Cosmetic Injectables

discover the art & science of beauty

Neuromodulators

— Wrinkle Relaxers —

Botox Cosmetic® | Dysport® | Nuceiva™ | Xeomin®

Purified forms of the botulinum toxin work by blocking nerve signals in the muscles where it is injected; when those nerve signals are interrupted, the affected muscle is temporarily paralyzed or frozen. Facial lines and wrinkles are caused by repeated muscular contractions of the facial muscles which can create a tired or stressed appearance over time.

Without the movement of these selected muscles in the face, certain wrinkles may be softened, reduced, or even removed, giving the face a more relaxed and pleasant appearance. The aim is a natural relaxed look rather than a startled one. This treatment is extraordinarily safe. Millions of people have been treated and had excellent results. Side effects are minimal and rare. The procedure takes minutes to have done and there is no downtime.

Treatment options:

  • Botox Cosmetic

  • Botox for Migraines

  • Botox for Hyperhidrosis (excessive sweating)

$9 per unit

Cosmetic Fillers

HA Fillers — Juvederm® | Restylane® | Teoxane® | Revanesse®

Cosmetic fillers are a non-surgical, minimally invasive, medical treatment that uses a gel-like injected into the skin to correct creases, wrinkles, and folds associated with aging. They also add volume and definition by altering contours to regain a more youthful appearance.

Injectable hyaluronic acid (HA) is a type of temporary dermal filler. Hyaluronic acid is a naturally occurring sugar found throughout the body, with the highest concentrations in the joints, eyes, and skin. In the skin hyaluronic acid attracts water, which allows the skin to become more hydrated, but, as we age, the fat, muscles, bone, and skin in our face begins to thin. This loss of volume leads to either a sunken or sagging appearance of the face, fine lines, wrinkles, folds, and thin lips. Injectable HA is used to keep our skin hydrated and to create volume through its ability to bind water molecules— reducing the appearance of fine lines and wrinkles, facial folds, and creating structure, framework, and volume to the face and lips.

The effects of injectable hyaluronic acid are seen immediately, and also improve months after injection due to the increase in hyaluronic acid production in the treatment area. Injectable HA fillers are not permanent and retreatment is needed to maintain your results, they can last around 9-24 months (depending on the area treated, composition, and patient characteristics). Injectable HA can help volumize cheeks, smooth smile lines, smooth lines around the mouth, plump the lips, define the chin, improve the jawline, or improve the appearance of undereye hollows.

At Esteem we strive for natural-looking results, taking into account static and dynamic facial movement. The products we carry are chosen specifically to seamlessly follow the movement of the face and enhance an individual's unique natural expressions without erasing what makes them who they are. During your consultation, Dr. Jezdic and her expert team of nurses use a holistic approach to determine what type of treatment is right for you.

Generally, cosmetic fillers fall into two categories:

  • Rejuvenation — This is when fillers are used to replace lost volume and return the face to a previously more youthful state by filling in fine lines and wrinkles.

  • Enhancement — When fillers are used to enhance areas of the face such as the cheeks, nose, tear troughs, or lips to balance the facial shape and add extra volume. Cosmetic fillers can be used for the beautification of the face by improving facial proportions, this is done to create a more defined and contoured look by adding small amounts of filler in the correct places.

$349.00 1/2 syringe $549.00 full syringe

BioStimulators — RADIESSE® | Sculptra®

Biostimulators are dermal fillers that promote the body’s natural production of collagen and elastin over a period of several months. The fillers themselves act as tiny scaffolds for these substances, which add volume to treatment areas and help reduce the appearance of lines and wrinkles with improvement of the skin in the area overlying the injection site.

Unlike HA fillers which are used to rehydrate and create volume, biostimulators work by stimulating new tissue growth, boosting your body’s natural production of collagen for natural-looking and prolonged results as the newly produced collagen is permanent. Stimulation of collagen can help tighten or at the very least maintain your skin’s turgor & tensile strength — this prevents skin laxity & skin sagging. The visible results of biostimulatory injectables last 12 to 24 months, therefore requiring less maintenance than HA fillers.

