Are aesthetic injections painful?

This is a common question “What kind of pain should I expect during injections?”

It’s important for me to put my patients at ease. Anytime that you are experiencing something that’s new or foreign it’s natural to have some angst and trepidation.  My belief is the best way to prepare is to talk with your provider before the treatment. This will ensure you know what to expect through the treatment process.

 

We are using a needle to inject therefore there can be moments of slight discomfort, probably not as much as you would expect. Certain areas of the face are more tender (lips, cheeks and near the eyes) due to the nerves and vessels that are closer to the surface. Many of the aesthetic products we use have lidocaine mixed with them which helps numb the area while the product is being injected. We also can use a topical numbing cream if necessary.

 

I tell my patients there are several things that they can do to help reduce discomfort; relax as much as you can and breathe slow and deep.  We also provide a tension stress ball for patients to squeeze. There is no need to panic or stress, injectables are very tolerable and definitely worth the visit.

 

Patient education and satisfaction is one of our top priorities.  We offer complimentary consultations on all our aesthetic injection treatments.  Call today to schedule your appointment 248-524-0260.

 

Raquel Merlini, RN

Aesthetician and Registered Nurse

Aesthetic injections can leave a bruise, learn steps to minimize

Whenever you are using a needle to inject there is a possibility of bruising. There are several vessels under the skin that can be damaged during injection. This is normal and can result in bleeding and eventually a bruise. The risk of bruising is greater with derma filler injections such as Restylane® or Juvederm®. This is due to the use of larger caliber needles because of the consistency of the product. Typically fillers are injected deeper into the tissues which also increases the likelihood of getting into a vessel that cannot be seen from the surface. Most side effects are mild to moderate and resolve in under 7 days. The most common side effects that are reported are mild pain/tenderness, bruising, redness, lumps/bumps, discoloration and itching at injections sites.

There is no way to predict whether or not you will bruise or guarantee no bruising. However, we do have some steps that can be taken to help reduce the risk of bruising.

Stop taking any over the counter medications or supplements that thin the blood 1 week before such as:
Aspirin, NSAIDS, Vitamin E, Fish Oil, Garlic, Ginger, Ginko Biloba, Ginseng and Green tea.
Check your prescription medications that thin blood such as:
Coumadin and Plavix. Never stop taking these medications without prior approval from the prescribing physician.
No alcohol consumption 24 hours prior to injections.
Icing the area immediately prior to and immediately following can constrict blood vessels to reduce pain, swelling and bruising.
Avoid exercise for 24 to 48 hours after injection. Physical activity increases your heart rate, blood pressure and blood flow. Minimal blood flow allows time for the damaged vessels to repair faster.

Patient education is one of our top priorities. We want to ensure you fully understand our services and feel confident in our quality of care. Call us today to schedule your free consultation. 248-524-0620.

Kristen Lotz, PA-C

Will aesthetic fillers make my face look fat?

 

This is a question/concern I hear from new clients.  The answer is NO, they should not if properly injected.   Injection technique is important so always schedule your appointments with a licensed, certified injector for the best result.

 

Fillers, are designed and injected to RESTORE volume to the face that has been lost through aging.  There are several areas of the face that have fat pads that give you a very healthy and youthful look.  Over time, the fat in these areas is diminished or migrates downward. Fillers are injected into the areas where you previously had fat and therefore restore that youthful appearance.  We try very hard to enhance the natural lines and curves of your face so that you look refreshed not overdone. We commonly inject the upper cheek area which helps to lift the lower part of the face. This subtle lift helps restore your youthful look. We also inject the nasal labial folds and marionette lines to again restore the lost volume and fill the wrinkle/creases that have developed over time.  

 

We will work with you and discuss all your options to ensure you are comfortable with your treatment plan. Call our office to schedule your complimentary filler consult.  Learn more how aesthetic fillers can help restore your youthful appearance. 248-524-0620

 

Kristen Lotz, PA-C

Michael J. Schenden, MD, PC & Aesthetic Injection Practice.

