BOTOX AND DERMAL FILLERS

Facial Aesthetics by

Dr. Edward A. Alvarez

In addition to the expertise Dr. Edward A. Alvarez has developed in the world of cosmetic dentistry, he has furthered it in the field of Facial Aesthetics, including Botox®, Kybella®, and dermal fillers such as Juvederm®, Voluma®, Vobella®, Vollure®, and others. Dr. Alvarez has been certified by both the Facial Beauty Institute in Tennessee, and the Esthetic Skin Institute in Florida. In addition, Dr. Alvarez has also undergone training and certification by Allergan, the company behind Botox®, Juvederm®, Kybella®, and other aesthetic products. 

Dr. Alvarez has been treating patients in his Manhattan office with dermal fillers and Botox® for over a decade and a half.

The difference explained...

Having Botox®, Kybella®, Juvederm®, or other facial aesthetic treatments done by Dr. Alvarez in his Manhattan office is different in some subtle ways. Looking at faces every day and knowing what a great smile looks like allows Dr. Alvarez to know what a beautiful frame for that smile should be. 

  • First, incorporating his vast knowledge of facial anatomy, and considering all the artistic components that make up a beautiful face and smile, Dr. Alvarez can tailor dermal fillers to give the right amount of augmentation.

  • Second, as a dentist, Dr. Alvarez is accustomed to working on changing the appearance of the face, determining facial harmony and facial beauty, and using the contours of your teeth and smile to cause a change in the contours of your face.

  • Third, Dr. Alvarez can also apply low level laser therapy to the filler site to reduce inflammation, bruising, and swelling that is normally associated with treatment.

  • Fourth, Dr. Alvarez is very comfortable in numbing the facial areas treated, just as he does in dental procedures, which can make aesthetic procedures virtually painless.

What is Botox®?

Botox® cosmetic is a prescription medicine, also known as a neurotoxin, that is injected into muscles and used to temporarily improve the look of both moderate to severe crow's feet lines and frown lines between the eyebrows (also known as the “elevens” or “11’s”) in adults.

Botox® cosmetic targets one of the underlying causes of frown lines and crow’s feet by minimizing or eliminating the muscle contractions form frowning and squinting over the years. Dr. Alvarez will inject these muscles with Botox® to temporarily reduce muscle activity. You will begin to notice a visible smoothing of the skin.

Dr. Alvarez will also use Botox® in his Manhattan office for the treatment of facial (TMJ) pain caused by clenching of the teeth. Dr. Alvarez will inject Botox® into your facial muscles called the masseter muscles, that become overgrown and increase the pressure to your teeth when you clench, many times eliminating or lessening tooth clenching, and relieving pain from clenching. 

Botox® treatment requires minimal downtime or recovery; and it’s often called a lunchtime procedure. You will be able to go about your normal routine immediately after you leave Dr. Alvarez’s office.

You may begin to notice results within 24 to 48 hours after treatment with Botox®, and results can sometimes last up to 4 months or more. 

Dr. Alvarez only uses genuine Botox® cosmetic from Allergan, no substitutions, or alternatives, and will open the vial in front of you every time you present for treatment. 

What are Dermal Fillers?

Dr. Alvarez exclusively uses Hyaluronic Acid (HA) dermal fillers in the Juvederm® family, made by Allergan. Juvederm® is the #1 selling collection of Hyaluronic Acid (HA) fillers in the United States. Each product in the Juvederm® collection of fillers adds volume to a different area of the face and is used to do things such as lift cheeks, smooth parenthesis lines (nasolabial folds), plump the lips, and others. The results are subtle and long lasting. 

The Juvederm® collection of fillers is made from Hyaluronic Acid (HA), and HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. Each product in the Juvederm® collection of fillers is made from a modified form of HA depending on its intended purpose.

Dr. Alvarez administers the treatment during a brief visit in his Manhattan, NYC office. 

Juvederm® Voluma® XC, Juvederm® XC, Juvederm® Ultra XC, and Juvederm® Vollure™ XC all contain lidocaine to help minimize discomfort during treatment. If you are still concerned about treatment discomfort, Dr. Alvarez may offer additional anesthetic options for you, including topical creams, traditional lidocaine numbing, or nitrous oxide (laughing gas).

  • Juvederm® Voluma® XC is the only filler proven to last up to 2 years in the cheek area. *

  • Juvederm® XC instantly smooths moderate to severe parenthesis lines and wrinkles around your nose and mouth for up to 1 year. * It may also be used to plump your lips.

  • Juvederm® Vollure™ XC softens moderate to severe facial lines and wrinkles to create a smoother appearance for up to 18 months. *

  • Juvederm® Volbella XC adds volume to the lips and smooths vertical lip lines, also known as peri-oral or smoker’s lines, giving you results that last up to 1 year. *

*- With optimal treatment.

What is Kybella?

Kybella® (Deoxycholic Acid) Injection is a prescription medicine used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin”. Kybella® is injected under the chin by Dr. Alvarez, and requires anywhere from 2-4 session, with each session 6-8 weeks apart. 

Kybella® is a non-surgical alternative to liposuction in the submental region to deal with double chin. 

Dr. Alvarez was the first dentist in New York City to be trained by Allergan in the use of Kybella®  

Kybella® may be right for you if:

  • You’re bothered, are unhappy with, are self-conscious about, or embarrassed by fat under the chin, also known as submental fullness or double chin.

  • You feel the condition makes you look older or heavier than you actually are

  • You don’t want to have surgery

  • You eat well and exercise, but submental fullness does not go away

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