Fillers: What to Know Before You Go


Fillers: What to Know Before You Go


Has your face lost the youthful plump and volume it once had? Have lines and wrinkles replaced your skin’s supple glow? Well, the good news is, you’re not alone.

As we age, we lose collagen and fat, which ultimately causes our faces to droop. And if you’re like the 2.6 million people in 2018 who were looking for a solution to the natural effects of aging, you might find yourself looking into fillers.

What Are Fillers?

Face fillers, also known as dermal fillers, are gel-like substances (often hyaluronic acid) that are injected beneath the skin to reduce fine lines and wrinkles that form as we age. This cosmetic injection is a non-surgical solution that also restores facial symmetry and plumps up areas suffering from age-related volume loss.

As with any cosmetic treatment, results do vary, but many patients enjoy natural-looking results with no downtime. Depending on what you’re targeting, fillers can help:

  • Plump thin lips
  • Soften vertical lip lines
  • Enhance shallow contours
  • Fill in acne scars
  • Fill in under-eye hollows
  • Soften glabellar lines
  • Soften nasolabial folds
  • Volumize pre-jowl depressions
  • Lift, contour, and restore volume to the cheeks

You may be thinking, “Oh, that sounds like Botox!”— but the mechanism of action for dermal fillers and Botox are very different. Botox simply “freezes” muscles to reduce wrinkles, rather than actively smoothing skin and wrinkles like fillers.

That said, fillers can be used along with Botox or similar neuromodulator treatments to achieve a more specific facial rejuvenation.

Who Should Get Fillers?

How do you know if you’re a good candidate for fillers? We’ve already mentioned the tell-tale signs, but it’s best to schedule a consultation with a board-certified dermatologist who understands the anatomy of the face before making an appointment.

Do Filler Injections Hurt?

You may experience some slight discomfort as the injection enters the skin. What certainly doesn’t hurt are these benefits:

  • Immediate and visible results in the target area
  • No recovery or downtime
  • Minimal risk (risks do include redness, swelling, mild bruising)
  • Lasting results for up to 6 to 18 months
  • An instant confidence boost!

Do’s and Don’ts of Fillers

Did you finally set your appointment? Let’s run through the do’s and don’ts of fillers, so you know how to properly care for your skin before and after the procedure.


  • Tell your dermatologist if you’re pregnant or planning to become pregnant
  • Let your dermatologist know if you have a history of cold sores if you want lip fillers
  • Apply arnica topically and continue to take oral arnica at home to help reduce bruising
  • Eat pineapple after getting fillers to help with bruising
  • Put an ice pack on the injection site to help with swelling
  • Take acetaminophen or antihistamines to help reduce swelling and itching
  • Use caution when applying sunscreen and makeup to the area


  • Exercise for two days after the procedure or wait until the swelling subsides
  • Rub the treated area unless instructed
  • Itch or pick around the injection site
  • Apply intense heat to the treated area (i.e. hot tubs, saunas, sunbathing, tanning)
  • Drink alcohol the day of the treatment and try to avoid drinking for the two days following the injection

If you’re ready for a personalized consultation about dermal fillers, contact Windsor Dermatology today, and learn more here in the meantime.

Botox: Why It’s So Popular And Who Might Want It

Botox: Why It's So Popular and Who Might Want It

While we may gain wisdom with every year that passes, many of us would prefer to avoid some of the other “gifts” that come with age. The frown lines. The crow’s feet. The forehead creases.

Botox has become one of the most popular cosmetic treatments in the world for women and men seeking to diminish the appearance of these natural formations.

In fact, the American Society of Plastic Surgeons reported that Botox use increased by 819 percent between 2000 and 2017. And this upward trend in minimally invasive procedures shows no sign of stopping.

What is Botox?

Botulinum toxin therapy, or Botox, is derived from Clostridium botulinum bacteria, found in soil, forests, and lakes. When used in a professional setting as a cosmetic injection, only a minimal dose of the toxin is used, making it very safe (and, of course, FDA approved).

This neurotoxin injectable paralyzes the muscles underneath your skin. As an injectable neuromodulator, it relaxes nerve-muscle imbalance, so the muscles stop moving, reducing existing wrinkles and preventing future ones.

The Mechanics of the Face

When you frown, squint, smile, or raise your eyebrows, your nerves release a chemical messenger called acetylcholine at the spot where your muscle cells meet your nerve endings. The acetylcholine then attaches to the muscle cells, causing them to contract. Botox prevents this release of acetylcholine, which stops the muscle from contracting.

So, those deep grooves that years of frowns, squints, and smiles leave behind? The damage caused by free radicals from the sun and the environment? Botox targets those dynamic wrinkles, temporarily diminishing them and rejuvenating your appearance.

