The Juvéderm family includes some of the most popular dermal fillers on the market, and our patients cannot get enough. The cosmetic injectables made of hyaluronic acid can restore lost volume in several areas of the face, including the lips and the cheeks. Read our infographic below to find out if Voluma, Vollure or Volbella is right for you.
If you’re interested in Juvederm, contact us today.
Cosmetic injectables are becoming more and more popular as the years go on. Fillers are a great non-invasive treatment for patients seeking to restore volume and a rejuvenated appearance. Check out the below infographic which includes five interesting facts about cosmetic injectables.
Restore your natural rested, rejuvenated appearance today! Dr. Annie Chiu is a national trainer for dermal fillers and offers a range of injectables at her Manhattan Beach practice.
Botox is one of the most popular cosmetic procedures currently on the market. Its non-invasive, long-lasting solution that requires no downtime makes the procedure appeal to men and women alike. Most commonly known for treating dynamic facial wrinkles, Botox can also be used for a variety of concerns. Dr. Annie Chiu created the below infographic on three unexpected uses for Botox:
Dr. Chiu and The Derm Institute are excited to announce the (early) availability of the newest filler approved in the United States—Juvederm Vollure.
Juvederm Vollure, from the makers of Botox, provides long lasting correction of wrinkles, folds, and shadows to help you achieve a more confident, rejuvenated you!
Among the longest lasting fillers currently on market, clinical studies show Vollure is a filler that lasts for 18 months, with most patients seeing improvement for even longer.
To help you get to know your newest Filler BFF, here are some quick facts:
Juvederm Vollure is FDA approved for the correction of —
Smile lines (parenthesis lines)
Vertical lip lines (aka “smoker’s lines”)
Folds around the chin area (aka “marionette lines”)
Vollure can also be used to —
Correct undereye circles or hollows
Provide volume or enhancement for the lip
Contour the forehead
Lift the brows
Provide soft lift to the cheeks
Correct various shadows, hollows, and wrinkles on the face
Vollure is part of the hyaluronic acid Juvederm Vycross family of products, which also includes Voluma and Volbella. Vycross is a crosslinking characteristic of this hyaluronic acid based filler which gives these fillers a longer last.
Studies showed > 50% of patients had improvement of their smile lines even 18 months after initial treatment with Vollure. Juvederm Vollure is formulated with lidocaine, making the treatment comfortable.
Vollure is a smooth, soft, spreadable gel that helps chase away wrinkles, folds and shadows to give you a softly natural refreshed appearance. The gel causes less swelling than traditional hyaluronic acid fillers, making downtime minimal to none.
Vollure’s main differentiating characteristic is that it is a softer fill compared to other fillers on the market, making it versatile and natural looking, while providing a long lasting result that delivers more value for patients.
Dr. Chiu is proud to be a renown filler expert and national trainer for Vollure, educating other injectors nationwide on ways to achieve the best outcomes with this and other fillers on the market. The Derm Institute is excited to help you put your most confident face forward. Juvederm Vollure allows a softer, more natural correction, that makes you look just slightly airbrushed all over—just in time for your selfies . . .
If you want to experience newly available Juvederm Vollure and start your journey towards fresh faced beauty, call us for a consultation today.
Did you know you can have filler procedures done in a way to minimize discomfort, risk of bruising, decrease swelling, and avoid multiple needle sticks? Sounds too good to be true? Actually, Dr. Annie Chiu specializes in this advanced technique called Micro-Cannula injection for fillers so most patients have ZERO downtime and discomfort!
If the fear of needles has been holding you back from cosmetic procedures, be assured Dr. Chiu is an expert in this “needless” technique.
What is a Micro-Cannula? Microcannulas are an alternative to needles when administering fillers. Needles are sharp, which leads to discomfort, and a higher risk of bruising such as the sharp end can injure blood vessels (which leads to bruises). Conversely Microcannulas are thin flexible tubes with smooth rounded tips that push vessels and nerves out of the way when under the skin—leading to much less trauma, swelling, and risk of bruising.
