Dr. Rubin is an advanced master artist injecting Botox with a keen artistic eye for optimal symmetry. He uses a special, fast, and painless technique to treat wrinkles in the forehead, between the brows, and around the eyes.
Dr. Bruce Rubin is a Top Platinum Level Injector of Botox and Fillers for Allergan.
Facial Wrinkles: Many people have realized that they can rid themselves of ugly wrinkles around the forehead and eyes without the need for expensive, painful surgery.
At Juventis, we are able to adequately and safely rid you of most wrinkles without the need for invasive surgery.
What causes wrinkles? Although many environmental factors (e.g. sunlight) contribute to the formation of wrinkles, ultimately it is the repetitive contraction of the muscles underlying the skin which are to blame.
The muscles in the face help us to be expressive. The method of removing ugly wrinkles by relaxing muscles is more of an art than a science. The goal is to ensure that you maintain the ability to make facial expressions and look natural while the offending muscles have sufficient medication to be relaxed. At Juventis MedSpa, you will leave looking more youthful, without having to worry about the frozen toxin appearance.
Is Botulinum Toxin safe for me? Botulinum toxin (aka Botox® or Dysport) is a neurotoxin that works to relax muscles. This toxin is a clinically used and widely accepted medication that will relax muscles when injected. Although potentially dangerous in its native form, this medication is purified and diluted to a dose that is safe and effective for injections in the skin and muscle. Once injected, the effects of the toxin are localized. It does not interfere with other medications or other organ systems such as your liver, heart, kidneys, etc.
The effects of the toxin start to work in about 2 days and will peak in about 2-3 weeks lasting 3-4 months.
Because the medication is so safe, there are very few contraindications, almost anyone can get injected without fear of problems. Dr. Rubin's injection technique is quick and performed with minimal discomfort, and does not require anesthesia. There is no time required for healing. Most people are in and out of our office, returning back to their activities of the day within 15 – 30 minutes.
Will a medical doctor perform my injections? Here at Juventis MedSpa, you will be injected personally by our Medical Director, Dr. Bruce Rubin who is a University of Miami affiliated physician with over 15 years of experience in the research and injections of neurotoxins. Dr. Rubin is widely regarded as a national expert in the field of neurotoxins and has an impressive understanding of facial anatomy and musculature as well as the most effective injection technique ensuring that you get the results that you desire. He has published, spoken and even appeared on national TV discussing many aspects of the use of neurotoxins.
What type of treatment do my wrinkles require? Not everyone has the same type and degree of wrinkles. Have you ever received injections somewhere else and been unhappy with the results? This often occurs because practitioners use the same amount, dilution and injection technique of neurotoxin for every patient. This practice leads to unsatisfactory and short-lived results. Dr. Rubin prefers to individually evaluate and discuss your specific needs and then decide on the treatment and toxin which is right for you.
How much will my treatment cost? Pricing will vary and is determined by the number of medication units injected. You can expect that most areas of the face (e.g. eyes, forehead, and 11 lines between the eyes), will require between 5-20 units of Botox® or 10-20 units of disport.
BELOTERO BALANCE® Dermal Filler Patient Information Guide
Caution: Federal (USA) law restricts this device to sale by or on the order of a physician or other licensed healthcare practitioner.
DESCRIPTION OF DEVICE
BELOTERO BALANCE is a hyaluronic acid gel. It has no color.
BELOTERO BALANCE is used to smooth out and fill in the fold or wrinkle that goes from the side of the nose to the corner of the mouth (nasolabial fold) as shown in figure 1 below.
HOW IS BELOTERO BALANCE ADMINISTERED?
Your doctor will inject a small amount of BELOTERO BALANCE into the skin using a small needle. The doctor may first inject a local anesthetic such as lidocaine to numb the area. A “touch up” injection is often given 2 weeks after the first injection to get the optimal smoothing and rounding of skin or to make the effect last longer. You and your doctor will decide whether a second “touch up” injection is needed later on.
BENEFITS OF BELOTERO BALANCE?
Hyaluronic acid is a naturally occurring substance in the body. One of the natural functions of hyaluronic acid is to help provide structural form and shape to the external features of the body. This property of hyaluronic acid is the basis for BELOTERO BALANCE’s effectiveness as a dermal filler.
BELOTERO BALANCE smoothes, adds volume, and fills out folds in the skin such as the nasolabial fold. The photos below in Figure 2 show variations in the appearance of the facial nasolabial folds from extremely deep (#4) on the far right to absent (#0) on the far left. You and your doctor will decide how much smoothing is right for you to get the desired effect.
HOW LONG DOES BELOTERO BALANCE LAST?
The filling effect of BELOTERO BALANCE lasts about 6 months and then slowly goes away. The photographs in Figure 2 show the rating scale used during the studies to rate the appearance of nasolabial folds. In clinical trials, 170 out of 211 subjects still demonstrated an effect of at least 2 points on the rating scale 6 months after an initial BELOTERO BALANCE treatment and one touch-up treatment. For example, a subject that started the study with a wrinkle rating of 3 (severe) would be rated
either 0 (absent) or 1 (mild). The appearance of the folds over time as the filling and smoothing effect of BELOTERO BALANCE wears off is illustrated in Figure 2 generally moving from left to right on the scale.
CLINICAL TRIALS WITH BELOTERO BALANCE
Three clinical trials were conducted in the United States which evaluated the safety and effectiveness of BELOTERO BALANCE for a period of 24 weeks, in a total of 211 adult subjects, 18 to 75 years of age. The subjects consisted of both light and dark skin types and approximately 9 out of 10 subjects were female. In these studies, an optional “touch-up” injection of a lesser volume of BELOTERO BALANCE was given to almost all subjects about 2 weeks after the first treatment.
The results indicated that BELOTERO BALANCE when injected into the skin, was clinically effective for filling and smoothing the nasolabial folds on the face. The smoothing and filling effects of BELOTERO BALANCE on the nasolabial fold were similar in light skin and dark skin type subjects.
The only adverse events or side effects that were related to the injection of BELOTERO BALANCE were skin reactions at the injection site. These occurred in one-third to one-half of all subjects. None was serious and most were gone in 1 to 2 weeks (see RISKS above).