I found Dr. Zieber on Yelp a few years ago when I was looking for a Botox provider. I have been so happy with Dr. Zieber's work that I now go to him exclusively. His office is beautiful, his staff are some of the sweetest people you will ever meet and his prices are very reasonable. I've had Botox, fillers, peels and laser hair removal done at this office and the results have always been great. He is such a caring and attentive provider and never makes you feel rushed or pressured when deciding on a treatment. He always has skilled Estheticians working for him and I love their facial treatments. This is a 5 Star facility all around and now my friends come to Dr. Zieber as well.
I desperately need a mini face lift but I can't take a week off of work anytime soon. My friends have been talking about Voluma as a non surgical alternative. I have been getting Botox done by Dr. Zeiber at De Luz Medical Aesthetics for a few years and he thought id be a good candidate. Because I have naturally high cheek bones and because Voluma is applied on top of the cheekbones he opted to use only 1/2 cc on each side to start with. We waited two weeks for the Voluma to completely settle and which point he decided to go 1/2 cc of Juvederm Ultra Plus on each side to keep the look softer. Since the Juvederm Ultra Plus is much cheaper I went right along with him:-) I noticed that the Voluma immediately lifted my tired, haggard eye area! That was a pleasant surprise. All in all the both sessions were comfortable due to the added lidocaine in both fillers. I've posted in order a pre treatment pix, a post Voluma picture and photos taken the day I added the Juverderm Ultra Plus. I'm very happy with the results! On a side note I had done almost 2 cc's of Belotero about 5 months ago for my vertical lips and age deflated lips. I spread it over two visits and I found the procedure painful and the results short lived. I'll be going to Dr. Zeiber for Volbella to treat my lips issues in October when it's released in the U.S. I'll keep you guys posted. P.S I still need the mini face lift but at least I can wait until next year. Updated on 26 Aug 2016: Sorry guys. The pictures are backwards. The last photo is obviously the pre treatment picture. Lol. The first 3 pictures were taken in my car immediately after I added the Juverderm. There are 2 following that show the after pictures with Voluma only. Also I forgot to add that with the Voluma my cheeks felt lumpy and slightly sore. With the added layer of Juvederm I have the same issue. My cheeks seem to smooth over completely after about 9 days. I don't see any lumpiness when I look in the mirror so it's not a problem. I believe it's just some swelling at the actual injection sites. I love how it looks and I'm super happy that my nasolabial folds have been smoothed out. Updated on 30 Aug 2016: Ok ladies, 7 days after my touch up (Voluma / Juvederm Ultra Plus ) The swelling has got me and so has all the weird lumpiness. My cheeks feel very smooth and there is no residual soreness. I still have the dime sized bruise that I got with the first round of Voluma but it's almost faded away. So to recap, 1/2 cc Voluma per cheek on August 12. I followed up on August 23 with 1/2 cc of Juvederm Ultra Plus per cheek. I'm so happy I finally went for it. I was also starting to develope a Malar Crease and it looks like the cheek filler resolved that as well. I posted some pictures from a few days ago to show the final results. I'll post some updated pictures in October when I get the Volbella for my lip lines done. You can see how the Voluma is holding up. I still have a hint of jowels and marionette lines but I'm just going to have to leave be with those til I'm ready for a mini lift:-/
Total of 2 visits. One in Nov. to test the product and a follow up on Jan 14th. Volbella comes in .55 cc syringes and Dr. Zieber used 1 syringe to address my smokers lines and injected a small amount to my upper & lower lip to add volume. After the holidays I decided to go back and get a touch up and add more volume. I ended up using a very small amount of Juvederm Plus (about 1/3 of a syringe) to plump up my lips and about 1/2 of a syringe of Volbella to really smooth out the wrinkles around my lips. Much like Juvederm Voluma I found Volbella injections to be painless. I did have some swelling later in the evening so I just propped an ice pack against my lips and fell asleep. Lol. Very little in the way of tenderness or swelling after the Volbella treatment. When I came back a few weeks ago and had the Juvederm Ultra Plus injected in my lips I found that it stung a bit during the process and I had some minor swelling and a lot of tenderness for 2 or 3 days afterward. Since I only needed .30 cc of Volbella to finish smoothing out my smokers lines my doctor used the rest on my tear troughs. The verdict is ...I love Volbella. The injections are painless. There is almost no tenderness or swelling afterward. Volbella can last up to 18 months but I'll keep you guys posted as to how soon I need a refill:-) True to form, I felt lumpy for about a week after my injections but my skin looked smooth with no big bumps. I think I always have injection point swelling. I definitely recommend Volbella. If you have tender lips you can probably skip the Juvederm Ultra and just use Volbella to plump your lips as well as treat the lip lines. It offers subtle plumping compared to Juvederm Ultra but the injections are more comfortable.