Benefits of Micro-Cannula technique include:
Minimal to no discomfort
Less risk to no bruising
Decreased tissue trauma
Common areas for Micro-Cannula use include:
Fillers for undereye circles, or undereye hollowing
As always, the Microcannula is a tool all injectors can opt to use, but know that it takes a lot of experience and technique to master delivery of filler in this method in the correct planes of the face. In Dr. Chiu’s hands, you can trust you are being treated by an incredibly talented expert in Microcannula technique.
If you are interested in learning more, contact our office today!
Really? Absolutely no bruising or pain? Microcannulas allow much less entry points through the skin where you feel needle “pricks”. Most of what is felt is a bit of pressure, so yes, it is a lot less painful. The risk of bruising is greatly diminished, and most of our patients get no bruising. However, it is still possible to have some minimal bruising, especially if you are on certain medications such as aspirin, ibuprofen, or fish oil.
Can all injectables be done with a Microcannula? Most hyaluronic acid fillers such as Juvederm , Volbella, Restylane, as well as Radiesse can be administered with a Microcannula. Dr. Chiu guides our patients in where it is most appropriate and gives the best results.
Valentine’s Day is around the corner, and now is the best time to make your lips look completely kissable! A study from the University of Southern California found that men actually spend more time looking at the mouth than any other facial feature of a woman. Thankfully there is a simple way to get your lips looking luscious, natural, and sexy. Here at The Derm Institute we offer lip filler treatments that can give your lips a glossy, “just kissed™” look.
What are Lip Fillers?
Lip fillers, like Belotero, Juvederm, Restylane, Restylane Silk, and Volbella, are injectable treatments that are comprised of cross-linked Hyaluronic Acid that smooth, plump, and hydrate the lips for a natural appealing pillowy pout. Dr. Chiu specializes in natural glossy TDI “Just Kissed Lips™”…never duck or trout like. It will be our secret!
Lip rejuvenation with lip fillers does not always only involve injecting the lip directly. Total lip rejuvenation is often achieved with injections in the lip for volumization, and additional treatment to the fine lines around the mouth. These lines are often referred to as “smoker’s lines”.
Lip filler treaments usually last between 9-12 months and are naturally absorbed by the body. Repeated treatments at recommended treatment intervals can actually improve the duration of your filler.
Why get lip fillers?
To make vertical lip “smoker’s lines” or “lipstick lines” disappear
To give crinkly lips a glossed appearance so they look dewy
To better define the cupid’s bow, or M portion of the lip
Define the lip borders
Upturn the corners of a downturning mouth
How to get your ideal lips
The best lips have to have a great shape. Great shape and definition is achieved by one main factor, your expert injector. Dr. Annie Chiu is a nationally renowned master injector, who is well recognized for specializing in natural, plumped, gorgeous heart shaped lips. Just ask our staff, everyone’s lips have been treated by Dr. Chiu. Also, Dr. Chiu is has perfected her TDI “ Lip Glossing” technique with lip fillers. This is to get that “just kissed™” look. Where the lip is slightly plumped with a glossy appearance. All looking completely natural, with just a hint of desire.
What you NEED to Know about Lip fillers
10 Days before treatment avoid pain medications, fish oil, aspirin, vitamin E. These tend to make the blood thin and cause increase your risk of bruising and swelling.
There is practically ZERO downtime.
Chiu specialize in a bruise free, no touch minimal discomfort lip injection technique with a microcannula.
Don’t expect Angelina or Kylie lips. Trust that Dr. Chiu will decide what is best to beautifully frame your face. You can expect to increase the size of your lips gradually over time with treatments, not all at once, for the best natural looking results.
Cherish your lips, just like you cherish you skin! Let The Derm Institute help get you simply irresistibly kissable lips this Valentine’s Day. Call us today to reserve your spot and feel sexy all year long. #justkissed™
Kybella is an FDA-approved, non-surgical treatment for submental fat, also known as “double chin”. Dr. Chiu created this helpful infographic that includes facts on Kybella, such as the cause of submental fullness, who it affects, treatment times, and results. For more information on Kybella, or to schedule a consultation, contact The Derm Institute.
Americans spent more than $13.5 billion on cosmetic procedures in 2015.
42% was spent on non-surgical procedures.
Injectables overall saw a 21% increase in 2015.
Kybella is the very 1st FDA-approved injectable treatment for submental fat.
6.6 million injectables treatments were performed in 2015.
67% of people surveyed by the ASDS said they were bothered by “double chin”.
