Botox and Dermal Fillers

​Dr. Barroner is proud to offer a variety of cosmetic facial enhancements for her patients at Elevated Oral & Implant Surgery. Botulism Toxin (BOTOX® and XEOMIN) injections and Dermal fillers (JUVÉDERM® and other brands) can help patients battle the signs of aging, build self-confidence, and aid in the treatment of various facial conditions including TMJ discomfort and teeth grinding. Dr. Barroner is a proud member of the American Association of Facial Esthetics (AAFE) and has detailed knowledge of facial anatomy and extensive experience with both Botulism Toxin and Dermal Fillers. Below you will find a brief description of the key cosmetic treatments we offer. While the information below is valuable, scheduling a consultation with Dr. Barroner is the best way to learn about what treatments are best for you.

---

​
​BOTOX® Cosmetic
No matter how well skin is preserved and cared for, everyone eventually develops facial lines and wrinkles. Fortunately, there are a number of options available to remove many of the lines that come with aging. BOTOX® Cosmetic is an extremely quick approach to softening or removing the natural lines and wrinkles between the eyes, on the sides of the eyes (crow’s feet), and on the forehead. BOTOX® Cosmetic is FDA-approved to temporarily smooth or remove these lines in patients ages 18 to 65. During this treatment, Dr. Barroner will personally administer a few small injections directly into the muscles that cause these facial lines. The procedure requires no recovery time and causes little discomfort.  Your entire treatment takes approximately 15-20 minutes.
After receiving BOTOX® treatment, patients can return to work the same day. A patient’s facial muscles will relax within two to ten days after treatment, causing wrinkles to either lessen or disappear completely. The muscles will continue to remain in a relaxed state for three to four months after treatment. If you discontinue treatments, the facial wrinkles will gradually re-appear. Patients who receive treatments on a regular schedule will likely find that BOTOX® treatments are effective for longer periods of time. Our staff will help you keep track of your treatment schedule.
 
Yes, your facial expressions will continue to look natural. Although the results of BOTOX® Cosmetic are visible, it will not make you look as if you “had work done”. The muscle activity that cause facial lines between the brow is simply reduced, so you can still frown or look surprised.
 
If you would like to learn more about BOTOX® Cosmetic, please schedule a consultation with Dr. Barroner today.

Click HERE to access our Botox Cosmetic and Xeomin Post-Operative Instructions.

---

Click HERE to learn about Post-Operative Care instructions for Xeomin and Botox Cosmetic.

XEOMIN®
XEOMIN® is a similar drug to BOTOX® and has recently been FDA-approved as a new Botulism Toxin for the smoothing of lines and wrinkles in the face. Like other treatments in this category, XEOMIN® works by relaxing the muscles that cause facial wrinkles. The treatment blocks the signals from the nerves to the muscles. It takes about 1 week to see the full effects of XEOMIN® and results last from three to six months.
 
If you would like to learn more about XEOMIN®, please schedule a consultation with Dr. Barroner today.

---

---

​FILLERS
There are a variety of injectable products that can be used to help smooth & decrease the appearance of static lines or wrinkles of the face.  There are a variety of different fillers, the most commonly used today are the Hyaluronic Acid based fillers which can last on average 3-12 months depending on what area of the face they are given. Fillers are commonly used for smoothing of the smile-lines (naso-labial folds), marionette lines, & to enhance the volume of the lips.  Dr. Barroner can discuss your treatment goals review which fillers would best meet your needs. 

Click HERE to learn about Post-Operative Care Instructions after your Dermal Fillers Treatment.