The Benefits of Botox

Cosmetic Botox injections work beneath the surface of the skin, temporarily making fine lines look visibly smoother. Specific benefits include:

  • Relaxed scowl lines between your eyebrows
  • Diminished horizontal wrinkles on the forehead
  • Lifted mouth corners, which can turn down with age
  • Softened smoker’s lines around the mouth
  • Reduced crow’s feet (wrinkles around the eyes) 
  • Softened vertical neck cords

While Botox is most often used for appearances, it’s also FDA-approved for medical use. It can be used to conditions that affect the neuromuscular system, including:

  • Hyperhidrosis, an excessive sweating condition
  • Crossed eyes or strabismus
  • Migraine prevention
  • Blepharospasm or eyelid spasms
  • Overactive bladder
  • Cervical dystonia, a neurological movement disorder

There are also increasing off-label uses, such as treating facial redness, psoriasis, alopecia, and the effects of diseases like Raynaud’s disease and Hailey-Hailey disease. 

The Best Candidates for Botox (and What to Expect When You Get it)

The severity of your lines will dictate if the treatment is right for you — not your age. In fact, 64% of plastic surgeons report seeing a rise in cosmetic surgery or injectable treatments for women and men in their early 30s. If you’re experiencing any of the medical conditions previously mentioned, your doctor can help determine if Botox is the right treatment option for you.

Botox injections are a longer-lasting cosmetic solution than creams, serums, and make-up, but they’re not a permanent solution. You’ll start to see results 24 to 48 hours after treatment, with full results reached by 30 days. And while everyone is different, the effects generally last 3 to 5 months. Once they wear off, you’ll be able to contract these muscles again, and the wrinkles will start to reappear. 

The Dos and Don’ts When Getting Botox

Do your research and schedule your Botox consultation and treatment with a qualified, experienced professional. On the day of your appointment, you should avoid the following:

  • Blood-thinning medications (e.g., aspirin and ibuprofen)
  • Fish oil supplements and multivitamins
  • Alcohol

Following your appointment, you can carry on with your routine with some slight modifications. Avoid the following for at least four hours:

  • Make-up
  • Touching or massaging the area
  • Facials
  • Lying down
  • Putting your head down (avoid shoe shopping or bending)
  • Headwear that fits tightly on the forehead

You’ll also need to avoid strenuous exercise for at least 24 hours after your treatment.

Windsor Dermatology is Your Source for Botox

As a cosmetic dermatology clinic, Windsor Dermatology specializes in minimally invasive procedures like Botox to rejuvenate your appearance. To learn more about how Botox injections can help you, call 609-443-4500 to set up a consultation.

Is Botox Right for Me?

Is Botox Right for Me?

Our increasingly virtual world and seeing yourself on Zoom may have alerted you to signs of aging that you’d rather not have, namely lines and wrinkles. For many, Botox can help.

You are a good candidate for Botox if one or more of the following applies to you: You have crow’s feet or worry lines around your eyes. You have moderate to severe frown lines between the brows. You find that your makeup is collecting in facial creases and lines.

Botox is injected into muscles, where it blocks nerve impulses to those tissues. The muscle activity that causes the frown lines is reduced, and a smoother look results. Without a contracting muscle beneath it, the skin has a difficult time wrinkling.

Typically, people will notice a younger appearance without being able to point out that you had a cosmetic procedure done, which creates a more natural, aging gracefully appearance. Some user even select to use Botox BEFORE they develop the early signs of aging to help stave off the onset of wrinkles.

Learn more about Botox >>

Since Botox doesn’t work for all wrinkles, however, you should consult with a doctor first. For example, facial lines that exist when your face is totally relaxed are not very good candidates for Botox. These lines are better handled by the dermal fillers. A dermatologist can help advise you on the best course of action for your specific needs.

Windsor Dermatology is now offering Telemedicine appointments. Call now for a consultation.

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Fight scars, wrinkles and aging with microneedling

Fight scars, wrinkles and aging with microneedling

Looking for a way to improve your wrinkles and fine lines without any down time? Microneedling is a quick and virtually painless procedure that can give you smoother, firmer, and younger looking skin.

Using a wand with a series of very fine needs, your microneedling technician passes the tool over your area of concern. The needles create micro “injuries” in the skin that trigger the body to produce new collagen and elastin to fill the microscopic wound. This procedure has no major side effects and results are typically noticeable in a short period of time. (Though multiple sessions are often recommended for best results.)

Microneedling is proven to diminish the look of surgery and acne scars as well. Stretch marks, too, can be improved with this technique since the procedure breaks down old tissue and triggers the production of new elastin and collagen for healthier skin.