Causes of submental fullness include aging, genetics, and weight gain.
“Double chin” affects both men and women.
90% of injectable treatments were performed on women in 2015.
Kybella has an 87% RealSelf.com Worth It rating.
You can expect results after 2-4 treatments that last 15-20 minutes each and are spaced 1 month apart.
2017 welcomes two new sugar-molecule Hyaluronic Acid based fillers to the market: Restylane Refyne and Restylane Defyne.
The Restylane family of fillers have been on the market with proven safety and reliability for over 20 years. With more and more fillers available to choose from, the dermatologist’s ability to treat patients in a more customized fashion gets better and better. As usual, because Dr. Chiu is a trainer and renowned expert in injectable fillers—she is among the first doctors in the country to be able to introduce these next generation flexible movement fillers to her patients at The Derm Institute.
Restylane Refyne and Restylane Defyne are soft, flexible, natural appearing fillers that are not rigid or stiff and thus integrate naturally with you, your expressions, and your confidence. There’s no doubt the thought of fillers often conjure up images of overfilled, unnatural, ‘real-housewives’ of insert city of your choosing. The good news is—when proportional, natural, balanced rejuvenation is done with an injectable filler expert like Dr. Chiu—no one will know. These next generation fillers that are more flexible and dynamic and move with your own natural expressions only makes soft, unnoticeable rejuvenation that could not be further from the fears of the frozen, overfilled, alien-looking appearance everyone worries about.
Because of their smooth gel characteristic and unique flexibility—Restylane Refyne and Defyne are great first time fillers as well as those who have had fillers in the past but need a little boost in areas with more movement.
Common areas to use Refyne and Defyne:
Undereye circles and hollows. Smooth consistency, less likelihood of movement, and less swelling make Refyne a great new choice for a common complaint.
Radiating smile lines of the cheeks. Everyone loves a great smile, but those accordion like lines that bunch up the cheeks can be pesky to treat. Given the natural integration with movement of Refyne and Defyne, we can soften these lines and still have it look natural.
Laugh Lines (Nasolabial folds and marionette lines). Folds around the mouth are influenced by a lot of movement with talking, eating, smiling. Defyne can help soften these movements and deep folds while staying in place for up to a year.
Hollowing or Dimpling of the mid cheek. Over time, when we make expressions like laughing or smiling, hollows around the mid cheek look more prominent. Giving a hollowed tired appearance. Restylane Refyne and Restylane Defyne can soften these areas whether you are smiling or not.
Refyne and Defyne are line extensions of the existing Restylane hyaluronic acid family of fillers using unique XpresHAn Crosslinking technology. This technology allows a more flexible, natural appearing filler that moves with your expressions but doesn’t migrate from the area it was placed.
When fillers are used naturally—it is corrective: meaning we are replacing lost fat pads and bone structure that occurs with time. It isn’t about giving you cheeks you never had. It’s about returning that softness that is associated with youth. Having products like Restylane Refyne and Defyne allows us to further follow the trend towards natural appearing rejuvenation. Studies have shown fillers when placed into areas that create wrinkles over time with repeated expression—such as the smokers lines or smile lines, they can actually stimulate the existing fibroblast to produce more collagen. Making them truly preventative as well.
Like all hyaluronic acid fillers, including Juvederm and Voluma results can be reversed easily—but once you see how soft and natural you look— your worries about looking “done” will dissolve away. . .
Start the New Year off right and try some of our most popular minimally invasive procedures to debut a new, more confident you. With procedures like the Clear + Brilliant laser, natural fillers, and body contouring, you will be looking your best in 2017.
Clear + Brilliant Laser
The Clear + Brilliant Laser is a gentle laser treatment that fights against signs of aging and discoloration to reveal smoother, glowing skin. Clear + Brilliant Laser has an 87% RealSelf.com Worth It rating.
New + Natural Fillers
New and natural fillers can be exclusively customized to fit your indiviudal needs, including Juvederm Volbella, Restylane Refyne, and Restylane Defyne. Juvederm Volbella has an 86% RealSelf.com Worth It rating.
Fire + Ice Body Contouring
This treatment combines the fat eliminating heat energy of Vanquish ME and the fat freezing technology of CoolSculpting. CoolSculpting has an 83% RealSelf.com Worth It rating.
