Injectables

At Maningas Cosmetic Surgery in Joplin, MO and Pittsburg, KS, we offer a variety of injectables, including Botox & the Juvéderm Family of Fillers. Dr. Maningas is an expert at listening to your concerns, evaluating your aesthetic needs, and recommending a custom treatment plan that is unique to you because he does not believe that one size fits all. He partners with many injectable companies to bring the best results to you. Trust in his experience, skill, and pursuit of the latest cosmetic advances to achieve your natural beauty.

Botulinum Toxin

Also known as Botox or Botulinum Toxin Type A

Botulinum toxin type A is an injectable neurotoxin, better known under brand names such as Botox Cosmetic®, Dysport®, and Xeomin®. Neurotoxin treatments are the most popular single cosmetic procedure in the U.S. and are mainly used to smooth dynamic wrinkles, or those wrinkles that form as a result of facial movements like frowning, squinting, smiling, and other expressions we tend to make day after day. Treatment works by blocking nerve impulses to the muscles, causing them to relax. As a result, your expressions soften and the dynamic wrinkles are greatly reduced.

What Types of Wrinkles can Botox-type Injectables Treat?

Botox-type injectables can help an adult patient of any age improve his or her appearance, not only imparting a more youthful look, but also alleviating an overly concerned look, helping you look better refreshed or even more pleasant. The most commonly treated areas are those where muscle activity influences facial features, such as the following:

  • Glabellar lines (a.k.a. “elevens” or frown lines)
  • Wrinkles around the eyes, such as crow’s feet
  • Forehead creases
  • Corners of the mouth
  • A “cobblestoned” appearance to the chin

Are you a good candidate for botulinum toxin injections?

You may consider botulinum toxin injections for cosmetic reasons if you are developing lines and wrinkles on your face due to common facial movements. Depending on genetics, lines can appear on the face as early as your late twenties to as late as your early forties. If you are prone to developing lines and to making facial expressions that lead to wrinkles, your cosmetic surgeon may also recommend using botulinum toxin as a preventative measure.

Certain wrinkles or creases in the face caused by the weakening or sinking of the soft tissue, such as the nasolabial folds, which extend from the sides of the nose to the corners of the mouth, are generally best treated with fillers, fat grafts or surgery (although occasionally Botox is used to soften or partially improve them).

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

What is the Difference Between Botox, Dysport, and Xeomin?

Now you know that each of these products contain the same active ingredient: botulinum toxin type A, and are designed to address the same types of wrinkles and other cosmetic concerns. So how are they different? The main distinction lies in their formulation, which influences the dosage used, how much the product spreads, and how quickly a patient might see the results. For example, Botox Cosmetic is formulated with an accompanying protein. Dysport contains a smaller version of a similar protein, while Xeomin doesn’t contain an accompanying protein at all. All three products are FDA approved and have been used safely and effectively for years. Which of these products is best for you will depend on your unique anatomy, your goals, and your cosmetic surgeon’s recommendations.

What to Expect During Treatment

Botulinum toxin injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation with Dr. Maningas, during which time, he will discuss your concerns and goals.

Pre-treatment consultation

During your consultation, Dr. Maningas will evaluate your area of concern and go over your medical history. Even though there is little risk of major complications for most patients, it is still imperative that you share your medical history fully and openly before treatment, as certain allergies, skin and neurological conditions, or medications can make treatment unsuitable for a patient. For instance, you need to say if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these can cause excessive bleeding, swelling, and bruising.

Your Botox-type injectable treatment

Most patients do not require any topical anesthetic, as the needles used to inject botulinum toxins are very thin and the injections are not very deep.The botulinum toxin is reconstituted into a solution, and injected into the muscle at strategic points. Most patients describe a pinching feeling during the injection, though not much pain.

You will be able to go back to your normal activities right after treatment, but you may be asked you to take the day off from exercise or other strenuous activity, and to keep your head upright for the rest of the day. Mild redness, swelling at the injection site, and bruising are the most common side effects.

Following treatment, you will not see results immediately. This is expected, so do not worry that treatment hasn’t worked. Depending on the patient, product used, and area treated, final results are typically reached approximately 7 days after initial treatments. If this is your first botulinum toxin treatment, Dr. Maningas may initially inject a more conservative amount and touch up the results during a follow up treatment. This helps to ensure natural, optimal results without the risk of over-treating an area.

How Long Do the Results Last?

The wrinkle-reducing effects from botulinum treatments will vary depending on the patient, the area treated, and the product used, but results will typically last anywhere from 3 to 4 months. To maintain your results, Dr. Maningas will simply repeat treatment, adjusting dosage and techniques as necessary to ensure optimal results.

What Else Can Neurotoxins Help With?

While botulinum toxin type A is most commonly used to treat facial wrinkles, cosmetic surgeons can also use neurotoxins to address other aesthetic concerns that are associated with nerve and muscle activity:

  • Reduce excessive sweating. Botulinum type A injections can be used to interrupt the nerve impulses that activate the sweat glands, helping alleviate embarrassment from excessive sweating on the armpits, hands or feet.
  • Soften vertical neck bands. If you are bothered by prominent vertical bands on your neck, botulinum toxins can be used to relax the responsible muscles and give your neck a smoother, softer appearance.

Botox-type injectables provide natural-looking rejuvenation with a safe, convenient procedure with virtually no downtime.

