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Injectables and Fillers

Injectables and Fillers at Indiglo Med Spa in Green Bay, WI

Dr. Steven Bittorf, MD

Our Medical Director comes once a month on a Friday to offer injectables at our location. If our Injectable days do not work for you, he is available at his office location:

Green Bay Integrative Health

926 Willard Drive, Suite #236

Green Bay, WI

920-489-8349

Injectables and Fillers at Indiglo Med Spa in Green Bay, WI

BOTOX®

Areas most commonly treated by Botox include crow’s feet (lines around the eyes), worry lines between the eyebrows, and the lines across the forehead. In just a few minutes, these facial paralytics can temporarily weaken facial muscles beneath the wrinkled area to relax the skin and restore its youthful appearance.

$11 per unit

Standard treatment per area begins at 20 units

XEOMIN®

Xeomin  is the latest FDA approved injectable. It is different from Botox in that it does not contain any protein additives. The potential benefit of this is mainly for the patient who stopped responding to Botox treatments because of the development of antibodies to the proteins.

$10 per unit

Standard treatment per area begins at 20 units

JUVEDERM®

JUVÉDERM, provides you an advanced solution to remedy the effects of aging without the risk of going under the knife.  JUVÉDERM is a family of injectable, hyaluronic acid dermal fillers, used to provide up to one year of correction in moderate to severe facial wrinkles and folds, including lip augmentation.

$557 per 0.55 ml syringe – $700 per 1.0 ml syringe

Standard treatment per area begin at 1 syringe

On Average: Lips (1-2 syringes) Cheeks (2-3) Jawline (3-4) Temples (1-2)

JUVEDERM VOLBELLA XC®

The first and only hyaluronic acid filler FDA-approved to add volume to improve the appearance of undereye hollows, helping you achieve a less-tired look.

Temporarily restore lost volume to the undereye hollows to create a smooth transition from the undereye area to the cheek area, with results that last up to 1 year with optimal treatment.

$800 per 1.0 ml syringe

Standard treatment per area begins at 1 syringe


Add-on to your Injection Appointment:

B-12 Shot:

$25 or 5 for $70 or 9 for $109

Vitamin B12 is essential to the human body. Designed to provide your body with a natural boost, B12 injections help to strengthen your immune system, and can help to regulate your sleep, appetite, and mood cycles.
Delivered intramuscularly, B12 injections bypass the digestive system for immediate results that leave you feeling revitalized and reenergized. Whether you want to enhance your athletic performance, want more energy to get you through the day, need to manage a B12 deficiency, or need a little boost for your metabolism, B12 injections can help!

B Complex Shot:

$19

Contains Vitamins B1-12. Boost energy, metabolism, and promotes healthy skin and nails.

Lipo-lean Shot:

$30 or 6 for $100

Lipo-lean injections contain a combination of ingredients that work together to support the body’s fat metabolism. These ingredients may include B vitamins, such as B12 and B6, as well as amino acids like methionine, inositol, and choline. These nutrients play important roles in the body’s metabolism and can help support weight loss efforts. One of the main benefits of Lipo-lean injections is that they can help boost the metabolism, which can lead to increased fat-burning and weight loss. These injections may also reduce feelings of hunger and cravings, which can make it easier for patients to stick to their diet and exercise plan. In addition, Lipo-lean injections can help to improve energy levels, which can make it easier for patients to engage in physical activity and burn more calories.


BOTOX® FAQ

What is BOTOX?

BOTOX Cosmetic is an injectable with an active ingredient that has been used medically for many years to treat numerous medical conditions, including muscle spasms. The ingredient, a purified form of a protein produced by the Clostridium botulinum bacterium, hinders or decreases a muscle’s ability to contract. 

How Does BOTOX Work to Smooth Wrinkles and More?

In a cosmetic setting, BOTOX can be used to “quiet muscles working overtime” or prevent motion in facial muscles associated with what are known as “dynamic wrinkles.” These folds and lines appear when certain expressions are made, especially when these expressions cause the same wrinkles to form over and over again in the same places.

It can also relax muscles that play a role in facial contouring. Additionally, BOTOX is often used in combination with dermal fillers to extend the longevity of the fillers in certain areas of the face

What Can BOTOX Address?

BOTOX Cosmetic is ideal for addressing fine lines and wrinkles between the brows (frown lines), fine lines and wrinkles around the eyes (crow’s feet), horizontal forehead wrinkles, and fine lines around the mouth. It is also a treatment of choice for eyebrow shaping and enhancement, brow lifting, facial sculpting, and diminishing underarm sweating.

