Filler Myths: Fact or Fiction

Filler is a popular injectable cosmetic treatment for adding or restoring volume in the lips, cheeks, under eyes, jawline, and more. Board-certified dermatologists, Dr. Mona Foad and Dr. Alexandra Bowles, share the truth behind what you may have heard about filler myths and whether or not it’s fact or fiction.

Dr. Mona S. Foad“One syringe of filler will be enough to treat multiple areas on the face”: Fiction

Dr. Mona: Believe it or not, a syringe of filler usually only con-tains 1 ml of product. In comparison, a ketchup packet contains over 8 ml. For this reason, one syringe of filler does not go that far, especially when trying to restore lost volume in multiple areas of the face such as the cheeks, temples, lips, and more. How many syringes do most people get? That depends on how many areas you want to treat and how much volume loss you may have. If you are nervous and only want to do one syringe, I recommend choosing one area on your face, like your lips for example, to get the best result.

“Fillers replace lost volume that happens as we age”: Fact

Dr. Mona: We naturally lose volume in the face as we age. We lose bone, muscle, and collagen at the same time as our fat pads flatten and shift downward, all of which can cause jowling and a more sunken or hollow look. Fillers can be a great way to immediately treat areas where volume has diminished and to restore a more youthful version of ourselves.

“Most fillers are made up of products that are naturally occurring in your skin”: Fact

Dr. Mona: Hyaluronic acid is produced by our bodies and can be found in areas such as our eyes, joints, and skin. Most dermal fillers are made up of hyal-uronic acid, such as Juvederm Collection, RHA Collection, Restylane, and Belatero. Hyaluronic acid fillers are a great option because they have a very low risk of allergic reactions, due to their natural occurrence in the body. The other benefit of hyaluronic acid fillers is that they are dissolvable, so the treatment can be reversed if necessary. Radiesse, another popular filler, is made of calcium hydroxyapatite, another naturally occurring substance in our skin.

“Filler is unsafe or risky”: It depends

Dr. Mona: Although most filler treatments are safe, with few side effects, complications are possible with any medical procedure, and filler is no different. There are many blood vessels and arteries in the face. If the filler is injected into these areas, serious complications can arise. However, choosing the right provider is the best and most important step you can take to reduce this risk and ensure you have a safe and effective treatment. Ensure that the office you are visiting has a physician on staff who is board-certified in a related field, such as a Dermatologist or Plastic Surgeon.

You also want to ensure that the individual provider who you are seeing has extensive experience and training in not just the treatment, but also on how to handle any complication. At Mona Dermatology, all of our providers hold advanced degrees (such as MDs, DOs, PAs, NPs). They also train for a minimum of six months prior to seeing patients. It is important to ask your provider about these potential risks at your first visit and understand how they will handle a complication in the unlikely event that it does occur.

Dr. Alexandra Bowles
Dr. Alexandra Bowles

“Lip filler will look unnatural”: Fiction

Dr. Alexandra: Filler injections are highly customizable. Results can vary depending on the provider’s technique as well as the patient’s natural lips. Often, individuals you may see with obvious over-filled lips have had multiple syringes placed in the same area over a short period of time. A well-trained provider who is skilled at giving natural-looking results can enhance the shape of your lips in a way that still fits your facial anatomy. We discuss patient expectations and proportions before each procedure to ensure that both myself and the patient are on the same page with regards to shape, volume, and overall look. Additionally, as we age, we begin to lose volume in our face such as the mid face and lips. Filler treatments is a great way to maintain the youthful volume in these areas and continue to age gracefully.

“Filler can correct facial imbalances”: Fact

Dr. Alexandra: Dermal filler treatments are a great way to correct asymmetry and balance facial features. Popular treatment areas for balancing the facial pro-portions include temples, cheeks, chin, jawline, and lips. It is very important to see a provider who can do a full facial assessment. They are able to provide you with a treatment plan that addresses all areas of your facial anatomy. It is always beneficial to see before and after photos of past full-face treatments your provider has given. Providing volume in proper areas can result in a beautiful refreshed result that still looks very natural.

“Filler goes away quickly or stays for a long time”: It depends

Dr. Alexandra: Hyaluronic acid–based dermal fillers, such as Juvederm or RHA, last 6–18 months. Filler is metabolized in the body varies between patients and depends on the area treated and type of filler used. This determines the speed it metabolizes at. For example, filler around the mouth may not last as long as filler in the cheeks. This is due to the properties of the filler and constant movement of the mouth. As a result, it is possible some people may notice their filler results disappearing quicker or lasting longer.

