Injectables

Injectable Therapy

Botox® & Dysport

As we age we develop fine lines and wrinkles on our face. These wrinkles often form around the eyes as “crow’s feet” and along the forehead both as long, transverse lines and as small lines in the center pointing toward the nose. They are caused by the movement of small facial muscles under the skin.

Botox® Cosmetic is a simple, non-surgical procedure that smooths the deep and persistent lines and wrinkles that develop over time. Botox decreases the damaging muscle movements while allowing you to be very expressive. With over 100 muscles in our face, we can dramatically decrease lines and wrinkles by just shutting down a few of those muscles. Botox is safe and effective and usually lasts for about four to six months. 

Juvederm Voluma XC

One of the most common signs of facial aging is the loss of volume in the cheek area. Juvederm Voluma™ XC is the first and only hyaluronic acid (HA) based dermal approved by the FDA to increase the volume of the cheeks.
Austin Plastic Surgery Center is one of the first clinics in the Austin to offer this new product. 

Juvéderm® XC

Juvéderm® XC with lidocaine for extra comfort, provides smooth, long-lasting correction of moderate to severe facial wrinkles and folds. A dermal filler used to restore volume and fullness to the skin, it gives a healthy, youthful appearance.

Juvéderm is made with hyaluronic acid, a natural substance found in the body that works with collagen and elastin to give volume and support to the skin. Results last about 6 to 9 months and can be made to last even longer with a simple follow-up treatment a few weeks after the initial injection. 

Radiesse®

Radiesse® is a safe, FDA-approved dermal filler that is used primarily to treat areas of the face with obvious signs of aging. By helping to rebuild your skin’s foundation, it can restore a more youthful look. 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. Radiesse is a longer-lasting filler that leaves a matrix of collagen and microspheres that your body reacts to and helps fill deficiencies, thereby stimulating your skin to produce more of its own collagen in the treated area. 

Restylane® and Perlane®

Young skin appears so supple and full, at least partly because of a naturally occurring substance in your body called hyaluronic acid. The loss of hyaluronic acid causes skin to lose its natural fullness and elasticity, resulting in wrinkles and folds, such as the lines from your nose to the corners of your mouth, and an aged appearance.

There is way to replace that lost volume and smooth look to your skin. The Restylane® family of hyaluronic fillers can restore a younger-looking you. Our nurse injector will help you choose between Restylane®, Restylane-L®, Perlane®, and Perlane-L® to add the volume and fullness you need to correct moderate to severe facial wrinkles and folds. 

ArqueDerma™

Artistic Restoration Lift

Utilizing current FDA-approved dermal fillers, the ArqueDerma™ procedure uses principles found in physics and architectural engineering to artistically reconstruct the face to reflect its greatest potential for natural beauty. Your ArqueDerma™ trained practitioner will collect excess facial volume that has dropped, and redirect it upward to its original or most aesthetically appealing position.

• Utilizes 40% less filler to achieve unprecedented results
• Provides longer lasting results – up to 6 months longer than traditional methods of filling
• Provides a natural, yet dramatic result unachievable from traditional methods

We are certified to perform Botox procedures.

Skin Care

Skin Resurfacing – Opting for Chemical Peel

Chemical peels are a category of advanced clinical skin rejuvenation treatments that help to reverse the signs of aging and the damage of past sun exposure and have been used in France since the late nineteenth century. They have been used in North America since the 1920s and are now accepted and well-recognized procedures particularly for treatment of sun damaged and aged skin. Chemical peels can be performed on all parts of the body: face, neck, chest, back, arms and legs.

A variety of chemical agents are used to cause inflammation and irritation to the superficial layer of the skin. Three of the most commonly used peeling agents are:

• Phenol and its derivatives,
• Trichloro-acetic acid (TCA), and
• Alpha hydroxy acids (AHAs) such as glycolic acid.

The subsequent realignment of the skin’s collagen-building blocks after the chemical peel leads to a smoother, younger look.