Both calcium hydroxylapatite (CaHa) and poly-L-lactic acid (PLLA) fillers are considered biostimulators. The most popular CaHa and PLLA brands are Radiesse® and Sculptra®:

  • Calcium hydroxylapatite, or CaHA, is what makes Radiesse unique as an injectable aesthetic treatment. It’s the first and only CaHA injectable available that provides both immediate, natural-looking results and long-term improvement—a year or more in many patients. Radiesse provides immediate contouring plus stimulation of collagen and elastin production that contribute to the skin’s strength and elasticity. Unfortunately, aging and environmental factors (think sun damage) make it harder for your body to produce these components. Reduced amounts of collagen and elastin can cause facial skin to wrinkle and sag, stealing from your youthful appearance.

    Upon injection, the Radiesse CaHA gel matrix provides immediate improvement, CaHA particles then integrate into your skin and create a “scaffold” that stimulates the production of collagen and elastin. As the gel carrier breaks down, a firm network of collagen fibers forms, smoothing lines and promoting renewed skin structure. Radiesse results are visible immediately and full results will appear within a week of treatment, some individuals enjoy long-term results for up to two years before repeat procedures are required.

    Treatment areas:

    • Lower face— including pre-jowl folds, chin wrinkles, smile lines, corners of the mouth, marionette lines

    • Jawline— effective improvement in moderate to severe loss of jawline contour

    • Neck & Décolletage— smoothen your skin, eliminating wrinkles and restoring skin elasticity, as well as reducing the appearance of horizontal lines on the neck

    • Hands— (most popular) as you age, your hands lose fat and elasticity and your skin loses volume, causing translucent skin that wrinkles and develops age spots. Radiesse can help restore volume loss and minimize the visibility of veins and tendons.

    Call for pricing

  • Sculptra addresses an underlying cause of facial aging, not just the symptoms. Sculptra is made with a biocompatible, biodegradable, synthetic material called poly-L-lactic acid, which is gradually and naturally absorbed by the body and helps to rebuild lost collagen through a series of treatments. Sculptra works with your body within the deep dermis to help revitalize collagen production and restore your skin’s inner structure and volume to diminish facial wrinkles.

    Over time, Sculptra helps the body reproduce lost collagen. The number of injection appointments and the number of injections per appointment vary from person to person, depending on how much collagen has been lost. On average, three injection appointments are needed over the course of 3-4 months, to maintain results we recommend that you repeat the procedure every 2 years. During your consultation, Dr. Jezdic will determine if you are a good candidate for Sculptra and discuss your desired goals to create a customized treatment plan.

    Sculptra is injected into various areas of your face and body:

    Face:

    • Hollow temples— to re-establish upper face dominance lost with aging

    • Hollow cheeks and softening high cheekbones

    • Lines forming around the nostrils (nasolabial folds)

    • Midface

    Body:

    • Buttocks & Hips — (most popular) enhancement and lifting, helps to elevate recessed areas of skin (cellulite dimples) and redefine or soften contours (hip dips) as well as create more volume

    • Saggy underarm skin

    • Wrinkly skin above the knee

    Call for pricing

PRP (Platelet Rich Plasma)

Platelet-rich plasma (PRP) therapy is a form of regenerative medicine that harnesses and amplifies the natural growth factors found in our blood cells to help heal damaged tissue. Unlimited clinical applications and long history as a safe, low-risk autologous treatment have contributed to its increasing popularity for people looking for a more natural treatment.

Platelet-rich plasma (also known as PRP) is blood plasma containing a high concentration of platelet. Platelets (also called thrombocytes) contain clotting and numerous growth factors, vital for tissue regeneration and repair which helps to stimulate new collagen. The growth-promoting properties can be leveraged to accelerate the repair of aged and damaged tissues, with common applications including facial rejuvenation and hair loss. Only pure and highly concentrated PRP can release the quantity of growth factors required to stimulate cellular regeneration. At Esteem, we use World PRP, an innovative and unique PRP collection system that extracts pure, concentrated, and unique platelets in high quantities that can be customized to esthetics and medical treatments.

PRP treatments are done by spinning a small volume of the patient’s own blood through a centrifuge. This separates and concentrates the blood’s components, including platelet-rich plasma and the “buffy coat,” a solution that contains immune cells. The provider combines these two components with a small amount of calcium chloride (which activates and keeps the PRP stable), then injects them into the treatment area. Over a period of months, PRP stimulates the body’s natural collagen production.

