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  • 1. for more information log onto www.pvderm.com The Art of Filler Therapy “Using safe, state of the art compounds which are artistically placed under the skin surface” David T. Harvey, MD
  • 2. for more information log onto www.pvderm.com Filler Therapy “A Combination Approach” “Combining filler types helps us take advantage of each products unique characteristics. We like to utilize Sculptra™,Radiesse™ and Restylane™ with Botox Cosmetic™ for the best results” Dr. Harvey
  • 3. for more information log onto www.pvderm.com Filler Therapy Reduction of the nasolabial fold can be easily accomplished with the use of Restylane™ or Radiesse™ Results last from 6 months to 2 years depending on the patient Arrow-shows reduction of the nasolabial fold crease and the type of product used. Procedure performed by Dr. David Harvey *More than one treatrment may be necessary
  • 4. for more information log onto www.pvderm.com Filler Treatments for “Facial Sculpting” Improves facial lines that are attributed to subcutaneous tissue loss (lip lines, wrinkles) Excellent for skin depressions, scars, used in eyebrow lifts Examples include Lipotransfer, Sculptra®, Restylane®, Radiesse®, and Juvederm® Can combine with Botox®, and laser surgery to optimize appearance
  • 5. for more information log onto www.pvderm.com Filler Treatment Duration Collagen®- 4 months (not performed at PVDAS) Cosmoplast®-3 to 6 months (not performed at PVDAS) Lipotransfer- 6 to 12 months (2 treatments/yr) Sculptra®- 18- 24 months Restylane®-6 to 12 months (36 weeks with Botox®) Radiesse® -up to 2 years Juvederm® -up to 8 to 12 months Soft Form®-Permanent Filler
  • 6. for more information log onto www.pvderm.com Treatment Areas Lip Lines Eyelid area Nasolabial fold Acne Scars Neck Lines Forehead Lines Nasal defects Post Surgery Defects
  • 7. for more information log onto www.pvderm.com Lipotransfer “Fat Transfer” “The process of harvesting fat from one area and placing it into another area where a skin defect is noted”
  • 8. for more information log onto www.pvderm.com Lipotransfer PROS Safe Filler Substance Plentiful material Uses local anesthesia Little Downtime Easy to use and store up to 6 months
  • 9. for more information log onto www.pvderm.com Disadvantages Of Fat Transfer Slightly more invasive More than one correction often necessary Bruising more likely
  • 10. for more information log onto www.pvderm.com Fat Transfer can be used to treat: Acne Scars Aging Hands Thin Lip Lines Hollow Eyelids Cellulite Areas Cheek Area Nasal Defects Procedure performed by Dr. David Harvey
  • 11. for more information log onto www.pvderm.com Lipotransfer Pictures Before After Glabellar Wrinkles Procedure performed by Dr. David Harvey
  • 12. for more information log onto www.pvderm.com Lipotransfer Pictures Procedure performed by Dr. David Harvey Before After Cheek and Eye Wrinkles Cheek and Eye Wrinkles Before After
  • 13. for more information log onto www.pvderm.com Another view of Lipotransfer Patient Procedure performed by Dr. David Harvey
  • 14. for more information log onto www.pvderm.com Lip Line Enhancement Before After Procedure performed by Dr. David Harvey
  • 15. for more information log onto www.pvderm.com Restylane ® Sculpting Safe filler-Hyaluronic Acid (FDA approved for use in the USA) Lasts 6- 12 months, longer lasting when combined with other therapies, Botox, Laser Clear gel which interacts with skin tissues to promote tissue enhancement
  • 16. for more information log onto www.pvderm.com Restylane® Pearls Derived from bioengineered bacteria Grown in a medium free from human or animal sources Low level of alteration during manufacturing process leads to longevity and enhanced safety of the product
  • 17. for more information log onto www.pvderm.com Advantages Safe Easy to use Longer lasting than other fillers No need to pretreat skin with a test
