INJECTABLE FILLERS

Injectable fillers also known as dermal fillers or soft tissue fillers, has become extremely popular over the years and now it is the top two non-surgical, non-invasive treatment next to Botox Injections.  Injectable fillers are commonly used as facial filler to restore volume that has been lost as a result of aging, weight loss, stress, environmental factors and or heredity.  Fillers are used to add volume and sculpting purposes to areas such as the cheeks, smile lines, lips, chin, jawline, temples, nose and hands.  Fillers are used on static wrinkles, wrinkles that does not move with expression.  Versus, Botox Injections, it is commonly used on dynamic wrinkles, wrinkles that move with expression.  Often, dermal fillers and Botox Injections are used together to treat both dynamic and static wrinkles to achieve optimal results.  Combining filler and Botox treatments are referred to as “SoftLift” treatments or “liquid face” 

Dermal fillers are made of hyaluronic acid.  Hyaluronic acid is a natural substance that exist in our body therefore the risk of allergies is extremely rare.  It comes in many forms and are used for many different purposes from medical purposes such joint repair and in ophthalmology, cosmetic plastic surgery and in skincare. 

Amount the dermal fillers, there are many different types and many different brands.  Some of the different fillers that are available to Canadians are Juvederm, Teosyal, Restylane, Radiesse and Sculptra.

The different types of fillers differ in how they are produced, cross-linked, where it could be injected for optimal results and how long it would last after it has been injected.  

Dr. Beber prefers to use Juvederm as it is approved by Health Canada and FDA, it has an outstanding safety record and the most natural results for his patients.  Dr. Beber recommends that his patient become educated with what will be injected and its safety records.  Unfortunately not all hyaluronic acids are approved by Health Canada and FDA.

Among the family of Juvederm products there are:

  • Juvederm Ultra/Ultra Plus – generally last 4 to 6 months and is used to add facial volume and sculpting.
  • Juvederm Volift – last up to 1 year and is used to add volume to the nasolabial folds and area  about the mouth.
  • Juvederm Voluma – last up to 2 years and used to add volume and sculpting of the cheeks, temples, nose and jawlines.
  • Juvederm Volbella – lasts up to 1 year and is used for lip enhancement and augmentation as well as fines lines. 

Before your dermal filler procedure, it is very important that you understand the benefits and risks, have realistic expectations and know what will be injected. 

Before your treatment:

  • Tell Dr. Beber if you have a medical condition and taking any medication.
  • Don’t take aspirin, ibuprofen, St. John’s Wort, supplements such as ginger, gingko biloba, vitamin E, or any supplement or medication. that could thin your blood up to two weeks before. 
  • Stay hydrated.

After your treatment:

  • It is not uncommon to feel pressure and tenderness in the areas treated.  Tylenol can be taken to lessen the discomfort if required.
  • Remain hydrated.
  • Do not squeeze, pinch or massage the treatment area. 
  • Do not elevate your blood pressure for the first 24 hours.
  • Call Dr. Beber’s office to report any concerns.
  • Book a follow up appointment in two weeks.

To ensure that you have the best possible outcome, patient education is most important.  Understand what is being injected, have realistic expectations and ensure the person providing the injection is experienced.  To learn more about how you can look your best call Dr. Beber to book a complimentary consultation. 

Botox® also know as Botulinum toxin is a purified protein derived from Clostridium botulinum.  Clostridium was discovered and studied worldwide since 1895.  Today, Botox® is used to improve dynamic moderate to severe lines and wrinkles on the face.  There are two kinds of wrinkles; dynamic and static.  Knowing the two different types of wrinkles will determine what we can use to improve the wrinkles whether it would be Botox® or injectable fillers.  For example, dynamic wrinkles move with facial expression hence we would use Botox® to block the movement.  These wrinkles are commonly wrinkles on the frowns, crow’s feet and forehead.  Static wrinkles are lines and depressions that does not move with facial expression.  For example, we use injectable fillers on the smile lines and marionette wrinkles. Commonly injectable fillers are used to add volume in the cheeks, jowls and / or lips.   Often both Botox® and injectable fillers are used together.  When Botox® and dermal fillers use together, this is commonly referred to a Softlift® treatment. 

