are present all the time. These rays also get absorbed into the skin, causing cellular changes that result in what is called photoaging.

Photoaging is simply aging that is caused by exposure to UV light. This may come from sunlight and also from tanning beds. Signs of photoaging and their cause include:

  • Spots and hyperpigmentation. These may look like freckles, flat moles, large spots, or general blotchiness from injury of the melanocyte (the pigment producing cell).
  • Fine lines and wrinkles from loss of collagen thinning the support layer of the skin and from loss of elastin. This is increased past 30 years of age since the body normally stops making collagen and elastin about then.
  • Telangiectasia or increased red vascularity from the body constantly turning in its healing, which dilates blood vessels near the injury to bring in the immune/healing system. After continually doing this, the vessels just stay.
  • Precancerous lesions that look red and rough or scaly from more severe injury of the cells. These are referred to as actinic keratoses.

Photoaging affects any area where the UVA rays can reach, and they can penetrate most clothing. It is, therefore, also commonly seen on the hands, arms, shoulders, legs, back, chest, ears, nose, lips, and other parts of the face.

What to Do About Photoaging

Our best advice for our patients is to try and prevent photoaging by avoiding as much sun exposure as possible. Even on a cloudy day, it is wise to wear broad-spectrum zinc oxide sunscreen on all exposed areas and wear sun protective clothing. Zinc is the only practical sunblock as it need to be reapplied only if you wash or wipe it off. All the others last at most 2 hours, and only an hour if outdoors. You can make normal clothing sun protective by washing them in Rit Sun-Guard. See our Info Sheet.

Once you have photoaging damage, there are several ways to correct it, including:

  • Using quality skincare. Basic skin care includes an exfoliant to remove the excess cells caused by sun damage and time. It also includes a good sunblock to prevent further damage. To this, you can add ingredients like antioxidants like Vitamins-C to combat the breakdown of collagen caused by free-radicals. At 30, or if you have wrinkles,you add a retinol or tretinoin (Vitamin-A) and Obagi’s ELASTIderm to stimulate collagen and elastin production. If you have spots, we add hydroquinone. If you need all, the best option is Obagi’s Nu-Derm System.
  • Antioxidants are also consumable and are found in citrus fruits and leafy green vegetables.
  • Light chemical peels. Regardless of how pricy your skincare products are, they are of little value if there is a layer of dead skin cells blocking their absorption. Chemical peel treatment gently sloughs off this layer of cellular debris to reveal healthier, more uniform skin.
  • Microdermabrasion does the same thing as a light chemical peel, it removes the uppermost layer of nonvital skin cells. This procedure works through gentle ablation using microparticles that dislodge cellular debris so it can be suctioned away from the epidermis.
  • Microneedling can also help produce collagen and reduce light wrinkling.
  • Significant wrinkles can be treated by filler injection using a hyaluronic acid filler that will stimulate collagen production.
  • Leveling peels and laser smooth the skin and increase the collagen production. They are useful for severely wrinkled skin.
  • Ellipse IPL® treatment is a form of light therapy that breaks up red or brown discoloration in or beneath the skin. It can treat both brown pigmentation and red telangiectasia. IPL, intense pulsed light, is a popular treatment for photodamage due to its effectiveness with little to no downtime.

We can help you address photoaging with a treatment program tailored to your needs. Call our Highlands, NC office at (828) 526-3783 to schedule your consultation.

Brow Lift Surgery: Your Questions Answered

Brow RejuvenationEveryone is different and different areas age differently. For many people, the primary sign of aging is the drop of the eyebrows. Once the eyebrows start to sit lower over the eyes, we use muscles located on the forehead to lift them. This persistent motion then causes horizontal lines to form on the forehead, further aging the face. It can be a vicious cycle, but it doesn’t have to be. A brow lift can restore the eyebrows to their proper position and put a stop to the need for the forehead muscles to lift them. Additionally, a brow lift can reduce those “worry lines” on the forehead and prevent further development. Here, we answer some of the most common questions patients have about this procedure.

Is a brow lift very invasive?

Brow lift surgery used to be performed through a long incision from ear to ear across the top of the head hidden behind the hairline. Today, all methods of brow lifting are less invasive and some techniques are minimally so. Dr. Buchanan now does brow lifts in the office under local anesthesia.

Are brow lift scars visible?