Injectable PRP can be done in multiple areas of the face and body to stimulate tissue regeneration:

 

  • PRP injections in the under-eye area (administered by our medical professionals) can treat fine lines and wrinkles and dark circles by stimulating new collagen production for optimal rejuvenation. The skin in the undereye area tends to be sensitive and thinner with less fat underneath it, meaning it is more delicate than the skin on the other parts of your face. These factors mean that the eye area is often the first to show signs of aging and fatigue. PRP under-eye treatment is an excellent way to treat dark circles, tighten loose skin, and increase blood flow to this region. Treatment is typically done in 3 cycles once a month and results generally last up to 1-2 years, maintenance is recommended every 6 months.

    Fotona SmoothEye with PRP — A non-ablative laser treatment that is used to tighten loose and aging skin of the eyelids and periocular region. The intense, controlled surface tissue heating stimulates collagen remodeling and initiates neocollagenesis. Many clients see an instant improvement due to stimulated collagen contraction, but these will continue to develop, with optimal results visible after 3-4 months. Combined with PRP undereye injection, delivers amazing results — helping reduce healing time significantly and promoting increased tissue restoration and collagen production in the area.

    What about HA Fillers?

    The undereye area is delicate which is why we promote PRP undereye injections over the use of HA fillers. Some people are not candidates for HA filler, for example, someone who is older with larger bags, lots of excess skin, pigmentation, and/or very thin skin, injecting HA filler can actually worsen these attributes. HA fillers can sometimes refract light beneath the skin, giving the under-eye area a blue tint (called the Tyndall effect). Rather than volumizing the under-eye area with HA filler, PRP simply encourages your skin to rejuvenate itself by generating collagen, elastin, and natural hyaluronic acid. While it does take longer to see results, PRP is a safer and more effective long-term treatment than HA fillers in most patient circumstances.

  • A scar is composed of fibrous tissue and may be formed for many different reasons, including as a result of infections, surgery, injuries, or inflammation of tissue. PRP therapy is an innovative treatment option for scarring that can help enhance and improve the appearance of skin by healing the scars and improving circulation. Scars can be treated with PRP injections or in combination with other treatment therapies like microneedling, RF microneedling, and fractional resurfacing.

    • Acne Scars (atrophic scars) — Pitted or indented scars that occur when your skin heals below the normal layer of skin due to a lack of regenerative tissue. PRP has efficacy in the management of atrophic acne scars. It can be combined with microneedling to enhance the final clinical outcomes in comparison with microneedling alone.

    • Keloid Scars — Generally caused by skin tissue growing over inflammation and are considered permanent making it the most challenging type of scar to treat. PRP has been proven to aid and repair scar formation and has been used to advance keloid treatment.

    • Hypertrophic Scars — PRP has been shown to help with wound healing and the appearance of hypertrophic scars. When combined with a specific type of laser, the scar’s color, shape, and texture improve dramatically.

  • Many global studies prove that PRP therapy is considered one of the most successful non-surgical hair loss treatment methods. PRP treatment is considered safe and highly effective in preventing hair loss and hair thinning and also works to regrow hair and promote thicker, healthier hair growth. There are various types of hair loss conditions that can occur, which can cause the hair follicles to become weak and inactive. It is injected superficially into the affected areas using our V2 injection machine which uses ultra-fine needles to evenly distribute PRP across the scalp. A series of 4-6 treatments can help achieve real PRP hair treatment results, and you'll be able to enjoy new hair growth for about 18-24 months. Since PRP is not permanent, touch-up treatments are recommended once a year.

    Fotona Hair Restoration with PRP — Non-invasive laser treatment that is an effective method of treating hair loss disorders. This innovative solution is focused on stimulating dormant hair follicles to promote hair growth. The laser gently delivers laser light to the tissue, triggering the scalp in a safe and controlled way, resulting in increased tissue regeneration and the promotion of new follicle growth. The addition of laser treatments spaced at intervals between sessions of PRP stimulates more blood flow and cell turnover, which brings oxygen and nutrients that fuel healthy hair regrowth. The combined treatments have been proven effective on patients experiencing hair thinning or loss of hair within the past few years as a result of weak or dormant follicles. Fotona Hair Restoration offers a safe and painless enhancement to the benefits of your PRP Hair injections.