Are Wrinkle Reducers Toxic? Learn more on how they are safe

 

Botulinum Toxins, such as Botox® and Dysport®, are FDA approved medical treatments for adults to temporarily reduce the appearance of moderate to severe wrinkles in certain areas of the face.  These wrinkle reducers are in fact derived from Botulinum Toxin but they are not harmful in the amounts that we administer to reduce wrinkles. A harmful dose administered systemically would be 2500 to 3000 units.  We normally inject less than 100 units locally to achieve the desired results. These products cause the injected muscle to relax for approximately 3 to 4 months smoothing the appearance of the wrinkle.

 

Wrinkle reducers have been FDA approved for cosmetic purposes since 2002.  They have been shown to be very safe and effective when administered by trained professionals.  It is important to do your homework and seek out a licensed and certified injector who has been fully trained in safe injection technique.

 

Still have questions? We offer complimentary consultations. Call today to schedule your appointment to learn how Botox and Dysport can reduce wrinkles. 248-524-0620.

 

Kristen Lotz, PA-C

Michael J. Schenden MD PC and Aesthetic Injection Practice

Botox and Filler, learn how they are different.

Many people come into the office confused about the difference between neurotoxins like Botox® and Dysport® and fillers such as Juvederm® and Restylane®.   While these two treatments can be complementary to each other they are not the same thing.  

 

Botox/Dysport are used to reduce the activity of the muscles in the face that cause wrinkles.  They are often used for dynamic lines which are the lines/wrinkles you see when you animate your facial muscles. They are mainly, but not exclusively, used in the upper face.  Most common places are between the eyes (11’s), forehead, and crow’s feet. This treatment is quick procedure, typically 5-10 minutes, and is done by injecting a tiny needle into the muscle.  There is virtually no downtime.  You may see some temporary redness, swelling, and/or bruising at the injection site.  Results take about 4-7 days to take effect and results typically last around three months. The relaxation in the muscles smooths wrinkles and gives you a more youthful appearance.  

 

Fillers, on the other hand, are used for areas of the face that have lost volume and/or are in need of some overall plumping.  Some fillers are used to fill in an individual’s “trouble’” area with collagen or an agent that helps to stimulate collagen growth others use hyaluronic acid.  Fillers essentially plump and lift the skin.  They are used on wrinkles that can be seen on the face at rest. Some of the more common treatment areas are cheeks, nasolabial folds, marionette lines and lips, but they can also be used in other areas as well like your hands. Filler injections typically take anywhere from 15-30 minutes depending on areas being filled. Typically there is little to no downtime, however, there is a risk of redness, swelling and/or bruising at the injection site. With hyaluronic fillers results are seen immediately. They may last anywhere from 6 months to more than a year depending on product and area treated. The added volume and softened wrinkles also provide for a more youthful appearance.

 

While Botox/Dysport and filler treatments are very different, doing a combination of both can sometimes give optimal results depending on how the individual is aging.  Our goal is to give you a relaxed natural look and to not have you appear overdone. Working with a qualified injector is key. To find out which option is best for you, please schedule a free consultation with me by calling 248-524-0620 today!  I look forward to meeting you and figuring out a plan that is best for you!

 

Dr. Clarissa Kroese

Aesthetic Medicine

 

 

Bellafill  -Making us smile!

 

I love my career and one of the main reasons is the consistent improvements made in the world of aesthetic injections.  There are so many options for my patients and I am confident there is a product that will work for you. I am excited to announce we are adding Bellafill® to our already comprehensive injectable product line.  Bellafill may be what you are looking for if you have deep smile lines or acne scars.

 

Bellafill is comprised of polymethyl methacrylate microspheres and bovine collagen. Sounds scientific I realize but easy to explain. These microspheres are building blocks for the skin and add volume. The spheres stimulate your natural collagen production. Which means you skin will continue to improve over time as the collagen rebuilds. Your smile lines can benefit with longer lasting results of up to five years. You will see immediate results due to PMMA (polymethyl methacrylate) microspheres.  Once injected the collagen gel immediately reduces the look of the smile lines. Over time the gel is gradually absorbed and replaced by natural collagen stimulated by the methacrylate microspheres.

 

Bellafill is also FDA approved to treat deep acne scars.  If you suffer from scars that appear pitted, Bellafill is a great treatment option. The indents or pitting of the skin is caused by a loss of collagen to the area.  Injecting Bellafill directly into the scar restarts the collagen building process and gives an immediate filled in/smooth look. The gel composition is 20% PMMA and 80% collagen gel.   As the gel is absorbed into the body the collagen is building giving you longer lasting results and a smoother skin.

