ReDerm MD Medical Spa Denver - Fillers and Injectables


Botox® is a trade name for a refined version of the botulinum toxin type A, originally isolated and refined by researchers seeking to help people with eyelid and facial spasms. It has been safely used for this purpose since the 1980’s. Dr. Fante is the author of scientific articles on the medical uses of botulinum toxin type A and has vast experience with this medication.

We’ve all heard that botulism is a form of food poisoning. Yikes. How can a poison be used therapeutically?

Well, not to worry. It’s only poisonous in a large dose, about 100 times what will be used cosmetically, because then it paralyzes muscles. For cosmetic treatments, it’s been approved by the FDA. 
Injected precisely into specific muscle areas in tiny doses, it relaxes the muscle and relieves it from unconscious and unnecessary movement, thus preventing it from making wrinkles.

Alternative brands of botulinum toxin type A, such as Dysport® and Xeomin® are also available at our office. We will explain the differences between the brands to you if you like.

Botox® relaxes your face

We tend to learn facial habits as we grow up, facial expressions that become habitual, and over the years start creating permanent lines. Botox® injections don’t totally stop all muscle movement; they just relax the muscles and allow the skin to become smoother.

This gives us a refreshed look, as if we had a good night’s sleep and feel in a good mood.

We’re all different

Typically, the Botox® is injected in 4 or 5 areas on each side of your forehead, and 2 or 3 at each eye area. Other areas around the mouth and neck can also be treated. But of course, each face is unique. So we will work with you to use the right number of small injections to make for you, in just the right places, to give you optimal results. Our office has vast experience with these treatments.

The procedure

  • Beforehand, several photographs will be taken of your face, from different angles, so that you can compare your new look with this previous look.
  • The injections take only a few minutes and are done with a very fine, tiny needle. There’s not much pain, but some people feel minor, temporary discomfort.
  • There’s no recovery time necessary. Most people go right back to work or their normal activities after treatment.

After the procedure

  • Avoid rubbing the injected areas for 3 or 4 hours
  • We will have discussed bruising with you, and if it’s a concern, avoid taking any aspirin or ibuprofen (Advil) for a day or two.
  • You’ll see the results anywhere from 2 to 7 days later.
  • You’ll notice that deeper wrinkles will become lighter and light ones will almost disappear.
  • Some people go on to have injections of a filler substance, such as Restylane® or Juvederm®. This fills out the skin that was furrowed and is now smoother.
  • If you have several deeper wrinkles, you might decide to have further Botox® injections on them, to achieve your best results.

Minor risks

The worst that people generally experience is some pain at the injection sites and/or headache, and maybe some symptoms of a cold or upper respiratory virus. We will prescribe a pain medication if necessary. Bruising is uncommon but possible. Even more rarely, there could be some temporary eyelid drooping. If you were to notice that, immediately let us know, because there is a treatment for it.

In the longer term

Effects last for 3 or 4 months. Gradually your muscles return to their normal state, and repeat treatments can maintain them in their more relaxed state. After 18-24 months of continuous treatment, some people will have retrained certain facial muscles (especially between the eyebrows) and will need less Botox® after that. Also, there is a “frequent flyer” program for Botox® and other products made by Allergan called Brilliant Distinctions. We will help you enroll and will be sure that you receive credit for any treatments received through our office. The makers of Dysport® and Xeomin® have similar programs.


The modern fillers are most commonly composed of hyaluronic acid, a naturally occurring chemical that is already in your body as the gel between your cells, in your joints, and other places. Our office uses several different brands of injectable filler for different kinds of facial enhancement, and we will advise you regarding the best choices for your face. Enhancements range from helping with more beautiful lips to softening wrinkles and creases, and even improving the shape of your cheekbones. Contact us today to make an appointment to begin turning back the clock! Call 720-550-6476.

ReDerm MD Medical Spa Denver - JuvedermJUVÉDERM is a “next generation” smooth gel, non-animal dermal filler offering a natural look/feel and long-lasting results – six months or longer. JUVÉDERM dermal filler is so long-lasting because it’s the dermal filler currently available with the highest concentration of hyaluronic acid. In addition, a special formulation process creates a smooth gel that flows easily into the skin, reliably creating a smooth, natural appearance. It comes in three different formulations: Ultra XC, Ultra Plus XC and Voluma XC. Wecan help you decide which one(s) are right for you. People love them.

