Dr. Alexander believes in the philosophy that “less is more” in cosmetic surgery and in the use of BOTOX Cosmetic® and injectable fillers. Along with his superior knowledge and understanding of facial anatomy and the interplay of various muscles of the face, the greatest advantage in seeing Dr. Alexander for your injectable needs is that he has a global approach to facial analysis. He doesn’t just chase after lines or wrinkles; he performs a comprehensive, holistic analysis of your entire face, and educates you on the best options to improve your overall appearance.
Botox has been used for medical treatment of various conditions since 1989. BOTOX Cosmetic® was approved by the FDA for enhancement of the face in 2002. Today, it is one of the most popular and widely used aesthetic treatments available.
When injected into the muscles of the face, BOTOX Cosmetic® produces a reversible weakening of these muscles. The end result is smooth, wrinkle-free skin. It typically takes 24 to 48 hours to take effect, and lasts approximately four months.
The difference between a good and a great injector is like the difference between a cook and a chef. What makes Dr. Alexander a masterful injector is his ability to tailor his treatments to the patient’s wishes and his/her anatomy. Dr. Alexander simply doesn’t like the “frozen-face” look. Instead, he much prefers to use BOTOX Cosmetic® to create softening and smoothing—he believes this provides a more natural look.
Dr. Alexander also utilizes the effects of Botox to help treat the following medical conditions:
- Facial Paralysis
- Blepharospasm and facial tics
- Hypersalivation (excessive saliva production)
- Hyperhydrosis (excessive sweating)
- Teeth grinding (masseter injection)
Dr. Alexander uses Botox for the following cosmetic purposes:
- Frown lines
- Forehead wrinkles
- Bunny lines
- Brow lifts and Brow re-shaping
- Crows feet
- Smile lines (nasolabial folds)
- Marionette lines (labiomental folds)
- “Liquid Rhinoplasty”
- Chin puckering (peau d’orange)
- Lipstick lines (fine wrinkles around the lips)
- Reversing a down-turned smile
- Platysmal bands (muscular cords along the length of the neck)
- Defining the neck and jawline
- Counteracting a square shaped jawline (masseter injection)
Juvederm and voluma
Juvederm and Voluma are soft tissue fillers with track records of excellence and safety. They function to enhance facial volume in areas of depression or hollow. The effect is to provide accents and efface shadows to re-create the youthful face that you once had. The intention is never to make you look drastically different, but instead to restore your appearance to a younger, fresher version of you.
A relatively new and exciting product from Allergan, and based on long-established and safe technology, Volbella is an excellent choice for providing smooth contours. To that end, it is the hottest item on the market for lip augmentation, as even small doses can provide subtle but beautiful fullness and shape to this important area. The main advantages of facial fillers are:
- Immediate results
- No incisions
- No downtime
Fillers last for varying durations, depending on the location in which they have been injected—the more movement in a given area, the less time the filler lasts. In the cheeks and under the eyes, most fillers will last nine to 12 months. In the nasolabial folds, they can be expected to last six to nine months. In the lips, one might need another treatment again in four to six months.
Dr. Alexander goes the extra mile to make sure your experience is as pain-free as possible, and minimizes swelling and bruising through his careful and thoughtful techniques.
“Liquid rhinoplasty” is an ever-expanding technique, with very impressive results. Using neuromodulators (e.g. BOTOX Cosmetic®) and injectable fillers, Dr. Alexander is able to reshape the nose with immediate results, minimal discomfort, and no downtime. Using his mastery of nonsurgical techniques, Dr. Alexander can straighten a crooked nose, augment a flattened bridge, camouflage a dorsal hump, or alter the shape and angulation of the nasal tip to provide the most natural, youthful, harmonious appearance to your nose. Unlike many injectors who do not perform rhinoplasty surgery, Dr. Alexander can use his extensive expertise as a nasal surgeon to guide you toward the best nonsurgical options for your nose.
For relatively early signs of aging, Dr. Alexander will utilize a combination of non-surgical techniques (BOTOX Cosmetic®, injectable fillers, and skin treatments) to counteract the aging face. With careful planning and expert execution, based on his detailed understanding of facelift anatomy, Dr. Alexander is able to place fillers and Botox in precisely the right locations to add volume and produce jawline definition. Coupled with the appropriate skin treatments, he can create a rejuvenated, younger look—everyone will notice, but no one will know.
Dr. Alexander’s mantra is one of conservatism and obtaining natural-looking results. The goal is not to make you look drastically different; it is to restore harmony to your face by giving you the lips you once had, or the lips that are appropriately proportioned to the rest of your face. With lip augmentation, less is certainly more.
Dr. Alexander uses advanced techniques with well-established, safe filler products to provide subtle enhancement of the lips. And he pays careful attention to the tissues around the lips themselves, using neuromodulators (e.g. BOTOX Cosmetic®) and fillers to bring harmony and balance to the entire perioral region.
For some patients, rather than augmenting the volume of the lips, the more appropriate technique is to provide a surgical lip lift, using an imperceptible incision under the nose to elevate the upper lip to a more natural and aesthetically pleasing position.