Injectables & Facial Fillers

Special Promotions:

In celebration of the Botox Cosmetic 7-Year Anniversary, Allergan is offering several special promotions. Please call us for more details at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 12 noon EST..

Allergan is celebrating:

• 7 years of physician experiance
• 11 million procedures and counting
• High patient satisfaction

Click here for more information on this and other Special Promotions offered by the Plastic Surgery Center or please call 1-800-640-0290 for more information and to make an appointment.

Improving Skin Texture with Injectable Facial Fillers

As we age, our faces begin to show the effects of gravity, sun exposure, volume loss due to loss of underlying fat, and years of facial muscle movement, such as smiling and chewing. The underlying tissues that keep our skin looking youthful and plumped up begin to break down, often leaving laugh lines, smile lines, and facial creases over the areas where this muscle movement occurs.

Soft-tissue fillers, such as Restylane, Perlane, JUVEDERM™ Injectable Gel or Radiesse can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure or a recontouring procedure, such as a facelift.

Know Your Options

Facial Fillers or Injectable Fillers are primarily used to improve the appearance of the skin's texture. They can help fill out deep facial wrinkles, creases and furrows, "sunken" cheeks, skin depressions and some types of scars. They can also be used to add a fuller, more sensuous look to the lips and improve “lipstick lines”.

BOTOX® Cosmetic is used to help smooth creases caused by overactive muscles (such as forehead wrinkles, crow’s feet and frown lines). When excess facial or neck skin is present, this type of aging is more appropriately treated by face and neck lifts or forehead lifts.

What to Expect From Treatment

The most important fact to remember about injectable fillers is that the results are not permanent. Injected material is eventually metabolized by the body.

Depending on the type of facial filler used, the results may last anywhere from a few months to a year or more. Researchers believe that age, genetic background, skin quality and lifestyle as well as the injected body site may all play a role in the injected material's "staying power."

Risk Related to Injectables

When injectables are administered by a qualified plastic surgeon, complications are infrequent and usually minor in nature. Still, individuals vary greatly in their anatomy, their physical reactions and their healing abilities. The outcome of treatment with injectables is never completely predictable.

Redness and swelling are common for 2-5 days after treatment. Avoid social engagements during this time. Early lumpiness can be treated with finger pressure, later lumpiness generally resolves by itself. Nodules may require office treatment.

In contrast to collagen, prior testing is not required for Restylane, Perlane, JUVEDERM™ Injectable Gel or Radiesse. Risks not necessarily related to allergies include infection, abscesses, open sores, skin peeling, scarring and lumpiness, which may persist over the treated area. Reports of these problems are very rare.

Planning for Treatment

Facial rejuvenation is very individualized. That's why it's important to discuss your hopes and expectations during your consultation. In your initial consultation, we will evaluate your face -- the skin, the muscles and the underlying bone -- and discuss your goals for the surgery. We will help you select a treatment option based on your goals and concerns, your anatomy and your lifestyle.

We will ask you about your medical history, drug allergies, and check for conditions that could cause problems, such as active skin infections or non-healed sores from injuries. Facial fillers are generally off limits for pregnant women, patients who suffer from autoimmune diseases, and those who are allergic to the local anesthetic.

The Treatments

Injectables are administered in our office. After the areas are marked, the patient ices the area. Local anesthesia (Lidocaine) is injected followed by the facial filler. A treatment takes approximately 20-45 minutes. Lips take longer.

Icing is continued after the treatment. After the local wears off, you may notice some minor discomfort, stinging or throbbing in the injected area. Occasionally some bruising will occur, but it is usually minor. Swelling and redness in the injected site is common and usually disappears in 2-5 days. In some individuals, particularly fair-skinned patients, this redness may persist for a week or more. Tiny scabs may also form over the needle-stick areas; these generally heal quickly.

No bandaging is needed and you are free to eat, drink, and wear makeup with sunblock protection shortly thereafter.

It is best to be seen for a follow-up appointment and possible “touch-up” about 3-6 weeks after treatment.

Your New Look

If you're like most of our patients, you'll be satisfied with the results of your injectable treatments. You may be surprised at the pleasing results that can be gained from this procedure.

Fees for Injectables:

Facial Fillers:

Restylane®: $500 per 1 cc syringe (Includes local anesthesia)
Perlane®:     $550 per 1 cc syringe (Includes local anesthesia)
JUVEDERM™ Injectable Gel: 
      $500 per 0.8 cc Ultra syringe (Includes local anesthesia)
      $550 for the first 0.8 cc Ultra Plus syringe (Includes local anesthesia)
      $500 for the second 0.8 cc Ultra Plus syringe (Includes local anesthesia)
Radiesse®: 
      $650 for the first 1.5 cc syringe (Includes local anesthesia)
      $550 for the second 1.5 cc syringe (Includes local anesthesia)
      $450 for the third 1.5 cc syringe (Includes local anesthesia)
Fat Grafting: Varies, needs to be determined at time of consultation.

BOTOX® Cosmetic :

Forehead: About 8 to 10 injections at $30.00 per injection ($12 per unit -- 2.5 units per .05cc injection)
Frown Lines: About 4 to 10 injections at $30.00 per injection ($12 per unit -- 2.5 units per .05cc injection)
Crow's Feet: About 3 to 4 injections per side at $30.00 per injection ($12 per unit -- 2.5 units per .05cc injection)
Armpits (for sweating): About 10-12 injections per side at $30.00 per injection ($12 per unit -- 2.5 units per .05 cc injection).

Contact Us for More Information

The Plastic Surgery Center of Manchester, New Hampshire specializes in cosmetic plastic surgery, including body lifts, breast enlargements, breast lifts, breast reductions, eyelid surgery, ear surgery, facelifts, fat grafting, liposuction, male breast reductions (gynecomastia), neck and chin surgery, nose surgery (rhinoplasty), surgery after massive weight loss, tummy tucks and BOTOX® Cosmetic for vaginismus. We also offer facial rejuvenation (chemical peels, dermabrasion, Obagi Blue Peels, Glycolic Peels, Microdermabrasion), injectables and facial fillers (BOTOX® Cosmetic, Radiesse®, Juvederm®, Perlane® and Restylane®) and advanced skin care to patients from all over New England (Maine, Vermont, New Hampshire, Massachusetts). While no responsible practitioner gives guarantees for the work they do on the human body, we can at least reassure you that you will receive the expertise and dedication of over 30 years in practice. Our patients become an important part of our family and we try to get to know each patient individually and customize their treatment to meet their desires. Visit our skincare website to purchase MD Forte, Obagi-C Rx, Obagi NuDerm, Prevage and Vivite advanced skincare products.