Nonsurgical Facial Rejuvenation: Botox and Facial Fillers

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An overview of injectable techniques of nonsurgical facial rejuvenation, focusing on Botox Cosmetic and Juvederm. Includes extensive before and after photographs.

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Nonsurgical Facial Rejuvenation: Botox and Facial Fillers

  1. 1. New  Direc)ons  in     Plas)c  Surgery:     Non-­‐Surgical  Facial   Rejuvena)on   Joshua  D.  Zuckerman,  MD  
  2. 2. Joshua  D.  Zuckerman,  MD   •  Plas)c  and  reconstruc)ve  surgeon  at   New  York  Plas)c  Surgical  Group   •  Board  Cer)fied  by  the  American  Board   of  Plas)c  Surgery   •  Aesthe)c  surgery  of  face,  breast,  and   body   •  Non-­‐invasive  facial  rejuvena)on   •  Full  profile:  hMp://www.lipsg.com/ about-­‐our-­‐prac)ce/our-­‐doctors/dr-­‐ joshua-­‐zuckerman-­‐new-­‐york/  
  3. 3. New  York  Plas)c  Surgical  Group   •  ManhaMan  division  of  Long  Island  Plas)c   Surgical  Group,  PC   •  Largest  and  oldest  Plas)c  Surgery  private   group  prac)ce  in  the  USA   •  Only  private  prac)ce  Plas)c  Surgery  group   with  an  academic  residency  program   •  6  offices  in  the  New  York  /  Tri-­‐State  area  
  4. 4. What  makes  you  look  older?  
  5. 5. Understanding  the  Aging  Face   •  Collagen  breakdown   –  Loss  of  skin  elas)city   –  Wrinkles   •  Fat  atrophy   –  Loss  of  volume   –  Thin  lips   •  Sun  damage   –  Texture  changes   –  Veins   –  Age  spots  
  6. 6. Botox   SAFE  and  EFFECTIVE     in  both  the  short  and  long   term  
  7. 7. Botox   How  does  it  work?   Weakens  muscles  by   prevenDng   neurotransmission  
  8. 8. Botox   Where  does  it  work?   Glabellar  lines/Frown  lines   Horizontal  forehead  lines     Crow’s  feet   Bunny  lines   Neck  lines  
  9. 9. Botox   Course  of  Treatment   Ini)al  injec)on  –  First  Consulta)on   Evalua)on  at  2  weeks   Return  when  the  effect  BEGINS  to  wear  off  at  about   3  months   Hope  to  increase  injec)on  interval  by  prompt   retreatment  
  10. 10. Glabella   Before        Aber  
  11. 11. Forehead,  Glabella   Before        Aber  
  12. 12. Crow’s  Feet   Before        Aber  
  13. 13. “Botox  Brow  Lib”   Before        Aber  
  14. 14. Horizontal  Neck  Lines   Before        Aber  
  15. 15. Platysmal  Bands   Before        Aber  
  16. 16. Tissue  Fillers   Natural  substances  that   fill  wrinkles  
  17. 17. •  Smooth  gel  filler   •  Cross-­‐linked  HA   •  Combined  w/  lidocaine   •  Instant,  natural  result  
  18. 18.  Nasolabial  Fold  Fillers   Before        Aber  
  19. 19. Nasolabial  Folds      Glabellar  Lines   Before                                        AHer  
  20. 20. Nasolabial  Folds     Oral  Commissure   Before                                              AHer  
  21. 21.  Tear  Troughs   Before        Aber  
  22. 22. Lip  Augmenta)on            Before           Aber  
  23. 23. Lip  Augmenta)on   Before                                                  Aber  
  24. 24.  Cheek  Augmenta)on   Before        Aber  
  25. 25.  “Liquid  Rhinoplasty”   Before        Aber  

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