Facial Fillers and Injectables |
The fastest growing segment in the field of cosmetic medicine are the facial fillers and injectables. There are a variety of products that we offer at Premier Image and understanding what each product does and the differences between products can be confusing. Injectables and fillers include a variety of materials, which last for different lengths of time and have different effects and uses. The descriptions of each below should give you a good overview. Depending on your desired outcome we can help you decide which product or products would be right for you.
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BOTOX®
BOTOX® Cosmetic, or botulinum toxin type A, is a protein commonly used to non-surgically reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. The injections block nerve impulses, weakening muscles to relax wrinkles and give the skin a rejuvenated look. BOTOX® Cosmetic may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.
Contact us for more information on BOTOX® Cosmetic
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DYSPORT
Dysport is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults less than 65 years of age.
By injecting Dysport into areas of the face where frown lines appear, the signal from the nerve to the muscles are stopped. Muscle activity is reduced and frown lines are greatly diminished.
Other muscles of the face that are not treated by Dysport remain unaffected, allowing you to freely show facial expressions.
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There is no downtime with Dysport.You can go about your normal activities immediately after having the treatment. Results should be complete after just a few days and usually lasts 4 to 5 months.You should wait at least 90 days between Dysport treatments.
Call your doctor or get medical help right away if you have any problems swallowing, speaking, or breathing. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Contact us for more information on Dysport
XEOMIN®
Introducing Xeomin, the latest injectable botulinium type A injectable to join Botox and Dysport in the temporary reduction of forehead wrinkles, frown lines, and crow's feet. All 3 are FDA approved and Premier Image now offers all 3 products for you to choose from. Xeomin has been used in Europe since 2008 and is now available in the Atlanta market at just a select few practices.
All injections of Xeomin, Botox or Dysport are performed by one of the board certified physicians, Dr. William Silver, Dr.Louis DeJoseph or Dr. Marc Klein. They are also available at each of the Premier Image locations in Dunwoody or Roswell. Before any treatment they will discuss with you your choices to ensure that the outcome of your procedure matches your goals, expectations and budget.
Typically it takes 3 to 4 days for botulinium toxins to begin showing results with maximum relaxation seen after 1 to 2 weeks. The benefit of the injectables lasts ana verage of 4 months. Once it wears off, the wrinkles will return, but they are not worse.
Xeomin was developed by the MerzPharmaceuticals Group, a world-wide healthcare company with subsidiaries and operations in over 100 countries. Medical professionals and consumers alike share a high level of confidence in Merz products.
Merz is well known in the US as having the #1 non-prescription product for scars, Mederma®, and Mederma® Stretch Marks Therapy. They also offer Radiesse wrinkle filler.
Xeomin is the only botulinum toxin that does not require refrigeration. Merz believes this may simplify distribution and storage, and help ensure product integrity at the time of injection.
RESTYLANE®
Approved by the FDA, RESTYLANE® is designed to smooth wrinkles, sculpt lips and shape facial contours. RESTYLANE® is a clear transparent gel composed of hyaluronic acid, a natural substance that is found throughout your body. This acid is not of animal or human origin, which means that there is no risk of allergic reaction. The most common areas for a RESTYLANE® treatment are the glabellar lines (between the eyebrows), the nasolabial folds (from the root of the nose to the angle of your mouth), and the lips, to provide fullness and shape. With its unique ability to bind with water, RESTYLANE® remains in your skin for many months.
Contact us for more information on Restylane®
Radiesse
Formerly known as Radience, Radiesse is a synthetic injectable filler that non-surgically reduces most wrinkles, creases and scars by augmenting your body's natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse is made from the same minerals found in our bones, so it carries no risk of allergic reaction – just one of its advantages over alternative treatments. Radiesse can be used on many areas of the body, but the most effective areas treated are the nasolabial folds, peri-oral lines, depressed scars and oral commissures.
For more information on radiesse click here.
| Contact us for more information on Radiesse |
Sculptra™
Sculptra™ is a new injectable product used to fill in sunken areas of the face in patients who suffer from lipoatrophy or "facial wasting," the loss of fat beneath the skin. Injected into the deep dermis layer of the skin, Sculptra increases skin thickness over time to improve the appearance of sunken cheeks, hollow eyes, indentations and wrinkles. There is no need for allergy testing, since Sculptra's main component is poly-L-lactic acid, a synthetic polymer in the alpha-hyrdoxy-acid family that has been used for 20 years in surgical products such as dissolvable sutures and bone screws.
For more information on sculptra™ click here.
| Contact us for more information on Sculptra™ | ![]() |
Juvederm
The new group of 2nd generation, advanced dermal fillers includes JUVEDERM Ultra and Perlane. These provide more enduring results than earlier products and can be used to lift or contour any number of facial features.
Juvederm is a smooth gel filler that is manufactured using HYLACROSS technology. It is infused with lidocaine to improve comfort during treatment. With only one treatment, you'll get smooth and natural-looking results that last up to one year.
Areas of Use:
- Nasolabiel folds
- Marionette lines
- Lip Augmentation
- Glabellar lines
Perlane
Perlane is an injectable filler that improves facial wrinkles and folds, and even plumps lips and fills in scars. It is made from hyaluronic acid, a substance naturally found in the body, which provides volume to the skin. It contains no animal products so no allergy testing is required. Perlane is injected directly into the treatment area and usually lasts up to a year or more. Results are seen immediately.