While researching microneedling, you may discover advertising suggesting that at-home products and treatments are the way to go for microneedling. However, like with any skin treatment, you’ll want to trust a professional to do it safely, cleanly, and with the best results.

Want to know more about what microneedling might be able to do for you? Schedule a consultation with the team at Windsor Dermatology. Windsor Dermatology offers in person and telehealth visit options Call us today!

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When Should I see a Professional about my Acne

When Should I see a Professional about my Acne

Adult-onset acne can develop anytime between your 20s to as late as your 50s, and often occurs for people who also had acne during their teenage years.

Majority of people will experience acne at least once in their lives. However, not all acne is created equal. While most cases of acne are treatable at home with good skin care products, there are times when a medical professional should be consulted.

  • When non-prescription treatments have stopped working. You’ve probably tried lots of over-the-counter options. But if something that has worked for you before, no longer is, it may be time to get professional advice.
  • When acne is taking a toll on your self esteem. Acne can affect your entire life, and if breakouts are causing you social or psychological distress, regardless of whether it is mild or severe, then it’s time to go see a dermatologist.
  • When your acne is super painful. If your acne is painful enough that it’s hindering your every day activities or constantly on your mind, it’s definitely worth a trip to a dermatologist to see if anything can be done to reduce the inflammation.
  • When your acne lasts a long time and/or keeps coming back. Cystic acne is caused by bacteria that is underneath the surface of your skin and it gets inflamed. It’s hard to treat because it’s so deep. This is when a visit to a dermatologist can benefit you.
  • When you get a lot of post inflammatory pigmentation and acne scars. If acne leaves post inflammatory pigmentation (or dark marks), or acne scars, even if you haven’t picked at your skin, then it’s time to consult a dermatologist.

Windsor Dermatology offers in person and telehealth visit options. Call today to schedule your consultation.

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New Technology in Port Wine Stain Removal

New Technology in Port Wine Stain Removal

A port wine stain is a benign birthmark that is caused by enlarged capillaries under the skin’s surface. These swollen capillaries produce a light pink to dark-red- violet discoloration of the skin.

Port wine stains can be found anywhere on the body, however, it is common for them to present on the head and neck. Often the biggest problem people with port wine stains experience is low self esteem, and psychological issues due to their negative cosmetic appearance.

The cause of port wine stains is not completely understood by medical professionals. What doctors believe is that port wine stains develop as a result of deficient or absent neurons that would normally regulate blood flow through the skin’s capillaries. As a result, the blood vessels are unable to constrict normally and remain permanently enlarged giving off a pink to red appearance.

In the past, port wine stains have been treated by freezing, surgery, tattooing, and radiation. These treatment options have shown limited success and have been replaced by pulse dye laser (PDL) technology. The laser targets the vessels, and, over time and multiple treatments, causes the birthmark to lighten and diminish in size. Usually a combination of different lasers is needed to significantly reduce the appearance of a port wine stain.

After a PDL session, the skin may look darker or bruised, but this typically lasts only 7 to 14 days. This treatment has also been found to be safe for infants, toddlers, and children.

Call Windsor Dermatology today to schedule your stain-removal consultation.

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Microneedling – Why a Professional is Better than At-Home Treatment

Microneedling – Why a Professional is Better than At-Home Treatment

Though at-home microneedling has been marketed as a safe, easy alternative to using a professional for the procedure, there a number of reasons you really should leave it to the experts.

While both professional microneedling and at-home dermarolling work similarly—creating micro-wounds in the skin’s surface to stimulate collagen and elastin production—at-home devices are simply a needle-studded roller that employs one depth of needles, but professional microneedling uses a hand-held device with mechanically controlled settings that allows the practitioner to reach multiple depths, which typically achieves more optimal results. Going deeper, a professional is able to more aggressively target specific skin concerns including skin laxity, acne scarring, and stretch marks—all which require the use of a deeper needle depth that is not available with at-home dermarollers.

Both at-home and in-office techniques require that you puncture microscopic holes into your skin. Thus, it is important that microneedling be performed in a clean and professional setting. At-home dermarollers are nearly impossible to sterilize completely, which can lead to infection and further scarring. To ensure your treatment is as clean and safe as possible, professionals utilize sterile, single-use tips that are discarded after each use.

Professional microneedling has shown to increase serum absorption by up to 300 percent due to their access to medical-grade skin care products before, during, and after your treatment to maximize your results. 

Want to know more about what microneedling might be able to do for you? Schedule a consultation with the team at Windsor Dermatology. Call us today!

