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Injectables

Relaxers

This simple, nonsurgical treatment can temporarily smooth moderate to severe lines.  The entire procedure takes approximately 10 minutes and there is no downtime.  Discomfort is minimal and brief.

Areas that are frequently treated include; frown lines, forehead lines, and crow’s feet by the eyes.  Other areas include, upper lip lines, masseters for teeth grinding, eyebrow lift, jaw line lift and neck bands.  It can also decreasie hyperhidrosis and migraines.

Expert Injector

Results start appearing 2-5 days after the treatment and last 3-4 months.

The most important aspect of using these different products, is not which one you choose, but making sure that you are being injected by a reputable and respected provider, who does a lot of these injections.

Dr. Scheel is a Board Certified Dermatologist and has been using these relaxers for over 15 years. A knowledgeable injector will soften lines and features with the goal of relaxing lines instead of “freezing” the face. We use numbing cream to minimize discomfort and offer a free follow up visit / touch-up to make sure everything is perfect for you!

Botox (manufactured by Allergan), and Dysport (manufactured by Galderma) are “Relaxers.” Each brand has a slightly different recipe of the same substance, Botulinum toxin A, but they all work the same way: they block the nerve impulses of the injected muscles to temporarily relax muscle movements that cause wrinkles. This reduces or eliminates wrinkles and fine lines caused by repeated muscle contraction.

At Dr. Monica Scheel Dermatology, the most commonly treated areas include the crow’s feet around the eyes, frown lines on the forehead, “11’s” between the eyebrows, vertical lip lines, “bunny lines” on the nose caused by squinting, and the platysmal bands – bands on the neck that stand out when you talk and pull down the lower face. Botulinum toxin A is also highly effective in treating excessive underarm sweating, or hyperhidrosis.

We believe in a natural look and don’t “over do it” with our patients. With regular upkeep and visits to our injection specialists. you will find you look rejuvenated, more youthful, refreshed, and relaxed.

While many people in their 40’s, 50’s, and 60’s come in to treat the lines that have already developed, there has been a movement of younger people seeking treatment to prevent lines and wrinkles from ever happening in the first place. Studies have shown that this “prejuvenation” approach to prevention is highly effective. Men are the largest and fastest growing group of people interested in receiving the benefits of relaxers so they can look refreshed and relaxed too!

Make an appointment for a consultation today and see if Relaxers are right for you.

Things to Know

  • Smoothes frown and brow lines
  • Minimize crow’s feet
  • Can be combined with fillers for rejuvenation
  • No down time, “lunch time” procedure
  • May cause temporary redness for 5-10min
  • Minimal and rare bruising may occur

Results

Botox Relaxer Crows Feet
Before and After Botox Injection to remove Crow’s Feet

Before and after relaxer injection to remove frown lines.

Before and after relaxer injection to reduce platysmal bands.

Gummy Smile
Before and after relaxer injection to hide gum line.

Fillers

We offer a full selection of fillers.  Fillers add immediate volume to an area, filling facial wrinkles and folds. Hyaluronic acid fillers add immediate volume and hydration to the skin while other calcium-based and poly-L-lactic acid fillers add volume by stimulating the growth of new collagen.

While there are some differences in these product lines, they all work basically the same. Dr. Scheel and her PAs can discuss the specifics with you and together you can determine what product will best suit your individual needs.

For refining fine lines and superficial correction:

Hyaluronic Acid Fillers – Restylane Silk, Restylane Refyne, Juvéderm XC and Volbella

Best for softer areas, such as lips, under eyes and fine lines.

Fillers For Hands 2

For lifting the deeper folds:

Hyaluronic Acid Fillers – Restylane Lyft, Restylane Defyne,  Juvederm Plus XC, Voluma, and Vollure.

These are soft, yet provide more support in areas such as nasolabial folds, marionettes, temples, cheeks, and jawline.

Liquid face lift and Deep Volumizing:

Radiesse and Sculptra: These are our volumizing and collagen-stimulating fillers, made from calcium hydroxylapatite and poly-L-lactic acid.  They are used to lift and fill in deeper column loss and folds, such as cheeks, chin, jawline, temples, and can also be used in nasolabial folds and marionettes.

Try the JUVÉDERM Visualizer to get an idea of what fillers can do for you!

Do fillers cause collagen to grow?

We currently offer the following fillers:

  • Juvederm Ultra
  • Juvederm Ultra Plus
  • Vollure
  • Volbella
  • Voluma
  • Restylane
  • Restylane Lyft
  • Restylane Silk
  • Restylane Defyne
  • Restylane Refyne
  • Sculptra
  • Radiesse

Sculptra

Sculptra is one of the newest and longest-lasting dermal fillers on the market, it is used to lift and fill in deeper column loss and folds, such as cheeks, chin, jawline, temples, and can also be used in nasolabial folds and marionette lines. Sculptra helps to correct shallow to deep facial wrinkles by replacing lost collagen. It works gradually, producing a more refined natural looking appearance that can last up to two years.

Sculptra stimulates the production of collagen, a protein that contributes to your skin’s volume and structure. Age and repeated exposure to the sun causes collagen to break down — a major factor in the formation of wrinkles and folds. Sculptra restores that collagen, thus giving your skin more fullness and firmness.

Some people get the rejuvenating results they want with only one treatment, but most skin issues respond best to two to three treatments, spaced four to six weeks apart.