Since all scars are visible, we put them where they are either not visible or hide exceptionally well. If possible, we place them behind the temporal hairline where the hair can hide them. If that is not possible, we generally use an upper blepharoplasty incision, especially when that is going to be done at the same time. Occasionally, if there is no other option, the scar is put just above the eyebrow. Though this is the least hidden, the results are frequently some of the best.

How long do brow lift results last?

One of the primary reasons to have a brow lift vs. Botox is because the results are generally permanent, though some further descent may occur after many years. Most people who have a brow lift never repeat this procedure. The results also refresh the face by about 10 years; who doesn’t like the idea of looking ten years younger!

How long does brow lift surgery take?

Brow lift surgery usually takes about an hour or slightly longer. Many people combine their brow lift with blepharoplasty to achieve more significant rejuvenation in the eye area. This usually adds about 30-45 minutes to the blepharoplasty time.

Would you like your eyes and forehead to once again reflect your personality and liveliness? Contact our Highlands, NC office at (828) 526-3783 to schedule your brow lift consultation.

What to Expect After Fat Transfer Facial Rejuvenation

Facial Aging with Volume LossMany people associate the signs of aging with the skin, but that is only part of the story. Facial aging is a matter of degradation of not only the skin but the structures that support it. Sure, the skin becomes thin and loose over time, but there are also changes happening beneath the  surface. One of them is the loss of fatty tissue. This happens generally but is significantly noticeable in the midface. Previously, the solution was to tighten the skin via a facelift. Today, one of the primary strategies is to refill the mid-face with fillers. Even more progressive, though, is the use of fat from your own body to smooth wrinkles and restore volume and normal contours. Even with facelifts, the procedure is no longer simply to remove the excess skin but is also to replace fat to its normal position and fill.

Fat transfer has become one of the most popular approaches to nonsurgical facial rejuvenation. There are several reasons why. Fat injections are conservative, do not require general anesthesia, and they achieve results that outlast almost all off the shelf fillers. They also transfer stem cells that can further rejuvenate the overlying skin and surrounding tissues. They essentially replace exactly what has been lost.

The Procedure:

The two-step process is simple: Dr. Buchanan performs a minor liposuction procedure on an area of the body where there is extra fat. The fat is washed, removing the anesthetic fluid, tissue, and blood, leaving only viable, live fat  and stem cells. These are then injected into the areas of the face that need more volume. There is much skepticism about fat grafting, mainly because most physicians who have tried it have approached it like regular liposuction and injecting fillers, neither of which you can do and obtain good results. All three of the above steps are very important in keeping the fat cells alive and obtaining a good result. The removal of the fat has to be done with fine, very smooth canulas at a reduced pressure to keep from injuring the cells. Injection is the most important, as the live cells have to be placed in very thin rows next to tissue with excellent blood supply to keep them from dying. If placed like a filler, the cells in the center of the masses just die and produce lumps. When done correctly, greater than 75% of the fat injected survives and there are no lumps.

What you can expect after Fat Transfer:

During the first week after fat injections, you can expect some bruising and swelling. This happens both where fat has been removed and where fat cells have been injected, though bruising is usually minimal on the face. Cold compresses may be used to soothe mild discomfort and also reduce swelling. In spite of this, most people can return to normal light activities by the next day and vigorous activities by a week. Swelling often resolves more quickly than bruising but the latter can be covered with camouflage make-up.

We slightly overfill the area if the tissues will allow it to try and reduce the need for a second procedure. However, if your tissues do not allow this, a second lesser graft almost always provides excellent cosmetic contours.

Facial rejuvenation is something that helps a lot of people feel like themselves again. You may not need surgery to accomplish that. For more information about fat injections, contact our Highlands, NC office at (828) 526-3783.

Neck Liposuction or a Neck Lift: Which is Better?

The neck is the support of the face. As such, it is an area of importance when considering appearance. We commonly see people who express dissatisfaction with the way their neck looks. Alongside that dissatisfaction is often confusion. Do they need a neck lift or neck liposuction to address their concerns? Both are performed to improve the definition of the jawline and neck, so choosing can feel like an enormous challenge. Fortunately they do not have to. All they have to do is make an appointment to discuss their desires and Dr. Buchanan can decide. Here we discuss the two so, if you are considering treatment for an unflattering neck, you have a general idea which may be right for you and what is involved.

