Which filler (Sculptra, Radiesse, Voluma, etc.) for jawline?

Dr. Dean Kane Q & A.

Q. I decided to get Sculptra treatments to create a more angled, masculine jawline as sort of very, preliminary 'try out' before thinking of jaw augmentation down the line. While the volume and width are very good after seven months and three treatments, is there any other filler (short of augmentation) that may more of a sharp, angled contour to the haw as opposed to a slight of amount of a bloat from Scupltra? Would I have to wait until the current Sculptra effect dissipates?

A. ​The use of Sculptra as a trial is a good idea particularly if injected under the dermis and along the bone as it will stimulate firming of the skin and growth of the bone.​

​During the next few months as the effects of Sculptra continue to stimulate and improve, Radiesse may provide the sharper, more angled contour you are looking for.
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​Any one of these fillers can be used BUT as notice, they will not provide the same effect.
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​For this reason, it is best to be evaluated by a well experienced and Board Certified Plastic Surgeon or ENT facial surgeon to examine and review your concerns.
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​Considerations along the jawline include:

1. ​Skin,soft tissue and fatty laxity creating an uneven jawline with jowling and / or weak angle.
2. ​Lack of teeth causing the bony jaw to resorb providing less projection
3. ​Angle of the jaw and balance of the jaw, maxilla-zygoma and temple regions
4. Level of placement, action and projection from each filler
5. Duration of each filler before your investment dissolves
6. And other considerations

Each injectors skill levels and understanding of anatomy is different. Consider different opinions.
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​All the best!

Lower Eye Rejuvenation and Cheek Lift without Surgery: Plastic Surgeon, Dr. Dean Kane of Maryland uniquely uses Radiesse and Chemical Peel to give a non-surgical eyelift.

Many women and men want to rejuvenate their lower eye lids, but do not want to undergo surgery. Dr. Dean Kane, Plastic Surgeon of Maryland uniquely uses the filler Radiesse to fill and  plump the lower lid to give a Non-Surgical Lower Eyelid and Cheek lift. Patients come to their office complaining of dark circles, hollowness or excess bagging of their lower lids and prefer to not have to use surgery to correct their problems.  Some patients are not candidates for surgery as they have a severe lower lid laxity and would be at higher risk. Nor not all doctors can perform this very unusual procedure. Dr. Kane has been performing this particular technique for several years having developed his unique approach to non-surgical eye lift.

Why Radiesse? Radiesse is a filler made out of fine ground up bone calcium. It has a thick white appearance like Elmer’s glue. It is perfect to use under the lower eyelids as the white density covers over the blue or dark circles when Dr. Kane injects the filler deep under the skin just over the cheek bone and along the lower lid. It is perfect to build up the cheek mound, fill in the deep wells of the lower lids and camouflage the bags. To complete the rejuvenation, for patients who have been using the Kane’s skin line Emerge or Obagi Products, Dr. Kane uses a quick chemical peel just under the lower lids to peel away the crepey fine lines and wrinkles. Patients look refreshed and awake with their non-surgical eyelid lift.

Dr. Kane easily performs the lower lid rejuvenation in his office within a 20 minute office visit using only local anesthesia and ice. There is no preparations needed and patients can drive home themselves. There can be mild bruising, but cover-up make-up easily camouflages any bruise enough that patients are able to return to work. Make sure you see these wonderful results in Dr. Kane’s photo gallery on his website: www.DrDeanKane.com. During the week of July 6th, Dr. Kane will be offering this very unique procedure at a wonderful promotional savings that you can see on his website.

Fat: While we may hate it on our hips it works great as a natural filler for Faces, Booties and Imperfections in the Body! Ask Dr. Dean Kane, Plastic Surgeon in Maryland How Fat Works.

Dr. Dean Kane, Plastic Surgeon of Maryland has been using fat in the most unique ways. Instead of discarding the fat after liposuction, Dr. Kane takes the patient’s fat and injects it into other areas of the body and face. Many patients love how the fat fills in their faces to give a beautiful upper cheek lift, fill in the nasal folds and plumps the lips. For the patient always wanting a bigger booty, the fat can be transferred to create a Brazilian butt lift. What is wonderful about fat is that it can be used anywhere the patient wants it. Some patients want their fat in the lower part of their buttocks, others want on their upper part and others want more on their hips.

Patients who have had prior surgeries or accidents in the past, like a hip replacement have a thin scar over their hip and need more padding to cushion the bone. The fat can be transferred along the hip to better protect the hip replacement. Any imperfections in the body that has a hollow indent can be filled with your own fat.

