Dermal Fillers

Evoqe Signature Treatment

We at Evoqé Medical Aeathetics specialize in non-surgical rejuvenation. We invite you to come in for Evoqe’s Signature Treatment – a focus on the mid-cheek and tear trough, where eyes are the window to the soul.

Are you concerned or bothered by any of the following:

If you’ve said yes to any of these, our Signature Treatment, is for you. This addresses the rejuvenation of the MID FACE using Hyaluronic Acid fillers such as Restylane Lift®, Restylane Contour®, Juvaderm Voluma®, or RHA®4. All of these FDA cleared products are the perfect choice to replace the lost volume in the cheeks, helping rejuvenate their appearance.

Evoqe's Signature Treatment

Once the cheeks are restored with volume, we then rejuvenate the eyes using Restylane- L®, or Belotero®, both of these are softer and thinner products meant to address the hallowing and the darkness to the tear trough. The combination of the mid cheek and eye treatment results in a youthful, more refreshed, you.

Tear Trough

As we age, the hyaluaronic acid in the skin diminishes as cells lose their ability to produce it. As a result, the skin becomes drier, thinner and less able to restore itself after squeezing or indentation. The loss of skin fullness also means that the skin becomes looser. All of these factors contribute to volume deficit and dissatisfaction with the eyes – otherwise known as the tear trough.

The tear trough, also known as a nasojugal groove, extends from the inner corner of the eye, following a semicircular arc and transitioning to the palpebromalar groove. A deep tear trough can create a shadow that is perceived as a dark circle below the eye. It also creates a division between the lower eyelid and cheek that is an early sign of aging around the eyes. Patients with deep tear troughs often complain that they look more tired and older than they really are.

Who is a candidate for tear through filler?

Patients who are good candidates often complain of a ‘hollow look’ or dark circles under they eyes; they may also point out enlarging fat pockets in the lower eyelids. Selecting appropriate patients for tear trough treatment requires expert judgment. Excellent candidates have good skin elasticity and adequate skin thickness.

The position of the orbital rim to the tear trough is also an extremely important consideration. For these reasons, not everyone is a good candidate for treatment of the tear trough. However, Minela will do a an assessment and a recommended plan prior to administering the treatment.

The choice of filler for the tear through

Restylane is an ideal filler choice for the tear trough for many reasons. It unique consistency creates a natural rejuvenation in the tear trough. It is also long-lasting, often greater than a year. And finally, since it is a hyaluronic acid filler, it can be broken down with hyaluronidase injection, if necessary. Belotero is another hyaluronic acid filler that can work well in the tear trough.

Unfortunately, not all fillers are well suited for the tear trough. Juvederm exerts a very hydrophilic plumping effect under the eyes, creating a very conspicuous ‘puffy’ look that can persist for several months. And while many injectors have tried filling the tear trough with collagen, Radiesse, Artefill, and even silicone, these other filler materials have been associated with unwanted side effects and poor cosmetic outcomes.

Do you use a cannula for under eye injections?

Patients often ask if we use a blunt cannula for the tear trough technique. The answer is yes. Minela is an expert in non surgical

Rejuvenation. Minela knows her planes of injections (superficial & deep) and feels confident in her abilities in such a delicate, challenging area. Minela does also use a needle a cannula when needed – she makes an educated decision based on the patients and their anatomy.

The importance of experience in tear through filler Injections:

Minela is one of the most experienced injectors in Idaho, and tear trough filler treatments make up a large part of her fillers practice.

Filler treatments of the tear trough require a significant amount of skill and judgment. With poor judgment and unskilled technique, the complication rate is high and patient satisfaction is low.It is essential for patients to undergo treatment not only with an experienced injector, but also a practitioner skilled in tear trough treatments.

What else is important to know prior to treatment?

1. Surprisingly, injections under the eyes are not painful. Patients are often anxious about their upcoming treatment, but are pleasantly surprised to find that there is virtually no discomfort.

2. Mild bruising is common after filler treatment of the tear trough, but typically resolves within a week. Patients are advised not to undergo treatment if they have an important event around the corner.

Most patients are pleased with the outcome of treatment, even if their results are subtle.

3. Most patients only require one syringe of Restylane, but patients with very deep tear troughs may ultimately need multiple syringes.

4. As with all filler treatments, it is essential that patients avoid aspirin, ibuprofen, or any other medication/supplement that may promote bleeding.

Cheek Filler

As you age, your facial skin begins to lose its elasticity and volume. The natural fat begins to deteriorate, resulting in loss of mid and lateral cheek volume, sagging skin, more prominent wrinkles and a reduction of volume. Utilizing the following HA, we can restore the volume of the cheeks:

Restylane Lyft, formerly known as Perlane-L®, is an injectable hyaluronic acid gel used to correct volume loss and treat wrinkles in the cheeks and hands, lasting up to 12 months.