 

Early risks associated with Bellafil are similar with other aesthetic injections with mild swelling and bruising at the injection site.  We offer complimentary consultations for all our injectable services. Together we will put together a treatment plan that is best for your skin and goals.  Schedule your appointment today and discover the exciting world of aesthetic injections. 248-524-0620.

 

Raquel Merlini, RN and Aesthetician

Before & After

Radiesse, an Alternative filler with natural looking results.

The exciting world of aesthetic injections is constantly growing and improving. This gives you options to be able to choose the product that you are most comfortable with and strive for the desired results.  

 

Are you feeling like your face is “falling” or maybe you’re just feeling like you need a little lift?! We have a variety of options to help you! We have several gel hyaluronic acid fillers such as the Juvederm and Restylane product lines.  These are great options to for those seeking immediate volume to the face. We also offer Sculptra which is a poly-L-lactic acid based treatment. This product works to stimulate the body’s own collagen production. Sculptra typically takes about 6-8 weeks to see results of the collagen building. This is perfect for the person looking for slower more natural improvement.   If you like the idea of a filler that promotes collagen growth but also want immediate volume we offer Radiesse.

 

How does Radiesse work? Radiesse works right away adding facial volume and diminishing the appearance of facial line and wrinkles.  Wrinkles form due to the natural loss of fat/volume and decreased levels of collagen over time. Radiesse is a smooth gel filled with tiny calcium hydroxylapatite microspheres. This gel, when it is injected, immediately lifts and adds volume to the face. Over the next few weeks these calcium hydroxylapatite microspheres stimulate the body to produce collagen. Your new collagen will surround the microspheres and eventually the microspheres and the gel are naturally metabolized by your body.  What you have left is newly formed natural collagen. Because of this, Radiesse produces a nice natural result. You will see a restored, lifted, more youthful appearance without looking overdone.

 

Typically areas of use for Radiesse are nasolabial folds, marionette lines, cheeks, down turning corners of the mouth, chin wrinkles, jowls and hands. Results have been shown to last a year or more in many patients. Radiesse is mixed with lidocaine to help make the injecting experience more comfortable. Like all fillers there is a risk of bruising, swelling, mild irritation, itching, redness or tenderness at the injection site. All of these reactions will typically resolve on their own.

 

We offer free consultations!! Call our office, located in Troy, MI, today to schedule yours! 248-524-0620 I will answer all your questions and together we will develop a treatment plan that works best for you! The world of aesthetic injections has lots of options and I would love the opportunity to work with you!

 

Clarissa Kroese, DO

Aesthetic Medicine

 

 

Want bigger lips but afraid of duck lips?

Want bigger lips but afraid of duck lips?  Don’t be! Filler in the lips can be subtle.

 

One of my favorite treatments is lip enhancement. This procedure can be done on my patients that are in their 20’s thru 60’s plus.  There isn’t a specific product that is best for every person which means there are options to help everyone achieve their desired goals. I am often confronted with concerns of looking “overdone” or having the dreaded “duck lips”.  I like to take a conservative approach keeping in mind my patient’s desired outcome. When I have a consultation with my patients about lip filler it isn’t always about size. We talk about the shape of the lips and giving them a natural, sexy appearance.

Let me address “duck lips”. Human-lips are fuller in the center, and taper off to the sides. This is not true of ducks, who have equal sized lips, top and bottom, nor do they taper to the sides. (Technically ducks have “bills” — not lips — but you know what we mean!). It is pivotal to understand the aesthetics of beautiful lip shapes and variations.  Cosmetic injections are a form of art, and it is important to discuss what will look great on your face. It’s important to make sure that you are placing your face into the care of someone who understands how to achieve natural, flattering looking results. Great injectors have both the medical knowledge to treat you safely, and the eye of an artist. Just having big lips isn’t beautiful they should be sculpted creating a cupids bow.  This creates youthful lips without a “fake” or “overdone” appearance.

