Monday, January 22, 2018

Filler to Nasolabial Folds/Creases in Austin, Texas with Sovay Reeder

Opportunity:
This patient had noticeable nasolabial folds creases that were present both in a non-smiling state and smiling state. Her left side (pictured on our right side) was particularly deep towards the lateral side of her lips.

Response:
I used 3/4 of the filler syringe (JUVEDERM Vollure) on patient's left side nasolabial fold and the remaining 1/4 syringe on patients right side nasolabial fold.

Application:
I injected very superficially (top layer of dermis) on her left nasolabial fold to essentially push her crease "out", thus, creating an even plane on that area compared to her "before" state.

Safety:
Nasolabial folds are very simple to inject, however, there is a very vital artery located underneath the fold called the facial artery. It's important that an injector pull back on the plunger of the syringe for a few seconds to see if the needle is in a blood vessel. This is a very necessary precaution for filling/augmenting the nasolabial folds.

After care:
This patient can immediately apply some powder/makeup to the injected site to eliminate redness and can go about her daily activities without interruption. There is an immediate improvement aesthetically with virtually no downtime :)

Follow up:
I have recommended this patient follow up with a SkinPen treatment (micro needle) session to her face to improve skin texture and decrease pore size in a month. I have also recommended we take a look at her mouth/cheek areas in 3 months and reevaluate and determine if she needs more filler and/or where to inject that possible additional filler. We are also interested in possibly injecting high/lateral sides of her zygomatic (cheekbone) area to "pull back" the entire cheek, thus, discouraging her nasolabial fold to get worse with age. Sovay Reeder


Filler: Juvederm Vollure

Medical Injector: Sovay Reeder
Med Spa: Aesthetica Med Spa
my personal website: http://professionalprimp.com
My med spa's website: http://amedspa.com
Office number for an appointment: (512) 899-2639
My personal text number for an appointment: (512) 586-7494
Office location: 500 N Capital of Texas Hwy #100, Austin, TX 78746

Thursday, December 21, 2017

Botox to your crow's feet in Austin Texas with Medical Injector, Sovay Reeder

My client pictured is 65+ years of age. She has never had any aesthetic alterations to her face - ever. That means she has never even tried botox, filler, etc. She's a late adaptor and extremely cautious and conservative. I love having the opportunity to work on all patients and I especially enjoy working with patients who are very skeptical and have a strong fear of looking "fake" or "overdone". I can completely understand this fear and know there are so many aesthetic touches and strategies we can utilize to enhance beauty...naturally. When we make subtle, natural approaches to the face, you typically look well rested and well hydrated which is what a vast majority of patients are looking for, in general. Now, it's important to note...if you want even more relaxation of this muscle and, thus, an even smoother appearance - that's easy. Apply slightly more botox to the treatment area. But my patient and I were intentionally going for a very natural "well rested" result so we did not use a lot of Botox, relatively speaking. There's a lot of flexibility here and that's where thorough communication between injector and patient can be key!

During this visit, we used a total of 20 units of botox applied to the orbicularis oculi muscle to relax her muscles around the lateral side of her eyes (10 units on each side, left and right). This includes the following areas:

1) The lines directly to the side of the eye. These are commonly referred to as crow's feet.

2) The low, lateral side of the eye. These are the lines that extend from the eye to the cheekbone.

3) The high, lateral side of the eye on the brow bone . By relaxing this part of the orbicularis oculi muscle, we release/relax the natural contraction of this muscle which results in an opening appearance of the eye. So, in effect, it gives a slight eye lift which is always nice!

Neurotoxin: Botox, 20 units (see illustrations for application method AND a patient before and after glance)
Medical Injector: Sovay Reeder
Med Spa: Aesthetica Med Spa
Professional website: http://professionalprimp.com
Med spa website: http://amedspa.com
Office number for an appointment: (512) 899-2639
Business text number for questions: (512) 586-7494
Office location: 500 N Capital of Texas Hwy #100, Austin, TX 78746

Tuesday, December 12, 2017

Natural Lip Filler in Austin Texas by Sovay Reeder, Medical Injector

This was an amazing patient whose initial visit to me @aestheticamedspa was on November 11, 2017. During that first visit, we did a thorough consultation and looked over some inspiration photos the patient brought in and discussed all of her lip goals.  I decided to add overall volume with JUVEDERM Vollure during this visit.  The majority of the filler was used in her top lip (70% of the filler) and the rest to her lower lip (30%).  During her most recent visit on December 11, 2017, we injected JUVEDERM Ultra XC to her entire upper lip vermillion border, her upper lip belly, and her lower lip vermillion border on the middle section only.  During this last visit, we reached our final lip goals.

My preference is to break up the lip enhancement service with filler in at least 2 separate visits.  There are 2 main reasons for this:

1) Fewer people notice you have had "work" done because the changes are so subtle
2) More visits to finesse the work and make sure the lips are as perfect and close to goal as you can make them

This patent was so wonderful in that she was patient to agree to more than 1 visit to reach our final lip goals, and was an amazing communicator which ensures optimal aesthetic results for both of us!