Because it forces muscles to stay at rest, it can also be used for the prevention of lines by relaxing muscles early so that they cannot contribute to deeper wrinkles in the future. At ReFresh, we call this “prejuvenation.”

How Long Does BOTOX Last?

BOTOX results typically last three to four months, depending on where it is injected. The ideal time for another treatment is when muscle activity has begun to return, but wrinkles have not yet begun to be visible again. Many people choose to receive treatments at least three times a year.

After your injections, you will see gradual improvement for up to two weeks, with most of the beneficial effects visible within the first week. This allows the effects to be subtle, so that all anyone will notice is that you look ReFreshed.

What is Recovery After BOTOX Injection?

You can go back to your daily life immediately after you have had a BOTOX treatment. You can even apply makeup right away. In some cases, mild tenderness or bruising may result for a day or two after an injection. The only precaution we recommend is to avoid touching or manipulating the injection areas for a couple of days.  While no procedure is without risks, this injectable has been used successfully for many years, and BOTOX side effects for aesthetic uses are very rare.


XEOMIN® FAQ:

Xeomin is the latest cosmetic injectable approved by the FDA to treat facial lines and wrinkles.

What is Xeomin?

Xeomin is a medically derived sub-unit of botulinum toxin type a called incobotulinum toxin a. Xeomin weakens the muscles into which it is placed, improving the appearance of fine lines and wrinkles.  Xeomin, like Botox, is commonly used to treat dynamic wrinkles. Dynamic wrinkles include the forehead lines, fine lines around the eyes, and the furrows between the eyebrows.  Xeomin works by targeting the wrinkle causing facial muscles in order to eliminate these dynamic lines. Xeomin can provide a very natural appearing and dramatic improvement in your appearance.

What is the difference between Xeomin and Botox?

On a molecular level, Xeomin is different from Botox  in that it does not contain any protein additives when packaged which is commonly referred to as the “naked injectable”. The potential benefit of this is mainly for the rare patient who stopped responding to Botox®treatments because of the development of antibodies to the proteins so the human body is less likely to become resistant to it.

How does Xeomin work?

Xeomin works by weakening the muscles of facial expression that insert onto the surface of the skin. Weakening the pull of these muscles on the skin causes the visible wrinkles to flatten out. Over time, cumulative benefits are observed as the skin remodels without the negative influence of the wrinkle-creating facial muscles.

What areas can be treated with Xeomin?

Xeomin is used to treat dynamic facial wrinkles. Areas most commonly treated by Xeomin include crow’s feet (lines around the eyes), worry lines between the eyebrows, and the lines across the forehead.


Xeomin vs. Botox 

Aesthetic medicine now uses botulinum toxin regularly in treating a variety of skin and muscle problems. Botox and Xeomin are two commonly used preparations. 

Differences Explained:

  • The main difference between Xeomin and Botox, is that Xeomin contains just one ingredient: botulinum toxin A. This neurotoxin acts by blocking the neuromuscular junction and has an effect on the skin and muscles it is injected into.
  • The manufacturing process is slightly different with the 2, which leads to some potential, subtle differences in clinical practice.
  • Xeomin is a “naked injectable,” meaning that it does not contain any additives. A benefit of a pure-form injectable is that the human body is less likely to become resistant to it. Some patients have developed antibodies to Botox.
  • Xeomin is the only one injectables that does not need to be refrigerated before use, due to its lack of additives.
  • Xeomin might have the slowest “onset” of action (Botox onset in 72 hours, and Xeomin onset in 4 days.). Both Xeomin and Botox exert their effect in around 7 days after it has been injected, with the effects lasting up to 6 months. The overall effect that results from Xeomin and Botox are the same.
  • Xeomin may be “mildly more convenient” than Botox, as the “product’s lack of complex proteins will help prevent antibody formation, or resistance to neuromuscular treatment with botulinum type A toxin, in patients being treated for neuromuscular conditions.”
  • Neurotoxins diffuse differently, in part because Botox has protective proteins clustered around the active part of the molecule, while Xeomin has no protective proteins.
  • The cost of Xeomin and Botox are comparable, making the administration of either drug a choice that can lie with the physician or the patient.
  • Xeomin is manufactured by Merz Pharma while Botox is manufactured by Allergan.

JUVÉDERM® FAQ

First, What Is Juvederm?

Juvederm is a non-surgical cosmetic treatment that is also known as an injectable or a dermal filler. Its main ingredient is hyaluronic acid, a naturally occurring material found in the human body. That’s one reason that Juvederm and other fillers are usually tolerated well, unlike procedures that introduce foreign substances into the body.