 

There are several options for patients that want a very natural appearance to their lips. I offer a 1/2 or a full syringe option, we can always add more. Restylane Refyne will create a subtle augmentation to their lips.  Refyne may last up to a year giving patients a lasting result with a very soft and natural appearance.  Juvederm Ultra Plus and Restylane are my favorites for volume and structure. They have been on the market for years and my patients love them for adding volume and last approximately 6-months in the lips. Resylane Defyne and Juvederm Vollure both last approximately a year

 

Lip enhancement injections are a simple 30 minute procedure in the office.  Call today for your complimentary consultation. 248-524-0620   Let me put your worries to ease that you can have bigger lips without looking like a duck. —

 

Raquel Merlini

Registered Nurse & Aesthetician

The order in which you receive Aesthetic treatments is important

Botox before facials? Facials before lasers? In the world of aesthetics there are many types of treatments that range from noninvasive facials, aesthetic injections to comprehensive skin resurfacing lasers.  It’s important to receive these in the proper order to ensure the best aesthetic outcome.

Let’s start off with facials.  It is always best to receive your facial before any aesthetic injections. A facial involves massaging and rubbing of the face which can move the product to an area it was not intended for. Vigorous skin treatments such as microdermabrasion and microneedling could also cause the product to spread. If a neurotoxin, like Botox, disperses to a nearby muscle a side effect is droopy skin. This is commonly seen in the eyelid/brow area.  Therefore as a precautionary measure it is best to get the facial/vigorous treatment first or wait at least 2 weeks after receiving injections.

Lasers and treatments that are heat based are ideal before aesthetic injections. Most dermal fillers are made up of hyaluronic gel, which attract water and expand. Lasers that use heat may diminish the water content in the skin and the product, depending on the depth of the injection. Neurotoxin like Botox and Dysport are used to address wrinkles associated with facial animation. Heat causing treatments may cause swelling which could possibly diffuse the product to other areas. This means it is best to receive the laser treatment before any aesthetic injections.

 

The leading way to maintain a youthful face is to collaborate between non-surgical cosmetic procedures and the aesthetic treatment room. Knowledge is power and it is beneficial to know what sequence procedures are best performed in. This is something your Injector and Aesthetician can advise you on during a Skin Assessment/Skin Care Consultation. Our highly qualified team who will work with you to determine the best treatment plan for you. Call today to schedule your complimentary consultation. 248-524-0620.

Raquel Merlini, RN

 

 




Do you clench your teeth? A different approach for relief.

Do you clench your teeth? A different approach for relief.

On the outside someone may appear to be calm and relaxed however, an interior view of their mouth tells a very different story.  One of the exciting things about medicine is often we discover that a particular drug can offer benefits to several other aliments then its intended purpose. I suffer from unconscious clenching and grinding of my teeth both during the day and as I sleep. While attending a training workshop I heard Botulinum toxins found in products such as Botox® and Dysport® can be used to relax and relieve the masseter muscle.

After further researching bruxism (the formal name for this condition) I discovered I was not alone and this is a common and painful problem that can lead to severe dental issues. Chronic teeth clenching/grinding can cause headache, earaches, facial pain, and even migraines. Bruxism sufferers who grind and clench their teeth while sleeping frequently wake up with a sore jaw.  The good news is treatments of Botox/Dysport injected into the masseter muscle can provide tremendous relief from jaw soreness, headaches, and other unpleasant problems.  The administration technique is the same which is used for wrinkle reduction. Usually three small injections are administered into the muscle on each side. This allows the muscle to relax and ease the tension in the jaw.  It may last 3 to 5 months.

It can also be used for Aesthetic corrections.  Individuals suffering from hypertrophy of the masseter muscle, can have the appearance of a severe square jaw, giving a more masculine appearance to the face.  Injecting Botulinum into this area can soften the jawline and help to reverse this.

Call our office today to schedule your free consultation and get relief. 248-524-0620

Raquel Merlini, RN

I have clenched my teeth for years and after failed attempts to wear mouth guards, I gave up hope for any relief. After hearing about this procedure of injections into the masseter muscles I was excited to try it. I suffer from headaches and jaw soreness. The injections have worked and not only ease the stiffness in my jaw but have greatly reduced my morning headaches”. K. Stubbs