The Hidden Dangers of Permanent Fillers

All permanent fillers have three major risks:

formation of permanent granulomas/nodules

migration the inability to be removed without surgery if you are having problems or do not like the way they look



    "Will I feel frozen after the treatment?"

NO.The medication does not change the sensation of the skin


"Are Botulinum toxin injections addictive?"

It is NOT the case.You get about as addicted to botulinum toxin as you do to your hair color. Just as when you start to see your root color come back you get a "touch-up";similarly,when your wrinkles come back you get a touch-up.


"How much time takes for botullinum toxin to take full effect"

it takes forty-eight to seventy-two hours before the effect starts to take place, and the full penetration of the botulinum toxin can take up to one week. Sometimes a touch-up may be necessary to even the result at one week post treatment.


"Will I be able to laugh,smile,or frown after the Botox treatment?"

Yes,you will be able to do all that ,but without the wrinkles


"What is the duration of the  Botox effect?"

Between two to three month,and long term maintenance can be achived by repeated treatments.



There is a number of injectable treatments that have become available in the recent years.

They have given our patients the freedom to rejuvenate their appearance while continuing to work and engage in their personal lives, as there is essentially no downtime.

The use of  combinations of injectable treatments can create results that are similar to more invasive surgeries like a facelift, eyelid lift, or rhinoplasty: that is why they are commonly referred to as Liquid Facelift,Nonsurgical Eyelid Lifts, and Nonsurgical Nose jobs.



Injectable treatments are true medical procedures and should be performed by an experienced physician with detailed knowledge of facial anatomy.A consultation with the doctor will provide you a detailed analysis of your face and a careful review of your goals.


There has been a revolution in the number of temporary injectable fillers with the different types of molecules to inject, but the main categories of temporary fillers are hyaluronic acid, hydroxyapatite, poly-L-lactic acid and collagen.


Temporary Wrinkle Fillers.

Hyaluronic acid (HA) is a sugar-based gel that injected to diminish folds and wrinkles.

Juvederm and Restylane are the two most popular HA based dermal fillers in United States.Doctor Elena has been using both with great results for 9+ years.

The duration of effect from HA fillers ranges from three month to one year in most cases.


Biostimulators have the added ability to stimulate new collagen over time. One such material is Radiesse (calcium hydroxyappatite) which is made from the same mineral substance as our bones.The mineral particles of Radiesse is more supportive than hyaluronic acid.

 Sculptra Aesthetic is a treatment approved by the FDA for restoration and/or correction of the signs of facial loss.It is not a wrinkle filler, but a bio-activator and volumizer. While the longevity of this treatment is the best of all the injectable treatments, there are drawbacks. Sculptra Aesthetic requires three separate injection sessions instead of one, so there is a greater financial investment up front.



Wrinkle Relaxers: What botulinum Toxins Do.

Botulinum toxin is a medication injected into the muscles that works by blocking the nerve impulses to the wrinkle-producing muscles so they would relax..As the result, the overlying skin will be smoother. It's also prevents for the deeper wrinkles to appear. The untreated muscles will allow for normal facial expression to remain unaffected.Doctor administer very precise injections into the areas selected for treatment.The treatment is simple and with minimal discomfort-clients often get treated during their lunchtime-and they can immediately resume normal activity.


Forms of Botulinum toxin

There are three main forms of Botulinum toxin:Botox, Dysport and Xeomin which referred to as Botox Cosmetic's twin or first cousin.




Dr. Elena Blackburn is very knowledgable.

I got Botox from her and she did an amazing job. I will definitely be going back!

Nichole O.

Eugene, OR




1. Procedures in Cosmetic Dermatology J Dover,M Alam, A and J Carruthers ,Botulinum Toxin,2nd ed 2008


2. A Benedetto, Botulinum Toxin in Clinical Dermatology,Dermatologic SurgiCenter, Informa Healthcare,2006


3.Procedures in Cosmetic Dermatology J Dover,M Alam, A and J Carruthers ,Soft Tissue Augmentation,2nd ed 2008


4.Andre,MD ,Azib,MD,Berros ,MD Anatomy and Volumising Injections