​JUVÉDERM®
​JUVÉDERM® is an injectable gel used to correct moderate to severe facial wrinkles and folds, such as nasolabial folds. Young, healthy skin contains a naturally hydrating substance called hyaluronic acid. As you age, exposure to sunlight and other factors can reduce the amount of hyaluronic acid in a person’s skin. The loss of hyaluronic acid causes your skin to lose structure and volume, creating facial wrinkles and folds. JUVÉDERM® works to correct this by restoring hyaluronic acid in your skin, helping to diminish wrinkles and nasolabial folds.
The JUVÉDERM® family of dermal fillers is formulated with innovative HYLACROSS™ technology, resulting in a smooth-consistency gel that flows easily into the skin and creates a natural look and feel for patients. JUVÉDERM® is the only hyaluronic acid filler that is FDA-approved to last up to one year with only one treatment.
If you would like to learn more about JUVÉDERM®, please schedule a consultation with Dr. Barroner today.
While the JUVÉDERM® family of fillers is one of the most well recognized, there are several other Hyaluronic Acid Fillers which may work best for your needs.  Other fillers which Dr. Barroner commonly uses are RESTYLANE® brand of fillers as well as REVANESSE® VERSA & BELOTERO BALANCE.

---

---

BRILLIANT DISTINCTIONS®
Allergan®, the maker of BOTOX® Cosmetic and JUVÉDERM®, has created a rewards program that allows patients to receive rewards/credits towards their future cosmetic treatments. Elevated Oral & Implant Surgery is proud to participate with the BRILLIANT DISTINCTIONS® program allowing our patients to receive valuable discounts on future cosmetic procedures. To participate, you first need to sign up for the BRILLIANT DISTINCTIONS® program by clicking on the “BD” logo to the right.  Once you sign up for the program, please let us know you are a BRILLIANT DISTINCTIONS® member and we will do the rest.  BRILLIANT DISTINCTIONS®, is a free program and it simply rewards you for receiving Allergen® branded cosmetic treatments.  BRILLIANT DISTINCTIONS® rewards can be earned and redeemed at medical practices that participate in the program.
 
*XEOMIN® is not eligible for BRILLIANT DISTINCTIONS® rewards.

---

BOTOX COSMETIC
APPROVED USES
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults.
IMPORTANT SAFETY INFORMATION 
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

• Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.
• Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines.
BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
Other side effects of BOTOX® Cosmetic include: discomfort or pain at the injection site; headache; and eye problems: double vision, blurred vision, drooping eyelids and eyebrows, and swelling of your eyelids.
For more information refer to the Medication Guide or talk with your doctor.
To report a side effect, please call Allergan at 1-800-433-8871.
Please see accompanying Summary of Information about BOTOX® Cosmetic.BCT110378 10/17

JUVÉDERM VOLUMA® XC, JUVÉDERM® XC,
and JUVÉDERM® Ultra XC Important Information
APPROVED USES
JUVÉDERM VOLUMA® XC injectable gel is for deep injection in the cheek area to correct age-related volume loss in adults over 21.
JUVÉDERM® XC injectable gel is for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds.
JUVÉDERM® Ultra XC is for injection into the lips and perioral area for lip augmentation in adults over 21.

IMPORTANT SAFETY INFORMATION
Do not use if you have a history of severe allergies/allergic reactions, or are allergic to lidocaine or gram-positive bacterial proteins used to make these products. The safety of use while pregnant or breastfeeding has not been studied. The safety for use in patients with excessive scarring or pigmentation disorders has not been studied and may result in additional scars or pigmentation changes. Unintentional injection into a blood vessel can occur and, while rare, could result in serious complications which may be permanent. These include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring. Tell your doctor if you are on medications to decrease the body’s immune response or prolong bleeding, such as aspirin, ibuprofen, or blood thinners. There is a risk of infection from skin injection procedures.
 
The most common side effects include tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. Most JUVÉDERM® XC side effects are mild or moderate, and last 7 days or less. Most JUVÉDERM® Ultra XC side effects are mild or moderate, and last 14 days or less. Most JUVÉDERM VOLUMA® XC side effects are moderate and last 2 to 4 weeks.

To report a side effect, please call Allergan Product Surveillance at 1-800-624-4261.
For more information, please see Juvederm.com or call Allergan Medical Information at 1-800-433-8871.
Available by prescription only.