Fillers

At Maningas Cosmetic Surgery, Dr. Maningas is an expert at listening to your concerns, evaluating your aesthetic needs, and then recommending a custom treatment plan for facial fillers that is unique to you because he does not believe that one size fits all. He partners with many injectable companies to bring the best results to you. Trust in his experience, skill, and pursuit of the latest cosmetic advances to achieve your natural beauty.

Collagen is a key structural component that keeps skin youthful looking and smooth. As you age, your body’s collagen production decreases, which is a major factor in the development of wrinkles. Dermal fillers are gel-like, volumizing substances that are injected beneath the skin to restore lost volume, smooth fine lines and deep creases, or enhance facial contours. Over the last few years, more than 1 million men and women annually have chosen this popular facial rejuvenation treatment, which can be a cost-effective way to look younger without surgery or downtime.

We use several types of facial fillers: Restylane, Juvéderm, Sculptra, and Radiesse. All are safe and proven to work. Radiesse Volumizing Filler acts as a scaffold under the skin, providing structure and stimulating your own natural collagen to grow. Restylane and Juvéderm are cosmetic facial fillers made of hyaluronic acid, a substance that exists naturally in the human body. Results are instantaneous and last six to twelve months. Sculptra Aesthetic is made from poly-L lactic acid and is an indirect filler that causes your own cells to naturally produce more of your own collegan.

When to Consider Fillers

  • If you have deep lines around the eyes, brow or mouth
  • If you would like to change the contours of your jaw or lips
  • If you are interested in a minimally invasive procedure

How Can Dermal Fillers Enhance My Appearance?

While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:

  • Smooth out lines around nose and mouth. (a.k.a. marionette lines, smile lines, and parentheses)
  • Enhance & restore volume to sunken cheeks.
  • Diminish vertical lip lines
  • Plump & enhance the lips
  • Smooth out a chin crease

Pre-treatment consultation

During your consultation, Dr. Maningas will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your cosmetic surgeon if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.

Your injectable filler treatment

Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your provider will then inject a precise amount of filler strategically beneath the skin.

Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.

How Long Do the Results Last?

How long the effects of dermal filler treatments will last varies widely, depending on the product used, the area of treatment, and the patient. Generally speaking, the denser the product is and the more deeply it is injected, the longer it will last, although this is not a hard and fast rule. To maintain your results, your cosmetic surgeon will simply repeat treatment, adjusting the amount and techniques as necessary to ensure optimal results.

Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for first-time filler patients. These will typically last from 6 to 12 months, depending on treatment. For example, injections to the lips will wear out a little faster than those to the nasolabial folds. Certain HA fillers, such as VOLUMA, are formulated to last longer, but are usually limited to certain areas, such as the cheeks.

Synthetic fillers tend to be longer lasting, as they are not absorbed by the body. They can be a great option for the right patient, but you’ll want to be ready to commit to results that will be there for several years—and take care to choose an experienced, qualified provider whose aesthetic style you like.

JUVÉDERM VOLUMA™ XC

JUVÉDERM VOLUMA XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to two years, in patients over the age of 21. It’s different than JUVÉDERM XC and works on a different area of the face. JUVÉDERM XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA XC, however, adds volume to the cheek area.

JUVÉDERM

JUVÉDERM® is a gel of smooth consistency made of hyaluronic acid—a naturally occurring substance in your skin that gives skin volume and hydration. We use JUVÉDERM injectable gel by easing it under your skin to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” —the creases that run from the bottom of your nose to the corners of your mouth.

JUVÉDERM provides a smooth, natural look and feel—so everyone will notice, but no one will know! In fact, studies show superior results of JUVÉDERM compared to a collagen-based dermal filler. JUVÉDERM injectable gel is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color.

Sculptra

Sculptra Aesthetic® is a new type of facial injectable made from poly-L-lactic acid that helps correct shallow to deep facial wrinkles, and folds that appear with aging by gradually replacing lost collagen. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.

Not an overnight miracle, Sculptra Aesthetic takes a different approach to improving lines and wrinkles. Applied through a series of injections over a three-month period Sculptra works within the deep dermis, reinforcing your skin’s structure to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow to deep facial wrinkles and folds that has been depleted over time. The result? Sculptra Aesthetic is different because it gradually and subtly corrects these facial wrinkles. This can provide a refined, more youthful looking appearance that can last up to two years.

Restylane®

Restylane is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds, the lines between the nose and the corners of the mouth. It also can be used to enhance lips for a more youthful look.

Restylane is a cosmetic dermal filler made of non-animal based hyaluronic acid, a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. Results are instantaneous and last about six to nine months.

Restylane is free from animal proteins. This quality limits any risk of animal-based disease transmission or allergic reaction. Restylane also has the highest concentration of hyaluronic acid available in a dermal filler. Treatments are typically scheduled twice a year. Having a touch-up treatment before the product has fully dissipated may enhance the lasting effect.

Restylane® Silk

Introducing the first and only FDA-approved filler designed specifically for the treatment of lips and the lines around them. Restylane Silk’s unique, refined formulation is designed for precise lip shaping and for smoothing the lines around your mouth to create a natural look.

Radiesse

RADIESSE® Volumizing Filler immediately provides the volume and lift needed to diminish the signs of aging because of the calcium-based microspheres and gel that comprise the product. But what’s unique about RADIESSE Volumizing Filler is that it acts as a scaffold under the skin, providing structure and stimulating your own natural collagen to grow. This process continues for several months, which extends the initial effect of RADIESSE Volumizing Filler. Best of all, the natural results are clinically proven to last a year or more in many patients.