All injectable fillers used at Premier Image are performed by one of their board certified plastic surgeons, Dr. William Silver, Dr. Louis DeJoseph or Dr. Marc Klein. Procedure usually takes about 10 about minutes and is done in their office at both Dunwoody and Roswell locations.
ArteFill
What is ArteFill?
Artefill®. The Lasting Solution for Wrinkle Correction
Artefill is the first and only microsphere-enhanced collagen filler for the correction of nasolabial folds, or the lines from your nose to the corners of your mouth.
If you've used temporary dermal fillers in the past, then you know they are eventually absorbed by your body and require frequent repeat injections to maintain the results you've come to love.
Artefill is different. The unique microspheres contained within Artefill are not absorbed by the body, providing the support structure your skin needs for smooth, natural results. If you are looking for a long-lasting filler that you can have confidence in, then Artefill may be right for you.
How does ArteFill work?
Artefill is a dual-acting wrinkle filler. Once it's injected into the deep portion of the skin under the wrinkle, the collagen in Artefill visibly corrects the wrinkle. Over time the collagen is absorbed by the body but the microspheres remain intact providing the support your skin needs for long-lasting, natural feeling wrinkle correction.
This safe, in-office procedure takes a just a few minutes to administer. You will receive an
anesthetic to lessen the pain from the procedure and with proper placement you won't feel a thing and can return to your normal daily activities. The results are immediate and will improve over time.
Why ArteFill?
If you love the wrinkle correction you get from temporary fillers but are tired of retuning for repeat treatments, then Artefill may be the ideal solution for you.
Artefill is the only soft tissue filler product on the market designed to last. Thousands of patients in the U.S. have been successfully treated with Artefill and those numbers continue to increase. Artefill is also one of the only products to report a patient satisfaction rating over 90% during its pivotal clinical trial. Listen to what some actual patients had to say about their experience with Artefill at http://www.artefill.com/content/c/patientexperiences/overview.asp.
For Artefill Frequently Asked Questions Click here
Fat Transfer
Fat grafting fills facial features with a patient's own fat. The fat used for fat transfer is extracted from parts of your body like the abdomen or thighs and injected into another area that requires plumping. Since the fat is your own, a significant portion of the fat becomes permanent, and therefore it eliminates the need for constant reinjections, as with other materials.
Contact us for more information on Fat Transfer
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Liquid Lift
In the past only a traditional facelift could restore the balance of a youthful face, but renowned facial plastic surgeons, Dr. William E. Silver and Dr. Louis DeJoseph have mastered a liquid solution.
"Deep wrinkles, smile lines, hollowed out eyes and loss of fat in the cheeks can be corrected with the right filler, or combination of fillers and Botox," says Dr. Silver.
"We use the "Liquid Lift" or injectables to plump, fill and smooth deep lines and wrinkles," explains Dr. DeJoseph. "Creating a more youthful appearance with only injectables provides immediate results and there's no downtime".
Frown Lines & Brows:
Botox injected between the brows to reduce muscle contractions that lead to vertical lines. Injected above the brows can lend a subtle lifting effect by reducing downward pull of the depressor muscles. Sometimes referred to as a "chemical browlift"
Crow's Feet:
Botox around the eyes to prevent muscle contractions that cause crow's feet.
Undereye Area:
"VUE" Volume Undereye Enhancement fills the lines around the eyes that remain after Botox treatment and to fill the hollow "tear trough" area to correct volume loss and eliminate the dark circles and tired look. Creates a smooth contour down to the cheeks.
Cheek Area:
Cheek Enhancement with injections of Perlane and Sculptra to the Cheeks to restore volume and create lift.
Smile Lines/ML Folds:
Injections of Radiesse or Artefill to fill and plum up the nasolabial folds restoring youthful volume.

Lip Augmentation:
The lips are one of the most beautiful features of the human face. They provide expression to the face, they are an essential portion of the face and augmenting them or changing the appearance of them can have an incredible effect on the face.
Lip augmentation sometimes gets a bad rap. We've all been to the supermarket or the mall and see people walking around who obviously had their lips overfilled. This tends to scare a lot of people. The reality of it is this does not have to be the case. The lips can be injected in many different ways.
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Let's break it down to a couple of different things. One is that people need a structure injection, where they need a little shape along the edges of the lip. Then there's the second portion, a volume injection where someone needs more size to the lip. Then there's the combination of both, where we need more structure to the lip and more size to the lip.
Restylane is the dermal filler that we most often use for the lips. Restylane is a non-animal, clear gel that is reported to be very close to the hyaluronic acid found naturally in the body. Injections usually last up to a year or longer. Some swelling, redness, and tenderness may occur immediately after treatment but normally only lasts a few days.
When one thinks about a beautiful lip on a face it should not be the first thing that you see when a person is walking toward you. The lips should be subtle to fit your face. So, not everyone needs to have those huge "duck lips". At Premier Image we take lip augmentation on a patient by patient basis and analyze what is right for the individual along with listening and understanding what each one would like their lips to look like. We also want to make sure it is going to fit your face. We build a plan that is customized for you so that the end results are having the lips you always wanted.
Jawline:
Perlane or Radiesse add definition to the jawline and address mildly sagging skin by restoring volume.