“Filler will make me look frozen”: Fiction

Dr. Alexandra: A common misconception! Fillers add volume to treatment areas, such as the lips, cheeks, or undereye. A filler treatment will not give the ap-pearance of looking “frozen.” Botox on the other hand, is a neurotoxin which temporarily paralyzes or softens muscle movements to relax wrinkles over time. It is possible that someone could get too much Botox. By stopping their muscle movement entirely, which can lead to this frozen look. A well-trained provider utilizes techniques that ensure your muscle movement is appropriately reduced while still maintaining a natural look.

“It’s expensive”: It depends

Dr. Alexandra: Depending on the office where you are being treated, a sy-ringe of filler can range from $600 to $1,000. If you are treating one area, such as your lips, it is possible to only need one syringe. This will leave your final cost of treatment under $1,000. You may need a larger number of syringes when treating multiple areas. Large amount of volume loss you wish to replace may also require a larger number of syringes. If you are considering a filler treatment and are curious about the cost, it is best to have a consultation. At your consultation, your provider can provide you with a personalized treatment plan and estimate costs before beginning.

Take a look at this patient’s results after a lip filler treatment:

Instagram reel. Lip filler. Results. Before and after. Procedure. Mona Dermatology Cincinnati.

Make Your Jawline Filler Last

You just arrived home from your first jawline filler appointment. You can’t stop admiring your side profile in the mirror and are eager to show your new look to the world. Not so fast! If you want to enjoy the maximum benefits of the procedure and maintain your new look, Mona Dermatology recommends some important aftercare steps.

Be Cautious For 24 Hours After Jawline Filler

Our experienced providers will be meticulous while placing your filler to ensure you receive the safest treatment and best possible results. Everyone’s facial structure is different, so precision is key when it comes to building the jawline of your dreams. However, applying pressure to the treated area during the healing process may cause the filler to migrate to other areas around the neck and jaw. Be aware of habits, like resting your chin in your hands or sleeping on your side, for the first 24 hours as this may put too much pressure on the treated area.

Volux Jawline Filler MONA Dermatology Cincinnati

Stay Hydrated

Hyaluronic acid-based dermal fillers work by attracting water molecules from nearby tissues to create a plumping effect in the desired area. Drinking plenty of water after your appointment will maximize the results of your filler, ensuring you get the most out of your treatment. Additionally, the topical numbing applied to the skin during the procedure may cause dryness, so it is important to hydrate your skin with your favorite moisturizer during the recovery period. 

Avoid Excess Salt and Alcohol

Alcohol products and food high in sodium increase water retention and cause systemic swelling — think of the dreaded bloating and facial swelling the morning after dinner and drinks with friends. While fluctuation in water retention is normal, higher-than-average swelling is not ideal after a filler appointment. Your jawline will already be sore and irritated from the treatment, so it’s best to avoid the extra puffiness until the area heals. Instead, drink plenty of water to flush out the excess salt.

Jawline Filler Volux MONA Dermatology Cincinnati

Use UV Protection & Avoid Excess Heat

Although you should be applying sunscreen to your face daily, UV protection is especially important post-filler, since excess UV rays can affect the longevity of your dermal fillers. The damage and inflammation caused by overexposure to the sun stimulates your skin’s healing process. As you shed dead skin cells, the molecules in the filler can be broken down, too. Make sure to wear a topical sunscreen and consider adding a wide-brimmed hat to your daily wardrobe, as well as staying indoors during peak UV hours. You’ll also want to be cautious to avoid extensive heat exposure for 72 hours after your treatment, as it could negatively impact your results or cause excessive swelling.

Schedule a Combination Treatment

It’s good practice to schedule a follow-up appointment for two weeks after your initial treatment. That way, your provider can evaluate how the filler is settling into your face,  even out any asymmetry, or add more product if needed. Many clients also choose to pair filler with other anti-aging treatments — like Botox, microneedling, or chemical peels — to boost their results. 

Lip Filler vs Lip Flip | Which is Right For You?

What is the difference between lip filler and a lip flip?

Lip filler is a hyaluronic acid injectable that adds hydration or volume to your lips. It is a fantastic enhancement treatment that will leave you with noticeable results. A lip flip, on the other hand, involves a Botox injection into your upper or bottom lip, or both. Botox is used to help relax the muscles, allowing the lips to ‘flip’ outward and appear fuller. While lip fillers add physical volume to the lips, a lip flip enhances the shape by relaxing the muscles around the lips, creating a subtle outward curl.