The Derm Institute is proud to be offering the newest FDA-approved filler, Volbella. Vobella comes from the makers of Botox and is made of cross-linked Hyaluronic Acid. It’s an ideal filler for lines around the mouth and natural lip rejuvenation.
Dr. Chiu has created this helpful infographic to help her patients understand what Volbella is and how it works. If you would like to learn more or if you have any questions about Volbella, please contact The Derm Institute to schedule your consultation.
Now! Juvederm Volbella is now FDA-Approved and available early at The Derm Institute. As an Allergan Medical Facial Aesthetic Speaker Trainer, Dr. Annie Chiu is among the first physicians to be offering this fine line lip filler in the United States. As a premier injectable expert in the Southbay, Dr. Chiu also had advanced training in Volbella.
2. What is Juvederm Volbella used for?
Volbella is a “fine line” hyaluronic acid filler used to soften small etched lines, especially around the mouth. It is not meant to give “big” or “full” lips, it is for the most subtle of lip enhancements or to attack pesky vertical lip lines that are aging in appearance.
To make vertical lip “smoker’s lines” or “lipstick lines” disappear
To give crinkly lips a glossed appearance so they look rehydrated
To better define the cupid’s bow, or M portion of the lip
Define the lip borders
Upturn the corners of a downturning mouth
3. Where else can Volbella be used?
Volbella is a durable, extra smooth gel that can be used for any fine, etched line or a thin-skinned area that needs softening of hollows. Examples include:
Etched horizontal forehead lines
Etched crow’s feet
Deep etched frown lines that do not completely improve with Botox
4. What makes Volbella different?
Volbella is in the Juvederm Voluma family. The special VYCROSS technique allows this injectable filler to be administered with virtually no swelling or downtime while still giving long lasting duration. The ultra smooth gel also allows it to be completely natural looking.
5. How long does Volbella filler last?
Volbella typically lasts about 1 year in duration.
6. Does it hurt?
Volbella is pre-mixed with anesthetic, and we always use topical numbing to ensure a comfortable experience for our patients at The Derm Institute.
7. Is there downtime?
Volbella filler for the lip, etched lines, or undereye is unique in its formulation in that there is virtually no swelling or bruising, making this a true lunch time procedure.
1. Botox in your scalp aka “BLOW-TOX”. Wish your blow out would last longer? There’s help! Botox in the scalp decreases oil and sweat production on the scalp, which are the pesky things reverts your hair to its pre-blowout frizz. Now get longer lasting smooth blowouts with BLOW-TOX!
2. Fillers in the earlobes. Have you noticed droopier earrings when you wear them? Or the pierced earlobe looking elongated? With time, collagen loss occurs in the earlobes and they flatten, and the weight of earrings can make the lobes look saggy and draggy. A smidge of filler in the earlobes can correct this instantly and get those diamond earrings to frame your face beautifully again.
3. Kybella in the armpit pooch. Summer is here, and strapless dresses reveal that little pooch of fatty skin under the arms no matter how thin you are! Consider Kybella, the first FDA • Approved injectable that dissolves fat. In a single session you can get PERMANENT fat reduction in this area!
4. Voluma for a non-surgical rhinoplasty. Annoyed by a flattened profile, a slightly not straight nose, or a bump on the nose? Juvederm Voluma when used in expert hands like Dr. Chiu and yield AMAZING non-surgical instant results. She can straighten a crooked nose, build height to a flat bridge, refine and tilt up the tip. Our patients think the results are truly magical. Lasts up to 2 years!
5. Sculptra for vertical boob lines. Notice when you wake up in the AM, there are creases on your chest and especially on between your breasts? This gives the chest a saggy, aged appearance. Sculptra, typically in 2 sessions, rejuvenates this area beautifully, improving both the skin texture, correcting the lines and giving the breasts a subtle lift. A must treatment for those who like V or plunging necklines!
Advanced techniques of injectables can be used to correct all sorts of problem areas you never thought there was a solution for. Feel free to call our office (link) for any additional information. We are experts at keeping you looking and feeling confident and beautiful in your skin.
Want glossy pillowy lips without the dreaded “trout pout”? Now is the time to put your fears away—Vobella is here!
