Wrinkle Correction / Facial Fillers
As both a surgeon and injector, Dr. Omar knows the brow and eyelid anatomy inside and out. This allows him to strategically place Botox and fillers exactly where they will have the most effect and will look completely natural.
Neurotoxins (Botox, Xeomin, Dysport, and Jeuveau)
As both a surgeon and injector, Dr. Omar knows the brow and eyelid anatomy inside and out. This allows him to strategically place Botox and fillers exactly where they will have the most effect and will look completely natural.
An Anatomic Guide to Facial Fillers
Understanding that patients are often best treated using a combination of different fillers and neurotoxins in order to achieve the best result. Dr. Omar evaluates each patient’s anatomy, needs and concerns in order to determine the areas to treat and fillers to utilize.
- Glabella: Juvederm Ultra, Restylane, Belotero
- Temple: Juvederm Voluma
- Tear trough: Restylane, Belotero
- Cheekbones: Juvederm Voluma, Radiesse, Restylane Lyft
- Nasolabial folds: all fillers
- Lips: Juvederm Ultra, Restylane, Restylane Silk, Volbella
- Smokers lines: Juvederm Ultra, Restylane Silk, Volbella
- Marionette lines and oral commissure: all fillers
- Lower cheek: Juvederm Ultra and Ultra Plus, Restylane
- Chin: Juvederm Voluma, Radiesse, Restylane Lyft
- Pre-jowl sulcus: Juvederm Voluma, Radiesse, Restylane Lyft
- Earlobe: Juvederm Ultra, Restylane, Restylane Lyft
What to Expect
When you come in for Botox, Dr Omar will evaluate your entire face, the position of your eyebrows and lids and determine how Botox can work best for you. He will also ask you what you want to achieve, and then he will make a plan for the treatment. Botox takes about 5 minutes for the treatment. You can expect to see results within 5-7 days. Results last between 4-5 months, sometimes longer.
After the treatment, you may have a small bruise at one of the injection sites, but this is rare. You can resume all normal activities when you leave the office. Dr. Omar suggests stopping blood thinners such as Advil or Aleve 5 days prior to treatment. This minimizes the risk of a bruise.
Botox has many amazing applications that are not often thought of. In addition to improving smile lines, frown lines and forehead wrinkles, Botox can be used to lift a sagging brow, reduce neck bands, and lessen a gummy smile.
Dr. Omar is truly an expert in the “liquid brow lift.” This is when Botox is placed to help lift a fallen brow. This works beautifully for patients who have a mildly low brow, and are not quite ready for surgery.
Injectable Fillers
Dr. Omar treats depressions and hollows in the face and around the eyes with Injectable fillers. Hyaluronic Acid fillers such as Restylane, Restylane Lyft, Restylane Silk, Juvederm XC, Juvederm Ultra XC, Juvederm Voluma XC, Belotero and Perlane, are used by Dr. Omar to fill in wrinkles and improve facial contours.
Suspended in a gel, hyaluronic acid is naturally found in the body. It works by filling in areas that are depressed or need more volume. Many patients feel confused by all the choices of different fillers. Dr. Omar will review all the choices at your visit and choose the filler that is right for your needs and skin type. Briefly, the thicker gels work best to build volume in the cheeks and upper face. Less dense fillers work better for under eye hollows, fine wrinkles and for increasing lip volume.
What to Expect
In the office, Dr Omar will assess your facial structure and suggest the filler, or combination of fillers for you. He will also listen to your concerns and then she will formulate a treatment plan. His aesthetic eye and gentle touch gives his patients a natural look without appearing “done” or “over filled.” The treatment usually takes about 15 minutes and then you will apply a cold compress for about 5 minutes after. Dr. Omar uses several injection techniques to get the filler exactly where it needs to be, reducing the chance of bruising and swelling. Normal activities can be resumed that day. Some patients request numbing cream which is available in the office.
Q: Can Botox and Fillers be injected at the same visit?
A: Yes, Botox and facial fillers are compatible and are often used together to give an overall smooth and natural look to the face. In face, studies have shown that the results of HA fillers last longer when combined with a neurotoxin. The combination often gives a better result than one alone.
Q: At what age should I start using injectables to best preserve a youthful look?
The answer is a personal decision. I see many patients in their late 20’s and early 30’s that start with Botox injections to prevent smile and frown lines from becoming ingrained in their face. I also see patients in their 50’s and beyond who are trying Botox and Fillers for the first time. Fillers are also variable. I see many young patients with under eye hollows and bags that they inherited from their mom or dad. These patients are excellent candidates for under eye filler. In my experience the transformation can be really amazing. I also see many people for the first time in their 40’s when they start to lose facial volume and want to restore their natural beauty.
Q: I hate my under eye hollows and bags but I am not ready for surgery.
As an oculoplastic surgeon, I have a great expertise at treating cosmetic issues around the eyes. I treat many patients with fillers to the lower lid, who have hollows and/or bags who are not ready to have surgery. Under eye fillers are an excellent way to improve the appearance of the lower lids. In this area the filler typically lasts a year or longer.
Q: I hate the wrinkles between my eyebrows, but I am scared to get Botox. I am afraid of putting an unknown substance in my body. And I don’t want my friends and work colleagues to know.
It is very common for patients to feel nervous about Botox treatments. I reassure all my patients that Botox is a time tested medication. It was first used in 1977 to treat lazy eyes in children and in 2002, Botox was approved by the FDA for cosmetic use in the face. When Botox is injected with proper technique, the face appears completely natural. So that no one will know that you were treated.
WHAT IS AN INTRAVITREAL INJECTION?
An intravitreal injection is a procedure used to deliver medication into the vitreous cavity of your eye, which contains a gel-like substance. The medication delivered through the procedure treats specific eye conditions to correct your vision.
Eye injections are among the most effective treatments for a wide range of eye problems. We will choose the best quadrant of your eye for easy access during the injection. Local anesthesia is used to ease any discomfort during the procedure.
WHAT EYE CONDITIONS CAN AN INTRAVITREAL INJECTION TREAT?
Intravitreal injection has emerged as the most effective way to deliver medication to the complex internal components of your eye. Eye diseases treated by intravitreal injections include:
- Uveitis
- Retinal vein occlusion
- Neovascular age-related macular degeneration
- Diabetic macular edema
- Non-proliferative diabetic retinopathy
- Proliferative diabetic retinopathy
- Cystoid macular edema
- Choroidal neovascular membrane
- Retinal vein occlusions
- Endophthalmitis
WHAT COMMON DRUGS DO DOCTORS USE FOR INTRAVITREAL INJECTION?
We will use different drugs for intravitreal injection, based on your eye diagnosis. Common intravitreal injection treatments include:
- Avastin eye injection. Avastin is a drug administered to block the growth of abnormal blood vessels in the back of your eye. Such vessels can leak and affect your vision.Age-related macular degeneration and diabetic cystoid oedema are the two most common diagnoses requiring Avastin injection.
- Eylea eye injection. Eylea is also an FDA approved prescription medicine used to treat wet age-related macular degeneration, diabetic retinopathy and macular edema.
Dexamethasone intravitreal injection. Dexamethasone is one of the more common intravitreal eye injections. This steroid injection also helps treat swelling caused by blood vessel issues in your eye.
