It is a great time to consider procedures to improve the appearance your face. With all of the recent advances in technology there are now more options than ever for non-surgical treatments to freshen your appearance. Now, in the event that you either don’t need or don’t want a surgical procedure to improve your looks, you can still make improvements that will make you look and feel terrific. From neurotoxins, like BOTOX®, XEOMIN®, and DYSPORT®, which weaken muscles causing wrinkles, to fillers which smooth creases and add volume, there is an entire toolbox of treatments to meet your individual needs. With injectable treatments you will have minimal to no down time, little to no bruising or swelling, no need to go to the operating room, much more economical costs, and great longevity of your results. Certified as an ExpertInjector™ by the American Society for Aesthetic Plastic Surgery sponsored ExpertInjector™ program, a credential that can only be obtained by properly trained and experienced board certified physicians, and a faculty member teaching advanced injection techniques, Dr. G has the expertise and experience with all of the different injectable products to produce consistent results that only a skilled injector with these kinds of credentials can.
A word about techniques:
Injections can seem deceptively simple, yet in order to safely and effectively meet your goals, you must carefully select who does your injections and how they are done. There are many different ways to perform injections, and each injector has his or her special technique. There are two areas that Dr. G feels are very important to emphasize in the technical aspect of injections.
The first of these is anesthesia and pain control. While most people tolerate injections quite well, there can be some discomfort associated with the treatment. If you are uncomfortable during the procedure, you will not be relaxed, and it may be more challenging to achieve the best results. Therefore, Dr. G feels that optimal comfort is of utmost importance during injections. Although topical anesthetic creams are frequently used, it has been our experience that by and large they are not that effective. Therefore, Dr. G will employ local anesthetic blocks skillfully to ensure that you are comfortable during your procedure and he can do his best work.
The second important technical point to note is that the type of device used to perform an injection is important. All needles are not created equally, and sometimes needles aren’t even the best tool for the job. In the case of the neurotoxins, many injectors use insulin syringes or tuberculin syringes, devices intended for a totally different use. Dr. G uses a specialized syringe designed for maximal use of the solution together with the finest 32 gauge needles, so that your discomfort is minimal and your risk of bruising is its lowest. With the fillers, although they are packaged with a needle, Dr. G has acquired the specialized skill of using blunt micro-cannulas for the vast majority of his filler injections, and this is a significant advance in many ways. Unlike a sharp needle, the blunt cannula will not pierce, puncture, or lacerate the delicate facial blood vessels during injection, and therefore your risk of bruising and swelling is reduced. More importantly, if a blood vessel is inadvertently entered with a needle and filler injected into it, the blood flow to downstream tissues may be blocked, and we may see serious complications like skin loss or even blindness. This risk is nearly eliminated with the blunt cannulas. Additionally, the cannulas are more comfortable, usually requiring only a single superficial entry site instead of multiple punctures, thereby causing much less pain during injection. Finally, the cannula allows greater precision in placement of the filler at the right depth in the tissues, and there is little if any “back-flow” of filler through needle tracks causing those annoying and unsightly “bubbles” along the injected area. Dr. G is a faculty member trained to teach other injectors these advanced injection techniques, and it is his hope that one day, this will be the standard technique for everyone performing filler injections.