Results

Sculptra Before After

Things to Know

  • Replaces lost collagen and reinforces the skins structure
  • Stimulates the production of collagen
  • Restores volume loss
  • Massaging the injection sites is an integral part of post-operative care
  • Can last up to 2 years
  • A series of treatments will provide optimal results
  • If you have a special event, plan your time frame, there may be redness, swelling or bruising for 24 to 72 hours after a treatment.

Because Sculptra’s effects are so long-lasting, it’s essential that the procedure be done by a trained and experienced practitioner. Call our office to see if Sculptra is the right filler for you.

Voluma

As we age, our face loses volume causing our cheeks to flatten and skin to sag. This volume loss starts in our 20s and becomes more noticeable as we age. Juvederm Voluma XC temporarily adds volume and reverses these signs of aging and our office is the most experienced Voluma injector in Hawaii.

Juvederm Voluma XC is the first FDA-approved injectable gel that instantly adds natural-looking volume to your cheek area.  It can provide contour and a subtle lift for up to two years!

Voluma Platinum1During your visit we will discuss your goals, examine your skin and determine the amount to inject. Voluma is unique in that it contains anesthetic lidocaine to reduce pain at the injection site. Most patients require a touch-up treatment approximately one month after the initial treatment.

After treatment, most clinical study patients rated themselves as looking an average of 5 years younger within six months of their treatment.  They also reported an improvement in overall satisfaction with their facial appearance two years after their last treatment.

Contact us today to schedule a consultation and find out if Voluma is right for you.

Things to Know

  • Avoid aspirin, vitamin E, Fish Oil and Ibuprofen one week prior to treatment as it may increase bruising
  • If you have a special event, plan your time frame, there may be redness, swelling or bruising for 24 to 72 hours after a treatment.
  • Start arnica before the treatment and continue for 48 hours afterwards.
  • Ice immediately after and the evening of your treatment
  • No vigorous exercise for 48 hours after fillers.
  • If you get a bruise, we can use our laser for rosacea to make it fade faster and we have excellent cosmetics to hide it until it resolves.

Volbella

Whether you were born with lush lips that have lost their plumpness with age or you never had full lips to begin with but want a more youthful look, Volbella is an excellent solution.

Volbella also softens the appearance of vertical lip lines above the lips often caused by sun exposure or repeated muscle movement (smiling, sipping, puckering, smoking, etc).

Volbella is the first and only FDA-approved filler proven to rejuvenate the appearance of your lips for up to 12 months with just one treatment and also restore fullness while providing a gorgeous, smooth look. Even those with naturally full lips will benefit from Volbella’s ability to enhance lip shape.

If you are worried that your lips will look unnatural or disproportionate after being treated, Volbella eliminates that problem by providing gentle contouring and plumping that doesn’t look harsh or too drastic.

Before & After Volbella

Below are before and after photos of two of our patients who’ve had Volbella injected. For those wanting even fuller looking lips, Volbella can be layered with Juvéderm.

Before After Volbella Lip Texture

Volbella used to restore fullness and enhance lip shape.

Volbella Before After

Volbella used to reduce the appearance of vertical lip lines and provide added volume and definition to lips.

Kybella

Kybella is the only FDA-approved nonsurgical treatment that contours and improves the appearance of a double chin (submental fullness).  Double chins are common aesthetic conditions which can affect many adults.  It may develop naturally as you age, be a part of your genetics or be a result of weight gain. Some people can not reduce this fatty deposit on their own no matter how much they diet or exercise, resulting in a feature that can make them look older or heavier than they actually are.

Kybella is a non-surgical 15 – 20 minute treatment that is customized to fit your goals.  Kybella is a naturally-occurring molecule already present in your body (deoxycholic acid) that aids in the breakdown and absorption of dietary fat.  When injected into the fat beneath your chin, Kybella causes the destruction of fat cells. Once destroyed, these cells cannot store or accumulate fat

Most patients respond to just two or three treatments with no further injections necessary. They report more confidence and satisfaction with the appearance of their face and chin. Once the chin profile is improved, the patient will not need to be treated with Kybella again.

Things to Know

  • The most common side effects are swelling, bruising, pain, numbness, redness and formation of areas of hardness around the treatment area which resolve themselves without additional intervention.
  • The number of injections and treatments are tailored to the patient’s condition and goals.
  • Most patients experience visible results in two or three treatments. Up to six treatments may be administered.
  • Most patients experience little to no downtime.
  • Not all patients are candidates for Kybella. Please schedule a consultation to discuss.

From Our Patients

From the minute you walk through the doors, the experience starts! I love everything about this office. From the staff, the products, and the many different procedures they offer. I have had everything from Botox , chemical peels and basal cell skin cancer removals. Regardless of the treatment or procedure the staff is extremely qualified and there to help you every step of the way.

I came to Dr. Scheel’s office with a lot of sun damage accumulated over the years having lived in sunny climates most of my life. After just one IPL session, almost all the brown spots on my face disappeared. I was so happy with the results that I dared to try something I didn’t think I’d ever do … botox & fillers. Bye bye wrinkles on the forehead and around the eyes, hello plumper lips! I’m totally sold on these treatments and highly recommend Dr. Scheel and her staff if you have any skin-related concerns, cosmetic or medical. In fact, next time I’m going in for a skin exam because one of the PAs who gave me a peel recently noticed some spots on my arm that might be of concern. I love that they are not only focused on the cosmetic side of things but also on the lookout for medical issues that I may not have noticed. That’s genuine care of their patients!