RESTYLANE® and PERLANE® are two other brand of non-animal hyaluronic acid, and, like the others we use, are biocompatible with our human hyaluronic acid. They flow easily into the skin and create a natural, smooth appearance. Restylane® and Perlane® work against wrinkles by adding volume to the tissue, and because hyaluronic acid exists naturally in humans and all animals, allergic reactions seldom happen. Restylane® is also particularly useful around the eyes to improve the signs of aging, especially at the tear trough area where the dark circles first appear. It absorbs less water than some other brands, which can be an advantage in the eye area. Patients love Perlane® and Restylane®, too.

The FDA has approved Perlane® and Restylane® for plumping out wrinkles around the nose and mouth areas and also for lip enhancement.

Fillers used for scar treatments and lip augmentation

Hyaluronic acid is non-inflammatory and so it is effective in treating scars, and is a favorite for lip augmentation, either to accentuate a more beautiful shape or to add plumpness.


  • For a few days beforehand, avoid using aspirin or Vitamin E, as they can increase bruising
  • We will offer you a topical local anesthetic
  • The injections themselves take anywhere from a few minutes to a half hour or so
  • Very small amounts of filler are injected into several locations with a very fine needle

Great results

You’ll be able to see the results almost right away.

  • There may be a little swelling or redness that will disappear within 1 to 3 days. Bruising infrequently occurs and resolves within a week/li>
  • You’ll see a fresh plumpness in the area, giving you a more youthful look
  • Results last anywhere from 6 months to a year in some cases.
  • Voluma XC is a special case that lasts 2-3 years.


Another alternative is Sculptra™, which is not a filler but a chemical that encourages your body to form new natural collagen to enhance your appearance. Sculptra™ originated, and was approved by the FDA in 2004, for treatment in cases of facial fat loss (called lipoatrophy) for individuals suffering from human immunodeficiency virus. When our faces lose their underlying supplies of fat, we start to look hollow-eyed and sunken-cheeked. With the success of Sculptra™ as a cosmetic enhancement, it was then released for administration to any other individuals who want similar benefits.

Sculptra™ was approved by the FDA in 2009 for cosmetic correction of facial wrinkles, contour deficiencies, smile lines and other problems in healthy people. It is the first facial injectable that gives you noticeable results that emerge subtly and can last up to two years.

How does Sculptra™ work?

Sculptra™ is a synthetic and biocompatible substance that can be injected below the skin in hollowed-out areas to plump them up again. It works by gradually thickening the skin, for a more natural appearance. It is a less-expensive, less invasive comparable alternative for patients who desire, but don’t yet require, the benefits of a cheek lift, neck lift, full or mid face lift. For some people, Sculptra™ may be an alternative to Juvederm Voluma XC for cheek augmentation.
Made from a material called poly-L-lactic acid, rather than from animal or human material, Sculptra™ requires no skin test. A poly-L-lactic acid, it is biocompatible (doesn’t harm the body, cause allergies, etc.), biodegradable (can be broken down by the body), and has been successfully used in other surgical products.

About the Sculptra™ procedure

  • A local anesthetic is first applied.
  • Sculptra™ is injected in the desired area.
  • You will undergo treatments once a month until the results are what you want, typically three to four sessions.
  • The results are not immediately visible; they happen gradually and can eventually end in a dramatic change.

After the Sculptra™ procedure

  • Some patients experience redness in the treatment area, minor swelling or bruising, and slight discomfort, but these symptoms typically disappear within a day or two. You can use icepacks as soon as your treatment’s finished, to minimize these after-effects.
  • You will be shown how to massage the treated areas five times a day for five days
  • The results can last for 2 years, or even longer in some cases. Some patients also return for touch-up treatments.

Almost all patients are able to return to their daily activities immediately after treatment. A full series of Sculptra™ treatments is approximately half the cost of a cheek lift, with noticeable results after the completed regimen.

To ask more questions about Sculptra™, or to discuss other options with a trained cosmetic surgeon, contact our office today.

Vitamin B-12 Injection: Vitamin B12 is required for the proper function and development of the brain, nerves, blood cells, and many other parts of the body. A vitamin B deficiency can cause acne, sensitivity to sunlight, cracked lips, dryness, wrinkles, rashes, and an uneven complexion. Proponents of vitamin B-12 injections say the shots give you more energy and boost your metabolism, helping you shed unwanted pounds. $29