Neck Liposuction Sculpts by Removing Excess Fat

The primary purpose of all liposuction procedures is to remove excess fat that has accumulated in the subcutaneous tissue area between the skin and muscle. It isn’t that you have more fat cells in a particular area but that these fat cells have expanded. Neck liposuction may be a good procedure for adults who have adequate muscle and skin tone but whose jawline contours are obscured by excess fat.  It is one of the most common liposuction procedures performed today. Although there is an injectable that melts fat, we believe that liposuction is more precise, with faster recovery and produces better results. Non surgical methods of reducing fat can not even come close to the superb results of liposuction.

Neck liposuction is usually performed in the office using local anesthesia and, if desired, a mild sedative. Patients can go home shortly after their procedure, which usually takes a little over an hour. To do neck liposuction, Dr. Buchanan makes a tiny incisions that can be closed with a tape strip. There is usually minimal postoperative discomfort. However, patients should expect some swelling and bruising for 7 to 10 days.

A Neck Lift Sculpts by Removing Excess Skin and/or Tightening the Muscle

Neck lift surgery is performed when a person’s skin and muscle tone have become lax. It may also include removal of excess fat. The loss of tissue firmness often leads to sagging that is referred to as “turkey neck” or “wattle.” This procedure may involve several different techniques. We may contour fatty tissue, lift and tighten and occasionally divide part of the platysma muscle, redrape the skin, and remove the excess. We usually do this through incisions under the chin or down the center of the neck. Anything more we believe requires a facelift, which always includes correction of the neck.

A neck lift is also done in the office under local anesthesia and takes about 1 to 2 hours. Patients return home the day of their procedure. The stitches placed to close the incision are generally below the skin in women and, in men, because of the beard, those that must be in the skin are removed 4-7 days after surgery. Swelling and bruising usually subside in 10 to 14 days.

Would you like a better frame for your face? Contact our Highlands, NC office at (828) 526-3783 to learn more about neck liposuction and neck lift surgery.

What to Expect from Juvéderm Voluma

Liquid Facelift Highlands, NCRecently, we’ve seen the meteoric rise in filler use among adults of all ages. Soft tissue fillers like those in the Juvéderm family are known for achieving consistent results whether the goal is to smooth wrinkles and folds or plump areas of the face that have lost their volume and normal contour. The cheeks and area below the eyes are prime areas where this happens, and treatment using Juvéderm Voluma XC is one of the best ways to correct these problems.

What is Juvéderm Voluma?

Several products make up the Juvéderm family of fillers. All of them are made of varying compilations and consistencies of hyaluronic acid (HA). This chemical is a naturally-occurring sugar compound that the body uses to keep the skin, joints, and eyes lubricated and to produce new collagen, which thickens the skin and supports the surrounding tissues. The Juvéderm products also contain lidocaine, an anesthetic that reduces discomfort during injections. Juvéderm Voluma has been developed with a heavier consistency to achieve specific results. There is, in fact, only one other filler nearly as thick as Voluma.

Having a denser consistency, Voluma XC can build more structure beneath the skin. The name of the product, Voluma, indicates its purpose, to restore structural volume of the tissues. This filler was the first to be FDA-approved for cheek enhancement. As we age, this part of the face loses its shape. The fat pads that overlay the cheekbones and make them look more pronounced decrease in volume over time. As the face loses volume, the tissues descended as far as the next ligament and folds resultat teh ligament and depressions occur above. By midlife, the mid-face looks rather flat and, as a result, the lower face looks wider, fuller and saggy. Occasionally a similar appearance occurs from congenital anatomic variations and younger individuals look older than their actual age. When Voluma XC is placed on the bony of the cheek, it elevates, rounds, and firms the overlying tissues.

What to Expect During and After Voluma Treatment

Filler treatments are very popular but that does not make them right for everyone. We conduct a consultation and brief assessment of the skin, underlying muscle and bone structure, and facial volume to make sure that an injectable can achieve the desired outcome. The treatment itself takes only a few minutes. Injection is done using a very thin cannula through the absolute minimum of skin punctures. The Voluma is carefully placed on the underlying bone under where extra volume is needed. This technique not only is safer than use of a sharp needle, it is more controlled and gives superior results. Thanks to the lidocaine and tiny cannula, there is minimal discomfort.

Results are visible as soon as the Voluma treatment is complete,. You may experience short-lived firmness and swelling for a day or so. Except occasionally at the point of entry through the skin, there is almost never any bruising. To reduce the risk of bruising further you should avoid strenuous exercise for the first 8 hours after injections.

We can help if you have a congenital volume deficit or believe you are aging. Call our Highlands, NC office at (828) 526-3783 to explore what Juvéderm Voluma can do for you.

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