Restylane, a hyaluronic acid filler from Galderma, as well as other dermal fillers would be a good option for lifting the base of the scar in order to help minimize its appearance. Filler would provide immediate but temporary improvement in the appearance. Occasionally scars adhere to the underlying tissues and the filler alone is unable to lift the skin. Subcision, using a needle to undermine the scar and release it temporarily from the underlying tissue, can be helpful. Subcision is more commonly required for scars that are deeper than they wide. Subcision can be combined with filler in the same sitting. For a more permanent improvement in the appearance of the scar, resurfacing the skin and encouraging the skin to build new collagen would be needed. Microneedling with PRP and Infini, a device that delivers microneedling with radio frequency, are two good options. Fractional CO2 laser would be a more aggressive treatment option. Thank you for your question. Good luck. -Dr. Z. De Luz Medical Aesthetics
Using Botox to relax the masseter muscles and treat TMJ problems can be very helpful for sufferers of these problems. Unfortunately you seem to have had an unintended side effect from the procedure. The zygomaticus major and minor muscles, which run from the corners of the mouth to the cheek bone just in front of the ears, pull on the corners of the mouth when we smile. You seem to have had some effect from the Botox on the the zygomaticus muscles on both sides. As long as the Botox was not injected directly into the zygomaticus muscles, the movement and your smile should return over the next 2-3 weeks. If the zygomaticus muscle did get injected directly, then unfortunately you can expect decreased movement for several months (on average one can expect 50% of the movement back at 3 months). For future treatments, your injector should consider using a lower dose of Botox and all injections of the masseter muscle should be kept below an imaginary line running from the corner of the mouth to the lower part of the ear. Thank you for your question. Good luck. -Dr. Z. De Luz Medical Aesthetics
Some medications can make the skin more sensitive to laser light and even sunlight. Isotretinoin, formerly known by the brand name Accutane, is one of many potential "photosensitizing" medications. Photosensitizing medications can cause a range of potential problems from just making the treatment hurt more to pigment changes in the skin to burns. The safest thing to do would be to wait at least six months after stopping the isotretinoin before starting laser hair removal treatments. You should discuss your concerns and options with your physician. Thanks for the question. Good luck. -Dr. Z De Luz Medical Aesthetics
Using Botox to relax the masseter muscles and treat teeth grinding or bruxism and TMJ problems can be very helpful for sufferers of these problems. Unfortunately you seem to have had an unintended side effect from the procedure. The zygomaticus major and minor muscles, which run from the corners of the mouth to the cheek bone just in front of the ears, pull on the corners of the mouth when we smile. You seem to have had some effect from the Botox on the the zygomaticus muscles on both sides. As long as the Botox was not injected directly into the zygomaticus muscles, the movement and your smile should return over the next 2-3 weeks. If the zygomaticus muscle did get injected directly, then unfortunately you can expect decreased movement for several months (on average one can expect 50% of the movement back at 3 months). For future treatments, your injector should consider using a lower dose of Botox and all injections of the masseter muscle should be kept below an imaginary line running from the corner of the mouth to the lower part of the ear. Thank you for your question. Good luck. -Dr. Z. De Luz Medical Aesthetics
Your understanding of the process is accurate. You may not have any change from the first treatment because your immune system will only begin to clean up sufficiently small ink particles. So, you may need more than one treatment for the laser to break the ink into small enough pieces. Once it does, you will notice the tattoo start to fade but it will take several weeks. Thank you for the question. Good luck. -Dr. Z. De Luz Medical Aesthetics
