FILLERS & VOLUMIZERS Stamp out - and plump up - the signs of aging

As we age, our skin changes. Over time the natural volume of youthful skin begins to diminish as wrinkles and folds form. But, with a variety of dermal fillers and volumizers you don't have to sit back and watch that happen!

Injectable fillers are used to soften and contour lines, folds and wrinkles by injecting a solution into the skin to add volume and create a more youthful appearance. We have many options so you can choose the one that's right for you. Ask about our "non-surgical injectable facelift".

COLLAGEN

Collagen is one of the key elements that keep our skin looking young, firm and smooth. Every time you smile, squint, or frown you put stress on the underlying collagen in the skin, which results in the development of facial lines. In addition, collagen is depleted naturally as you age, leaving many yearning for the plump and youthful skin they remember.

Collagen Replacement Therapy offers immediate and dramatic results for those unhappy with the early signs of aging and is used as a non-surgical method to smooth out facial lines, wrinkles, plump up lips and fill in scars.

Collagen Replacement Therapy produces results that can be seen and felt instantly and leaves you with a refreshed and more youthful looking skin.

EVOLENCE

Drs. Marilyn Berzin and Dale Issacson are proud to offer their patients Evolence. This revolutionary filler smoothes out and softens unwanted wrinkles, restoring facial contour and structure. Evolence offers immediate results with little or no downtime. These instant results last for 6 months or more, so you can avoid repeated treatments associated with other fillers.

What makes Evolence different? Evolence is made of natural collagen. The advanced collagen in Evolence mimics the three-dimensional structure of your skin's own collagen. This allows Evolence to integrate seamlessly with your existing collagen, for a natural look and feel that last.

The unique collagen of Evolence:
Achieves immediate, natural-looking results, so you can walk out of our office looking beautifully refreshed
Causes minimal-to-no swelling or bruising, so you can get right back to daily activities
Last for at least six months so it is convenient and reduces costly repeat visits
Does not require a skin pre-test, so you can get results in one visit

JUVÉDERM™ PLUS & ULTRA PLUS The newest injectable filler

NEW Try the Juvéderm® Facial Assessment Tool for Reducing Wrinkles and Folds

Juvéderm™ is used to smooth out wrinkles, plump lips, remove smile lines, nasolabial folds and acne scars.

Hyaluronic acid occurs naturally in our body and helps maintain youthful, elastic skin; however, we lose it as we age. Juvéderm™ injections contain a hyaluronic acid gel, a natural complex sugar that bolsters elasticity. It's injected below the skin's surface to cushion and hydrate the skin, leaving it smoother, more supple and more refreshed looking - immediately.

The pliant gel provides a smoother, more natural-looking appearance than some of the more rigid treatments and is thought to last longer. After six to twelve months, the biocompatible compound is naturally absorbed into the body.

Juvéderm™ - can last up to one year.    Back to top ^

RESTYLANE® and PERLANE® Non-animal based dermal fillers
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If you want to enhance your lips or get rid of wrinkles and you're allergic or fearful of using bovine collagen, then these natural products may be your answer.

Restylane® and Perlane® are safe and natural cosmetic dermal fillers that restore volume and fullness to the skin.

Restylane® and Perlane® were the first dermal fillers made of non-animal based hyaluronic acid… a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. These products contain hyaluronic acid in the form of a crystal-clear gel, which is injected into the skin to lift the lip, wrinkle or fold. Once in your skin, they create volume, resulting in a healthy and vital appearance. When injected into the lip, they can restore a more natural and sensuous look.

Restylane® can last twice as long as collagen, so treatments are typically scheduled twice a year.   Back to top ^

SCULPTRA™ Facial contouring and volumizing for hands

See videos explaining the procedure: What Is Sculptra? How Sculptra Works CBS News The Early Show Healthline "Retirement" Sculptra Fox 5 Washington Hands Washington 9 Hands Ivanhoe News Hands

Well, Sculptra™ is here to help. It's a sculpting agent that corrects the signs of facial fat loss by using a safe, synthetic material [Poly-L-lactic acid] that is injected deep into your skin. Once it's injected, the body will then build collagen up around it, causing your skin tissue to thicken and, ultimately, fill in any facial depressions.

And, Poly-L-lactic acid is very safe - it's the same material used in dissolvable stitches and soft tissue implants and a natural form of Poly-L-lactic acid is produced in our muscles during exercise so it can easily be dissolved by the body.

Sculptra™ is the first FDA-approved product of its kind to restore and/or correct the signs of facial fat loss, or lipoatrophy, in people with human immunodeficiency virus.

The results speak for themselves - Sculptra™ provides up to an 80% improvement in the treated areas and lasts up to two years or more by actually stimulating collagen growth as it is broken down by the body. This produces a gradual and significant increase in skin thickness. When the benefits of other dermal fillers begin to fade in a couple months, Sculptra™ will actually still be improving your skin's volume and youthful appearance.

