At his downtown Chicago office in Northwestern Memorial Hospital, Dr. Sidle offers many non-surgical options for the treatment of facial lines and wrinkles. Botulinum toxins and cosmetic fillers available at Northwestern Facial Plastic Surgery include: Botox, Juvéderm, Restylane, Sculptra, and Radiesse.
How do botulinum toxins work?
Botulinum toxins, when used in small quantities, lead to highly specific relaxation of targeted muscle groups, which reduces or eliminates lines that contribute to a tired, angry, or aged appearance. In addition to improving the appearance of lines or wrinkles you already have, use of botulinum toxins is thought to decrease the chance of forming new lines in the future.
Currently, there are a few different botulinum toxin products available, all of which work in basically the same way – blocking nerve impulses to temporarily weaken particular muscles that are responsible for creating wrinkles. However, there are slight differences in how quickly each individual product begins to work and in how long it lasts. Dr. Sidle has Botox® and Dysport® available, both of which have a proven track record when used for elimination or reduction of facial wrinkles.
The most common areas that are treated with botulinum toxins are:
- “11’s” or frown lines in between your eyebrows
- Horizontal lines across your forehead
- “Crow’s feet” or smile lines beside your eyes
- “Bunny lines” on the side of your nose
- “Marionette lines” around the corners of your mouth
What should I expect during my treatment?
If you have not had this treatment before or are unsure which areas you would like to treat, he will have a thorough consultation with you before your treatment. Once you have worked together to determine a plan, the treatment itself only takes a few minutes. It is performed in a clinic, typically after applying a specially-formulated topical numbing cream unless the patient chooses to forego this step.
Before your treatment, it is recommended that you avoid aspirin/NSAIDs (ex. Ibuprofen) and any other medications that may increase the risk of bleeding or bruising. Several natural supplements that have been associated with an increased risk of bleeding include ginseng, garlic, ginger, ginkgo, vitamin E, and fish oils (containing omega-3 fatty acids).
Following your treatment, try not to rub the injection sites for the next 12-24 hours. For best results, you should also avoid strenuous activity for 6 hours after treatment. Overall, side effects are uncommon, but patients occasionally experience mild bleeding or bruising at an injection site, particularly if treating the “crow’s feet” area. Other side effects including drooping of the eyelid, headache, flu-like symptoms, and nausea are extremely rare.
When will I be able to see the results of my treatment?
You may begin to notice some weakening of the treated muscles as early as 3-5 days after treatment, but it generally takes about 1 week to see the full effect of the treatment. At this time, you will see a noticeable decrease in the appearance of wrinkles in the treated area. The length of time a treatment lasts depends on which area(s) was treated, how often a patient gets the treatment, and each patient’s individual metabolism, but on average results last about 3-4 months.
What changes can be made with cosmetic fillers?
Different areas of the face exhibit certain signs of aging. In particular, thin lips and volume loss around the nose and mouth are telltale signs of aging. These make the face look drawn and convey the sense that a patient is always frowning. In some cases, volume loss under the eyes may create dark circles and make patients seem chronically tired.
These areas can be made to look more youthful by restoring fullness. Volume augmentation and improvement in the appearance of wrinkles can be achieved in a number of ways. With so many choices on the market, let an expert like Dr. Sidle help you choose which treatment will work best for you.
What is Dr. Sidle’s philosophy when using cosmetic fillers?
Dr. Sidle believes that the key to achieving an attractive yet natural-appearing result with these augmentation procedures is by using meticulous injection techniques and taking a conservative approach to treatment.
His meticulous technique involves choosing the most ideal injection device for a particular area and placing the material in precisely the correct anatomic location to optimize improvement in appearance. In many cases, a blunt cannula may be used for injection, which has been shown to reduce discomfort during and bruising after the procedure.
His conservative approach mandates that only appropriate amounts of material are placed in a particular location. Implanting too much material inevitably leads to an artificial, “over-done” appearance that Dr. Sidle is careful to avoid.
