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The Art of Filler Therapy
“Using safe, state of the art compounds which are artistically placed under the skin surface”
David T. Harvey, MD
for more information log onto www.pvderm.com
Filler Therapy “A Combination Approach”
“Combining fillertypes helps us takeadvantage of eachproducts uniquecharacteristics.We like to utilizeSculptra™,Radiesse™and Restylane™ with Botox Cosmetic™ forthe best results”
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Dr. Harvey
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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Procedure performed by Dr. David Harvey
Arrow-shows reduction of the nasolabial fold crease
*More than one treatrment may be necessary
Filler Treatments for “Facial Sculpting”
Improves facial lines that are attributed to subcutaneous tissue loss (lip lines, wrinkles)Excellent for skin depressions, scars, used in eyebrow liftsExamples include Lipotransfer, Sculptra®, Restylane®, Radiesse®, and Juvederm® Can combine with Botox®, and laser surgery to optimize appearance
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Filler Treatment Duration
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
Lip LinesEyelid areaNasolabial foldAcne ScarsNeck LinesForehead LinesNasal defectsPost Surgery Defects
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Lipotransfer“Fat Transfer”
“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
Safe Filler Substance
Plentiful material
Uses local anesthesia
Little Downtime
Easy to use and store up to 6 months
PROS
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Disadvantages Of Fat Transfer
Slightly more invasive
More than one correction often necessary
Bruising more likely
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Fat Transfer can be used to treat:
Acne Scars
Aging Hands
Thin Lip Lines
Hollow Eyelids
Cellulite Areas
Cheek Area
Nasal Defects
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Procedure performed by Dr. David Harvey
Lipotransfer Pictures
Glabellar Wrinkles
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Procedure performed by Dr. David Harvey
Before
After
Lipotransfer Pictures
Cheek and Eye WrinklesBefore
Cheek and Eye WrinklesAfter
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Procedure performed by Dr. David Harvey
Before After
Another view of Lipotransfer Patient
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Procedure performed by Dr. David Harvey
Lip Line Enhancement
BeforeBefore
After
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Procedure performed by Dr. David Harvey
Restylane ® Sculpting
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
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
SafeEasy to useLonger lasting than other fillersNo need to pretreat skin with a test
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Restylane ® Immediately after treatment
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Procedure performed by Dr. David Harvey
Before
After
Restylane ® A week after treatment
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Procedure performed by R. Garcia, PA-C
Before After
Restylane ® A week after treatment
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Procedure performed by R. Garcia, PA-C
Before After
Restylane® Disadvantages
No anesthetic in material, sometimes need to perform a nerve block1% risk of temporary redness or swelling-resolves in 2 to 3 days with ice +- corticosteroid creams1 in 2000 may experience discomfort or acne lesion development at injection site
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More Restylane ® Pics
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Procedure performed by Dr. David Harvey
Before
After
BOTOX® & RESTYLANE TREATMENT
Procedure performed by Rachel Garcia, PA-C
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Before
After
Restylane ® and Botox ® “Eyebrow Lift’
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Procedure performed by Dr. David Harvey
Before
After
Restylane® with Botox ® Treatments-Glabellar Area
Procedure performed by Dr. David Harvey
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Alternative to the Extreme Makeover
Combination treatments with: Laser Eyelid Surgery (1), Botox™ (2), Restylane™(3), Laser Photopeel(4), Teeth Whitening (5), and Hairstyle (6).
(1)
(2)
(3)
(4)
(5)
(6)
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Procedure performed by Dr. David Harvey
Restylane® with Botox ® Treatments-Glabellar Area
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Procedure performed by Dr. David Harvey
Fraxel® &Restylane® TreatmentGlabellaArea
Before
After
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Procedure performed by R Garcia, PA-C
Restylane® with Botox® TreatmentsGlabella & Nasolabial Fold
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Procedure performed by Dr. David Harvey
Restylane® Treatmentof Nasal Folds
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Procedure performed by Dr. David Harvey
Before
After
Soft Form® Implants
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
“Permanent implant”
Natural looking
2 small incisions
“Little Downtime”
Wonderful modality to soften smile lines
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Procedure performed by Dr. David Harvey
Before
After
Nasolabial Fold Enhancement
Procedure performed by Dr. David Harvey
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Sculptra® Therapy
Increases volume similar to Lipotransfer
3 to 5 sessions recommended
Procedure performed by Dr. David Harvey
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Before After
Sculptra® Therapy
Procedure performed by Dr. David Harvey
Before After
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Rachel Garcia, PA-CMaster’s Degree of Clinical Medical Science, Barry UniversityDeans List for entirety of Physician Assistant programAcademic Scholarship RecipientClass FAPA RepresentativeBachelor of Science, University of Florida
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Ms. Garcia has advanced training in Fraxel™, IPL devices, Botox Cosmetic™,Fillers and the surgical removal of skin cancer.
Dr. Harvey’s Credentials
Board Certified in Dermatology and Internal MedicineOver 10 years experience in Cosmetic Surgery ProceduresInstructor in Cosmetic Surgery procedures to other physiciansPast President, Florida Society of Dermatology and Dermatologic SurgeryPast President, Florida Society of Dermatologic SurgeonsDivision Head of Dermatology, Baptist Beaches HospitalPast Office Surgery Inspector, Florida Board of MedicineACLS Certified (Advanced Cardiac Life Support)
for more information log onto www.pvderm.com