Aesthetics and Facial Fillers

  • Xeomin (botox) injections (frown lines, crows feet, etc)
  • Lip injections (hyaluronic acid fillers)
  • Facial and hand dermal fillers (hyaluronic acid and calcium hydroxyapatite)
  • Microneedling with growth factor or PRP (vampire facials)
  • PRP miceoneedling for hair restortaion and rejuvenation
  • Chemical peels (medical-grade)
  • Infrared Sauna
  • Vaginal rejuvenation and the O-shot

Over the years, our skin changes in tone and texture. The natural foundation of our tissues loses its elasticity, causing fine lines and wrinkles to slowly appear. With the loss of collagen and elastin, tissues will no longer bounce back, instead becoming lax and lifeless. Along with these changes may come dark, ‘hollow’ areas beneath the eyes and along the cheekbones. Coupled with the effects of sun damage, smoking, stress, pollutants, and genetics, these early signs of aging are impossible to avoid.

While there is no substitute for a healthy diet and good skincare routine, there is a simple, noninvasive way to temporarily improve the appearance of age related wrinkles and volume loss: dermal fillers. These injectable formulations are made from naturally occurring, biodegradable substances like Hyaluronic Acid (HA) and Calcium Hydroxyapatite (CaHA). The benefits of fillers can be seen immediately, and depending on the treatment area, can last from six months to two years.

Dermal Fillers Can Improve:

  • Fine lines
  • Deep wrinkles
  • Nasolabial Folds
  • Marionette Lines (between mouth and chin)
  • Nasolabial Folds (between the nose and mouth)
  • Volume loss in cheeks, jawline, and under eyes
  • Smoker’s Lines (fine lip lines)
  • Thinning lips
  • Scars from acne or trauma

Types of Dermal Fillers:

Today, there are many soft tissue fillers, approved by the Food and Drug Administration (FDA), available from experienced aesthetic providers. These injectable are considered safe and effective for treating static wrinkles, or facial lines caused by a loss of tissue elasticity, as well as scarring from acne or injury. Varying size molecules and consistency make some fillers better at replacing volume along the cheeks, jawline, and the lips.

Soft tissue fillers made from Hyaluronic Acid are among the most popular. As HA is a natural building block of healthy skin, these fillers provide structure and shape to targeted tissues. The HA pulls water from surrounding tissues to plump wrinkles and facial crevices.

Choosing the Correct Filler:

If you are struggling with the early signs of aging, such as fine lines, deep creases, ‘hollows’ under the eyes and across the cheekbones, or diminishing lips, a dermal filler may be the perfect treatment. Taking less than an hour in the office, and requiring no downtime, fillers are a convenient ‘lunchtime lift’. Best of all, the results are temporary, but can easily be maintained with a repeat treatment once the benefits start to fade.

For those in the Tampa-area, Dr. Deepa Verma is a double board-certified family medicine and integrative holistic provider. Dr. Verma has extensive experience in aesthetic care, including the most cutting-edge application of dermal fillers. Treating the whole patient, not a single symptom, Dr. Verma can create a treatment plan that provides both short-term and long-term results.

Contact Synergistiq Integrative Health at 727.754.2936 for additional details on the available dermal fillers, or to schedule a private consultation with Dr. Verma. For more information on any of the integrative options available from Synergistiq Integrative Health, fill out our online contact form, and a patient coordinator will get back to you shortly.

FAQ’s About Derma Fillers


    A: Soft tissue fillers are a group of injectables, created to address winkles, facial lines, and volume loss. Applied with a tiny needle, directly under the skin, the results from fillers are generally immediate. Depending on the patient, the treatment area, and the type of filler used, the results can last from six months to two years.

    A: Soft tissue fillers are made from several different, biodegradable substances. Hyaluronic Acid fillers are popular for treating fine static lines and deeper creases. Fillers can also be made from Calcium Hydroxyapatite (CaHa) and Poly-L-Lactic Acid. At your confidential consultation at Synergistiq Integrative Health, Dr. Verma will determine the best filler choice for your situation.