What are the benefits of hyaluronic acid (HA) fillers?
Hyaluronic Acid (HA) fillers at Northwestern are booming in popularity. Hyaluronic acid (HA) is a naturally occurring substance that delivers nutrients to the skin, adding volume and helping the skin retain moisture and softness. Hyaluronic acid products (Juvéderm & Restylane product families) are injectable agents that, like collagen, make up the ground substance or glue that acts as a structural foundation for the skin. These materials have a long history of safe and effective use worldwide and have become extremely popular in the United States. Because hyaluronic acid is a substance that naturally occurs in our skin, no allergic reactions are expected for these products.
What areas can be treated with cosmetic fillers?
Soft tissue augmentation of the lips requires strategic and meticulous placement of injections to carefully distribute the filler to enhance lip fullness and to raise or define a cupid’s bow or vermillion border.
An improved appearance in the creases from the side of your nose to your mouth is visible almost immediately, although minor swelling or bruising may appear at the injection sites.
Eye Bags / Dark Circles Under Eyes
Improvement in the appearance of tear troughs (creases below the lower eyelid area) and decreased shadowing under the eye can be achieved with the simple procedure of placing injectable filler into the deficient areas.
Hollow Cheeks & Temples / Facial Lipoatrophy
This is a condition often seen in extremely fit athletes or patients with HIV. There are a number of FDA approved fillers that can provide a dramatically improved appearance of the cheek and temple regions in these patients.
Neuromodulators (botulinum toxins)
- JUVÉDERM Product Family
- RESTYLANE Product Family
Injection of a patient’s own fat is another option for augmentation. Fat injection involves extracting fat from one area of the body (ex. under the chin, lower abdomen, etc.), usually by liposuction, and then injecting it into the desired area(s). This procedure can easily be performed in the doctor’s office with local anesthesia or a light sedation depending on patient preference. Following the procedure, you will likely have mild swelling and bruising that typically resolves within 1 week.
How much do these treatments cost?
When you come in for your consultation, Dr. Sidle’s staff will review pricing for these products and procedures. As opposed to some practices, in which a surgeon’s staff does the injections, Dr. Sidle does all the of his injections personally. Our office also offers a reduced rate for patients who are in the healthcare industry or have had surgery with Dr. Sidle previously.
Why choose Dr. Sidle for cosmetic injectable treatments?
Dr. Sidle has extensive training in botulinum toxin injections. He has been performing these injections for many years and has the necessary expertise to achieve the best possible result following your treatment.
Although tissue augmentation with cosmetic fillers is a quick, in-office procedure that can produce a marked improvement in your appearance, safe and effective use of the products requires a physician with specialized training and a thorough understanding of facial anatomy. Optimal treatment requires going to a physician like Dr. Sidle who is well-versed on the properties and uses of all of the available fillers and is able to recommend the ideal filler for each individual patient. The quest to find long-lasting, safe cosmetic fillers is an area of extensive research in medical science. Dr. Sidle has co-authored several scientific papers and book chapters on the subject, making him a recognized expert in the field.
Dr. Sidle’s extensive training with one of the world-renowned leaders in the field of Cosmetic Facial Plastic Surgery, Dr. Corey Maas, makes him uniquely well-trained in this art. He is confident in his ability to provide comprehensive evaluation and treatment for all cosmetic injectable procedures. For all procedures, he guarantees his work and offers free touch-ups in the rare instance that a particular area is under-treated.
Experience matters: as a double board-certified Facial Plastic Surgeon at Northwestern with special expertise in rejuvenation of the face and neck, Dr. Sidle can provide you with an individualized plan to achieve your specific goals. Individualized consultation with Dr. Sidle is a valuable learning opportunity that our current patients recommend. Call our office for a one-on-one consultation.
All post-operative instructions can be found on the Patient Resources page.