Volbella is the newest filler approved by the FDA. Like its cousin, Voluma, Volbella comes from the makers of Botox, and is comprised of cross-linked Hyaluronic Acid, but its defining characteristic is its ultra smooth, ultra fine, and ultra soft consistency, making it an ideal filler for pesky lines around the mouth, aka “smoker’s lines” (although these occur in non-smokers too!), and for those who want a very natural lip rejuvenation.
There are so many fillers on the market–what makes Volbella different?
Volbella is part of the Juvederm Voluma family, uniquely characterized by VYCROSS technology, which through special efficient crosslinking, allows longer lasting results with minimal swelling.
Minimal swelling effect, unlike other lip fillers on the market where you have a few days of swelling before the lips settle down.
Not for building enlarged lips, more for a glossing, slight plumping effect, like wearing the best lip gloss you can imagine 24-7.
Ideal for fine etched lines around the mouth, including vertical, “smoker appearing” lip lines.
Can be used for etched fine wrinkles other than the lip area as well.
How long does it last? What kind of results can I expect?
Dr. Chiu has perfected her TDI “Lip Glossing” technique with lip fillers. Her technique with Volbella, as well as other lip fillers is to achieved a “just kissed” look—where the lip is slightly plumped, has a glowing sheen, and a dewy appearance. Just a touch of sexy . . . and with Volbella, the results are so natural no one will know! Let’s say your secret will be sealed with a kiss . . . And it’s long lasting—up to a year!
When will it be available in the United States?
Because Dr. Chiu is a nationally recognized master injector and physician trainer, The Derm Institute will be among the first clinics in Los Angeles to offer Volbella, this revolutionary new filler which is slated for wider release in October. Contact the office to get on the waitlist today!
Then, stay tuned for Vol-Lift . . . in the TRIAD of VYCROSS fillers. . . also coming this year.
The Derm Institute is designated by Allergan as a Kybella Center of Excellence
1. What is Kybella?
Kybella is an injectable formulation of deoxycholic acid, a naturally occurring molecule I the body that aids in the breakdown and absorptions of fat. When injected into areas of unwanted fat, Kybella causes the destruction of fat cells. In 2015, the FDA approved the use of Kybella to treat submental fat, otherwise known as a double chin. At The Derm Institute, we call it mini-liposuction in a syringe, and we have been designated by Allergan as a Kybella Center of Excellence due to Dr. Chiu’s extensive experience and pioneering techniques.
2. What areas can be treated with Kybella?
Kybella is most commonly used for the removal of fat underneath the chin. At the Derm Institute, we are the South Bay and Los Angeles’ Kybella Center of Excellence. This means Dr. Chiu has extensive experience in contouring the lower jawline, double chin, and also uses Kybella for other areas of body contouring, such as the armpit fat, bra bulges, and lower buttock fatty folds.
3. Are there any off-label uses for Kybella? If so, are they safe?
Off label, Kybella can be used for other smaller areas of unwanted fat on the body. Dr. Chiu has used it with great results in patients for:
Inner knee fat
Lower buttock fatty folds
4. Kybella vs. liposuction for double chin? Which would you recommend and what is the difference?
If you have a double chin or other small area of stubborn fat where you want more contour and definition, then consider Kybella a safe alternative to liposuction and surgery. Only you and Dr. Chiu can decide if Kybella is the right treatment. Typically, Kybella treatment requires 2-4 sessions. Liposuction typically requires 1-2 sessions, but some patients do not like to undergo surgery, or have scars from liposuction. Kybella treatment does not leave any scars as it is injected through a very small syringe.
5. What is recovery like for Kybella injections?
There is some swelling right after Kybella treatment, which typically is most prominent in the first 2-3 days and is typically completely resolved in a week. After day 3, most swelling is not noticeable to others, although a scarf or a mock turtleneck can help camouflage. Dr. Chiu recommends scheduling Kybella treatments on Thursdays or Fridays to allow healing to occur over the weekend. Over the following month, you may feel (but not see) some bump under the skin of the treated area. This firmness signifies Kybella is working to dissolve the fat. Once the fat is dissolved, your body will naturally absorb the fat cells.
