Botox/Dysport/Xeomin

Botox Specialists

Doctors Alen Cohen and Bob Armin have treated thousands of patients who are concerned about decreasing or preventing unwanted facial lines and wrinkles. BOTOX® should only be injected by a trained certified physician who has an intimate knowledge and understanding of the muscular anatomy of the face as well as the aesthetic perspective of proper placement. The use of muscle relaxing agents, Botox, Dysport and Xeomin, have helped patients with their non-surgical cosmetic needs through simple in-office injections. People with frown lines, forehead lines, neck muscle “bands”, crow’s feet, and smile lines around their eyes who wish to appear more relaxed, calmer and less tired are good candidates for the injection of botox.

BOTOX® Cosmetic gained FDA approval for cosmetic facial applications in 2002 and it has become the one of the most performed non-surgical cosmetic procedures in the world. After tens of millions of people treated, the safety and effectiveness of Botox is proven.

Botox/Dysport/Xeomin – How do they work?

Botox, Dysport and Xeomin work by paralyzing the facial muscles into which it is injected. Neuromuscular modulator use is for wrinkles and lines around the forehead and around the eyes. There appears to be no known long term negative health effects to repeated use of any of these neuromuscular modulators.

Excessive Sweating (Hyperhidrosis) Can Also Be Treated Effectively

Botox, Dysport and Xeomin have also been shown to be effective for other problems completely unrelated to facial lines and wrinkles. Both have been shown to help reduce excessive sweating of the armpits (hyperhidrosis). Hyperhidrosis treatments, like facial wrinkles, must be repeated to maintain effectiveness.

Injection Migraine Treatments

Botox is also FDA approved and useful for a non-aesthetic facial problem, the treatment of migraines. A few injections can produce a remarkable reduce in the severity and frequency of migraine headaches. Neuromuscular injections can be used as an effective a treatment or as an adjuvant therapy with traditional pharmacologic migraine treatment.

Doctors Cohen, and Armin provide both surgical and non-invasive cosmetic surgery and plastic surgery procedures. We serve Calabasas, Hidden Hills, Encino, Tarzana, West Hills, Woodland Hills, Agoura Hills, Bell Canyon, Thousand Oaks and the greater Los Angeles area.

Schedule Your Consultation Today

If you have been thinking about whether you might be a candidate for Botox / Dysport / Xeomin, schedule a complimentary consultation. You can schedule your appointment by calling C/V Surgical Group at (818) 888-7878.

Dermal Fillers

Wrinkle fillers are injectable compounds used to reduce the appearance of wrinkles and fine lines.

Injectable fillers are commonly used to reverse the effects of aging and create stronger facial features. Patients have been visiting Doctors Alen Cohen and Bob Armin at their West Hills and Encino offices for years to receive a variety of these injectable treatments. The injection of wrinkle fillers is a time-tested treatment method that can be used alone or in conjunction with other facial plastic surgery procedures to achieve a smoother and more youthful appearance. There are many fillers available now to suit each individual’s needs and goals.

Injectable fillers, like Botox and other neuromuscular modulators, have revolutionized the treatment of the aging face. They have provided excellent non-surgical options to begin early treatment of the signs of facial aging and to enhance one’s facial features. However, with the increasing popularity of injectable wrinkle fillers, it is important to choose an experienced practitioner knowledgeable in facial anatomy to perform the injection. Injectable fillers can be successfully used for the following:

• Nasolabial folds (lip-cheek grooves)
• Marionette lines
• Lip augmentation
• Nasojugal grooves (under eye hollows/tear troughs)
• Commissure mandibular grooves (downturned corners of the mouth)
• Vertical lip lines
• Cheek, chin and jawline augmentation
• Non-surgical rhinoplasty
• Facial volume enhancement (aka liquid facelift)
• Hand rejuvenation
• Ear lobe enhancement
• Temporalis muscle augmentation (runner’s hollows)

Injectable Filler Options

Over the past fifteen years, many new and differently formulated injectable fillers have become available. No one practice carries them all as many of their properties are similar. We here at C/V ENT Surgical Group try to choose the best most proven options to give our patients their maximal desired result. The concept of modern injectable fillers can be divided into temporary hyaluronic acid and particulated hyaluronic acid fillers as well as permanent injectable fillers.

Hyaluronic Acid Fillers

The most popular and commonly used injectable filler today is composed of hyaluronic acid or HA, a natural sugar, and has completely replaced collagen as the preferred injectable material. Hyaluronic acid is a natural component of the body’s extracellular matrix. As a result, pre-treatment skin testing is not necessary. It is present in decreasing amounts as we age. Thus, it is helpful to replace this natural substance into our body to aid in a more youthful, refreshed appearance. One of the best benefits of HA fillers is if for any reason you are unhappy with the result, the filler can be dissolved and effect reversed.

There are several formulations of hyaluronic acid fillers that are widely used. Based on how it is manufactured and concentrated a wide range of filler properties can be created, most importantly how long they can last. Hyaluronic acid filler effects can be made to last as short as 3 months to as long as a year. Some of the most popular and well know fillers of this category include Juvederm and Restylane.

The properties of hyaluronic fillers can also be adjusted based on the aesthetic need for which it is being used. Less concentrated fillers are made for fine wrinkles while more highly concentrated ones are used for volumetric facial augmentation such as the new Juvederm Voluma XC. It recently gained FDA approval for lasting two years for cheek and mid-face augmentation.

Particulated Injectable Fillers

The concept of a particulated filler is one in which it contains resorbable or non-resorbable particles which extends the duration of the filler’s effects. (how long they last) Because of the risk of clumping or irregularities from these particles, they should not be used in the lips or around the eyes (periorbital area) but should be used for deeper tissue injections for volume enhancement as well as for temporary cheek, chin and jawline enhancement. Radiesse is a particulate injectable filler that is a mixture of an aqueous gel carrier and calcium hydroxylapatite microspheres. Radiesse can be used for mid-face and cheek enhancement as well as filling of the temporal regions. This is a common area that is deficient in runners and athletes. Radiesse can also be used to fill in the hand to give a fuller more youthful appearance to the hands.

Schedule Your Consultation Today

If you have been thinking about whether you might be a dermal filler candidate, schedule a consultation. You can schedule your appointment by calling C/V Surgical Group at (818) 888-7878.