Chemical peels can effectively improve a wide variety of skin conditions including:

• Fine lines and wrinkles
• Uneven pigmentation
• Shallow acne scars
• Sun-damaged skin
• Age spots
• Freckling

What benefits can a chemical peel yield?

un-damaged skin characterized by fine to moderately coarse wrinkles, irregular pigmentation, dilated blood vessels and scaling wound, all benefits from a chemical peel. Light-skinned patients are better candidates than those with darker skin because they tend to have fewer pigmentation after the procedure. Individuals with sagging and excessive skin are not candidates for this procedure since chemical peeling improves skin quality but does not reduce excess skin. An eyelid lift for example, removes redundant skin, but chemical peeling may be necessary to remove the fine wrinkles. 

What is involved in a chemical peel?

Chemical peels can be categorized as mild, moderate and aggressive. The extent of skin damage determines the type of peel which is used and the depth of peeling necessary.

Mild chemical peels: A solution of 30 to 70% glycolic acid or 10 to 15% trichloroacetic acid may be used.

Moderate chemical peels: 20 to 45% trichloroacetic acid is used.

Aggressive peels: 45 to 60% trichloroacetic acid phenol or baker’s solution (a modified phenol preparation) may be used.

Many dermatologist, plastic surgeons and other esthetic surgeons are now using milder agents in a series of applications rather than using more aggressive agents on a single occasion to provide the best results with the least amount of risk.

The glycolic acid peels are particularly popular, because they offer the least risk of pigment changes and scars as well as the shortest period of recuperation after the procedure. In contrast, with the phenol peels, there is a greater risk of scar and pigment changes, a longer recovery time, and the risk of damage to the heart, liver and kidneys.

The steps involved with each type of peel are similar, with some differences.

If phenol is used for the peeling procedure, a pre-operative assessment of the heart, liver and kidneys is necessary. This is not necessary with glycolic acid and trichloroacetic acid peels.

With all types of peels, the skin is cleared with degreasing agents such as, acetone, alcohol or Povidone iodine (Betadine), as these encourage better penetration to deeper levels and greater uniformity of the peel.

The chemical agent of choice is usually applied with cotton swabs or gauze over the designated areas. Feathering, using less or lower concentrations of the agent, is performed as the physician moves from the face into the neck or hairline regions. This avoids any obvious demarcation between peeled and untreated skin. 

Recovery

A long-acting local anesthetic is used as a part of the procedure which minimizes any discomfort following the surgery. It is important to remain slightly flexed at your waist in order to be most comfortable and reduce tension on your repair. Following your surgery, dressings will be applied to your incisions and you will be wrapped in a compression garment to minimize swelling and to support your abdomen as it heals. Dr. Maggi will use drains to remove excess fluid which naturally collects after surgery, and these drains may be in place for several days following the procedure. You may experience some bruising for a week or so and some swelling for a few weeks after surgery. Most of Dr. Maggi’s patients are able to return to work in about ten to fourteen days, depending on their tolerance.

Skin Care Products

Revolutionary Evidence-based Skincare

To maintain and improve skin health, an effective skincare regimen must contain three fundamental elements – prevention, protection, correction. Skin Ceuticals’ line of advance skincare products is designed to prevent future damge, protect healthy skin, and correct previous damage. Achieving results means not only restoring youthful, radiant skin – but also preventing serious skin conditions.

We carry the full line of Skin Ceutical’s products.

Other Helpful Tips for Caring for Your Skin

If you desire good skin, you really need to make a concerted effort towards achieving it. Develop good skin care habits that become part of a daily routine:

• A healthy diet, composed of whole grains, fruits and vegetables along with exercise and adequate sleep is essential for healthy skin.
• Avoid exposure to the sun, but when you must, use a sunscreen to protect your skin from damage.
• Drink 8-10 glasses of water daily, to keep your skin hydrated.
• As a guideline your skin needs two staples: a cleanser and a moisturizer.
• Other products might include toner, exfoliator and eye cream or gel.