JUVÉDERM® VOLUMA™ XC injectable gel is for deep injection in the cheek area to correct age-related volume loss and for augmentation of the chin region to improve the chin profile, lasting up to 16 months.

Restylane Contour is the only cheek filler with XpresHAn Technology™ that restores your natural contour, frees dynamic expression, and refreshes your look.3-5 Balancing the science and art of aesthetics, this unique injectable hyaluronic acid gel creates natural-looking, subtly rejuvenated cheeks that are reminiscent of your younger self, but true to what makes you beautiful today, lasting up to 12 months.

Through nonsurgical injections, These fillers are specifically designed to add fullness to the lateral cheeks and midface — to help complete your aesthetic look.

Wondering which product is the right one for you? Allow the Medical Providers at Evoqé Medical Aesthetics to personalize a medical treatment plan for you.

Lip Filler

The lips and the lines around the mouth, like other areas of the face, show signs of aging as you get older. This often results in lip thinning, lost shape, loss of color, loss of elasticity, and an increase in vertical lines above the lip.

Lip filler can benefit:

Those who have lost lip shape and seek a youthful, refreshed appearance
Those who have thin lips and seek a more voluminous pout
Those seeking a plumper look as a way of looking younger and more vivacious
Those who have standard lips and seek a fuller, more signature look
Those seeking balance of facial proportions by adding thickness to a smaller set of lips

We offer the following lip products & it’s areas of concern:

Restylane Kysse® adds volume, smooths upper lip lines for up to one year, and enhances lip color. Designed specifically for the movement of lips, with XpresHAn Technology’s innovative cross-linking gel for precise, natural-looking results, lasting up to 12 months.

JUVÉDERM® VOLLURE X.C. is a uniquely balanced gel that adds subtle volume to smooth moderate to severe facial wrinkles folds, and lips, lasting up to 16 months.

JUVÉDERM® VOLBELLA™ XC injectable gel is for injection into the lips for lip augmentation that is soft and subtle, and for correction of perioral lines, often called “lipstick lines”, lasting up to 6-8 months.

JUVÉDERM® Ultra XC adds more fullness and plumps thin lips—whether your lips have thinned over time or you simply want fuller lips, lasting up to 12 months.

JUVÉDERM® Ultra PLUS XC is also approved for smoothing and correcting moderate to severe parentheses lines, such as nasolabial folds and lips with even more fullness than ultra XC, lasting up to 12 months.

RHA®2: Treats moderate dynamic wrinkles and lines usually found around your lips and mouth, lasting up to 15 months.

RHA®3: Reduces moderate to severe wrinkles and folds around your face including the nose and mouth, lasting up to 15 months.

It’s common today for both men and women to undergo lip augmentation for a variety of reasons. Whether to address age or to gain general fullness, there is no group that benefits from enhancement less than another.. and in acknowledgment of so,

We at Evoqé Medical Aesthetics are committed to enhancing your lips while staying authentic to your natural anatomical lip shape & volume, never augmenting or distorting your own natural lip shape & volume, and in doing so, we offer a vast variety of lip products – because your lip products should be as unique as you are.

Smile Lines

As skin loses elasticity with age, the lines that run from the sides of your nose toward the corners of your mouth (nasolabial folds) and the lines that run from the corners of your mouth toward the chin (marionette lines) appear more noticeable.

This area is a consequence of fat pads separating, ligaments shifting, and bone loss caused by the lateral aspect of the cheeks. This area first needs to be lifted and filled where volume is lost — the cheeks. Once the cheeks have been restored, the smile lines – (nasolabial folds)- may be filled with the following FDA cleared HA products:

Restylane® Refyne is a specifically formulated hyaluronic acid dermal filler made with XpresHAn TechnologyTM that helps correct these lines for a more natural look to your face. The unique cross-linking of the gel in Restylane® Refyne is also designed to help support your natural expression, lasts up to 12 months.

Restylane® Defyne is Crafted with XpresHAn Technology™, helping smooth out deep laugh lines (nasolabial folds and marionette lines). Using innovative cross-linking technology, Restylane Defyne is a hyaluronic acid dermal filler that is able to help restore a more youthful, natural-looking appearance, while helping you maintain your natural expressions and movement, lasts up to 12 months.

RHA®2: Treats moderate dynamic wrinkles and lines usually found around your lips and mouth, lasting up to 15 months.

RHA®3: Reduces moderate to severe wrinkles and folds around your face including the nose and mouth, lasting up to 15 months.

JUVÉDERM® VOLLURE X.C. is a uniquely balanced gel that adds subtle volume to smooth moderate to severe facial wrinkles folds, lasting up to 16 months.

JUVÉDERM® Ultra XC treats dynamic wrinkles and lines, lasting up to 12 months.

These products allow real-life results that help maintain natural movement when you’re smiling, frowning and even puckering up.

Chin

Do you have chin retrusion?

Take a pen and hold it going from your nose to lower lip to chin. The ideal chin should only be a few millimeters behind that line—any farther back and you may have chin retrusion.

