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With our advancing age, there is loss of the underlying bony support for our facial skin, natural hylauronate and fat pads.  The result is sagging, shrinking, atrophic changes in the lips, exaggerated nasolabial folds and in some cases, those awful jowls or droopy brows appear.  Although Botox is very effective in addressing dynamic lines and undesirable effects of hyperkinetic muscle contraction, it is even more effective if used in combination with dermal fillers to restore the fullness lost with age, particularly of the lower face, cheekbones, chin, brows and temples.  These amazing filler substances can restore facial fullness and smoothness.  Fillers also have a role in the treatment of acne scarring and atrophy of our youthful facial fatpads.  The natural fullness in our faces also comes from our body’s own hyaluronate, also known as hyaluronic acid.  Our bodies produce this hyaluronic acid and then quickly break it down, recycling it within days.

If we could only figure out how to stabilize this natural substance, safely package it and inject it into our faces…. Actually, we can and do, right here at Hawaii Medical Skin Care!  Many dermal fillers use NASHA (non-animal stabilized hyaluronic acid) which is the same very natural substance our own body uses to volumize and smooth our facial tissues, stabilized and packaged so that when we inject them into facial tissue, they are only slowly broken down and recycled by the body.  Depending on the area treated, these substances can last from several months to years, providing very satisfying enhancement.  Treatment with hyaluronic acid (NASHA) injections was the second most popular cosmetic procedure performed in the U.S.A.

Now, there many other FDA-approved injectable filling agents available.  The ideal substance is one that is effective with low risk of adverse reaction, has minimal ‘down time’ and has durable effects.  Fillers can be broadly divided into the following groups: biodegradable and nonpermanent agents (autologous fat, bovine collagen, porcine collagen, human collagen and NASHA fillers); semipermanent agents [polymethylmethacrylate (PMMA, like Artefill) microspheres, calcium hydroxylapatite (Radiesse), and poly-l-lactic acid (Sculptra)]; and permanent agents (silicone).  The level of placement of filler within the skin depends on the area treated and the type of filler used.  In broad terms fine wrinkles are treated with intradermal filler and deeper folds with filler in the deep dermis or subcutaneous space.  The proper use of a combination of these products at appropriate levels are what make up a liquid facelift.  At Hawaii Medical Skin Care we have developed the “WoW-Lift!!” liquid facelift, to safely and very effectively enhance and rejuvenate our patients.  The desired results of these facelifts can last for years and stimulate our own bodies to naturally increase the production of collagen and our own naturally volumizing tissues.  This can be accomplished without any ‘downtime’ or leaving any of the unsightly scars or tightly pulled appearance of a surgical facelift.  There is also no need for the use of risky general anesthesia involved in liquid facelifts.  You can truly “WoW” your friends and family with your newly refreshed and rejuvenated appearance!  How much better would that make you feel?  The first step is easy, by simply calling for your complimentary consultation with the highly trained and professional cosmetic surgeon at Hawaii Medical Skin Care.

Before & After Gallery

Please browse our full Before & After Photo Gallery by clicking the button below. We can help you look and feel your best whether it be a new body shape and contour with Smartlipo Triplex and Cellulaze or youthful skin rejuvenation of your face, neck and décolleté with our Fotona QX Max Laser Treatments.

Hawaii Medical Skin Care