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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery
botox before and after

Written by Dr. Ringpfeil

Dermal Fillers

dermal filler - Juvederm - before and after

As part of the aging process, our skin stretches and loses some of its elasticity and the face loses some of its subcutaneous fat. As a result, the skin looks loose, and we lose the plump skin we had in our youth.

Dermal fillers replace the fat we lose and help to restore the full appearance of our face. In addition, fillers serve as a buffer between our facial muscles and our skin. This buffer reduces the impact of the constant muscle movement of the face and fills indentations and lines left in the skin

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What until recently could only be corrected by an invasive and expensive surgery can now be corrected by Juvederm and Restylane, the two derma filler brands that revolutionized cosmetic surgery since they were introduced to the market at the beginning of the millennium.

Time to results: 1-10 days.

The most common dermal fillers in the US are manufactured and distributed by a handful of pharmaceutical vendors. The Juvederm line and Kybella are produced and distributed by Allergan and Restylane by Galderma. Other products are Radiesse, Belotero, Prevelle, Artefill, and Sculptra.

Most of these products address the same facial areas such as the Nassolabian lines, vertical upper and lower lip lines, and cheeks. Cost, lasting results, and personal preference are the most common differences between the various products. Also, an experienced injector may prefer one product over another in specific situations. For example...

Static vs. Dynamic Lines

Static Lines - Lines/wrinkles visible at rest.
(usually treated by dermal fillers)

Dynamic Lines - Lines visible with forceful movement of muscles. (usually treated by Botox)

  • restores cheek volume
  • reduces creases and wrinkles
  • enhances lips
  • rejuvenates hands
  • corrects scars
Botox and Filler Pricing List

2
Frown lines - Botox - 15-25 units for women or 20-35 units for men treat dynamic lines and mild static lines. Deeper static lines will respond after 3-4 injections if spaced 4 months apart. Results last 3-6 months. Belotero - 0.5-1 syringe treats moderate to deep static lines, or bridge until Botox takes effect.

3
Upper lids - Radiesse - 1/2 syringe to each temple lifts the upper lids gently. Botox - 10-16 units for women and 12-20 units for men will gently lift the brows.

5
Lower lid crepiness/ Sunken under eyes - Botox - 2-4 units reduce fine lines on the lower lids. Results last 4-6 months. Restylane / Belotero - 1-2 syringes will elevate deep hollows and lighten dark circles.

6
Vertical upper lip lines - Juvederm / Restylane / Belotero - 1/2-1 syringe treat moderate to deep lines. Botox - 4-8 units treat mild static lines. Results last 3-6 months.

7
Nasolabial lines - Radiesse/Juvederm / Restylane / Prevelle - 1-3 syringes will correct deep lines. Among filler treatments, this procedure provides the most age-reducing effect.

8
Cheeks - lines and volume loss - Radiesse / Juvederm / Restylane / Voluma - Highly variable - 1-3 syringes will gently lift the cheeks and restore their contour.

9
Down-turned corner of mouth - Juvederm / Belotero / Restylane - 1/2-1 syringe will undo the "sad-looking mouth".
Marionette lines - Radiesse / Juvederm / Restylane / Prevelle- 1-2 syringes will fill in the longer grooves that extend to the jawline.

10
Upper and lower lips - Belotero / Restylane - 1-2 syringes will plump thin lips. This popular treatment makes you look sexier while kissing still feels the same.

11
Vertical lower lip lines - Juvederm / Restylane / Prevelle - 1/2-1 syringe treat moderate to deep lines. Botox 4-8 units treat mild static lines. Results last 3-6 months.

for more information about Botox injection in areas marked as

1
4
12
13
go to the Botox page

Price List

Treated Area Price / syringe Lasts (months)
Juvederm Ultra Lips, nasolabial folds, marionette lines, under eyes $680 (1.0 ml) 6-12
Juvederm Ultra Plus Lips, nasolabial folds $680 (1.0 ml) 6-12
Juvederm Voluma Midface, lower face, and marionette area $880 (1.0 ml) 12-24
Juvederm Volbela (1ml) Lips, undereye $750 (1.0 ml) 12-18
Juvederm Volbela (0.55cc) Lips $480 (0.55 ml) 24
Juvederm Vollure Around the mouth and nose, marionette lines, cheeks $750 (1.0 ml) 12-18
Juvederm Volux along the jawline, at the angle of the jaw, and in the lower chin $895 (1.0 ml) 12-18
Belotero cheeks, around the eyes, nose, mouth, and lips $680 (1.0 ml) 6-12
Radiesse Hands , cheeks, lips, nasolabial folds, marionette lines $920 (1.5 ml) 12-15
Versa Face: Lips, Nasolabial folds, Cheeks $680 (1.0 ml) 6-12

The purchase of a full syringe is required. When only a partial syringe is needed, the remainder can be injected into another area.

Juvederm Ultra

Voluma before and after

Juvederm Voluma

Voluma before and after

Radiesse

Hands rejuvenation with Radiesse

hands rejuvenation with filler before and after
Hands rejuvenation with fillers before and after

Side Effects

Online Consultation

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SKIN

# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

The doctor was very thorough and pleasant. Having Melissa take notes was an excellent strategy for covering so much information in a short amount of time.

#12024-05-31

The appearance and presentation of the office.

#22024-07-08

Little to no waiting

#32012-09-19 10:54:21

The office staff is extremely friendly and make you feel very comfortable, along with Dr. Ringpfeil.

#42011-05-05 14:42:55

The consultation with the doctor. She was able to diagnose the problem, which is most appreciated.

#52024-05-04

Linda and the medical assistant were wonderful

#62011-09-16 11:42:32

Ability to use computer to fill in info

#72025-03-20

The general friendliness, and knowledgeability of the Dr and staff.

#82025-04-08

The art on the walls.

#92025-04-03

medical assistant

#102011-11-30 15:41:16

What can we do better?

(answers:373)

Appointments available on shorter notice

#12010-10-25 10:00:31

The service is wonderful nothing needs to be changed.

#22024-09-30

keep on doing excellent customer service skills

#32024-05-27

Everyone and everything is excellent!

#42011-03-23 10:51:26

I think that you should just mkae the vists a little bit quicker, and thats all.

#52010-10-27 08:46:34

I am completely happy with my needs being met here.

#62010-08-23 16:52:07

Later evening hours and/or weekend hours.

#72011-05-27 15:59:15

this is my first time so will let you know as time progresses

#82010-11-02 11:02:24

just keep giving me good news and no cancer.

#92024-11-16

The restroom could be cleaner.

#102011-01-19 08:56:51

Customer Rating : 4.7

Based on 637 ratings
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