The following products have been FDA cleared for injection of the chin:

Restylane® Defyne – crafted with XpresHAn Technology™ to improve chin projection by correcting mild-to-moderate chin retrusion. The unique cross-linking of the gel in Restylane Defyne is also designed to help support your facial expressions—for natural-looking results that help maintain your natural movement, lasting up to 12 months.

Juvéderm® Voluma™ XC improves the chin profile by adding greater structure and definition in poorly defined or under-projected chins, lasting up to 16 months.

Hands

As we age, our hands undergo some visual changes—often long before other parts of the body do. As with exposed skin elsewhere on the body, the skin on the hands is susceptible to sun damage, but even more noticeable is how they begin to change shape. As we age, hands start to lose volume, which can make veins, tendons, bones, and wrinkles more prominent and result in an almost “skeletal” appearance.

Benefits:

Jawline

There are few things more attractive than a chiseled jawline. It’s one of the top features found on beautiful people, and one we often try to emulate with lots of contouring and good lighting. For some it works, but others may want to consider jaw filler.

Over the years, injections have evolved from simple wrinkle minimizers to powerful, non-invasive treatments to give you the features you’ve always dreamed of – including a defined jawline that takes your confidence to the next level.

Whether you’re a 20-something wanting to define your face or in your 50’s looking to restore volume to this area… Jaw filler is a beautiful treatment that works for all.

What is a Jawline Filler?

When it comes to creating a slimmer, more defined jaw, there are multiple types of fillers to choose from, such as Restylane Lyft or Radiesse. However, many practitioners prefer Juvéderm Volux. This filler is specifically designed for use on the chin and jawline, as it’s ideal for improving facial harmony and may be used to either strengthen or soften features. Everybody’s bone structure is different, and some may need to soften the jowls or reduce double chin (not to be confused with Kybella,) while others may already have a prominent jawline and just want a little extra definition.

That’s why it’s crucial that you go in for a consultation before getting injected with jaw filler. While the treatment is groundbreaking and delivers beautiful results, it’s important that your practitioner studies your face and determines how to properly distribute the injections. For example, many people have a weak jawline due to the neck muscle pulling too far downward, and placing filler strategically into the neck will pull up the muscle and create the illusion of a stronger jawline.

For others, placing filler near the jowl area can have an incredible effect. Knowing your face will ensure that filler highlights your features and gives you facial harmony while highlighting your gorgeous new jawline.

What to Expect With a Jawline Filler

The injection process is relatively simple. You may feel a bit of discomfort at first, but you’ll be out of the office and back into your daily routine in less than an hour. Like all injection treatments, try to avoid things like alcohol, multivitamins, blood thinners, and anticoagulants like aspirin for about a week before treatment to avoid bruising.

While it can take a few days after treatment for the light swelling and/or bruising to go down, you’ll see a significant difference in your features almost immediately.

A slimmer neck, softer lower face, or more chiseled cheekbones that will give you a major confidence boost and make you want to take a million selfies.Better get used to that strong and stunning jawline in the mirror, because results can last for up to two years.

Temple Filler

Many people know the power of dermal fillers when it comes to bringing back bounce to your jawline or giving your lips a glamorous boost. But what about the temples? This oft-forgotten area of the face is also worthy of some dermal filler attention.

The reason is that a loss of volume in the temples can have a big impact on the rest of the face. By targeting temple hollows with an injectable dermal filler, patients can achieve a lifted appearance in a non-surgical way. It’s like having a mini facelift, without the need for scalpels.

What is a Temple Filler?

Temple fillers are non-surgical injections that reinvigorate the temples like a mini facelift. They drive moisture and volume back into the temporal area using a biodegradable hyaluronic acid (HA) gel.

Hyaluronic acid is a naturally occurring sugar that helps keep our skin plump and hydrated via water retention. By injecting hyaluronic acid back into depleted temple areas, the hyaluronic acid stores that have dwindled through time are replenished.

Why temples matter when it comes to facial beauty

Your temples give your upper face a smooth and contoured appearance. Face temples are the small flat areas that sit at the edge of your brows, running up to the tip of your ears and back to your hairline. They help to define and shape a youthful face when they are plump and full.

In a younger person, full temples help to cushion the face from the bone, helping the face shape to softly sweep downwards into a thinner jaw. This creates the much celebrated ‘heart-shaped face’ in women and a solidly defined upper face in men. Full face temples are therefore key when it comes to creating a well-shaped and balanced facial appearance.

The beauty benefits of temple fillers on face

Temple filler injections can deliver a mini facelift without surgery. When HA is injected, it acts like an inflated cushion to support tissues that have lost volume or elasticity. So, by restoring this cushion, an individual’s temporal area is noticeably recontoured and brought back to its youthful appearance.

The temples also affect the structures that surround them, so by re-volumising this area, face roundness is restored. By strengthening scaffolding, the mid to lower half of the face, like the cheeks and nose-to-mouth lines are also minimised.

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