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Soft Tissue & Dermal Fillers

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  • Also called soft tissue fillers, depending on the one injected they can be used to treat fine lines or deeper wrinkles, to add volume (cheeks area) or to add structure to the face and for lips enhancement.
  • Most of our fillers are made from hyaluronic acid (HA), which is a sugar found naturally in human skin. They hydrate the skin in the injected area and acts as a cushion to give an immediate result. There may be swelling after the injection but to be resorbed within few hours.

With so many choices available in that new area of skin treatments, trust our specialists and their staff to guide you on the right path. Dr. Fouda Neel strives to achieve the most natural result that are actual improvements, this require a personalized approach.

Hyaluronic Acid Fillers (Juvederm, Perlane & Restylane)

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Intradermal injections of hyaluronic acid (a naturally occurring substance present in all living organisms) can fill in grooves, expression lines, wrinkles, irregularities and depressions. The most common areas for treatment are the lines around the nose and mouth, the frown lines between the eyebrows, and the lips, cheeks and chin for contouring and enhancement.

Hyaluronic acid is not animal derived, so unlike collagen it requires no pre-testing. However, since it is made from natural substances, it is unfortunately not permanent. Though some patients have reported results lasting up to two years, six to nine months is the norm.

More recently, the addition of a mild anesthetic in the hyaluronic acid formula has all but eliminated the pain associated with the injection process. Dr. Fouda Neel was the first to use this novel product in North America, and was invited to share his expertise and personal technique with the top injectors in the United States and Canada.

Hyaluronic acid and other fillers can improve or enhance facial contours by giving extra volume where needed. Some sign of aging on the face will not disappear completely, but will be diminished. The duration of the volumizing effect varies but typically may last between three and six to nine months.

Where can we make injections?

Folds

Naso labial folds (from nose to corner of the mouth), marionette lines (from the mouth to each side of the chin) and chin labial folds.

Wrinkles and fine lines

Forehead, glabella (between eyebrows), crow’s feet (corner of the eyes), cheeks, chin and lines around the mouth.

Lips

Redesign the contour; add volume to the lips in order to make them pulpy.

Depressions (hollows) or volume insufficiencies

Cheekbones, chin, cheeks, nose, contour, residual scarring (acne, chicken pox and injury, for instance.)

Before the injections

Careful medical history and examination must be performed. The physician will specifically ask you about allergies, skin conditions and the kind of injections you might have had before in order to avoid some dangerous mixt of products on the same site. Blood thinning medication such as aspirin or anti-inflammatory medications should be stopped before treatment. Alcohol and sun exposure should be avoided the day before and the day of the treatment.

Type of anesthesia

The injections are usually performed without anesthesia. For more sensitive areas, products that are more painful, patients who are more sensitive or for some areas that are more difficult to inject (lips and contour), the following anesthesia will be used:

Numbing cream

Will be applied where the injections will be performed one hour before the treatment in order to minimize pain.

Local anesthesia

An injection of numbing agent about 10 minutes before the treatment will decrease discomfort.

The injections

The duration of the treatment will take between 10 and thirty minutes. The required volume (number of syringes) is extremely variable from a patient to another and will be determined by the doctor based on the patient’s needs. Sometimes, touch ups are required a few days or weeks after the injections in order to maximise the final result.

After the injections

The patient should remain calm for the first six hours and should avoid strenuous activities, mobilizing his face (talking and laughing), blood thinning medications (aspirin and anti-inflammatory), alcohol, sun exposure and sauna for a few days. Oedema, ecchymosis (bruises) and skin redness can occur and will usually resolve after a few days. Oedema may last a little longer in the lips. Sensitive skin, itchiness, paleness and hyperpigmentation can rarely be seen on the treated areas during the first few days. Some temporary irregularities can occur but they will disappear within the healing period.

Results

Results are seen immediately but swelling may be present for a few days. The injections will allow to naturally and discreetly enhance facial features. Imperfections are improved but not entirely erased by this treatment. Deep wrinkles are sometimes difficult to fill. The duration of the correction varies from patient to patient. Typically, improvements are maintained for about six months.

Imperfections

Undercorrection, overcorrection and asymmetries are possible.

Complications

Allergic reactions: Rare with hyaluronic acid.

Postinjection local reactions: Oedema, redness, paleness, irregularities, sensitivity, itchiness, and ecchymosis may appear and are temporary.

Cold sores

Can be reactivated by injections in the lips.

Acute or chronic inflammatory reactions: Can happen after secondary injection in a zone that has been previously injected with other products (particularly with non absorbable ones).

Granuloma:

Exceptional with hyaluronic acid.

Rare complications

Some cases have been described of redness persisting few weeks, abscess or cutaneous necrosis localised at the injection point

Approximate Pricing

JUVEDERM ( VOLUMA, VOLBELLA, VOLIFT) per cc $850.00
PERLANE per cc $750.00
RESTYLANE per cc $650.00

Frequently Asked Questions

How are dermal fillers administered?

They are administered by Dr. Fouda Neel himself, who will first consult with you regarding the areas of greatest concern and the areas that will be best treated by using dermal fillers. Numbing cream is placed on the skin prior to any injections; this usually makes the injection of fillers almost painless. Dr. Fouda Neel will use a tiny needle to inject the product in the targeted areas.

Which dermal fillers do you offer?

At our practice, we offer JUVÉDERM® and Restylane® products. Fillers for both brands use hyaluronic acid, a synthetic version of a molecule that occurs naturally in human skin. Dr. Fouda Neel uses his expertise to determine which filler — or combination of fillers — is best suited for you. Some fillers on the market can provide permanent results, but Dr. Fouda Neel believes this can pose potential problems. That’s why we focus on using hyaluronic acid-based fillers.

How do dermal and soft tissue fillers work?

Dermal fillers effectively smooth out folds in the deeper layer of the skin, called the dermis. Nasolabial folds (laugh lines) and marionette lines are common treatment areas. Later, physicians started using fillers to add volume to the lips and, even more recently, researchers developed new soft tissue fillers that restore volume in areas such as the cheeks. Fillers are lasting longer, but they are still gradually absorbed by the body and don’t provide permanent results.


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Montreal Clinic

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Dr. Omar Fouda Neel, FRCSC, FACS
111-1455 Rue Peel
Montréal, QC H3A 1T5
(514) 448-2445

Monday through Wednesday: 8:30 a.m. to 6 p.m.
Thursday and Friday: 8:30 a.m. to 9 p.m.

Laval Clinic

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Dr. Omar Fouda Neel, FRCSC, FACS
306-3230 Boulevard Curé-Labelle
Laval, QC H7P 0H9
(450) 934-9882

Monday through Friday: 9 a.m. to 5 p.m.
 

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