Last time I wrote about different techniques to refresh your look. You have done your research or may have asked around. You have opted for injectables as they fit into your schedule (no down time) and your budget. You have considered the safety and tolerability of the procedure and products and are re-assured. What can we expect?
Congratulations on your decision. Let me tell you how we proceed at Medestetica.
Firstly we do a consultation. This entails a brief evaluation of your general health, allergies and medications.
With the help of a mirror we evaluate ( with you) your face section by section (upper one third of the face/middle and bottom one third). We will discuss the areas of wrinkling and volume loss. This will dictate our approach. Do we need Botox and/or fillers? What quantity of product is needed and how much will it cost?
We need to discuss expected results. The goal is to improve and refresh the look. We are not looking for perfect results. It is impossible to look like that picture of you at age 20. Recall on a previous blog that I discussed the changes of aging which include changes in skin tone and elasticity as well as changes in bone structure. Obviously we cannot change the bones back to their younger status.
Furthermore the procedure may have to be done in steps. We will need to discuss these steps and together decide on the priorities for you.
If we do a Botox treatment, the product is sold by the unit. We pull out of the vial the number of units necessary and inject through very tiny needles in the appropriate areas. The effect will begin in about 2 days with maximal results at 2 weeks or so. The effect is expected to last 3 to 6 months. Complications are very rare and dissatisfaction can result from incomplete effect at which point we can simply add in a small amount more. This will establish the required doses good for you for future treatment. Rarely bruising may occur.
Should we need fillers, the main products are the hyaluronic fillers (HA). These give essentially no allergic reaction. They too are injected in the appropriate areas with a needle. Here too bruising may occur. As with any bruise, it will subside within 4 to 6 days and can be minimized with ice applications and covered up with make-up if need be.
HA is typically sold by the syringe. It will be estimated how many syringes are necessary for the given procedure, and what can be expected. Contrary to Botox, the results of fillers can be seen immediately and therefore the requirements (number of syringes required) will be adjusted as we go along. Even though the effect can be seen immediately results usually get better as the product integrates in the tissue and causes an internal hydration.
Photos are typically taken before and after the procedure. These are for internal use and kept in the patients’ files.
The whole appointment from consultation to photos to procedure typically lasts from 30 to 45 minutes. Future appointments for top-ups or repeat treatments will be quicker as the whole consultation and explanation part will not be necessary or, at least, greatly shortened.
At Medestetica we firmly believe that a satisfied patient is one who understands what we do and how we do it. The patient that has realistic expectations, as discussed with the doctor, will not be disappointed. We will not make false promises and will advise against any treatment that will not satisfy the patient or doctor.
Have a great day and speak to you soon
Dr. Bruno Bernucci
Dr. Bernucci runs a busy medical practice. He is frequently called upon to advise on elaborating educational programs for fellow physicians and as a conference lecturer to other medical doctors. He also speaks frequently to large groups of patients as well as the general public on numerous topics. He is one of the Co-Authors of Managing My Life: Managing My Health.