Lip filler vs lip flip, Juvederm, botox, filler

How do you know which treatment is better for you?

Megan, PA-C, suggests that if you are unsure about getting a lip filler treatment, begin with a lip flip. A lip flip creates shorter-term and more subtle results. For these reasons, a lip flip could be a good place to start if you aren’t sure if lip enhancements are right for you. If you wish to add hydration or volume to your lips, Megan PA-C suggests getting lip filler because it provides both these enhancements with longer-lasting results. Additionally, lip fillers can be more versatile in achieving different looks, from subtle enhancement to more enhanced volume, depending on your preferences and goals.

How long do the results last?

Our providers typically utilize hyaluronic acid-based fillers, such as Juvederm or RHA, for lip enhancement procedures. These fillers generally last between 8 and 18 months; however, it is important to note that everyone metabolizes filler at different rates, causing variations in the duration of results. Lip filler touch-ups may be necessary after approximately one year. Alternatively, some fillers, like Bellafill, can last significantly longer (2-5 years). However, these types of fillers are not dissolvable and are used less commonly for lip filler treatments.

A lip flip treatment, on the other hand, typically lasts for about 3-4 months. Since Botox is used to relax the muscles around the lips, the results are temporary and will gradually diminish as muscle movement returns to the area. Some patients may notice their results lessening sooner, as it is a high-movement area with strong muscles.

What do the results look like?

Lip filler results can vary from subtle to dramatic based on the amount of filler used and the patient’s specific goals. Generally, patients can expect plumper, more hydrated lips with enhanced shape and definition. The results are immediately visible, though there might be some initial swelling that subsides within a few days.

A lip flip results in a more subtle enhancement compared to fillers. The lips will appear slightly fuller and more defined due to the relaxed muscles, but without the added volume that fillers provide. The effect is often described as a gentle, natural-looking enhancement. For this reason, it is perfect for those seeking a less invasive option or a trial before committing to fillers.

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Lip filler 

Lip filler results, Juvederm

  BEFORE                                                     AFTER

Lip flip 

Lip flip results, Botox

 

BEFORE                                                     AFTER



5 Lip Filler Myths | Lip Fillers Cincinnati

You may be thinking about getting lip fillers, but the myths circulating social media make you second-guess whether it’s the right decision. Every day, Mona Dermatology’s well-trained providers help people achieve natural looking lips using lip fillers in the Cincinnati Area. We are here to address what is fact and what is fiction when it comes to lip augmentation procedures. 

Fiction: Lip fillers are always noticeable.

Fact: When done correctly, lip filler treatments can achieve natural-looking results.

Strategic filler placement, volume control, and customized treatments are all components of natural-looking lip results. It is important to schedule a consultation (if you’re in Cincinnati, start here!) before receiving lip fillers so your provider knows exactly what you want out of your treatment. Some people want to enhance their natural lips, while others want to create more volume. Sometimes, patients just want to treat the lipstick lines caused by aging. In the right hands, lip filler can achieve beautiful results.

Provider at Mona Dermatology does a lip filler consult in Cincinnati

Fiction: Lip fillers are artificial.

Fact: Hyaluronic acid — used in popular fillers like Juvederm — occurs naturally in the skin. 

Mona Dermatology carries a variety of hyaluronic acid-based fillers, including Juvederm Collection, RHA Collection, Restylane and Belatero. Hyaluronic acid is a gooey component of the extracellular matrix and it is found in human tissue, including skin, eyes, and the fluid and connective tissue between your joints. When you undergo a lip augmentation, your dermatologist is injecting a small amount of hyaluronic-acid-based gel into your lips. Since this substance is naturally occurring, it has a very low risk of causing an allergic reaction.

Fiction: I don’t need a professional. I can do lip fillers at home. 

Fact: Lip injections can only be safely performed by a licensed professional. 

Lip augmentation is a medical procedure, so medical professionals should perform it. Any time you use a needle, you risk infection. Make sure that the medical setting is and clean and takes precautions to decrease your risk of infection. Pay attention to whether your skin is being cleaned with an antiseptic prior to any procedure. In addition, unsterilized needles can lead to needle born illnesses like HIV and  hepatitis, and your health care provider should use disposable needles to avoid cross contamination. Medical offices have rigorous sterilization procedures to ensure providers throughly clean sharp objects between patients. These are difficult to reproduce at home.