    A: Soft tissue fillers come in a variety of formulations, with different size molecules, each designed to treat different areas of the face. Fillers are a good choice for facial lines and creases such as Marionette Lines and Nasolabial folds, acne and trauma scarring, and Smoker’s Lines. Fillers can also replace volume along the cheek bones and jawline, and plump the lips.

    A: The ideal candidate for soft tissue fillers will be in generally good health, understand the filler process, and hold realistic expectations for the final results. Those who are pregnant, nursing, or with certain skin infections may be asked to postpone their filler treatment.

    A: Dermal fillers are considered a safe option for the treatment of age-related wrinkles and volume loss. Side-effects include mild swelling, redness, tenderness, and bruising. More serious complications are rare, but can include facial asymmetry, nerve damage, and infection. Dr. Verma will discuss your chance for complications following a filler treatment.

Botox and Xeomin

Aesthetic medicine has evolved over the years, and today, patients can achieve results with minimally-invasive treatments that were once only possible with plastic surgery. Performed in the office of a plastic surgeon, dermatologist, or medical spa, cosmetic injections are an effective solution for certain facial concerns. There are two main types of injections: products that fill in fine lines and deeper folds, and products that affect muscle activity to ease wrinkles. Fillers are used to plump areas of the skin and restore lost volume, while products that affect the muscles work below the skin to prevent muscle movements that form wrinkles. Botox and Xeomin are safe forms of a neurotoxin that effectively halt wrinkles in place through controlled injections, smoothing out areas of skin and refreshing the patient’s look.

Botox contains botulinum toxin A as well as a preservative protein ingredient. Patients can undergo FDA-approved (2002) cosmetic injections to smooth wrinkles in the forehead, around the eyes (the crow’s feet), and between the eyebrows or glabellar (frown) lines. Botox vials must be refrigerated to maintain their freshness. This is an extremely popular treatment with a long history of safety and excellent results.

Xeomin, which is referred to as a “naked injectable” due to its lack of additives, contains botulinum toxin A. Because of this, it is also seen a purer form of the medicine. The effects of the treatment may develop more gradually over a period of days. Xeomin is FDA-approved (2011) to treat wrinkles between the eyebrows. Though rare, if a patient ever develops any sensitivity to the ingredients in Botox, they may be able to benefit from Xeomin injections instead. Over time, some patients develop immunity to the effects of Botox injections, and may then undergo Xeomin injections in their place to maintain results. Xeomin does not require refrigeration of the vials, so patients may find the procedure slightly more comfortable as the product will not be chilled. Botox may cause initial tightness with the onset of its effects, but Xeomin does not have this same side effect.

The cosmetic effects of the injections generally last between 3-6 months. While the injections may be intended for certain uses, most offices find off-label uses safe and effective for their patients. Both Botox and Xeomin are also approved for medical uses like muscular issues and spasms.

FAQ’s About Botox and Xeomin Injections


    A: While both types of injections work by blocking muscle movement that causes wrinkles, Botox contains an added protein. In many cases, the injections can be used interchangeably. If patient’s facial muscles become immune to the effects of Botox injections, Xeomin may be substituted in its place for continued injection treatments. Some patients report more physical symptoms with Botox injections, like tightening of the injection sites.

    A: Most practitioners agree that patients notice the same improvements with both types of injections, and the results are not distinguishable. The most important factor in the outcome of the treatment is choosing a skilled practitioner to administer the injections.

    A: Yes, Dysport injections are also composed of botulinum toxin A, and causes muscle relaxation in the face. The results from Dysport are said to be the same as those from Botox and Xeomin, though it continues to be studied. In the next few years, there are expected to be other anti-wrinkle injections available for cosmetic use.

    A: The effects of Botox and Xeomin injections in the face will be visible for between 3-6 months. Treatments can be repeated to maintain results.

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