Areas where Botox® can be used are the forehead wrinkles, frown lines, brows lift, crow’s feet and for the nose job (bunny lines).  Botox® works by blocking the signal from the brain to the muscle thereby preventing the muscle from making the movement.  Botox® has been approved by FDA and Health Canada for the treatment of frown lines. Botox® and Botox injections are safe treatments when performed by an experienced physician. Dr. Beber has been providing Botox treatment in Toronto for over 10 years. 

One of the most common questions patients ask is how much does Botox cost.  Botox® is charged by units.  The muscles on the face, depending on where it is on the face will require a certain amount of Botox® units to prevent it from making movement.    For example, for the frown lines, the amount of units needed range from 25 units to 45 units depending on how deep the wrinkles are.  During your consultation, Dr. Beber will make assessments and will let you know how much Botox® is required.  At Dr. Beber’s office in Toronto the cost per unit for Botox is $13.  

Two weeks before your Botox® treatment, it is recommended that you do not take blood thinners such as Advil, ibuprofen, supplements such as vitamin E, fish oil, garlic, and ginseng.  If you are unsure if what you are taking could be a blood thinner please check with your pharmacist, family physician or call our office and to make sure it is safe to stop the medications. 

After your Botox® treatment, it is recommended that you refrain from vigorous exercise for the day, do not rub and put pressure on the treatment area and do not bend over for 4 hours (bend at the knees).  

For more information on Botox Toronto and how it can help you feel your best, call Dr. Beber at 416.466.5023 for a personal consultation.

Dr. Brett Beber Plastic, Cosmetic, and Reconstructive Surgery

Dr. Beber is a highly trained Plastic Surgeon, specializing in breast surgery, body contouring, and facial aesthetics. He is a fellow of the Royal College of Physicians and Surgeons of Canada, and a member of the Canadian Society of Plastic Surgeons. Dr. Beber lectures at University of Toronto’s Division of Plastic Surgery, where he has earned professional respect and recognition.   

Dr. Beber graduated with honours from the Faculty of Medicine (University of Toronto). In 2004, he completed the prestigious five-year Plastic Surgery Training Program, while receiving a number of awards for patient care, research, and teaching. After training, Dr. Beber was asked to join Women’s College Hospital and Toronto East General Hospital, where he continues today.

Over the years, Dr. Beber has received the Sopman Humanitarian Award; A. W. Harrison Award for Excellence; and the Tau Omiron Phi Chi Award (Clinical Research). He is the Co-Chairman of the Toronto Breast Symposium, which is the largest conference of its kind in Canada, dedicated to aesthetic and reconstructive breast surgery. TBS remains at the forefront of innovation in the field.

At his midtown Toronto clinic, Dr. Beber provides full service cosmetic plastic surgery, with a focus on breast enhancement, facial aesthetics, non-surgical injectables, and body contouring. The patient roster is diverse, primarily from personal recommendations and physician referrals. It’s simply a reflection of Dr. Beber’s respected position, experience and patient dedication.

Dr. Beber’s clinic staff is dedicated to exceptional service – from the first phone call, to the initial visit, to every post-operative follow-up. The ultimate objective is to foster an empowering patient experience for one of the most personal and emboldened decisions a person can make. Best of all, the team is there every step of the way, from decision making, to surgery, to recovery.  

A decision to undergo cosmetic surgery is both personal and exciting. For Dr. Beber, step one is always patient education – a personal consultation in a comfortable, unhurried environment.  Dr. Beber listens attentively to patient concerns, identifies personal goals, and thoroughly reviews the pros and cons of cosmetic surgery techniques. He explains the procedure that will be used, the recovery aspects, and the potential risks of surgery.

Dr. Beber is known for his warm and thoughtful approach, as he encourages patients to present questions, and be better informed. This is the best way to make health decisions. From breast surgery, to body contouring, to facial aesthetics, Dr. Beber offers a highly professional approach, using the latest in state-of-the-art techniques. Every procedure is customized, and all personal aesthetic concerns addressed.