Additionally, poor injection technique invites the risk of occlusion, or fillers injected into blood vessels or arteries and blocking blood flow. This can be a serious adverse event which in the untrained hand can lead to more serious complications including tissue loss. A well-trained provider will know how to manage any complication that may arise, so it is important to choose the right one for your lip filler treatment to avoid risks like infection, scarring, burning, tissue damage, pigmentation disorders and more. Look for an office directed by a board-certified physician with extensive experience performing lip augmentations. Request before-and-after photos from satisfied patients and remember to ask lots of questions!

Even non-invasive at-home options, like Hyaluron pens, are unreliable and imprecise. The filler enters the lips via microscopic holes created by the force of pressurized air, which the Hyaluron pen releases in short bursts. These bursts can be difficult to control, leaving the user with an uneven distribution of product and lumpy-looking lips. 

Fiction: Lip fillers cause cancer.

Fact: There is no clinical evidence that fillers impact the immune system.  

Excessive exposure to ultraviolet light causes skin cancer, not dermal fillers. Sunscreen and regular skin exams are your best friend when it comes to lowering your risk of skin cancer. 

Cincinnati Filler Treatments

Fiction: Once you get lip fillers, you’re stuck with them.

Fact: Hyaluronic acid-based lip fillers gradually dissolve over time. If necessary, a provider can easily dissolve them with hyaluronidase.

Lip filler will dissolve naturally over time, so you never have them forever, even if you wish you could. Hyaluronidase is a protein enzyme that breaks the bonds holding hyaluronic acid molecules together and encourages the body to naturally reabsorb those molecules. These highly targeted injections will not  dissolve the hyaluronic acid that your body produces naturally.

How Does EmFace Work?

Cincinnati is one of only a few cities in the country to have the newest technology in non-surgical anti-aging. In the fall of 2022, Mona Dermatology in Kenwood premiered the new “EmFace” treatment. It was one of three locations in Ohio–and the only one  in Cincinnati–selected to launch this new technology.

How does EmFace work? 

EmFace is the newest device from BTL, the makers of the popular body-sculpting treatment EmSculpt Neo. EmFace will use a patented technology of muscle contraction and skin tissue heating to tighten, lift and rejuvenate facial skin in a way that no other treatment has before.  

Cincinnati EmFace Treatments

Is this a new method? 

Skin tissue heating has been a pillar of the aesthetics industry for years. Whether through RadioFrequency, Ultrasound, or lasers, heating the tissue in the skin creates injury and results in an increase in collagen and elastin production. Over time, this can make skin look tighter, reduce wrinkles, and give an overall more youthful appearance. Muscle contraction for the face is a new innovation, but it is rooted in equally strong science. EmFace uses High Frequency Electrical Stimulation (HIFES) technology to tighten the muscle layer as well as radiofrequency to build collagen and tighten the skin overlying the muscle.    

Who can benefit from EmFace?

As we get older, we start losing the support structures of our skin, bone, muscle, fat, and collagen. Currently, we replace lost volume with fillers, tighten and lift loose skin with radiofrequency or ultrasound. We also repair sun damaged skin with lasers, lights and chemical peels. Up to this point, we have not had anything that could safely address one of our skin’s basic support structures, the muscle layer. EmFace will be a first-of-its-kind procedure to address this important component in facial aging.

“For years, non-invasive treatments that use RadioFrequency or Ultrasound technology have been some of my favorite options for patients that want to tighten skin, build collagen, and continue to look and feel their best.” shares Dr. Mona Foad. “When I first heard about this technology I knew that this would revolutionize our non-surgical treatment of the aging face. I am so excited to be bringing our patients the EmFace device because it will take this incredible technology a step further as we lift and tighten muscle and skin to reverse the signs of aging in this no downtime and painless procedure.”

As seen in Cincinnati Magazine.

Your Guide to Body Sculpting Treatments

How much fat reduction can you expect from body sculpting treatments?

An EmSculpt Neo treatment combines radio frequency to tighten the skin and destroy fat cells, as well as high intensity focused electromagnetic (HIFEM) energy to build muscle. During the treatment, you will feel a warm sensation from the heat transmitted from the radio frequency while also feeling muscle contractions (equivalent to 20,000 crunches in one treatment). On average, 30% fat reduction and 25% muscle growth is achieved. The best part: there is no downtime with this treatment option! “Tapping” cycles within the treatment break up the lactic acid within the muscles. This is the cause of soreness after your normal gym workout. 

