What are Restylane and Juvederm?

Restylane and Juvederm are common name brands for dermal fillers. Dermal fillers are injectable products used in the face to give additional volume or restore volume lost with facial aging.

The most commonly used product is hyaluronic acid, which is a natural sugar already present in your body. When it is injected in synthetic form, it usually lasts between 6 months and 2 years.

This is different from neuromodulators, also known as botulinum toxin, which are products that paralyze muscles and erase dynamic wrinkles and smoothen out skin.

Female treated with lower eyelid fillers

Female treated with hyaluronic acid fillers to the tear trough
Source: Dr. Moubayed’s practice. Photos published with informed written consent of the patient. Not a guarantee of results. Educational purposes only.

Female treated with hyaluronic acid chin fillers

Female treated with hyaluronic acid fillers to the chin
Source: Dr. Moubayed’s practice. Photos published with informed written consent of the patient. Not a guarantee of results. Educational purposes only.

What are the main reasons people get fillers?

After a complete analysis of your face, Dr. Moubayed will determine what your best options are between non-invasive or surgical treatments for facial rejuvenation.

Fillers are mainly used to augment cheekbones, augment lips, smoothen under-eye circles, and augment the chin. We also use them to improve nasolabial folds, marionette lines, the temples, the forehead, as well as for non-surgical rhinoplasty.

Five ways to know if you are a good candidate for dermal fillers

1- You are not pregnant or breastfeeding

2- You do not have skin disease at the area you want to inject

3- You want a quick rejuvenation option without downtime

4- Your expectations are realistic

5- A treatment plan has been determined with your facial specialist to determine in order of importance what would be most beneficial to you

What are the potential benefits of fillers?

Fillers are a quick facial rejuvenation option without downtime that can be performed in less than an hour per facial region by expert hands.

The advantages are an improvement in volume-deficient regions in order to give them a more attractive appearance (such as cheekbones, chin, or the nose), filling of deep static wrinkles (like nasolabial folds or under-eye circles), or an indirect lifting effect (like a liquid facelift).

What are the risks of hyaluronic acid?

Like any injection, the most common risks are minimal pain at the site of injection, bruising, and temporary redness. Sometimes, certain patients can suffer from a slight headache the same or next day, and certain patients can have residual movements or asymmetries requiring touch-ups.

Rarely, certain patients can develop an infection, persistent redness, scar formation, nodules or granulomas at the site of injection, or a true allergic reaction to hyaluronic acid. Exceptionally, some cases of loss of vision or tissue necrosis have been reported with soft tissue fillers.

It is important to choose an injector that is conscious of all of these risks, and that knows how to manage all complications. Dr. Moubayed puts safety first and is conservative with facial fillers in order to minimize complications. Being a surgeon specifically trained and specialized in the facial area offers an advantage in terms of knowledge of facial anatomy that helps avoid zones at risk for complications.

Finally, like any cosmetic procedure, there is a risk of not being satisfied with the result. After a proper consultation that includes a complete examination and photo evaluation, Dr. Moubayed can generally produce the results desired by the patient. However, we do not control the response of tissues to injections, and sometimes repeated injections are necessary to achieve a more evident result. However, as hyaluronic acid is generally safe when used in a proper way by a specialist, injections are reversible or amenable to touch-ups depending on each individual patient’s wishes.

What happens during a consultation for facial fillers?

A consultation starts with a complete questionnaire and physical examination. Photos are taken and analyzed with your surgeon. This is an essential communication tool as some patients want changes that are not always possible with filler injections.

Then, we talk about the procedure, and Dr. Moubayed answers any and all questions you may have.

Patients often choose to receive their injections on the same day as the consultation.

Female treated with hyaluronic acid fillers

Female treated with hyaluronic acid fillers to the lips
Source: Dr. Moubayed’s practice. Photos published with informed written consent of the patient. Not a guarantee of results. Educational purposes only.

How to prepare for a facial filler consultation?

It is a good idea to prepare for a facial filler consultation. First start by listing in order of importance the facial features you would like to enhance by putting in order the areas that bother you the most. Second, if you have had prior facial injections, try to find the date as well as the products and quantities that were injected.

How long does it take to inject fillers in the face?

Depending on the quantity of product injected as well as the number of facial zones treated, a typical injection session lasts anywhere between 30 minutes and one hour.

What type of anesthesia is used for facial filler injections?

We use a topical anesthetic cream.

For more painful injections, such as lip injections, we also perform a lip block using tiny needles and a local anesthetic, which eliminates pain completely during filler injections.

Some patients opt to not receive any anesthesia, whether it is topical or with an injection, and we respect that choice as facial fillers are also very well tolerated without any anesthesia.

How long do hyaluronic acid filler injections last?

In general, product injected into regions that are more mobile such as the lips tends to disappear quicker than product injected into deeper more stable structure such as cheekbones or the chin. The latter usually last a year or more.

How long does bruising last after facial filler injections?

When injections are performed on patients that do not have thin blood due to disease or medication, and when we take particular care to avoid small veins, bruising is rare. This is however possible, and bruises are easily hidden with make-up starting the following day.

Will I swell after botulinum toxin injections?

Lips are specifically at risk for bruising and this often happens for a few days after the injection. Dr. Moubayed will give you all the tricks to minimize this swelling. Other areas of the face do not tend to swell as much. However, the vast majority of patients return to their usual activities the next day no matter the injected area.

How do I find the best hyaluronic acid injector in Montreal?

Multiple factors must be considered when trying to find a good injector:

1- Does this person have proper and deep understanding of facial anatomy?

2- Is this person trained in used a proper and safe injection technique?

3- Does this person know all the risks of facial fillers and know how to take care of complications if they happen?

4- Do you feel confident in your injector during your consultation?

How do I contact Dr. Moubayed for a consultation?

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