Apr 20, 2019

Express Weight loss and Medical Aesthetics Clinic

At the end off last year, I got the opportunity to have my lips enhanced. I never wanted crazy “Instagram” style lips, just more fullness to them. When a family friend and past client opened Express Weightloss and Medial Aesthetic Clinic in Tyler, I knew it was time to try new lips! It has been 3 months since my second round and I couldn’t be happier!
Dr.Everett Holley and his team went over what I was wanting and we chose to slowly build to the shape and size that I wanted. I had my first round in Mid December. The first 10-14 days, your lips are still swollen on top of the filler. So they may larger than you initially want. Just know that they will “settle” within a week or two. I waited 2 months to see if I loved the size or wanted to go bigger. I did go back toward the end of February and receive a second round.
It gave me the perfect extra plump that I wanted without changing the shape too much.

Each experience is different as well as pain levels. For me, The pain is marginal and the whole session is less than 10 minutes. After the first poke, I felt a tiny bit of pressure where the filler was going. Most will have a few tiny bruise dots on the lips. I am one of the few that have a blood vessel running right above the area they need to inject. So I had some additional bruising that cleared up within a week.

There are many clinics and medical spas that offer different types of procedures. I chose to go with Express Weightloss and Medial Aesthetics because they offer the doctors and highly trained medical staff that perform the procedures. I felt more comfortable knowing there was more experience over those from “health spas”. This was my personal preference on where I was most comfortable having the procedure done.

I wanted to share my experience as well as some frequently asked questions for those that may be interested in getting fillers or injections of any sort! I worked with Dr. Everett Holley and Lauren Holley, The COO of Express, to provide the information on what their clinic offers. If you are interested in learning about more about all of their services, I invited you to read the Frequently asked questions below, visit their website, Facebook or give them a call!

Express Weight loss and Medical Aesthetic Clinic
4293 Kinsey Drive (1.36 mi)
Tyler, Texas 75703
PH: (469) 373-8462

Q & A

Q: What type of fillers do you offer and how long do they typically last? 

Soft-tissue fillers can be used alone or in combination with other aesthetic procedures to correct wrinkles and to restore tissue volume lost due to aging, lipoatrophy, or other causes. Dermal filler is often injected to improve the appearance of:  undereye circles, lips, cheeks, nasolabial folds, nasal humps, lines around the lips, receding or “soft” chins, and more!

All of the ones you have heard of, and probably some you haven’t as well!  Juvederm, Belotero, Revanesse Versa, Restylane, Radiesse, PRP, etc. 

Most fillers can be expected to last at least 12 months.  PRP is the exception; PRP Filler is created from the patient’s own blood that has been spun in a centrifuge.  Platelets are then heated in a medical conductor and an all-natural filler is formed.  PRP filler can last anywhere from 6 weeks up to 3 months, depending on how quickly the patient’s body metabolizes it.

Q: What is the price range for Fillers? 

Belotero, Revanesse Versa, Restylane, Radiesse – $450 for one syringe

Juvederm – $550 for one syringe

PRP – $250 for up to 5 syringes

Q: What are some side effects and risks with the procedure? 

The number one reason patients have negative experiences with filler, is that an individual without any medical training performed the procedure. 

Medically-trained professionals, such as nurses, mid-levels, and doctors, can perform aesthetic injections with a working knowledge of anatomical structures and potential side effects.  Having the knowledge of how to respond to critical conditions or responses is vital to our practice.  

Unless there is a physician medical-director of the treatment facility, FDA-Approved Dermal Fillers cannot be legally purchased.  Facilities that do not have physician medical-directors on-site, often purchase fillers overseas, which are not cleared by the FDA for use in the United States.  Dermal fillers injected that have been purchased from other countries lacking regulatory agencies like the FDA, often result in injection site infection and necrosis.

Bruising, swelling, redness, and soreness are the most common side-effects, as this product is injected into highly sensitive and vascular areas of the face.  Bruising lasts as bruises usually do, sometimes just a couple of days, sometimes longer, depending on the patient.  Occasionally unevenness or teeny-tiny lumps become evident.  These can be corrected after swelling has gone done.    

RARE side effects include allergic reaction, infection, skin-discoloration, and vessel-occlusion, which depending on the location, cause blindness, necrosis of the skin, or stroke. 

Q: Are they permanent or can they be removed?

PRP filler is virtually risk-free, as it is created from the patient’s own body.

The other dermal fillers are reversible.  In the rare instance that a patient experiences an unwanted side-effect, certain medications can be injected into the treatment area to dissolve the filler, which is then filtered through the body’s lymphatic system and excreted from the body.

The longest lasting filler is Radiesse, which is considered a “semi-permanent filler,” which can last up to a couple of years.  Radiesse; however, must be surgically removed should any problems occur. 

As opposed to permanent fillers, which persist indefinitely, temporary fillers are eventually resorbed by the body.

Q: How much pain can I expect with the fillers?

Some patients report little to no pain, verbalizing that they feel the needle stick, but the filler itself does not cause pain.  Others squirm throughout the entire procedure, stating that the filler causes a stinging or burning sensation.  When presented with the pain-scale, we have had patients who rate dermal filler injections as a “1,” and others who rate it as a “7.”  Topical numbing cream can be applied prior to the procedure, as well as ice, or in some cases, anesthetic blocks (injected numbing agents) of the treatment area.

Q: What medications should be avoided prior to the procedure and which are ok to take pre and post-procedure? 

Refraining from Anti-Inflammatories, Anticoagulants, Steroids, Antiplatelets, and Non-Steroidals for at least two weeks prior to your procedure is preferred.  All of these items can lead to increased bruising (which means increased pain!).   

Items such as Ibuprofen, Aspirin, Aleve, Celebrex, Coumadin should be avoided, both at least 48 hours (again, preferably two weeks before) before and after the procedure.  Some little known items in this category are Vitamins, including but not limited to: Gingko Biloba, Garlic, Flax-Oil, Cod-Liver Oil, Vitamin A, Vitamin E, and other Essential Fatty Acids.

Laser treatments and Chemical Peels within the treatment area should also be avoided for 2 weeks prior to, and for 2 weeks after the injection of dermal fillers.  Pairing these treatments too close together can elicit an inflammatory response (excessive redness and swelling).

If patients experience pain after the procedure, cool compresses can be applied.  Tylenol taken as directed is also a safe option (so long as the patient does not have a history of adverse reactions to Tylenol). 

Q: How do I need to prepare for the injections?

Ensure the treatment area is clean and dry upon your arrival to the appointment.  Makeup, sunscreen, moisturizers and the like, will be removed prior to injection to follow sterile technique, which reduces the risk of infection.  Avoid chemical peels and laser treatments within the treatment area for two weeks prior to your appointment.

Q: Are lip fillers safe?  

Regardless of which agent is selected, clinician familiarity with the product utilized is crucial; improper injection techniques result in poor cosmetic outcomes and an increased incidence of adverse effects. 

Dermal fillers are created with hyaluronic acidwhich is a naturally occurring substance in the body that is an essential component of the dermis. Hyaluronic acid plays a key role in the maintenance of skin structure and function.

The injection of hyaluronic acid into the skin effectively reduces visible signs of volume loss, while simultaneously providing a natural look and feel after treatment. These features, plus a relatively low risk for adverse effects have made hyaluronic acid-based fillers the most commonly used injectable soft tissue fillers worldwide.

Q:  Can I see some of your patients treated with filler?

I’ve included Photos of patients who have had filler injected into their tear troughs, to correct the appearance of a nasal hump, injections into the lips and nasolabial folds.

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