CoolSculpting Elite treatments are ideal for those that would like to target focused areas of fat reduction. This option provides the opportunity to truly individualize the treatment plan by mapping out the specific placement of each applicator. It is also a fantastic option for targeting specific stubborn areas of fat. CoolSculpting utilizes cryolipolysis to eliminate fat through cold temperatures. On average, 20-25% reduction in fat can be expected to each area. Mild swelling, bruising, or tenderness can occur in the treatment area, resolving after 2 weeks on average. 

– Brooke Stinnette, RN BSN

What is the difference between fat reduction treatments and toning treatments?

Coolsculpting Elite is strictly a fat reduction treatment. It uses cooling technology to target trouble areas like the backs of the arms. Women specifically can struggle with these areas because of their genetics and no matter how much you might workout, they cannot achieve the results they want. CoolSculpting Elite has one main job and that is to get rid of fat and it is very targeted to the treatment area. EmSculpt Neo on the other hand does a few different jobs. It is going to treat major muscle groups such as your abdomen wall to tighten your tummy, or your glutes to plump up your booty. While it is building your muscles, EmSculpt Neo is also using radio frequency for fat loss and skin tightening. By building muscle, you will also more efficiently burn fat. Simply put, Coolsculpting helps to debulk fat and Emsculpt Neo helps you define muscles.

– Amanda Schmidt, LME

What benefits are there to doing a toning treatment?

Doing a toning and tightening procedure, such as EmSculpt Neo, includes many benefits. The procedure itself engages muscle to its full potential allowing it to strengthen, grow, and heal quicker if injured. When treating the abdomen, for example, the core muscles are strengthened. This can improve posture and diastasis recti. Patients may see some of the same benefits of strength training from doing a toning treatment, such as reduced back pain, reduced risk of injury and improved mobility.

Emsculpt Neo is a great  treatment for people young and old, and not just for those who want a more toned body.  As we age, our ability to build muscle declines. We lose about 3-8% of our muscle mass per decade after the age of 30, and even more after the age of 60. Emsculpt Neo is an antiaging secret that can actually help rebuild the muscle mass that we lose with age.

– Chloe Dedden, RN BSN

What do providers love about body sculpting treatments?

  • Amanda says, “EmSculpt Neo treatments helped to strengthen my core and almost completely resolved my back pain and diastasis recti that I experienced postpartum. I also love the skin tightening and improved appearance of stretch marks that my patients have gotten.”
  • Chloe says, “Working out, eating healthy, and living an overall healthy lifestyle is necessary for mental health but to have the option to do a treatment that increases results and/or boost your confidence to get you to your goal is amazing!”
  • Brooke says, “I love that EmSculpt Neo and CoolSculpting Elite treatments can complement each other to meet each person’s unique needs.”

As seen in Cincinnati Magazine

How to Pick a Provider | Botox Provider Near Me

As seen in the January 2024 issue of Cincinnati Magazine.

With the start of a new year, you may also be thinking about new ways you wish to care for yourself. If cosmetic treatments are on your list, choosing the right laser, filler, or Botox provider will be a critical first step. The board-certified team at Mona Dermatology shares their top tips for what to look for when choosing a provider, whether you are looking for a dermatologist in Cincinnati or elsewhere.

The #1 thing to remember is that cosmetic treatments are still medical procedures. Oftentimes, we perceive popular treatments as easy to perform and risk-free. Serious side effects, including infections, compromised veins or arteries, tissue damage, scars, burns, pigmentation disorders, and more can occur. These side effects are always a possibility with any cosmetic treatment, but are much more likely when consumers visit untrained, unqualified practitioners. Just as you would for any other medical procedure, we recommend choosing an experienced and qualified provider to perform your cosmetic treatments.

What To Look For in a Botox Provider, Filler Provider, or Cosmetic Provider:

Credentials

Start by looking for a credentialed provider with extensive experience and training in the cosmetic field. The office you are visiting should be led by a board-certified physician that is trained in facial anatomy, such as a dermatologist or plastic surgeon. This directing physician will ensure that proper safety protocols are being followed within the office, and even if they are not the one performing your treatment, they are on-site in the rare case that something may go wrong. At Mona Dermatology, all providers hold advanced medical degrees: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Nurse Practitioner (NP), or Physician Assistant (PA). Not only do they receive months of extensive cosmetic training prior to treating patients, they also receive ongoing education in the medical aesthetics field.