Approved by the FDA in 2006, Juvederm has become one of the most popular non-invasive procedures in the United States. Over 2.4 million people opted for a hyaluronic acid-based filler treatment in 2016.

Why Choose Juvederm?

As we age, our faces begin to show signs of stress as well as normal “wear and tear.” Think about it: the facial muscles are used day in and day out and can take a significant toll on the skin.

People who have spent a lot of time in the sun or who were cigarette smokers, often find that their faces look much older than they are. However, everyone’s face will show signs of aging sooner rather than later. Quite simply, Juvederm stops the hands of time and makes people look young and vibrant.

Those who have severe marionette lines, facial creases, or wrinkles might benefit from Juvederm UP XC or Juvederm Volbella XC, Juvederm Vollure XC. Don’t worry; our medical provider will discuss the differences between these fillers with you. Together, we will determine the most appropriate treatment plan for your individual needs.

What Areas of the Face Can Juvederm Improve?

Juvederm is used in the face, primarily in the cheeks, the lips, and the area around the mouth. More specifically, this injectable targets:

  • the nasolabial folds, also known as “smile lines,” that extend from the sides of the nose down to the outer corners of the mouth
  • the “marionette” lines, which surround the mouth
  • the vertical lip lines, which appear above the lip
  • Lip volume & cheek volume

Can Everyone Benefit from Juvederm?

In short, yes! This treatment works on men and women of all skin tones.

The only reason you might not be a good candidate for Juvederm is if you have an active infection of any kind at the injection site. Juvederm can also be safely combined with other fillers, such as Restylane and Radiesse.

Do Juvederm Injections Hurt?

There is very little pain associated with Juvederm injections. Our medical provider will apply a numbing cream to the area of the face being treated about 10 minutes before the treatment. You won’t even feel the needle.

Juvederm is introduced into the face through a series of injections with a very thin needle. The area will be massaged with care to ensure the proper distribution of the hyaluronic acid gel. You will also be asked to ice the affected area, on and off, for the remainder of the day.

Are There Any Side Effects?

Expect minor swelling and bruising. The most common side effects may also include:

  • redness
  • tenderness
  • lumps or bumps
  • minor pain
  • itching

If you do experience these side effects, they will lessen and subside within one to two weeks.

To lessen the possibility of an adverse effect, Juvederm patients should avoid strenuous activity, sun exposure, and alcohol consumption for at least 24 hours post-treatment. It’s also best if you can avoid wearing makeup during that period.

In very rare cases, injectable fillers can result in complications such as permanent scarring, visual impairment, or stroke. These complications can occur when the injection is placed into a blood vessel. To ensure your safety, make certain that the medical prvided who performs your Juvederm procedure is trained, certified, licensed & insured.

How Long Does Juvederm Last?

You will see the effects of Juvederm almost immediately. How long it lasts depends on which Juvederm product is used, as well as what area of the face has been treated. Generally, you should expect the Juvederm to last between six months and one year.

Over time, the hyaluronic acid filler will dissolve and be excreted by the body. As it does so, your face will gradually re-assume its previous appearance. Your face won’t look stretched out, and there will be no loose skin or sagginess.


JUVÉDERM® VOLBELLA® XC FAQ

First, What Is Juvederm Volbella XC?

JUVÉDERM® VOLBELLA® XC is an injectable gel that adds volume to improve the appearance of undereye hollowing. Undereye hollows are depressed, sunken, or hollow areas below the eyes that contribute to a tired-looking appearance.

How long does Juvederm Volbella XC Last?

JUVÉDERM® VOLBELLA® XC lasts up to 1 year in the undereye hollows with optimal treatment.

What are the potential side effects of Juvederm Volbella XC?

Most side effects were mild or moderate in nature and generally resolved within 30 days. The most common side effects were temporary reactions at the treatment site, such as tenderness, bruising, swelling, lumps/bumps, redness, pain, firmness, discoloration, or itching. As with all skin-injection procedures, there is a risk of infection.

How does Juvederm Volbella XC Work?

JUVÉDERM® VOLBELLA® XC is a crystal-clear gel that is injected into the undereye area to improve the appearance of undereye hollows. It temporarily restores lost volume to the undereye hollows to create a smooth transition from the undereye area to the cheek area, with results that last up to 1 year with optimal treatment. The addition of lidocaine helps to improve the comfort of the injection by reducing sensitivity to pain.