Botox– Discover the proven results that 11 million women and men have experienced. With real, noticeable results, no surgery and no recovery time, there are many reasons why BOTOX® Cosmetic has been chosen by millions of women and their doctors.

BOTOX® Cosmetic may be the one for you. You may feel that the moderate to severe glabellar lines between your brows make you look tired or unapproachable, or crowfeet around the eyes.

In addition to glabellar lines, Botox is used to eradicate crow’s feet, frown lines and furrows in the forehead. Whereas treating crow’s feet with Botox was for many years an off-label use, the toxin got the official FDA nod for treating crow’s feet in late 2013. Botox is also approved to treat a variety of medical conditions, including ocular muscle spasms, problems with eye coordination, severe armpit perspiration, migraine headaches, overactive bladder, urinary incontinence related to nerve damage from conditions such as multiple sclerosis and spine injury. Botox is being studied to determine if it might be useful in treating conditions such as knee and hip osteoarthritis, temporomandibular joint disorder (TMJ) and benign prostatic hyperplasia (BPH).

How Botox Works

Unlike soft tissue fillers such as Juvederm and Sculptra Aesthetic that add volume to skin depressions, Botox blocks the release of a chemical called acetylcholine which triggers the muscle contractions that create wrinkles.

Botox essentially paralyzes the muscles and stops them from contracting. Results are visible within one week after treatment and remain for a minimum of three months.


Kybella is the first and only FDA- Approved injectable treatment to improve the appearance of moderate to severe fat beneath the chin by physically destroying fat cell.

Your healthcare provider will help you determine how many treatment sessions you need based on the amount and distribution of your submental fat and your personal treatment goals. Up to 6 treatments may be administered, spaced no less than one month apart.

Kybella is considered a lunch time procedure and is given during an office visit. The injection process may take 15 to 20 minutes. Your healthcare provider will give you a series of injections into the fat under your chin at each treatment session. With this process you can get more of a customized look rather than laser treatments that use a one size fits all application.

Juvederm Voluma

As you age, it’s not just about lines and wrinkles, your cheeks also lose volume and skin may sag.

Discover the first and Only FDA-Approved injectable gel for the cheek area, which adds volume lost to aging adults over 21 years. It instantly creates contour and a subtle lift instantly. This treatment is a lunchtime procedure that can help restore a more youthful profile for up to 2 years with optimal treatment.  Voluma provides natural -looking results without surgery.

Volume contains a modified hyaluronic acid made from a naturally occurring complex sugar which is injected under the skin using a fine needle. To reduce discomfort during the procedure, Juvederm Voluma XC contains an anesthetic called lidocaine.  You can look up to 5 years younger with this treatment that adds volume to aging in the cheek area.

What is Juvederm?

As you age, your skin loses some of its hyaluronic acid, a process that is sped up if you’ve spent a lot of time in the sun. Juvederm is a smooth injectable gel that can restore the skin’s volume and smooth away facial wrinkles and folds, including those highly visible ones around the mouth and nose and on the forehead. There are two types of Juvederm: Juvederm XC, which is used to correct moderate to severe facial wrinkles around the nose and mouth, and Juvederm Voluma XC, which is FDA-approved for instantly adding volume to the cheeks. Hyaluronic acid injections also appears to stimulate the production of collagen and elastin, two proteins that contribute to the skin’s fullness and elasticity.

Juvederm’s manufacturer (Allergan) uses a chemical “cross-linking” process called HYLACROSS that binds the individual chains of hyaluronic acid into a long-lasting gel with a very smooth consistency. Because of the gel’s smoothness, your face also looks and feels smooth and natural.

What Does It Treat?

Juvederm contains a naturally occurring sugar called hyaluronic acid, which has the remarkably helpful property of binding to water. As the acid attracts water, it “plumps up” the skin, filling and smoothing out any surface wrinkles. In essence, it helps replace the cushion of fatty tissue that we lose as we age and as our skin becomes damaged by the sun’s ultraviolet light.

What Is the Treatment Like?

Most treatment sessions take only about 15 minutes. As with all dermal fillers, Juvederm is injected into the treatment area with an extremely fine needle. Any discomfort is usually minimal, although your physician may numb your skin with a topical anesthetic beforehand. You won’t need any pre-treatment allergy testing, however, because Juvederm doesn’t contain any allergy-causing animal-derived ingredients. It’s entirely biodegradable.

How Much Does Juvederm Cost?

For information regarding pricing see call Garrison Family Medical Group at 800-NEW-HEALTH

How Long Does It Last?

You’ll start to see the effects of the treatment immediately. Studies conducted by the manufacturer, Allergen, report that Juvederm XC results last 9 to 12 months and Juvederm Voluma can add volume for up to two years.

What are the Possible Side Effects?

Side effects tend to be minor and are typical for any kind of injectable filler. They include swelling of the skin around the injection site, redness, bruising (which may be increased if you’re taking blood thinners), bumps, and skin irritation. These should pass within a week. If symptoms persist, call your doctor.

Also, be sure to inform your doctor of any drugs you’re taking, as they may impact your treatment. If you have any history of severe allergies (including a history of allergies to gram-positive bacterial proteins — many dermal fillers contain trace amounts of these) you should not be treated with Juvederm.


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