Experience

Look for a provider with experience in the treatment you are seeking. How many treatments of this kind have they given? What kind of training have they received? At Mona Dermatology, our providers see over 7,000 skin exams, 4,000 botox appointments, 1,000 filler appointments and 2,000 laser/light appointments combined in any given year.

Results

As the saying goes, ‘beauty is in the eye of the beholder,’ and the same is true for cosmetic treatments. It can be helpful to select a provider who specializes in giving the type of results that you seek to achieve. Some ways to research this would include asking to see before and after photos, following the office or provider on social media, or even seeing what the staff and providers’ results look like. At Mona Dermatology, we specialize in creating natural-looking results. 

Price

If the cost of a treatment seems too good to be true, it probably is! Oftentimes, heavily discounted procedures are being performed by non-medical personnel or less experienced providers. Cosmetic treatments require extensive training and experience to achieve safe and optimal results. Saving money on a treatment in the short-term could end up costing you more if a complication occurs.

Questions to Ask

Before having a procedure, it’s important to get to know your provider and ask them questions to learn more. Consider asking why you are a good candidate for this treatment, what you should expect during the treatment, what results may be, what the risks are, who will perform your treatment, and what will happen if complications arise. On the other hand, your provider should also be asking what you are hoping to achieve to make sure you are both on the same page. Don’t forget that they should also be asking you for your medical history, medications you are on, and allergies you may have.

Adapted from the American Society of Dermatologic Surgery (ASDS)

Skincare Christmas Gifts for the Women In Your Life

Looking for Christmas gifts for the women you love? Mona Dermatology’s provider team shares what skincare treatments and products they’re adding to their wish lists for this upcoming holiday season.

Dr. Mona S. Foad

“I would love to be gifted a tightening treatment to slow down my aging, like Sofwave, and a facial treatment to give me that immediate glow for the holiday season, such as Diamond Glow.”

Learn more about Mona

Dr. Alexandra Bowles

“If I could give someone a skin gift, it would be the gift of bright and smooth skin! Combining a good skin care regimen of sunscreen, vitamin C, and retinol with regular Botox treatments can do just that.”

Learn more about Alexandra

Taylor Wojniak, CNP

“I would love to be gifted injectable treatments like Botox and filler to get ready for the upcoming holiday season. These treatments have little downtime and help create a more balanced and refreshed look.”

Learn more about Taylor

Jessica Watkins, PA-C

“I would love to be gifted a microneedling session with Botox and skinvive! I can do it all in one day and is the perfect cure for winter blues!”

Learn more about Jessica

Brooke Stinnette, CNP

“I would love to be gifted hydrating treatments such as Skinvive and an oxygen facial to prepare my skin for the cold, dry winter that is to come!” 

Learn more about Brooke

Anna Luning, CNP

“A gift I would love this holiday season would be a Skinvive treatment to keep my skin hydrated and glowing all winter long, especially for the holidays! And don’t forget about skin care stocking stuffers like HA5 or a favorite moisturizer to give an added boost.”

Learn more about Anna

Megan Niese, PA-C

“Skinvive would be my perfect gift around the holidays. It’s a new microdroplet injectable that increases hydration to improve smoothness, providing a lasting glow. Also, winter break is also a great time to do a laser treatment such as Halo, so you can allow for some downtime.”

Learn More About Megan

As seen in Cincinnati Magazine.

What is Ellacor Micro-coring?

Micro-coring technology reduces loose skin and wrinkles without surgery, but what is it? The board-certified provider team at Mona Dermatology answers all your questions about this revolutionary treatment. 

Who is Ellacor a good treatment for?

Ellacor micro-coring is good for anyone with fine lines and wrinkles in the cheeks or lower face, as well as for people who have moderate lower face and neck laxity. It is also a great treatment for acne scarring because it actually removes some of the scars. This is a great alternative to traditional acne scarring treatments, such as lasers or microneedling, that typically just build collagen.

How is this different from microneedling?

Micro-coring may sound like microneedling but they are very different treatments. Microneedling uses small needles to create a small injury in the skin, whereas micro-coring uses hollow needles to actually “core” out a percentage of skin. This is an innovative and unprecedented alternative to surgery.

 How is this different from a laser treatment?