The big question is will it last? That will vary from patient to patient and depending where the fat is placed. Dr. Kane will tell patients that there is no guarantee as to how much will stay that is transferred and how long it will stay. But many of our patients will say that whatever portion does live it seems to stay for years and years. It is important to transfer the fat immediately after the fat has been liposuctioned (within the same operation) as the cells are still intact and require immediate blood supply from another part of the body for the fat cells to live.  Fat that has been frozen will not  last the same length of time. Fat is a larger molecular structure than the fillers like Restylane or Juvederm so it gives a fuller fill with greater plumpness. Be prepared: Fat transferred in the face will possibly cause greater bruising and swelling and will take a longer time for recovery, especially in the lips.

And no you can’t use another person’s fat. The patients who are lucky to be thin and don’t have enough fat to transfer are still lucky to have the other fillers like Restylane, Perlane, Juvederm Ultra and Radiesse to use in their faces that work just as well as fat.

For patients of Dr. Kane who are considering liposuction of their neck, arms, abdomen, thighs and back, Dr. Kane offers to use their fat for lip-transfer into other aspects of their body. Waste not want not!!  Summer months are may be hot, but it is a great time to rid yourself of those extra pounds of fat and redistribute them. Dr. Kane offers a summer cosmetic surgery promotion during the summer months that you can see on his website: www.DrDeanKane.com.

Great Way to Save on Fillers and Dysport and Botox is on Saturdays with Dr. Dean Kane of Baltimore Maryland.

So many Maryland patients of Dr. Dean Kane, Plastic Surgeon of Baltimore would like to be able to save on their Fillers, Dysport and Botox, as well as have the convenience of Saturday hours. Well Dr. Kane now has made it easy for his working patients who just can’t get his Practice during their work week, but would love to have a “pick me up” during their off time on the weekends. Dr. Dean Kane at his Maryland Center for Cosmetic Surgery and Medi-Spa offers Saturday hours where he has his own nurse injector Heather and his esthetician Deborah offer their services. Heather has been personally trained by Dr. Kane and knows all his wonderful secrets to achieve his beautiful Liquid Facelift results using the fillers, Restylane and Perlane for plumping the nasal folds, marionette lines, lips and lipstick lines. Heather is highly trained in both Botox and Dysport to reduce the wrinkling around the brows and eyes to achieve a non-surgical brow lift. May 31^st ends the Dysport Challenge where Dr. Kane has met the challenge. The Medicis Company is giving back $75 on your first and second future treatment of Dysport. Dr. Kane is matching this promotion with an additional $75 off as well for both treatments. A $300 savings, but patients must have their first treatment no later than May 31^st.  Anyone interested in scheduling an appointment can call Dr. Kane’s office: 410-602-3322 or email Lauri@DrDeanKane.com. Always visit Dr. Kane’s website www.DrDeanKane.com to see all his list of specials, surgical, non-surgical and Medi-Spa Services.

At the same time, patient’s visits are coordinated with Dr. Kane’s esthetician, Deborah, to have Laser treatments with IPL, Fractional Pixel and Laser Hair Removal, or  Micro-dermabrasion Facials and Peels using our newest VI Peel. Deborah consults all patients about their skin on Obagi or Emerge skin products. At Dr. Dean Kane’s Medi-Spa patients enjoy the one stop shop for all their cosmetic needs and have the convenience of coming on the weekend away from the stresses of their work week.

Dr. Dean Kane, Plastic Surgeon of Baltimore now offers his patients the newest version of Fillers that contain lidocaine: Juvederm Ultra, Restylane and Perlane now are not only more affordable, but much less painful.

Dr. Dean Kane, Plastic Surgeon of Baltimore now offers his patients the newest version of Fillers that contain lidocaine: Juvederm Ultra, Restylane and Perlane now are not only more affordable, but much less painful. It is now possible to be plumped and filled and with much less discomfort. Dr. Dean Kane from his Maryland’s Center of Cosmetic Surgery and Medi-Spa offers his patients the newest versions of Juvederm Ultra and Ultra Plus, Restylane and Perlane. So many patients who have wanted to have fuller and more defined lips but were afraid of the pain, now express the incredible difference the lidocaine has made for them. Both Allergan the makers of Juvederm Ultra and Ultra Plus and Medicis the creators of Restylane and Perlane now manufacture their fillers by pre-mixing lidocaine, a numbing medicine with the hylauronic gel fillers within the same syringe. Maryland patients of Dr. Kane are so pleased with not only the terrific results, but have a much more comfortable and positive experience of being injected by a filler.

So many patients ask two questions consistently: One, what is the difference between all the fillers? And two what is the difference between Restylane vs Perlane and Ultra vs Ultra Plus? The first answer is the same as the concept between Coke and Pepsi. As we described in an earlier blog for the difference between Botox and Dysport, the same applies here. It is two companies producing very similar filler products made out of hylauronic acid. Hylauronic acid is a natural substance found in our skin that gives us the plumpness in our face. When we age we tend to lose this plumpness and Dr. Kane uses these filler products to refill those areas of the face that have lost its fullness, such as the nasal folds, hollows under the eyes, marionette lines and any facial wrinkle lines.

