Indications
 Sun. Age. Stress. All of these factors can cause fine lines and wrinkles to develop around the eyes, forehead, cheeks and neck. Frown lines can add years to a face and create the appearance of being tired or angry. Patients who wish to eliminate these slight imperfections can opt for the non-invasive results offered by injections. Most patients are delighted with the instant results and little to no downtime involved in these procedures.
At Iowa City Plastic Surgery, helping our patients look and feel their best, while receiving the highest level of guidance, education and care is our primary mission. In addition to our traditional plastic and reconstructive surgery techniques, we are proud to offer our patients the remarkable, non-invasive benefits of today’s most effective injections and fillers. Both Dr. Cram is board certified in plastic surgery with expertise in proper application of Botox®, Restylane® and other injectable fillers and skin regeneration treatments. During an initial consultation, we will discuss your injection options and help you determine which course of treatment is right for you.
BOTOX® - Restylane® - Juvéderm
Radiesse - Costs
BOTOX®
 BOTOX® is a purified form of botulism toxin most commonly used (and FDA-approved) to treat frown lines, forehead creases, crow’s feet and platysmal bands (wrinkles of the neck). It is injected into these areas using an ultra thin needle that provides a minimal amount of discomfort, if any. Treatment of BOTOX® in these areas causes underlying muscle to relax, giving a smoother, younger looking appearance that is noticeable within 48-72 hours, and continues to improve over the next 7-21 days.
With BOTOX® injections, there is minimal pain, discomfort or downtime. Many patients come to Iowa City Plastic Surgery on their lunch hour for BOTOX® and return to work immediately following the procedure. Although it is very rare, there are possible side effects, including mild discomfort, bruising or swelling at the injection site. Immediately following BOTOX®, you will be asked to refrain from rubbing or massaging the injection site to ensure proper filtration of BOTOX® into the desired muscle tissue. We ask that you also remain upright so the BOTOX® does not spread to unwanted areas of the body.
The positive effects of BOTOX® will remain for around 3 months depending on the amount of wrinkles, age of patient and amount of injections given. Most BOTOX® patients will have injections performed 1-3 times per year to maintain their youthful appearance.
Click here for more information on BOTOX® Cosmetic.
Restylane®
 Restylane® was recently approved by the FDA for its use as a cosmetic dermal filler to help correct and fill in facial wrinkles and folds, such as nasolabial lines. It is safe and natural, and is not derived from either rooster-derived hyaluronic acids or bovine collagen products. It is made from hyaluronic acid, which is a natural substance found in the human body. Because it is completely natural, Restylane can be used without allergy testing required with some of the other injections.
As with the other the other non-invasive injection treatments provided at Iowa City Plastic Surgery, Restylane offers immediate improvement and very little downtime or discomfort. Restylane patients often stop by on their lunch hour and are back to work right after the treatment. Restylane is particularly effective in the treatment of moderate to deep wrinkles and folds of the skin and can dramatically improve laugh lines and wrinkles around the nose and lips.
Click here for more information on Restylane®.
JUVÉDERM ® Injectable Gel
 Juvéderm is an injectable gel that gently reverses many signs of aging in the face, including fine lines and wrinkles, crow's feet, thinning lips and loosening skin. It can also "plump up" the lips, sculpt the cheeks, and restore a youthful oval shape to the face. It is made with hyaluronic acid, a natural substance found in the body that works with collagen and elastin to give volume and support to the skin. Because it is non-animal-based and highly biocompatible, no pre-treatment testing is needed. Juvéderm comes in three formulas optimized for the depth of the area being treated. Results last about 6-9 months and can be made to last even longer with a simple follow-up treatment a few weeks after the initial injection.
Click here for more information on Juvéderm®.
Radiesse™
 Radiesse™ is a synthetic injectable filler that reduces wrinkles, creases and scars by augmenting the body’s natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse is made from the same minerals found in our bones, so it carries little risk of allergic reaction. Radiesse can be used on many areas of the body, including the lips, nasolabial folds, peri-oral lines, depressed scars and oral commissures.
Treatments typically take 15 minutes and require only local anesthetic. Side effects such as swelling or bruising are minimal and should fade within a few days. Results are visible immediately after the injection and can last for months or years, although the procedure can be repeated as often as you wish.
Click here for more information on Radiesse™.
Costs
The cost of the injections will depend on which treatment is right for you, and how complex the injections will be. The patient is usually given the information on cost at the time of the first consultation.
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