In many ways, the greatest advancements in cosmetic medicine have been made in the area of non-surgical anti-aging skin rejuvenation. At Finger and Associates Plastic Surgery Center, we provide a comprehensive array of non-surgical skin care treatments, including dermal fillers, other injectables, and laser treatments. These products and treatments allow patients who do not want or need surgery to get rid of wrinkles, sun damage, and other skin problems without the risk and recovery time of a surgical procedure. With superior training and strong aesthetic sensibilities, our Savannah, Georgia facial rejuvenation experts are able to administer BOTOX® Cosmetic, Restylane®, Sculptra® Aesthetic, Juvéderm™ Injectable Gel, and ArteFill™.

BOTOX® Cosmetic

BOTOX® Cosmetic is a popular product for the reduction of facial wrinkles and creases, including frown lines, forehead creases, crows’ feet, and even wrinkles around the mouth. It can also be used to address thick bands in the neck.

Being in a class by itself, BOTOX® Cosmetic is not a dermal filler. It does not increase the volume of the treated area or fill in spaces beneath the skin. Instead, it consists of a purified form of a botulinum toxin which works by blocking the nerve impulses that cause your facial muscles to contract. When the muscles are relaxed, skin wrinkles do not form, leaving the treated area looking smoother and rejuvenated. BOTOX® Cosmetic treatments have been used safely and successfully for many years, allowing thousands of patients to rid themselves of undesired facial creases without having to undergo surgery.

The results of BOTOX® Cosmetic generally last between three and six months. The benefit of this is that, if the result is not satisfactory, it is not permanent and can be adjusted or discontinued. For patients who like their results, treatments can be repeated every six months to keep the appearance youthful and relaxed.

At our practice in Savannah, Georgia, we often administer BOTOX® Cosmetic along with Restylane®, Sculptra® Aesthetic, or other facial rejuvenation products to produce a more thoroughly pleasing overall result.

Juvéderm™ Injectable Gel

Manufactured by the company that makes BOTOX® Cosmetic, Juvéderm™ Injectable Gel is a dermal filler made from hyaluronic acid, the same biocompatible substance used in Restylane®. It is indicated for facial folds and wrinkles, including nasolabial folds (the creases that extend from the sides of the nose to the corners of the mouth). Two formulations of Juvéderm™ Injectable Gel are available to address both finer, softer wrinkles and deeper creases and folds.

Unlike many facial rejuvenation products, Juvéderm™ Injectable Gel has been shown to produce results that last up to a full year. The super-smooth, non-granular consistency of Juvéderm™ Injectable Gel allows it to fill in evenly and effortlessly, producing a very natural feel and appearance.

We now offer JUVÉDERM VOLUMA™ XC injectable gel

JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA™ XC, however, adds volume to the cheek area.

What else should you know about JUVÉDERM VOLUMA™ XC

First and only Hyaluronic Acid (HA) filler FDA-approved to instantly add volume to the cheek area, resulting in a subtle lift Clinically proven to last up to 2 years with optimal treatment JUVÉDERM VOLUMA™ XC is from the makers of the #1 family of fillers After 24 hours, you should be able to resume your normal activities Side effects are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. Hyaluronic Acid (HA) is a naturally occurring, hydrating substance found in your skin. As you age, you start to lose HA, which causes the skin to lose structure and volume.


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JUVEDERM Treatment Visualizer by Allergan, Inc. [/dt_sc_two_third] [dt_sc_one_third] image2[/dt_sc_one_third]


Among the most popular and frequently used dermal filler products, Restylane® is made from hyaluronic acid, a substance that naturally occurs in the human body. It restores volume and fullness to the skin and is particularly suited to filling in nasolabial folds (the creases between the nose and corners of the mouth) and fine wrinkles. It is also suitable for use as a lip enhancement product.

Restylane® is free of animal proteins, so allergic reactions are extremely unlikely and no pre-testing is required. Restylane® is quickly and easily injected into the treatment area in your physician’s office, and no recovery time is needed. Side effects may include mild bruising, swelling, or redness at the injection site. These usually disappear quickly.

The results of Restylane® treatment are immediate and generally last up to six months. Treatments can then be repeated in order to sustain a firmer, more youthful appearance. Because the results are long-lasting but temporary, the treatment can be adjusted as needed to reach a more desirable result or to account for changes in facial appearance.

Because different products have different applications, we often administer combination treatments at our Savannah, Georgia practice, using Restylane® with BOTOX® Cosmetic, for example, for maximum facial rejuvenation.

Sculptra® Aesthetic

Sculptra® Aesthetic is a synthetic injectable called Poly-L-Lactic acid. It has been used in Europe since 1999. It has primarily been used in the USA for treating lipoatrophy (facial fat loss) seen in HIV patients. Its use for cosmetic facial rejuvenation purposes is “off-label.” However, in the last two years it has been used extensively for cosmetic enhancement of the face and hands, with much success.

Faces lose volume as people age, causing sagging of the skin and a worn, aged appearance. Sculptra® Aesthetic acts as a filler, restoring volume and fullness to the face. Treatment sessions usually take about 30 minutes; three to four sessions, one every four to six weeks, are generally sufficient to achieve the desired result. Unlike dermal fillers that simply “fill in” the empty space, Sculptra® Aesthetic actually stimulates your tissues to produce more collagen and thickens the skin itself. Consequently, the results of Sculptra® Aesthetic can last for about two years or more, giving you long-lasting facial rejuvenation.

Sculptra® Aesthetic is also often used in combination with other injectables or laser skin treatments, such as the Fraxel® treatment. The effects of these combined treatments can be dramatic, while still requiring very little down time for recovery.

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Non-Surgical Face Lifts

At Finger and Associates Plastic Surgery Center, we offer what we refer to as a non-surgical face lift. By using a combination of skin rejuvenation treatments, such as Sculptra® Aesthetic, Restylane®, or Artefill™, along with the Fraxel® or Titan™ laser and our New Youth Skin Care Products, we are able to achieve dramatic results without the side effects associated with surgery.

The benefit of combining these facial rejuvenation treatments is that they compliment one another and literally fill in where the others leave off. Sculptra® Aesthetic, Restylane®, and Artefill™ are all highly effective at filling creases and wrinkles and re-volumizing the face. The Fraxel® or Titan™ laser then further tightens and tones the skin and removes surface damage while promoting the growth of new collagen below the surface. Our anti-aging skin care system, the final stage in the non-surgical face lift, uses ingredients collected from remote parts of the Orient, as well as from Russia and Brazil, along with the perfect blend of anti-inflammatory and anti-glycation agents, nutrients, minerals, and anti-oxidants. New Youth Skin Care Professional Products enhance the beauty and health of the surface as well as the deeper layers of tissue, keeping skin rejuvenated over the long term.