BOTOX® Cosmetic Injections in Cleveland, Ohio
The cosmetic form of botulinum toxin, often referred to by its product name BOTOX® Cosmetic, is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crow's feet near the eyes and thick bands in the neck. The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. Studies have also suggested that BOTOX® Cosmetic is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes. Dr. Medalie is an expert at Botox injections and offers them in his office.
In addition to helping with frown lines, Dr. Medalie finds it is very good at helping to elevate the lateral eyebrow to give the brow a more arched and youthful appearance. For more information about BOTOX® Cosmetic, please click here.
FAT Injections in Cleveland, Ohio
Dr. Medalie is an expert in the art of fat injection and transfer. In the medical world, the fat injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient's abdomen, thighs, buttocks or elsewhere and re-injecting them beneath the facial skin (the fat can actually be injected in any part of the body). Fat is most often used to fill in "sunken" cheeks or laugh lines between the nose and mouth, to correct skin depressions or indentations and to enhance the lips. Results tend to be permanent, but typically only 40% of the fat survives (even less in the lips).
In many patients the loss of volume can be as much a sign of aging as excess skin. For this reason, I almost always perform fat injection at the same time as face lifting. This "autologous fat transplantation" helps to restore the natural youthful curves of the aging face in a way that pulling never can. There is even some evidence that "stem cells" in the transplanted fat have effects above and beyond volume restoration. They have been hypothesized to thicken the overlying skin collagen and help reverse the effects of time, gravity and sun exposure. I have also used fat for buttock rejuvenation.
How is it done?
Fat grafting offers profound applications for aesthetic and reconstructive use. In addition to “pushing or plumping out” the skin like synthetic fillers, it actually makes a structural change. Essentially, fat is harvested from one or multiple parts of the body (abdomen, thighs, hips, arms) under local or general anesthetic prepared and injected in tiny quantities into the face, breast, buttocks or other areas. Fat is living tissue and under the right conditions will survive in its new location. It allows three dimensional augmentations of facial elements through redistributing volume. It can be used in conjunction with other fillers or liposuction to optimize the overall result. Grafted fat becomes integrated into the host tissues and is undetectable after the transplant. In experienced hands, fat grafting is a safe and long lasting method of recontouring.
Dr. Medalie is an expert at fat injections and offers them in his office as an outpatient clinic procedure with local anesthetic and mild oral sedation.
Similar to collagen, “overfilling” is necessary to allow for fat absorption, so you will have a slight swollen appearance. Depending upon the extent of treatment, you may have redness, bruising and swelling in both the donor and recipient sites. In the case of buttock augmentation you may be placed in a compression girdle and asked to stay in the garment for 4 to 6 weeks. The buttock area will be sore for about 2–4 weeks and you will not be permitted to sit or lay on your buttocks for the first 2–4 weeks depending on where the fat injection was performed. Moderate to severe swelling is common but will resolve itself within 3 weeks. Most patients can slowly resume light activity following treatment but may increase to normal activity after approximately three weeks to one month. Swelling can last up to three to six months. It is very important to follow all post operative instructions carefully.
JUVÉDERM® Injectable Gel in Cleveland, Ohio
JUVÉDERM® is a crystal-clear, non-animal, biodegradable gel based on a natural substance, called hyaluronic acid. The gel is injected into the skin in tiny amounts with a very fine needle. The result is instantaneous and produces a long-lasting, natural enhancement, gentle and safe to your skin. Results can endure for 6-9 months. Dr. Medalie is an expert at Juvaderm injections and offers them in his office.
He typically uses Juvederm to fill in "sunken" cheeks or laugh lines between the nose and mouth and augment the lips. He also finds that it is very effective in reducing the dark circles around the eyes formed by the descent of the cheek in relation to the lower eyelid.