Ellacor is most similar to a fractional laser resurfacing where a “fraction” of the skin is treated so that the untreated skin helps to heal the treated area faster.  The difference is that Ellacor actually cores out and removes a percentage of skin without delivering heat to the treated area. Laser resurfacing is still a great option for treating sun damage, texture, pore size and general full face rejuvenation but Ellacor will deliver more compelling results for concerns such as loose skin and wrinkles.

When is someone a candidate for surgery vs. Ellacor?

Ellacor micro-coring removes anywhere from 1-8% of loose skin on the lower face and neck without the downtime of surgery. It is a great treatment for mild to moderate skin laxity, but if you have more severe loose skin, surgery may be a better option. It is always best to have a consultation to determine which option is best for you.

What is the downtime?

You will be swollen for 2-3 days and can see stamp marks from the micro-coring for anywhere from 1-3 weeks. Makeup can be applied to the treated area after a week. It is very important to avoid sun exposure and use approved skin care products during your healing process.

When will you see results?

Your skin will become firmer and tighter over the next 3-6 months as collagen builds leaving you with firmer and smoother skin. Some patients may see best results after having a series of 3 treatments.

Quick Facts:

  • Ellacor has been recognized in the Innovation Category for Best Non Surgical Skin-Removal Procedure by NewBeauty.

  • Mona Dermatology is the first office in the Tri-State area to offer Ellacor

  • 90% of patients showed improvements in moderate to severe wrinkles

How It Works:

  1. The internal diameter of each needle is less than 0.5mm, which is below the threshold for scarring.
  2. The device precisely moves these needles across the treatment area, removing micro-cores of skin as it goes.
  3. A 10mm square area can be treated in less than three seconds, which means the entire procedure is typically finished within in less than 30 minutes.
  4. After the procedure, the body’s natural healing response goes into effect as the skin quickly realigns to close the cores, improving skin architecture in the process.

As seen in Cincinnati Magazine.

Spring Skin Tips | No Makeup Skincare

As the Spring weather brings us warmer days, you may be wishing that you could skip (or lighten up) your makeup routine. For many of us, uneven skin tone, wrinkles, or spots may make us feel less than ready to go bare-faced. Mona Dermatology’s provider team shares their favorite treatments and products for revealing a youthful, even complexion before summer is here. 

Mona S. Foad, MD

Other than daily skin care, I love tightening procedures that help to build and lift the support structures of the skin. A yearly treatment with radiofrequency or ultrasound works to build my own collagen and elastin. In addition, EmFace, the newest facial muscle stimulation device, goes deeper to lift and tighten my cheeks and forehead. I call it “putting money in your aging bank”. I love these procedures because they help reverse and prevent the inevitable sagging around the eyes, jawline and neck that we all get as we age. And the best part is there is no down time! 

Learn more about Mona

Jessica Watkins, PA-C

Makeup is most commonly used to give the look of an even skin tone, however in recent years highlighting and contouring using makeup has become increasingly popular. While makeup is one way to define your facial features, I love to use fillers so that my patients don’t even need makeup contouring. By adding filler to the areas of the face where light is reflected such as the cheek, jawline, and under eye, you can create a healthy, rejuvenated look. 

Learn more about Jessica

Anna Luning, CNP

This winter I did a Fraxel laser treatment on my face to help with texture and pigmentation. It is absolutely one of the best things I have done for my skin and plan to repeat this every year to maintain an even skin tone and a youthful appearance. After this treatment I also started the SkinMedica Even & Correct System to limit pigment production and to prolong the results of the Fraxel. My own skin is now my flawless filter!

Learn more about Anna

Megan Niese, PA-C

I like to maintain my skin by doing a laser treatment annually during the winter months. IPL is my go to treatment for redness and brown spots. This year I also tried a Fraxel for the first time and loved my results! I had no idea I had so much sun damage. Not only does it treat pigment, but it helps with anti-aging. My skin has a nice glow and I don’t feel like I need makeup to leave the house.

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Taylor Wojniak, CNP

One of my favorite ways to maintain healthy looking skin is by getting Botox injections every 3 months. This is a quick and easy procedure done in the office that helps smooth out wrinkles. Don’t forget to pair this treatment with medical grade skincare to ensure optimal and long lasting results. I suggest SkinMedica’s TNS Advanced+ Serum and retinol. Both of these products help to address the appearance of fine lines, uneven skin tone, and texture on the surface of the skin.

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As seen in Cincinnati Magazine.