Botulinum Toxin

Botulinum toxin (Botox) injections are the most common cosmetic procedure in the industry, according to the American Society for Aesthetic Plastic Surgery (ASAPS). Botulinum toxin acts by temporarily paralyzing underlying musculature to smooth unwanted wrinkles and provide a more youthful appearance. There are several products on the market currently. Each is effective when dosed correctly.

AlloDerm®

AlloDerm is a prepackaged acellular human dermal matrix that provides natural volume replacement. Alloderm is purified to remove cells thereby eliminating concerns for rejection and disease transmission. Once the Alloderm graft is in place, it gradually becomes a natural part of your body, effectively replacing lost facial volume.

Sculptra®

Sculptra is a polymer of lactic acid that is used for extensive volume replacement of the face due to subcutaneous fat loss and dermal atrophy. Studies show that Sculptra lasts 2 years. For more information about Sculptra please visit

Lip Augmentation

A variety of techniques are now available for lip enhancement. Collagen, Restylane®, Juvéderm®, Radiesse® and silicone 1000 micro droplet technique injections are available as office procedures. Fat grafting, Alloderm and Lip implantation are also available. Dr. Slack will address your goals and provide expertise as to the relative merits of the options.

Restylane®

Restylane is an approved temporary facial filler. It is FDA approved as a facial filler and for laryngeal augmentation. It is also used off-label as a filler to rejuvenate hands. It is a hyaluronic acid derivative, a substance that is produced in bones, therefore no test injection is required. Restylane lasts as long as 6-9 months, but like collagen there is variability in an individual’s absorption rate and duration is also related to location.

Juvéderm®

Juvéderm is a hydroxyapatite based facial filler similar to Restylane. It is used in the same applications and lasts approximately 6-9 months though variability in absorption rate can be seen.

Radiesse®

Radiesse is an injectable filler. It is FDA approved for use in the face as a filler and for laryngeal augmentation. It is a hydroxyapatite-based formulation, which is the material in bones. It lasts 12-15 months.

Silikon™ 1000

Silikon 1000 is an injectable filler that is permanent. It requires repeat administration in 4-5 week intervals to gauge best effect. Tiny droplets are injected and the patient’s collagen forms around the silicone for a natural permanent effect. Because of the permanency, off-label use and the history of inappropriate silicone injection, Dr. Slack insists on counseling and requisite reading before offering this filler.


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