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Juvederm – A Liquid Facelift

Juvederm – A Liquid Facelift

When the reflection in the mirror doesn’t feel like a true reflection of your age (or the age you want to see in yourself), a filler like Juvederm can be a suitable substitute for surgery. Think of it as a liquid facelift.

  • What do you think ages our appearance the most? Is it lines and wrinkles? Discoloration? Sagging skin? Truthfully, it is a combination of all of these factors, but there is one major underlying cause that contributes to the sagging, lines, and wrinkles—a loss of fullness. Think of a youthful face, and you’ll most likely picture a face with full, rounded cheeks. That’s because fat plays a large part in filling out the skin and keeps our faces looking smooth and supple.
  • Juvederm is a collection of fillers designed to be used in different areas of the face. Common areas include cheeks, corners of the mouth, and lips. The main ingredient in Juvederm is hyaluronic acid (HA), a naturally occurring sugar found in the body that gives the skin moisture, volume, and elasticity. As HA gets depleted with age, skin loses volume and wrinkles are more likely to appear. When injected, HA acts like a sponge to attract water into the skin. As a result, it plumps up the area in which it was injected. One advantage of HA-based fillers over earlier options is that because HA is found naturally in the body there’s no risk of allergic reaction. Though not totally painless, most HA fillers are infused with the anesthetic lidocaine to minimize discomfort during and after treatment.
  • Depending on the material (some are thinner and more “flowy,” others thicker, so they can potentially last longer), the effects of Juvederm can last from 6 to 18 months before the body gradually absorbs the material.
  • Expert advice based on your specific needs will help you have the right experience. The team at Windsor Dermatology is ready to help you create a personalized treatment plan. Call today to schedule your consultation.
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Things to Know Before you Botox

Things to Know Before you Botox

If you are contemplating Botox, here are some things to consider:

  • Botox doesn’t actually erase wrinkles. For most people, Botox is more preventative than restorative. Its active ingredient “freezes” facial muscles to keep you from contracting them in ways that deepen lines and wrinkles. That’s why you’re seeing more people getting Botox starting as early as their 20s, when they will need less product. However, it’s never too late to start because patients who already have lines can use Botox to decrease the movement of new lines while also considering adjunct procedures like peels, fillers, and microneedling to remove the current ones.
  • Don’t expect results right away. Botox results aren’t immediate. In fact, you’ll spend the first three or four days wondering if your doctor even did anything. But, come day five, you’ll be wondering why you didn’t try this sooner. Two weeks post-treatment, you’ll be enjoying the full effect of your injections.
  • Botox is temporary. No matter which neurotoxin you try, the results aren’t immediate and they don’t last forever. Results vary depending on each person, their metabolism, how many units the person received, and other factors. Typically results will remain for three to four months. You may find, too, that different parts of your face respond differently due to varying muscle tone. Be prepared for touch ups, adjustments, and regular maintenance once you start.
  • Schedule your procedure with post-care in mind. For about six hours post treatment, you should not exercise, lie down, or take any blood-thinning medications (such as Ibuprofen.) Because of the liquid nature of the combined formula, there is a theoretical risk that the solution could spread or move from the intended location.

An initial consultation is important.  As with any procedure, finding a provider that makes you feel comfortable and, in this case, matches your aesthetic is of the utmost importance. The team at Windsor Dermatology is ready to help you create a personalized treatment plan. Call today to schedule your consultation

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What is a HydraFacial?

What is a HydraFacial?

The HydraFacial is quickly becoming the most popular in-office facial treatments. It has become the go-to facial for everyone from Hollywood celebrities to your Facebook friends because it can address the most common skincare concerns like dryness, acne and signs of aging with little to no side effects.

The HydraFacial is a medical-grade resurfacing treatment that clears out your pores and hydrates your skin. The three-step treatment includes cleanse and peel, extract and hydrate, and fuse and protect.

The HydraFacial treatment starts with cleansing by removing the dead skin cells and excess oil from the skin. Next, a mix of salicylic and glycolic acids are applied to the skin to break up any dirt that’s clogging pores. Then, the HydraPeel Tip is used to vacuum out blackheads, dirt, oil, and impurities, while hydrating, plumping, and nourishing serums are simultaneously applied to the skin.

A HyraFacial treatment can improve your skin in a myriad of ways. Its many benefits include a more hydrated, bright, plump, and clear complexion. One of the many reasons why the HydraFacial is so popular is because there are minimal side effects, and essentially no downtime post-treatment.

One of the HydraFacial’s biggest draws is that the treatment is suitable for virtually any age and skin type — save for a few exceptions. So it’s always best to talk to your dermatologist. Call Windsor Dermatology today to schedule your consultation.

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