The Body Beautiful Surgeon

Ho Ho Ho! The holidays are here! If you are feeling that all Santa is bringing you this year is a lot more wrinkles, read on. This blog article is for you. Boston BOTOX ® expert, Dr. Richard A. Moss finds that the number of patients scheduling appointments for BOTOX®, Restylane®, Perlane®, and Radiesse®, increases greatly over the holidays. “Patients want something to brighten up their appearance without a lot of down time,” states Dr. Moss. “BOTOX® and facial fillers (Restylane®, Perlane®, and Radiesse®) are perfect for the patient who wants to look better for the holidays. They tell me that they want to looker younger and more refreshed but not such a drastic change that family and friends will think that they “had something done”

Facial Injectables are a great way to refresh your appearance for the Holidays!

Dr. Moss recently performed a number of facial injectables on his wife; Lisa a new staff member photographed the entire process. Lisa also photographed the before and after pictures. Carla routinely has Radiesse® injections to lessen her nasolabial folds (lines from nose to mouth) and Restylane® injections in her lips to make them fuller. She also has BOTOX® injections to eliminate the lines on her forehead and brow as well as around her eyes to reduce the crow’s feet.

Carla Moss before her facial injectables	Carla Moss after her facial injectables

For more close up before and after pictures please scroll to the bottom of this article!

Dr. Moss first applies an internal topical numbing gel

Dr. Moss then injects a “dental block” of a Novocain like substance. This injection is identical to what a patient has in a dentist’s office.

Dr. Moss then applies an external topical numbing cream to the sites that he will inject with Radiesse® and Restylane®

Dr. Moss then marks the sites of injection for BOTOX® with a red iodine ointment. The red color is easy to identify and iodine has an antibacterial effect on the skin. He has the patient move their facial muscles to mark the sites of injection. Please note that because Dr. Moss uses a very small 32 gauge needle, Carla can barely feel the injections.

Dr. Moss then injects the BOTOX® into all of the spots that he has marked with Betadine ointment. Here he is injecting the forehead.

This picture shows Dr. Moss injecting around the eyes to eliminate some of the lines that are commonly referred to as crows feet.

Before starting the injections of facial fillers Dr. Moss has patients wipe off all of the Betadine ointment from the BOTOX® injections and also all of the numbing cream around the mouth.

Please note that during Carla’s injections in the pictures shown below she can barely feel any of the needles as she has been numbed by the “dental block” and topical numbing creams.

Dr. Moss then proceeds to inject the upper lip with Restylane®. Restylane® is the product used most frequently for injections in the lips.

Dr. Moss then proceeds to inject the lower lip with Restylane®.

Dr. Moss will often ask the patient to take a look in the mirror at the result so far, during the injections. He then will ask the patient where they want more of the product injected. This way the patient has a better chance of getting the correction of wrinkles and the fullness to the lips “where they want it.” Some patients want fuller lips than others and Dr. Moss always wants to accommodate what a patient wants concerning the final result. In addition, some wrinkles bother patients more than others. It is important that Dr. Moss address those first in order to ensure that there is enough injectable material to handle a patient’s concerns.

Dr. Moss then injects Carla’s nasolabial folds with Radiesse®.

Some patients choose to have Restylane® or Perlane® injected in their nasolabial folds. Patient choice usually dictates what product the patient wants injected. Dr. Moss reviews each product and its characteristics with every patient.

Dr. Moss tries to even out the nasolabial folds. Most patients have one side that is more pronounced than the other.

This picture shows Carla immediately after all of the injections. There is very little indication of the BOTOX® injections while there is some swelling and bruising evident from the Restylane® and Radiesse® injections.

This shows Carla Moss the day after injections. There is some bruising but it can be covered with makeup.

The before and after pictures! The after pictures are taken about 1 week later.

Forehead before	Forehead after
Brow before	Brow after
Crow’s feet before	Crow’s feet after
Lips and nasolabial folds before	Lips and nasolabial folds after

Moss prides himself with the quality of service offered to his facial injectable patients. All facial injectable treatments are performed by Dr. Moss himself. He prides himself in the attention given to the details of both the injection itself and the numbing process. “Even though it takes a little longer, we have the patient wait 15 minutes after the injection of the “dental block” and the application of the numbing cream to make sure they really are anesthetized, before I inject the facial fillers,” says Dr. Moss. “All injectable material is company name branded product meant for use in the United States. I provide only the top level of service when it comes to injections of BOTOX®, Restylane®, Perlane®, and Radiesse®, Dr. Moss exclaims!