Contact our Plastic Surgery Center912-354-4411(912) 354-4411

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410 Mall Blvd. Suite E
Savannah, GA 31406

350 Fording Island Road
Bluffton, SC 29910

Our Business Hours:

Monday-Thursday: 8 a.m.-5 p.m.
Friday: 8 a.m.-2 p.m.
Saturday-Sunday: Closed

Dermal Fillers and Injectables to turn back the clock of time


Botox is an injectable also known as Botox Cosmetic – Botulinum toxin. It has been used for decades and when injected properly is extremely safe. It is used for correction of certain moderate to severe wrinkles, such as the frown lines between our eyebrows or Crow’s feet lateral to your eyes. It is a temporary solution and lasts for about 3 to 4 months. However, if it is injected every three months for about a year, the muscle atrophies and you can maintain the effect by having the injections every 5 to 6 months, in our experience. Injectables are sure to turn back the clock of time and keep you looking young.

Botox Cosmetic is also used in “off-label” areas, such as the turned down corners of the mouth, the wrinkles of the upper lip and certain wrinkles of the lower lid and cheek quite successfully.

How does Botox work?

Botox blocks the nerve impulse to the muscle relaxing the muscle. The contracting muscle creates the wrinkle. So when it is relaxed, this, in turn, relaxes the overlying skin and wrinkle. After Botox injection, it takes about 4 to 5 days for the full effect of the Botox to take place. Only the muscles in the immediate area of the injection are affected.

How safe is Botox?

There have been reports of complications with Botox, but these have been when used in high doses for large muscle spasms, such as seen in cerebral palsy patients. In the smaller does use in cosmetic cases, the complications have been when the doctor used a non-approved product, which is to assume it is not accurately prepared and the dose is unknown.
Botox Cosmetic has an excellent safety record and has bee referred as the “aspirin of the 21st Century.”

How is Botox injected?

We use a 31-gauge needle, which is not much larger than a hair, and to further reduce any discomfort, we apply a numbing cream followed by ice.

Juvederm Injectables 

Juvederm products by Botox Cosmetic are plenty. There is Juvederm, Juvederm Ultra, Juvederm Ultra Plus and Juvederm Voluma the 2 year Filler by Botox Cosmetic. Now there is also Vollure which is often used for the fine lines around the mouth and to plump the lips. Each succeeding one had a longer duration. The Juvederm UP will last up to a year, and this is the one we almost exclusively use. Juvederm’s are made from hyaluronic acid, a natural substance in our bodies. The official approval by the FDA is for use in the nasolabial creases or folds, often called the “smile lines.” We also use Dermal fillers and Injectables “off-label” for other areas, such as the Marionette lines beneath the corners of the mouth, wrinkles un the upper and lower lips, to increase the volume in the lips and other areas of depression. These products are fillers, and they are injected in the wrinkles themselves to increase the volume and lift the wrinkles.

Dermal Fillers and Injectables such as Dysport and Botox are sure to “Turn Back the Clock of Time”

How is Juvederm injected?

A very small needle is used to inject the Juvederm after applying an anesthetic cream followed by topical ice to further numb the area. For lip enhancement, dental blocks are used to avoid any excess discomfort.[


Dysport is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines).

The dose of Dysport is not the same as the dose of any other botulinum toxin product. The dose of Dysport cannot be compared to the dose of any other botulinum toxin product you may have used.

Restylane Injectables 

Restylane is another hyaluronic acid product used for filling and dermal lifting certain wrinkles. Restylane is also commonly used to “plump up” both upper and lower lips. Like Juvederm, it is not made from animal parts and requires no skin test.

How does Restylane work?

The Restylane, with a very small needle, is injected directly into the dermis of the wrinkles, thus elevating and diminishing the wrinkles. Restylane is uniquely effective, off-label, for depressions and shadows under the lower eyelids, as well s the nasolabial creased, Marionette lines and more. Restylane and Botox are probably the most common injectable products used in the U.S.A, Both are supremely safe, although some skill is required from the plastic surgeon to assure smoothness and natural appearance.

How long does Restylane last?

Typically, 6 to 9 months. However, if a second injection is used between 4 and 6 months, it is said the duration is 18 months.

Restylane Silk for Lips

Restylane, Restylane-L, and Restylane Silk were the first  FDA-approved products for lip enhancement in the USA
Restylane Silk  was uniquely formulated to give your lips subtle definition.
Restylane S ilk  can subtly enhance your lips
Restylane provides natural-looking and lasting results with just one treatment—for up to 6 months

Restylane is made by Galderma and the latest products added to the Restylane Family are Restylane Refyne, and Restylane Defyne. Ask Dr. Finger about all products available and which one is right for you!

At Finger and Associates and New Youth Medical Spa, we believe in providing a variety of treatment options in order to individualize each treatment plant. Dermal fillers and injectables are an essential part of obtaining and maintaining a youthful look while aging.

Restylane injectables are is not animal-based, so there’s no need for allergy testing
Treatment with Restylane usually takes no more than 30 minutes
You can decide on your treatment goals together with Dr. E Ronald Finger
Members, to help you achieve the look you desire and see lasting results up to 6 months.

Dermal Fillers and Injectables

Sculptra Aesthetic – Injectable

Sculptra Aesthetic, formerly called Sculptra, unlike the HA’s (hyaluronic acids) such as Juvederm and Restylane, is more of volumizer, which still helps with wrinkles. Imagine a deflated beach ball, which will have folds and wrinkles. If you fill it up, it is smooth again. The result of injecting of Sculptra is very similar.

How does Sculptra work?

Sculptra is a powder that we mix with water to allow injections. The powder is poly-L-Lactic acid, a biodegradable, biocompatible synthetic material that has been used by physicians for decades. Its mode of action is to stimulate you to produce more of your collagen, which in turn re-volumizes your face. It will last up to two years, which is longer than any other product with the exception of Artefill which is no longer offered.

Why is increasing the volume of the face so important? And how can it be corrected with Dermal Fillers and Injectables? 

Non-Surgical Facelifts

The aging face is a result of several simultaneous processes:

  • Loss of elasticity
  • Loss of the volume of the skin thickness and underlying fat
  • Loss of bone thickness

Often the loss of volume is more significant than the loss of elasticity. The Sculptra is very effective in replacing the lost volume. This increase in volume diminishes the shadows that occur with age and elevates the face. Sculptra is also injected on the bone to increase the thickness of bone, as the bone loss is a major cause of volume loss with age.

What are other benefits of Sculptra?

Rather than simply filling wrinkles, Sculptra can change the shape of a face back to more youthful shape by replacing the lost volumes that occur with the aging process. The process of correction is over a month or two because it stimulates you to produce your collagen, which takes more time.

Is Sculptra safe?

Sculptra is extremely safe, but it must be injected correctly. If not, small nodules, usually temporary, may occur, particularly around the lower lids if injected there. Training sessions are necessary for anyone to purchase and use Sculptra. Dr. Finger was a national trainer for Sculptra for 6 years and has 40 years experience with injectables and Dermal Fillers.