6. How long do results from Kybella injections last?
The results gained with Kybella are considered long term and the fat will not return once dissolved if the weight of the patient remains stable. FDA studies show maintenance of improvement at 5 years after treatment when patients maintained a stable weight.
7. What do I do if I gain weight after using Kybella?
Because double chin fat, or any area treated with Kybella is composed of fat cells, with significant weight gain, the fat area can possibly but not always return.
8. Are Kybella injections painful?
There is little pain during the Kybella procedure. There is a slight burning sensation when the product is administered, but at The Derm Institute, we use topical numbing and ice to ensure comfort for our patients. Two to four sessions are recommended with a follow up of 6 – 8 weeks between each treatment. Dr. Chiu and staff try to make each treatment as comfortable as possible. Before treatment begins, Dr. Chiu’s medical assistant will ice and numb the area with a numbing cream. This helps with any discomfort during the Kybella procedure. there is some pain associated with the reaction that causes the fat breakdown. This is not severe but may cause the area to become tender. Dr. Chiu has a post-care plan for Kybella patients:
After the treatment, DO hold ice packs on the areas that are treated with Kybella gently for a few times that day.
Treated areas may be red, inflamed, swollen, and bruised for the first 2-7 days.
DO resume all normal activities include exercise as long as it is comfortable for you.
DO take ibuprofen, motrin, or advil if needed for discomfort after the treatment.
If bruising occurs, apply topical Arnica gel, drink fresh pineapple juice, and/or take Bromelain supplements to help bruising resolve faster.
Bruising can be covered with makeup.
9. How long is a Kybella treatment?
Kybella is an incredibly quick and easy “lunchtime” procedure. Most patients are in and out within 30 minutes, most of the time is used to allow topical numbing to work.
10. How many Kybella treatments do I need to see results?
Every patient is different. As an expert injector for Kybella, Dr. Chiu will help you evaluate what areas are bothersome. Most patients need 2-4 sessions spaced 6-8 weeks or more apart. Dr. Chiu’s extensive experience and expert technique with Kybella allows for contouring of the jawline and faster noticeable results, even after one session.
There is no denying that cosmetic procedures can be pricey . . . so it can be tempting to look for specials and deals at the local salon or Groupon. Patients often ask us, “how come they can offer botox for so cheap?”
Like many things, you often get what you pay for . . .
The application and use of various non-invasive treatments combined with the artistic and expert techniques utilized by Dr. Chiu is what truly sets The Derm Institute’s treatments apart. There are no shortcuts, inappropriate dilutions, or non-original manufacturer discount supplies ever used in our clinic. Dr. Chiu and The Derm Institute team are committed to exclusively providing advanced, expert, cutting edge and artistic facial rejuvenation safely.
Injectable neuromodulators such as Botox and Dysport, and cosmetic fillers such as Juvederm and Restylane are highly regulated FDA-controlled drug treatments. The raw cost of Botox and fillers direct from the approved manufacturer is a set price. Counterfeit, illegally imported, near expiration, or inappropriately diluted product has been an increasing problem in the US as price competing medi-spas and nurse injectors are opening all over the country.
Discount cosmetic centers often cut costs whether knowingly or not by using illegal or counterfeit, less expensive product. Less experienced injectors, often non physicians, although this decreases treatment pricing for the patient, it can at times increase risk of side effects. All medical and cosmetic procedures can rarely result in a complication. Treatment administered by a Board-Certified Dermatologist, like Dr. Chiu, who is extremely experienced in cosmetic procedures can reduce not only the likelihood of a serious complication, but if something does occur, she is specially trained to know how to recognize and resolve any issues.
Often, the cost quoted can also be misleading. Coupon deals show examples like $500 per syringe, but it may take a less experienced injector much more product to achieve the same result. So your overall cost to achieve a desired look may actually be more! It is not uncommon we get patients who tell us they spent thousands and did not see a visible difference they were happy with.
Dr. Chiu and The Derm Institute Team are sincerely committed to fair pricing with the most advanced, expert techniques used with artistry. We apply the highest standards to everything used in our clinic, and we only use the most high quality products, including pharmacy grade numbing cream, German imported microneedles for comfort, and of course, only FDA approved, manufacturer direct medications and treatments. Every expiration date, lot number, and hologram is noted and recorded. Come see the difference for yourself . . .