One more thing to think about…
We, Drs. Isaacson and Berzin, are in the forefront of non-surgical facial rejuvenation and have developed a unique approach to reverse the signs of aging. We are breaking new ground by combining the skin tightening effects of Thermage™ with the contouring benefits of Sculptra™. They are highly complimentary and, when strategically used with one another, the results are outstanding.

A 'Top 10' list of questions about SculptraAesthetic

Before Treatment: General SculptraAesthetic Questions
Q:	What is SculptraAesthetic?
A:	The main ingredient in SculptraAesthetic is poly-L-lactic acid, or PLLA. PLLA has been used safely for decades in dissolvable stitches, and as a facial injectable in Europe since 1999. It's been in use in the United States since 2004. The body gradually and naturally absorbs poly-L-lactic acid as it works to replace lost collagen.
Q:	Is SculptraAesthetic FDA approved?
A:	Yes. The FDA has approved SculptraAesthetic for the correction of shallow to deep nasolabial fold (smile lines) and other facial wrinkles, which are treated with the appropriate injection technique in healthy people.
Q:	How does SculptraAesthetic work?
A:	SculptraAesthetic targets the underlying causes of the signs of facial aging. It can give you noticeable results that emerge subtly and can last for up to 2 years. It begins to work within the deep dermis, where your skin's structure is reinforced as SculptraAesthetic helps to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow to deep facial wrinkles and folds that have depleted over time. The result? SculptraAesthetic is different because it gradually and subtly corrects these facial wrinkles and folds. This can provide a refined, more youthful-looking appearance that can last up to two years. Of course, individual results may vary.
Q:	How does facial collagen loss affect my appearance?
A:	Collagen loss is a key factor in aging. Collagen acts as a support structure for your skin. As time goes on, collagen isn't replaced as readily as it once was. SculptraAesthetic works by gradually replacing lost collagen to help correct shallow to deep facial wrinkles and folds. And it gives you long-lasting results that can last up to two years. Of course, individual results may vary.
Q:	How is SculptraAesthetic different?
A:	SculptraAesthetic is not a traditional filler. It's different because it gradually and subtly corrects shallow to deep facial wrinkles and folds, creating a refined, natural-looking appearance. It can provide results that can last up to two years. Of course, individual results vary for each patient.
Q:	How do I know if SculptraAesthetic is right for me?
A:	With all the treatment options out there, it's important to know what you want to get out of treatment. If you want a look that's not obvious and doesn't look like you've had work done, then SculptraAesthetic may be right for you. SculptraAesthetic works gradually to replace lost collagen. It can give you noticeable results that emerge subtly and can last up to two years. Of course, individual results may vary. If any of these benefits are important to you, then you may want to schedule a consultation. We can arrange for our physician to give you a facial assessment and help determine if SculptraAesthetic is right for you.
Q:	What parts of the face does SculptraAesthetic treat best?
A:	Sculptra®Aesthetic is indicated for the correction of shallow to deep nasolabial fold (smile lines) contour deficiencies and other facial wrinkles which are treated with the appropriate injection technique in healthy people. SculptraAesthetic is not for use in the lips and is not recommended for use in the periorbital area. Safety and effectiveness of SculptraAesthetic have not been evaluated in areas other than nasolabial wrinkles and folds in clinical trials.
During-Treatment: What to Expect Before and During Treatment
Q:	What are the treatments like? How long do they take?
A:	Treatments with SculptraAesthetic typically take 15-30 minutes. Immediately before treatment, the area where the injections will be given is cleaned with an antiseptic, and a local anesthetic cream or injection may be applied. Then, using a very fine needle, SculptraAesthetic is injected in small amounts beneath the surface of the skin. Multiple injections will be needed. After the treatment session, the areas where you were injected will be massaged. Your physician will describe the aftercare routine that he or she recommends for you.
Q:	How many visits or injections will I need?
A:	The number of treatment sessions, the length of treatment, and the amount of SculptraAesthetic needed differs for each person. Your physician will create a regimen that works to meet the unique needs of your face. On average, treatments are given in 3 sessions over a period of a few months.
Post-Treatment: Expectations About Results
Q:	What are the typical results and are people usually satisfied with the outcome?
A:	In a key study, 99% of patients showed improvement in wrinkles and lines at 3 weeks. After a little over 2 years, 80% of patients were satisfied with their treatment results. They rated their results as good, very good, and excellent.* *80% includes satisfaction scores of good, very good, and excellent.

See the full list of Q&As >>

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RADIESSE™ The next generation in long lasting wrinkle correction
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Radiesse™ is an FDA-approved dermal filler that is setting a new standard for the correction of facial lines and wrinkles. It not only smoothes out skin, it volumizes, resulting in a more natural, youthful appearance that lasts!

Radiesse™ is a safe alternative to collagen and other leading dermal fillers. It is made of calcium-based microspheres that are suspended in a WATER-based gel and is safely and naturally absorbed by the body. It is injected into the skin giving you immediate and long-lasting improvement of fine lines, folds and wrinkles and provides facial volume for a more natural and youthful look.

Radiesse™ stimulates the body to naturally produce new collagen, often with just one or two office visits and the effects can last up to a year… or more!   Back to top ^