Not enough kisses under the mistletoe this year?

Boston facial filler expert, Richard A. Moss M.D. has the perfect solution. Restylane® injections to fill out and plump up your lips! “Restylane® is one of the most popular ‘fillers’ currently being used to plump up thin lips,” states Dr. Moss. “It is an ideal filler in that it fills out the lips while still leaving them with a natural feel. It can also be used to improve the appearance of nasolabial folds (those pesky vertical lines that run from the nose to the side of the mouth).

Richard A. Moss M.D. finds that around the holidays the number of patients interested in facial injectables sharply increases. “The number of patients scheduling appointments for BOTOX®, Restylane®, Perlane®, and Radiesse®, dramatically rises around Thanksgiving and remains at a very high level until after New Years Day. We stock a number of facial injectable products so that I can personally tailor a patient’s treatment to her individual needs and desired results”.

A Restylane expert, Dr. Moss explains that most women want to look their best around the holidays for all the family, friends and business celebrations. “Many of my patients just want a freshening up. Some are concerned that while they want to look younger they don’t want a radical change. Something that says you look ‘rested’ but not an obvious ‘overhaul’ is often what the goal is”.

Dr. Moss further explains that lips are starting to play an increasingly greater part in the rejuvenation process for many women. “No longer are they satisfied with reducing the wrinkles, they also want the lip fullness that is recognized as an important part of a youthful appearance. This is all part of the trend in the anti-aging industry of not just removing excess skin but replacing ‘lost volume.’ Even facial cosmetic surgery is trending towards the replacement or realignment of lost facial fat pad volume, not just redraping the facial skin and excising the excess.”

“Even those patients who are avid cosmetic surgery patients are supplementing their surgical results with facial fillers (Restylane®, Radiesse®, and Perlane®) for a more natural look,” explains Dr. Moss.

Another popular reason that many patients turn to Restylane® injections in their lips is that, if it is injected along the edges of the lip, (referred to as the vermilion border), there can be a reduction in the depth of lip lines around the mouth. “Women especially hate these lip lines. Lipstick bleeds into them, accentuating an already unpleasant feature of their face. And unlike men, then can’t grow a beard,” Dr. Moss further explains.

Dr. Moss has two different injection techniques for the lips. He can inject along the vermilion border of the lip to help reduce lip lines and improve definition or he can inject into the body of the lips to plump them up. He can also perform a combination of the two techniques. “One of the challenges of injecting along the vermillion border is to avoid overdoing it so that the patient still retains a natural appearance. Often times I will utilize both techniques for an optimum result. If a patient has no lip lines then I might inject just into the body of the lip as it is unnecessary to inject the vermilion border,” explains Dr. Moss. “It is so important to individually tailor the injection treatment to the patient’s specific issues and goals.”

Before	After

This Boston facial filler patient had 1 syringe of Restylane®. Dr. Moss injected part of the syringe along the vermillion border of her lips and the remainder of the syringe into the body of her lips. No other area of her face was injected.

When looking for facial injectables, patients should direct as much attention to the qualifications of the injector as they are to the material they are selecting for injection (BOTOX®, Restylane®, Perlane®, and Radiesse®). Dr. Moss is board certified in Plastic Surgery and has twenty six years of experience. All of the training that he continually receives to stay current is in the area of cosmetic surgery and facial injectables. So before the holidays are over, call 508-747-1322 or 781-337-2421 to schedule an appointment. Dr. Moss’ staff will be happy to answer any questions you might have.

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!

Reunion Ready! Two weeks after her injections!

In this day and age it is no longer just about losing that extra ten pounds you put on or buying a fabulous dress, or telling your spouse to be on his best behavior. It’s also about making your face as young looking as possible. And with injectables such as BOTOX®, Restylane®, Perlane®, and Radiesse®, Boston facial injectable expert, Dr. Richard A. Moss, can help most patients who want a fresher, younger appearance.

Carla Moss was delighted that their high school reunion patient had called for an appointment two weeks in advance. “This is the ideal time to be injecting a patient for an important event. BOTOX® takes four to fourteen days to take effect. And while the results of facial fillers such as Restylane®, Perlane®, and Radiesse® are apparent immediately, two weeks provides a very secure window for all bruising to disappear. Most patients find that the bruising from the facial fillers is gone within a few days, but occasionally there can be a pesky small bruise that takes its time to totally disappear. And with a very important event, we want no signs of bruising. BOTOX® does not usually cause any bruising, but again there can be that occasional patient who ends up with a small bruise from her BOTOX® injection.

Forehead Before	Forehead After
Brow Before	Brow After
Crows Feet Before	Crows Feet After
Platysma Before	Platysma After
Nasolabial Folds Before	Nasolabial Folds After

One thing patients will find when they obtain their services from a plastic surgeon who has as much expertise as Dr. Moss has is that results are not over promised and complications such as bruising are not unrealistically minimized. “We want to provide realistic expectations both in the area of results and healing. While there is virtually no down time with facial injections such as BOTOX® and Restylane® it is important that patients understand what they might have for bruising. That way they can schedule their treatments so that they fit into their busy schedule,” states Dr. Moss.

If you are interested in a fresher appearance give Dr. Moss’ office a call at 508-747-1322 or 781-337-2421 to schedule a consultation. You can have your treatment on the same day as your consultation if you so desire or come back at a later date for treatment.