The second question: What is the difference between Restylane and Perlane or Juvederm Ultra and Ultra Plus? The differences are basically the size of the molecular structure of the hylauronic acid gels. Both Perlane and Juvederm Ultra Plus are larger molecules which give a bigger volume fill and have been found to last longer from 8 to 12 months. Most patients opt for the larger gel size to achieve greater fill and better plumping with longer lasting effects.
 
Right now, Medicis is offering a mail-in rebate of $50 per syringe up to 3 syringes. Patients of Dr. Kane’s are saving in two ways. Dr. Kane has offered his own promotion, the more you use the more you save: 10% off of 1 Syringe, 15% off 2, 20% off of 3 or more. The combination of the two offers gives Dr. Kane’s patient’s savings up to $540 on 3 Perlane syringes. But Medicis is ending their mail-in rebate on March 31st, so patients need to act quickly if they want these wonderful savings.

Dr. Dean Kane of Baltimore performs his Signature Liquid Facelift by using Botox and Fillers to solve the pressures of the unemployed to look their best and younger for job interviews.

 Many unemployed men and women of Maryland, Pennsylvania, Delaware and Washington, DC have sought the help of Dr. Dean Kane’s expert technique to provide
an immediate rejuvenated facial appearance to look their best on their job interview.  Dr Dean Kane created the “Liquid Facelift” because many women and
men have very specific needs and desires to look younger, but need to return to work quickly or need to interview for a new position.  There is pressure
to compete with a younger looking workforce. Dr. Kane and Lauri recognize people have greater pressure to look their best and look younger, but have much
more limited time and financial resources.

Dr. Dean Kane’s Liquid Facelift uses Botox or Dysport and fillers such as Restylane, Perlane, Juvederm Ultra Plus or Radiesse to replace the surgical
facelift. The LIQUID FACELIFT gives us the lift in our lives we are looking for. In less than 1 hour with instant results and no down time, Dr. Dean Kane
can lift your brows, fill the hollows of the lower lids, get rid of your nasal folds and give us the luscious lips we always wanted.

BOTOX or DYSPORT is performed by Dr. Dean Kane in his beautiful setting office in Baltimore Maryland to achieve an arch of a brow lift and softens our
lines around our eyes. Botox or Dysport rebalances the muscles of our foreheads to remove the angry line between our eyes and the horizontal lines across
our foreheads. It is the perfect solution to the non-surgical brow lift. It’s quick and easy and affordable.

FILLERS: Today Dr. Dean Kane can use fillers such as Restylane, Perlane, Juvederm Ultra Plus and Radiesse in so many ways that it is taking over the need
to have an early surgical lift. By using fillers to create volume in your face, you are plumping out and filling the wrinkles, hollows and lines of the face.
 Dr. Kane now uses fillers such as Restylane, Perlane, Juvederm Ultra or Radiesse along the eyebrows to get a brow lift effect. The hollows and bags under
the eyes are smoothed away by using fillers. The nasal folds that make look saggy are filled and plumped. Marionettes lines from the corners of the mouth
to the chin are filled to reduce the jowling effect along our jaw line. Most women hate the lipstick lines and thinning of our lips. Using fillers Dr. Dean
Kane helps to plump and smooth creating just the fullness that is natural and not overdone and minimizes the crinkling and lines of your lips.

Confused by all the possible filler options? There are many, but the ones we use are Restylane/Perlane, Juvederm Ultra Plus, and Radiesse. We will teach
 you about all of them and recommend which is best for you.

Join us for our Open House & Lecture coming up on February 25th from 6:30-8:30 at the office of Dr. Dean Kane. Learn all about the Liquid Facelift.

Dr. Dean Kane sees patients from all of Maryland, as well as, our neighboring counties in Pennsylvania, Washington, DC, Delaware, New Jersey and the
Maryland Eastern Shore.  In Maryland, patients come from Aberdeen, Annapolis,  Baltimore, Bel Air, Berlin, Cambridge, Catonsville, Cockeysville,
College Park, Columbia, Crownsville, Eldersburg, Elkridge, Ellicott City, Essex, Fallston, Finksburg, Forest Hill, Fort Meade,  Hampstead, Joppa, Laurel,
Lutherville, Middle River, Monkton,  New Market, Odenton, Olney, Owings Mills, Parkton,  Pasadena, Perryville, Phoenix, Pikesville, Randallstown,
Reisterstown, Rising Sun, Rosedale, Savage, Guilford, Severn, Severna Park,  St. Michaels, Stevensville, Sykesville,  Taneytown,  Westminster,
White Marsh and Windsor Mill.

Filler & Botox Specials! Amazing Savings!

For all our current specials please go to www.DrDeanKane.com

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