The following are the intricate lip enhancement details for this particular patient:

1) The patient felt her upper lip cupid bow was asymmetric.  We created symmetry there by injecting a very small amount of extra filler in the patient's right upper cupid bow only
2) She wanted more pink area in her entire upper lip (all the way to and including the far sides).  We achieved this with filler injected into the wet/dry border across the entire upper lip.
3) She wanted a more distant "edge" to her upper lip.  We achieved this by injecting the entire upper lip vermillion border.
4) I wanted a lower dip in her lower lip in the middle section only.  I achieved this by placing a very small amount of filler on her lower vermillion border, middle section, only.  She was kind enough to allow me this opportunity as this was my idea, not her idea.  I have a strong preference for this lip aesthetic detail!
5) The patient wanted a very small amount of filler added to her lower lip to maintain that sweet balance of 1/3 volume on top lip and 2/3 volume on lower lip harmony.  I achieved this by adding varying amounts to the lower lip belly front left to right...she had a slightly asymmetric line in her lower lip that was evident when she was smiling so I evened that line out for her while adding overall volume to her lower lip, as well.


That's it!  This patient is ready for a new job opportunity next year and happy holidays this month with her new lips.  She can expect to maintain this enhanced lip aesthetic by visiting me once a year for a touch up opportunity :)    Sovay Reeder, Medical Injector

Sunday, December 10, 2017

Juvederm Volbella Lip Filler in Austin Texas with Medical Injector, Sovay Reeder @ Aesthetica Med Spa

Natural lip filler using 1 syringe of Juvederm Volbella to upper lip only to restore symmetry. Patient requested an extremely natural look and did not want her family to notice.  We restored her upper lip symmetry while achieving a very natural look!

Medical injector, Sovay Reeder @ Aesthetic Med Spa  (512) 586-7494 text only
Aesthetica Med Spa land line  (512) 899-2639   amedspa.com

Lip and Nasolabial Fold Filler in Austin TX with Medical Injector, Sovay Reeder

Juvederm Vollure - 1 syringe - applied to top lip only and left nasolabial fold to restore youth and lip proportion. Medical Injector, Sovay Reeder, at Aesthetica Med Spa amedspa.com Austin, Texas.

Dr. David Sneed @ Aesthetica Med Spa performing PRP Hair Restoration in Austin, Texas!

Dr. David Sneed @ Aesthetica Med Spa.  Platelet-rich plasma (PRP) Hair Restoration.  Our blood is made of two main components, red blood cells and plasma.  The plasma contains white blood cells and platelets, which are rich in growth factors.    This particular patient was photographed after 3 treatments in at least 2 month intervals in between treatment sessions.  www. amedspa.com (512) 899-2639 for a consultation with Dr. David Sneed @ Aesthetica Med Spa

Sunday, October 1, 2017

Juvederm VOLBELLA lips in Austin, TX by Medical Injector, Sovay Reeder

So, let's break this down.  Let's begin with the top left and bottom left photo labeled, "Before"...if you look closely you will see that the top left side of her lip has less volume than her top right side.  This is her genetic baseline lip...nothing wrong with this...we are all slightly asymmetric, etc...no big deal.  What is a fun challenge, however, is to make these imbalances slightly more symmetric with filler, for instance.  It's not life changing, really...just results in a softer, slightly prettier aesthetic while still looking like your natural born genetics...which is what I'm trying to focus on here as a Medical Injector.

Going back to her lips...so I filled her top left lip (.4cc) to match the volume of her right side by injecting the majority of the filler in my syringe to that placement.  I actually put a tiny bit of filler in her top right (.1cc), as well...but just a tiny bit.  I placed a tiny bit (.1cc) of filler in her bottom lip right in the belly of the center to finish the look.  By the way, Juvederm Volbella only has .6cc volume total in 1 syringe as compared to many other fillers which typically come in 1cc volume.  This allows for Juvederm Volbella to be, relatively speaking, less expensive because you have less filler you are purchasing in the syringe.
Note:  1cc = 1mL       5mL = 1 teaspoon      3 teaspoons = 1 tablespoon


Also, it's important to note that Juvederm Volbella has a very gentle, low Viscosity/G prime factor.  So...in English...G prime refers to the rise/projection/firmness to the filler. Viscosity refers to the "spreadability" of the filler...I don't even think that's a word in this context but you get the idea.  Let me give you an example, toothpaste is more viscous than melted butter.  I think everyone has familiarity with both melted butter and toothpaste so that comparison helps, I hope!

I love low G prime/low Viscosity fillers for the "natural" look...they're a breeze to work with and easy to manipulate and predict.  On the flip side, a criticism of a low G prime/low viscosity filler (like Juvederm Volbella and Restylane Silk) would be that it doesn't make enough of a difference...which, depending on your taste, may be an accurate criticism.

Bottom line, beauty is in the eye of the beholder...and this patient, in particular, has a very conservative job,  has conservative taste, has a conservative mother giving her advice (which matters more than you know), doesn't wear a lot of makeup etc...so I think this filler, Juvederm Volbella, is a great choice.  I did recommend to her, however, we reevaluate her lips in another 3 months to determine if we need to add a little more filler or just let them remain slightly enhanced...as they are now...post 1 syringe Juvederm Volbella filler.  Either way, I believe her post op pictures ("After") are more attractive than her pre op pictures ("Before") and she still looks like herself.  I am happy with this result and, most important, so is she!  Sovay Reeder, Medical Injector