The Art of Filler Therapy

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The Art of Filler Therapy
for more information log onto www.pvderm.com

• Using safe, state of the art compounds which
  are artistically placed under the skin surface
• David T. Harvey, MD

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Filler Therapy A Combination Approach

• Combining filler
• types helps us take
• advantage of each
• products unique
• characteristics.
• We like to utilize
• Sculptra,Radiesse
• and Restylane with
• Botox Cosmetic for
• the best results

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Filler Therapy

• Reduction of the
• nasolabial fold can be
• easily accomplished with
• the use of Restylane or
• Radiesse
• Results last from 6 months to
• 2 years depending on the patient
• and the type of product used.

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Filler Treatments for Facial Sculpting
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• Improves facial lines that are attributed to
  subcutaneous tissue loss (lip lines, wrinkles)
• Excellent for skin depressions, scars, used in
  eyebrow lifts
• Examples include Lipotransfer, Sculptra,
  Restylane, Radiesse, and Juvederm
• Can combine with Botox, and laser surgery to
  optimize appearance

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Filler Treatment Duration
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• Collagen- 4 months (not performed at PVDAS)
• Cosmoplast-3 to 6 months (not performed at
  PVDAS)
• Lipotransfer- 6 to 12 months (2 treatments/yr)
• Sculptra- 18- 24 months
• Restylane-6 to 12 months (36 weeks with Botox)
• Radiesse -up to 2 years
• Juvederm -up to 8 to 12 months
• Soft Form-Permanent Filler

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Treatment Areas
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• Lip Lines
• Eyelid area
• Nasolabial fold
• Acne Scars
• Neck Lines
• Forehead Lines
• Nasal defects
• Post Surgery Defects

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LipotransferFat Transfer
for more information log onto www.pvderm.com

• The process of harvesting fat from one area and
  placing it into another area where a skin defect
  is noted

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Lipotransfer
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PROS

• Safe Filler Substance
• Plentiful material
• Uses local anesthesia
• Little Downtime
• Easy to use and store up to 6 months

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Disadvantages Of Fat Transfer
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• Slightly more invasive
• More than one correction often necessary
• Bruising more likely

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Fat Transfer can be used to treat
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• Acne Scars
• Aging Hands
• Thin Lip Lines
• Hollow Eyelids
• Cellulite Areas
• Cheek Area
• Nasal Defects

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Lipotransfer Pictures
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Before
After

• Glabellar Wrinkles

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Lipotransfer Pictures
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Before
After
Cheek and Eye Wrinkles Before
Cheek and Eye Wrinkles After
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Another view of Lipotransfer Patient
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Lip Line Enhancement
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Before
After
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Restylane Sculpting
for more information log onto www.pvderm.com

• Safe filler-Hyaluronic Acid (FDA approved for
  use in the USA)
• Lasts 6- 12 months, longer lasting when combined
  with other therapies, Botox, Laser
• Clear gel which interacts with skin tissues to
  promote tissue enhancement

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Restylane Pearls
for more information log onto www.pvderm.com

• Derived from bioengineered bacteria
• Grown in a medium free from human or animal
  sources
• Low level of alteration during manufacturing
  process leads to longevity and enhanced safety of
  the product

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Advantages
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• Safe
• Easy to use
• Longer lasting than other fillers
• No need to pretreat skin with a test

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Restylane Immediately after treatment
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Before
After
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Restylane A week after treatment
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After
Before
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Restylane A week after treatment
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Before
After
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Restylane Disadvantages
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• No anesthetic in material, sometimes need to
  perform a nerve block
• 1 risk of temporary redness or swelling-resolves
  in 2 to 3 days with ice - corticosteroid creams
• 1 in 2000 may experience discomfort or acne
  lesion development at injection site

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More Restylane Pics
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Before
After
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BOTOX RESTYLANE TREATMENT
Before
After
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Restylane and Botox Eyebrow Lift
for more information log onto www.pvderm.com
Before
After
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Restylane with Botox Treatments-Glabellar Area
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Alternative to the Extreme Makeover
(1)
(2)
(3)
(4)
(5)
(6)
Combination treatments with Laser Eyelid
Surgery (1), Botox (2), Restylane(3), Laser
Photopeel(4), Teeth Whitening (5), and Hairstyle
(6).
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Restylane with Botox Treatments-Glabellar Area
for more information log onto www.pvderm.com
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Fraxel Restylane TreatmentGlabellaArea
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Before
After
Procedure performed by R Garcia, PA-C
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Restylane with Botox TreatmentsGlabella
Nasolabial Fold
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Restylane Treatmentof Nasal Folds
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Before
After
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Soft Form Implants
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These are placed in the superficial deep
subcutaneous (fat layer) Made of a soft pliable
material called ePTFE
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Soft Form Nasal Crease Improvement
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• Permanent implant
• Natural looking
• 2 small incisions
• Little Downtime
• Wonderful modality to soften smile lines

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Nasolabial Fold Enhancement
Before
After
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Sculptra Therapy
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• Increases volume similar to Lipotransfer
• 3 to 5 sessions recommended

Before
After
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for more information log onto www.pvderm.com
Sculptra Therapy
Before
After
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Rachel Garcia, PA-C

• Masters Degree of Clinical Medical Science,
  Barry University
• Deans List for entirety of Physician Assistant
  program
• Academic Scholarship Recipient
• Class FAPA Representative
• Bachelor of Science, University of Florida

Ms. Garcia has advanced training in Fraxel, IPL
devices, Botox Cosmetic, Fillers and the
surgical removal of skin cancer.
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Dr. Harveys Credentials

• Board Certified in Dermatology and Internal
  Medicine
• Over 10 years experience in Cosmetic Surgery
  Procedures
• Instructor in Cosmetic Surgery procedures to
  other physicians
• Past President, Florida Society of Dermatology
  and Dermatologic Surgery
• Past President, Florida Society of Dermatologic
  Surgeons
• Division Head of Dermatology, Baptist Beaches
  Hospital
• Past Office Surgery Inspector, Florida Board of
  Medicine
• ACLS Certified (Advanced Cardiac Life Support)