Fillers |
Before and After |
It is unfortunate but true. We age and as we age there are many areas on our face that overnight seem to develop saggy areas. This becomes more visible over our forehead, laugh lines, jowls and finally around our mouth. In past the only treatment available was a facelift or some type of a surgical procedure. Women are no longer willing to have a surgical procedure in their mid career. They want to postpone the inevitable by using non surgical procedures. Over the past five years things certainly have changed. A large number of fillers are available for erasing the wrinkles with immediate results. Patients simply love the instant result and the American Society now documents that Botox Cosmetic has been the number one non surgical procedure to choose - and for the first time, the number of women seeking facelifts has dropped by 5%.
As one reads the newspapers, surfs internet and listens to the radio, the large number of options is sometimes confusing and bewildering. So, here are the facts:
Short Lasting: 3 months:
Cosmoderm and Cosmoplast FDA approved
Intermediate lasting: 6 months to 9 months
Restylane, Captique and Juvederm FDA approved
Long Lasting: 9 months to 18 Months
Calcium Hydroxyapatite: Radiesse FDA approved
Polylactic acid: Sculptra FDA approved
Near Permanent: Extremely long lasting
Artefill FDA approved:
Silicone : not FDA approved and not safe for use in the face
Here is a short table giving you the pros and cons of each product:
| Cosmoderm, Cosmoplast | Human Derived Collagen | 2-4 months | Yes | Used for superficial or light wrinkles around the mouth or frown lines, lasts for short time. |
| Hyaloform | Hyaluronic acid | 3-4 months | Yes | Easy to inject, used for injection of lips, short lasting and therefore not very popular. |
| Captique | Hyaluronic acid | 4 months | Yes | Easy to inject, used for injection of lips, short lasting, causes less swelling and bruising in the lips |
| Restylane and Juvederm | Hyaluronic acid | 6-8 months | Yes | Easy to inject, used for injection of lips, short lasting, causes less swelling and bruising in the lips very popular for the lips and laugh lines but losing its place to longer lasting injectables |
| Radiesse | Calcium Hydroxyapatite | > 1 year | Yes | Easy to inject, commonly used for injection of the laugh lines, sometimes the lips. Very useful to soften the jowl lines, and can be used to build the cheek bone area too. Very versatile product and very popular because of its long duration |
| Sculptra | Poly-L-Lactic acid | > 1 year | Yes | Long lasting and commonly used to build cheeks. Commonly requires more than one injection |
| Artefill | Collagen and Polymethymethcrylat e beads | Permanent | Yes | Longest lasting FDA approved product in market, very versatile for laugh lines, building cheeks and soften jowl lines. Requires skin testing one month prior to injection. |
Here is a simple face diagram to show what works best for each area on your face:

If you wish to learn about the products in details please click on the icons below and it will take you to their website.
- www.botoxcosmetic.com
- www.allerganandinamed.com/products/facial/us/patient/cosmoderm/prodinfo.html
- www.allerganandinamed.com/products/facial/us/patient/hylaform/prodinfo.html
- www.restylaneusa.com
- www.radiesse.com
- www.sculptra.com
- www.artefill.com
At Genesis Medical Spa we specialize in creating a natural you. We do not want you be known as the lady with fat enlarged lips or for that matter the lady who had so much Botox that she has no facial expressions.
Genesis Medical Spa is unique because it offers you both surgical and non surgical options so that you can choose what is best for you. You will have an evaluation by an experienced plastic surgeon and a customized plan will be made for you for the next five to ten years. We wish to develop a long term relationship with you so that you can look back a few years from now and say I am glad I chose this path, I have achieved my goals of looking beautiful once again. Just like you have your family physician to take care of your heart and chest, you should have plastic surgeon to look after your skin too. After all, skin is the largest organ in your body. So why choose to ignore it. What is more important, if you choose a location that does not offer surgical options; when you need a surgeon you will have start looking for a trusted physician once again. So why not begin at a place where both surgical and non surgical options are available at a single location, so you always get the best at all times.

Before and After
| Before Pre-Op | After Post-Op |
| (All procedures performed by Dr Panchal. Individual results may vary) | |
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More Before and After photos are available in our office. |
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