101 Park Pl #200,
San Ramon, CA 94583

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925-837-6000

Injectables

PERFORMED BY DR GLADSTONE


This is a model not an
actual patient

Your face is an organ of communication; your window to the world of first and lasting impressions. Your face should accurately communicate your inner vibrancy and vitality.

Your face is also a three dimensional biologic work of art. In youth, it is heart shaped, with no lines of demarcation and is defined by an angular roundness. Age chips away at facial volume and structure leaving a deflated hollowing and sagging soft tissue envelope.

Fortunately, in many patients, combinations of injectables can reinvigorate your natural facial anatomy and contours.
At the Gladstone Clinic, we customize both wrinkle relaxers such as Botox and Dysport and fillers such as Voluma, Sculptra, Radiesse, Juvederm, Belotero and Restylane to fit your specific needs.

There are risks with all procedures including injectables. Though there should not be down time with these products, there can be bruising and swelling. Ice or a cold pack before and after the procedure will reduce the risk of bruising and swelling. Not taking aspirin or nonsteroidal pain relievers such as Ibuprofen as well as fish oil or vitamin E a week prior to the procedure will reduce the risk of bruising and swelling.
*The results described are not typical and will vary based on a variety of factors.

Botox Cosmetic

– wrinkle reducer for facial lines of expression
botox-logoWhat: Microamount of purified Botulinum toxin. A single injection with a small needle. No downtime. Icing area before and after reduces discomfort and potential bruising.
Where: Approved for reducing glabellar “11” lines and crow’s feet. Popular off label use for forehead lines; facial shaping by transforming a square jawline into a softer, rounder one; reducing upper lip lines; reducing bunny lines; relaxing golf ball chin; reducing platysmal bands. Approved also for underarm excessive sweating.
When: Takes 3-4 days to take effect. Maximizes at approximately 7-10 days.
How long: Depends Usually 3-4 months
Bottom Line: Has longest track record.
*Results may vary from person to person

Dysport

– wrinkle reducer for facial lines of expression
dysport-logoWhat: Microamount of purified Botulinum toxin. A single injection with a small needle. No downtime. Icing area before and after reduces discomfort and potential bruising.
Where: Approved for reducing glabellar “11” lines. Popular off label use for forehead lines; facial shaping by transforming a square jawline into a softer, rounder one; reducing upper lip lines; reducing bunny lines; relaxing golf ball chin; reducing platysmal bands.
When: Takes 1-2 days take effect. Maximizes in approximately 7-10 days.
How long: Depends. 3-4 months.
Bottom Line: May take effect quicker than Botox—may be better if needed for a “last minute” upcoming event. May also have larger diffusion area of effect. May be better for broad areas such as the forehead in some individuals.
*Results may vary from person to person

Belotero

What: Is a hyaluronic acid injectable filler designed to integrate into facial skin tissue. It is a soft and cohesive gel that, once injected, instantly fills the skin to help smooth moderate-to-severe etched-in lines and wrinkles.
Where: Fine lines. Off label use would include underneath the eyes for filling the so called tear trough deformity.
When: Instantly
How long: Depends, but usually 6 months
Bottom Line: Belotero is a very soft smooth filler that is very malleable and may be more “forgiving” in certain areas compared to other fillers.
*Results may vary from person to person

Restylane & Restylane Silk

Restylane logoWhat: A clear gel formulation of hyaluronic acid that is specifically formulated to act like your body’s own naturally produced hyaluronic acid
Where: Moderate to severe facial wrinkles and folds or add fullness to your lips
When: Instantly. There may be swelling from these products in addition to their natural effect. This swelling is temporary and usually resolves in 24-48 hours.
How Long: Depends on site. In the lips, either product may last 3-4 months.
Bottom Line: Restylane and Restylane Silk can be used for folds such as smile lines and cheek wrinkles. They are excellent for the lips with the newer Restylane Silk possibly providing a more robust effect. Off label uses include underneath the eyes known as the tear trough deformity.
*Results may vary from person to person

Juvederm

What: A clear gel formulation of hyaluronic acid that is specifically formulated to act like your body’s own naturally produced hyaluronic acid
Where: Moderate to severe facial wrinkles and folds especially around the nose and mouth.
When: Instantly. There may be swelling from these products in addition to their natural effect. This swelling is temporary and usually resolves in 24-48 hours.
How Long: Depends on site. In smile lines (nasolabial folds) approximately 6 months.
Bottom Line: Juvederm which comes in the XC and Ultra versions is particularly effective in the smile lines and marionette lines around the mouth/chin.
*Results may vary from person to person

Radiesse

Radiesse_logo_withtaglineWhat: Comprised of Calcium Hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier
Where: Temporarily adds volume to help smooth moderate to severe facial wrinkles and folds, such as nasolabial folds (smile lines).
Volumizing your hands. Radiesse can plump up and rejuvenate your hands. Often patients spend a great deal of effort in facial rejuvenation and neglect their hands. This creates disharmony between your face and hands, and is instantly noticeable.
Off label uses include for volumizing the chin—a nonsurgical chin implant; for the nasal bridge; smoothing the jawline (filling prejowl grooves).
When: Instantly.
How Long: Depends. In the nasolabial folds Radiesse may last 10-12 months.
Bottom Line: Radiesse is a very versatile filler, particularly good for the hands. Unlike the hyaluronic fillers, there is not an enzyme that diminish the filler if there is a bump occurs during injection.
*Results may vary from person to person

Voluma

Juvederm_VolumaXC logo 4cWhat: Injectable hyaluronic gel for deep injection to correct age-related volume loss
Where: Cheeks, particularly the upper cheeks.
When: Instantly.
How Long: Approximately 2 years
Bottom Line: Voluma is fantastic in recreating the “apple” portion of your cheeks that you had in youth. To achieve this result, many patients will need at least 2 syringes.
*Results may vary from person to person

Sculptra

logo-scupltra-tagWhat: Poly-L-Lactic Acid.Diluted with sterile water. Injected deep and for volumizing selected areas of the face.
Where: Cheeks and temples, but also other selected facial regions
When: It is not instant. Results are gradual, and requires multiple treatments over several months. However, Sculptra stimulates the body’s own collagen.
How long: 2+ years in many patients.
Bottom Line: While you may require 4+ treatments every 6 weeks, this allows for further tailoring and sculpting based on your needs. Sculptra is an excellent cheek and temple volumizer and helps to recreate the heart shaped face of youth.
*Results may vary from person to person