  • Applied topically to treatments, PRP can improve end results by using your own body’s nutrients to heal compromised tissue. PRP can help treat tired and dry skin, improve the laxity of skin, eliminate pigmentation, and enhance overall skin texture and tone. Below are treatments we offer at Esteem that incorporate PRP:

    Microneedling with PRP — Widely known as the "vampire facial" frequented by many celebrities, it works to regenerate and revitalize the skin, reduce fine lines and wrinkles, and improve overall skin texture. PRP is applied topically during the procedure to allow the high concentration of platelets to enter the superficial layers of skin.

    V2 Champagne — Superficial injections of PRP and Redensity 1 skin booster mixed together to stimulate collagen and elastin, thicken and tighten skin, while also smoothing out wrinkles and fine lines. Incorporating PRP improves the longevity of results, as collagen production can continue for up to 12 months post-injection.

    Venus Viva with PRP — MD Fractional RF in combination with PRP allows for the introduction of platelet-derived growth factors to the area of concern which boosts collagen and elastic tissue formation (reducing the appearance of scars), helping to give a far more superior end result

    Pixel & Fotona Fractional Skin Resurfacing with PRP — Laser pulses create tiny ablative micro-injuries to the skin without damaging the surrounding tissue, to trigger your body’s natural healing processes and stimulate the production of new collagen. Studies have shown that combining PRP with fractional ablative laser treatment resulted in marked improvement in the appearance of acne scars. PRP can help accelerate skin recovery, added collagen production, and improve the longevity of results.

    (read more about these treatments under skin therapies)

$250.00 for treatment add-on. $500.00 for injections and hair

PRO TIP: If you are receiving a skin therapy treatment that includes PRP, you can add on PRP injections for $150.00

Facial Contouring

Silhouette InstaLift® threads

Silhouette InstaLift® threads are a non-surgical, in-office procedure that uses dissolving thread sutures applied deep to the skin to reduce the appearance of aging skin to the mid-face or jawline area. It is only non-surgical rejuvenating procedure that uses advanced Micro-Suspension Technology™ to offer immediate and lasting results— up to 2 years. Threads are made from poly lactic-co-glycolic acid (PLGA), a well-known biomedical copolymer that is biocompatible and biodegradable, that feature hand-tied knots and bi-directional cones. These absorbable sutures lift sagging lower face skin and reposition the fat pads that have shifted downward by manual lifting via its bi-directional cones. Not only do Silhouette InstaLift threads provide immediate lifting of sagging aging skin in the mid-face area, they also gradually restore volume and reposition skin by stimulating new collagen production for a more youthful appearance that continues to improve over time.

BELKYRA® — Liquid Lipo

Belkyra® (also known as Kybella®) is a revolutionary new treatment that destroys fat cells. The active ingredient in Belkyra is called deoxycholic acid, which is a naturally occurring molecule in the body that assists with metabolism and the breakdown of fat. Belkyra works by disrupting the cellular membrane of fat cells, causing apoptosis or cell death to occur. The dead cells and fat are then cleaned out of the area by your body’s own waste-removal system over time.

As a treatment, Belkyra is injected into the submental fat beneath the chin (double chin) destroying fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal. Belkyra is only approved for localized fat removal and may require a number of treatments to achieve the desired results.

The entire procedure takes about 15 to 20 minutes and is very comfortable for the patient. Results are seen around 2-3 months and most patients will require 2-4 treatments (spaced 4-6 weeks apart) to achieve their desired results— once achieved, re-treatment is not expected. Since everyone's chin profile is different, the number of treatments varies from patient to patient. During your consultation, Dr. Jezdic will help determine how many treatment sessions you need based on the amount and distribution of your submental fat and your personal treatment goals. Downtime is minimal and you can experience some swelling, bruising, tenderness, or numbness under your chin that can last around 1-2 weeks. Overall Belkyra is a wonderfully effective and a less invasive, non-surgical option for treating the chin area.

Starting at $500.00