  • 18. for more information log onto www.pvderm.com Restylane ® Immediately after treatment Before After Procedure performed by Dr. David Harvey
  • 19. for more information log onto www.pvderm.com Restylane ® A week after treatment Before After Procedure performed by R. Garcia, PA-C
  • 20. for more information log onto www.pvderm.com Restylane ® A week after treatment Before After Procedure performed by R. Garcia, PA-C
  • 21. for more information log onto www.pvderm.com Restylane® Disadvantages No anesthetic in material, sometimes need to perform a nerve block 1% risk of temporary redness or swelling- resolves in 2 to 3 days with ice +- corticosteroid creams 1 in 2000 may experience discomfort or acne lesion development at injection site
  • 22. for more information log onto www.pvderm.com More Restylane ® Pics Before After Procedure performed by Dr. David Harvey
  • 23. for more information log onto www.pvderm.com BOTOX® & RESTYLANE TREATMENT Before After Procedure performed by Rachel Garcia, PA-C
  • 24. for more information log onto www.pvderm.com ® Restylane and Botox ® “Eyebrow Lift’ Before After Procedure performed by Dr. David Harvey
  • 25. for more information log onto www.pvderm.com Restylane® with Botox ® Treatments-Glabellar Area Procedure performed by Dr. David Harvey
  • 26. for more information log onto www.pvderm.com Alternative to the Extreme Makeover (1) (2) (3) (4) (5) (6) Combination treatments with: Laser Eyelid Surgery (1), Botox™ (2), Restylane™(3), Laser Photopeel(4), Teeth Whitening (5), and Hairstyle (6). Procedure performed by Dr. David Harvey
  • 27. for more information log onto www.pvderm.com Restylane® with Botox ® Treatments-Glabellar Area Procedure performed by Dr. David Harvey
  • 28. for more information log onto www.pvderm.com Fraxel® & Before Restylane® Treatment Glabella Area After Procedure performed by R Garcia, PA-C
  • 29. for more information log onto www.pvderm.com Restylane® with Botox® Treatments Glabella & Nasolabial Fold Procedure performed by Dr. David Harvey
  • 30. for more information log onto www.pvderm.com Restylane® Treatment of Nasal Folds Before After Procedure performed by Dr. David Harvey
  • 31. for more information log onto www.pvderm.com Soft Form® Implants These are placed in the superficial deep subcutaneous (fat layer) Made of a soft pliable material called ePTFE
  • 32. for more information log onto www.pvderm.com Soft Form® Nasal Crease Improvement “Permanent implant” Natural looking 2 small incisions “Little Downtime” Wonderful modality to soften smile lines Procedure performed by Dr. David Harvey
  • 33. for more information log onto www.pvderm.com Nasolabial Fold Enhancement Before After Procedure performed by Dr. David Harvey
  • 34. for more information log onto www.pvderm.com Sculptra® Therapy Increases volume similar to Lipotransfer 3 to 5 sessions recommended Before After Procedure performed by Dr. David Harvey
  • 35. for more information log onto www.pvderm.com Sculptra® Therapy Before After Procedure performed by Dr. David Harvey
  • 36. for more information log onto www.pvderm.com Rachel Garcia, PA-C Master’s Degree of Clinical Medical Science, Barry University Deans List for entirety of Physician Assistant program Academic Scholarship Recipient Class FAPA Representative Bachelor of Science, University of Florida Ms. Garcia has advanced training in Fraxel™, IPL devices, Botox Cosmetic™, Fillers and the surgical removal of skin cancer.
  • 37. for more information log onto www.pvderm.com Dr. Harvey’s Credentials Board Certified in Dermatology and Internal Medicine Over 10 years experience in Cosmetic Surgery Procedures Instructor in Cosmetic Surgery procedures to other physicians Past President, Florida Society of Dermatology and Dermatologic Surgery Past President, Florida Society of Dermatologic Surgeons Division Head of Dermatology, Baptist Beaches Hospital Past Office Surgery Inspector, Florida Board of Medicine ACLS Certified (Advanced Cardiac Life Support)

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