Procedures

Injectables & Skin Care

Lip Augmentation

Lip Augmentation SacramentoAs people age the lip line begins to descend, causing thinning of the red lip (lipstick-bearing part of the lip) and loss of the upper lip crest known as "Cupid’s Bow."

The desire to regain a youthful, shapely lip is causing women today to seek facial plastic procedures to enhance the fullness of their lips.

Several techniques are available for maintaining a pleasing lip contour. Some facial plastic surgeons augment the lip line with injections (fillers), such as Restylane®, Juvéderm® or fat taken from other parts of the body. These techniques are easy and effective, but the results are only temporary and require periodic repeats or touch ups. A more permanent solution is a surgical procedure called lip advancement. In this procedure, Dr. Pichler makes an incision at the border of the red and white lip (the part of the lip below the nose), a strip of the skin is removed and the red lip is advanced up for a greater show. The scar is usually imperceptible once fully healed, and the results are very gratifying. As an alternative, sometimes the incision is made just below the nostril in the natural nasal sill.

Another procedure that is quite effective for those patients that have a thin, flat lip is the technique of implanting a well-tolerated, neutral material. In the past, Gore-tex, a processed connective tissue and inflatable balloon like devices have been used. PermaLip® is a new FDA approved facial implant that is made of soft silicon, has a very natural feel, is relatively easy to place and can easily be removed, replaced or abandoned should any problems arise. This treatment can be performed under mild sedation with local anesthesia. There may be slight bruising, but most patients are back to normal activity within a week. Best of all, this is a permanent solution to enhance the shape and fullness of your lips. What may ultimately be the procedure of choice for you is best determined by a consultation with Dr. Pichler, as well as a discussion about the desired aesthetic look you want to achieve.

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BOTOX® Cosmetic

BOTOX SacramentoWhen you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired. BOTOX® Cosmetic treatments can not only prevent you from deepening these lines during natural facial movements, they can also erase these marks of aging, leaving you looking younger and refreshed.

BOTOX® Cosmetic is the most popular cosmetic procedure in the country and one of our most requested services. Quick, safe and effective, BOTOX® reduces or eliminates facial lines and wrinkles for up to six months with no downtime or surgery and little to no discomfort. Through a series of tiny injections, BOTOX® gives you a rejuvenated look by smoothing crow's feet beneath the eyes, frown lines between the eyebrows, horizontal lines across the forehead, worry lines around the mouth, and lines on the neck. BOTOX® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.

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Dysport®

Dysport SacramentoDysport® is an FDA-approved injection treatment that reduces the appearances of fine lines and wrinkles by relaxing facial muscles on the forehead. Similar to BOTOX® Cosmetic, Dysport® is injected directly into the site of wrinkles to prevent the underlying muscles from contracting. However, Dysport® can diffuse muscles one to three centimeters from the injection point, while BOTOX® can only reach as far as one centimeter, allowing for results that reach further areas with just a single injection.

Dysport® was developed in Europe during the early 1990s, and has been used successfully for several years. It has also been used in the US under the name Reloxin, but was mandated to be FDA approved under its original name, Dysport®. In April 2009, Dysport® was approved by the FDA for use in the US and is expected to rival BOTOX®, the most popular cosmetic procedure, with its convenience and long-lasting results.

In addition to treating fine lines and wrinkles, Dysport® can also be used to relieve excessive underarm sweating, and treat the symptoms of cervical dystonia, such as neck pain and abnormal head position.

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Restylane® and Perlane®

Restylane SacramentoRestylane® and its new companion Perlane® offer exceptional treatments for moderate to severe facial wrinkles and folds, especially the nasolabial folds that stretch from the nose to the corners of the mouth. Restylane® and Perlane® replenish lost volume in the skin and restore youthful contours to the face by lifting and supporting tissues non-surgically. The outcome is a younger, smoother look with fewer lines and wrinkles. Results are immediate and long-lasting.

Restylane® and Perlane® are clear, synthetic gels made with purified hyaluronic acid, a natural sugar that is found throughout your body. Hyaluronic acid works with collagen to support the skin and keep it smooth and supple. The hyaluronic acid in Restylane® and Perlane® has been modified so it lasts longer. It forms strong bonds with water molecules in the skin, prolonging its rejuvenating effects for up to six months or more.

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Radiesse®

Radiesse SacramentoRadiesse® is a synthetic injectable filler that reduces wrinkles, creases and scars by augmenting the body's natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse® is made from the same minerals found in our bones, so it carries little risk of allergic reaction. Radiesse® can be used on many areas of the body, including the lips, nasolabial folds, peri-oral lines, depressed scars and oral commissures.

Treatments typically take 15 minutes and require only local anesthetic. Side effects such as swelling or bruising are minimal and should fade within a few days. Results are visible immediately after the injection and can last for months or years, although the procedure can be repeated as often as you wish.

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Laser Skin Resurfacing

Laser skin resurfacing, commonly called a laser peel, removes the damaged outer layer of skin to reveal a smoother, younger look. Laser resurfacing can reduce the appearance of sun damage, wrinkles, fine lines, uneven pigmentation and superficial scarring, usually on the face. A carbon dioxide (CO2) laser beam of precisely focused light vaporizes the surface skin and reveals the undamaged layer beneath. Procedure time varies depending on the size and condition of the area being treated.

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Chemical Peels

Chemical Peels  SacramentoChemical peels remove damaged outer layers of skin on the face, hands, neck and chest to smooth texture, reduce scarring and remove blemishes and pre-cancerous growths to produce healthy, glowing skin. There are three different types of chemical peels: alphahydroxy acids (AHAs), tricholoroacetic acid (TCA) and phenol. They range in strength from mild to strong and are each designed to provide different results, depending on a patient's skin condition.

This procedure is also now performed on younger patients looking to prevent the signs of aging from appearing too early. A chemical peel can be combined with laser treatment for optimal results.

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Microdermabrasion

Microdermabrasion improves mild to moderate sun damage, scarring, wrinkles and other superficial skin problems. A gentle stream of tiny particles exfoliates the outer layer of skin and provides a fresh, glowing, younger appearance. Only a small amount of skin is removed, so sensitive areas such as the face, chest, neck, arms and hands can be treated. Results are comparable to a light chemical peel and should be immediately visible. Microdermabrasion is often performed in conjunction with other skin renewal procedures, such as laser treatment and chemical peels. Multiple treatments are recommended for full effect.

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