Injectables

 

 

Dermal Fillers™

Why MunkMD?

MunkMD is an all-encompassing medical and cosmetic clinic focusing on skin health, anti-aging and rejuvenation. All treatment plans are created by board certified dermatologists specialising in aesthetic medicine, in order to deliver superior results with a focus on patient safety.

 
 

Dermal Fillers Treatment

Treatments with injectable fillers are extremely popular in today’s day and age. People are less inclined to undergo invasive surgeries, and are seeking options with little to no downtime and very natural results. With so many different types of fillers to choose from, it is easy to individualize the type of filler for every person, in order to obtain very natural and beautiful results.

How do dermal fillers work?

The most popular types of fillers are hyaluronic acid fillers, such as Juvederm™, Restylane™ and Belotero™. Hyaluronic acid is a natural substance in the skin that provides volume and hydration in our youth. As we age, it progressively diminishes in the extracellular matrix below the skin, and this contributes to wrinkles, loss of elasticity, and skin laxity. In addition, there are gradual changes to the underlying fatty tissue, muscles and bony structures. All of this leads to pronounced lines and wrinkles and a loss of skin turgor.

Hyaluronic acid fillers are the safest on the market, and results can last from 6 months up to 2 years, depending on the type of filler. Recent research has shown that fillers will also stimulate the fibroblasts deep below the skin to build new collagen, leading to long-lasting improvement in fine lines and smoothing out the skin. Injections with hyaluronic acid fillers are well tolerated; there is anesthetic mixed into the fillers, allowing for an almost painless procedure with little to no recovery.

The objective with dermal fillers is to recreate a youthful appearance in a very natural way. The intricate placement of fillers is an art; when properly done, the results are beautiful, long lasting and very effective at restoring youthful volume and appearance.

Areas on the face amenable to correction with dermal fillers include forehead lines, tear troughs under eyes, frown lines, chin and jawline. In addition augmentation of cheeks and lips is very successful by using fillers. The combination with Botulinum Toxin (Botox™ or Dysport™) results in a beautiful and natural Softlift without undergoing invasive surgery.

For those people that have visited my office, you know that we offer a lot of different treatments and procedures at MunkMD. From chemical peels, to laser rejuvenation, hair removal and coolsculpting, there is a vast array of esthetic options for all skin types. Still the procedure that garners the most interest are injectables. Botox has become the number one cosmetic product across the globe, and filler use has grown exponentially over the last 10 years. Why are these products in such high demand? Are they safe? And do they lead to “natural” results?

The simple answer is YES. These products work. Neuromodulators, like Botox, relax muscles of expression and are very helpful in softening lines related to muscle movement; forehead lines, frown lines and crowes feet around the eyes are particularly amenable to Botox treatment. The other key thing that Botox can do is lift and reshape the eyebrows by relaxing those muscles that depress the eyebrows and define the jawline with a “Nefertiti Lift”. The key, however, is not to overdo Botox because if too much is injected, the muscle will not be able to move at all, and this can result in an unnatural appearance.

Fillers are different. Fillers add in volume. The newer fillers developed over the last 10 years have properties that can lift and volumize in a way that only surgery was able to do in the past. The most common area to fill are the cheeks, because this is where most of us lose volume over time, and by revolumizing the cheeks, the entire lower face will lift and jowls are significantly improved in this manner. But volumizing fillers don’t stop there. Literally any area of the face can be lifted and reshaped with newer fillers. Common areas that can be treated include eyebrows, lips, chin, jawline. Under eye bags are commonly filled with fillers and lead to beautiful and natural looking results. When done properly and delicately, the results are incredible. What was only achievable 10 years ago with surgery and 2 weeks of healing, can now be done safely in a 30 minute time period with minimal discomfort and essentially no downtime.

When I first started injecting a few years ago, there were some areas on the face that had higher risks of bruising, and although the results were always great, I would warn patients doing their eyes, lips and jawline area on the risks of bruising. Although this is always a possibility, new techniques and the use of cannulas has drastically changed my practice. I am able now to fill areas like the under eyes with very minimal discomfort and a very low risk of bruising. This has changed my practice, because now I could offer patients a revolutionary lift and rejuvenation with essentially no downtime.

I tell all of my patients the following: when done properly, nobody should be able to tell that they have been injected. The goal of injections for me is to relax, augment and refresh our look in a very natural way. This is what I strive to do for all of my patients. Most patients I have injected tell me that nobody has noticed, but people do comment that they look relaxed, or they changed their hairstyle… This is what fillers are all about; looking and feeling your best, in a very natural way. Where fillers will make the biggest difference is 5-10 years down the line, when everybody else starts aging and developing loose redundant skin, but my patients will continue to preserve a firm, augmented and natural beauty to them. This is when most people will start to take notice that something has been done. Age is just a number, and with the help of fillers and Botox, we can literally turn back the hands of time in a natural way.






Warning: These photos are for reference only and to provide information on the treatment. Results may vary from patient to patient.

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Neuromodulators™ / Botox™

Why MunkMD?

MunkMD is an all-encompassing medical and cosmetic clinic focusing on skin health, anti-aging and rejuvenation. All treatment plans are created by board certified dermatologists specialising in aesthetic medicine, in order to deliver superior results with a focus on patient safety.

 

Neuromodulators Cosmetic Injections Montreal

The Neuromodulator toxin is a naturally occurring substance that has been used in the cosmetic industry for over 20 years. It is an injectable that helps to relax dynamic lines of facial expression. The most common areas treated with Neuromodulator include forehead lines, frown lines, crowe’s feet around the eyes, and bunny lines around the nose. By targeting these muscles, people are able to look more relaxed and refreshed in a very natural way.

Through muscle relaxation, other indirect effects are achievable with Neuromodulator cosmetic such as eyebrow shaping and lifting, jawline tapering, and neck rejuvenation.

The effects of Neuromodulator are usually noticed 3-4 days after treatments, and may take up to 2 weeks before fully present. Results are temporary and last typically between 4-5 months. There is minimal downtime, with very little if any pain during the procedure.

Dr. Munk uses Neuromodulator Cosmetic to relax expression muscles, improve dynamic wrinkles very naturally, without looking overdone. The combination with dermal fillers can lead to a beautiful enhancement of facial features and restore your youthful look. Treatments are individualized based on your needs and overall goals.

  • Neuromodulator
  • Dysport
  • Xeomin

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Warning: These photos are for reference only and to provide information on the treatment. Results may vary from patient to patient.

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CGF

Why MunkMD?

MunkMD is an all-encompassing medical and cosmetic clinic focusing on skin health, anti-aging and rejuvenation. All treatment plans are created by board certified dermatologists specialising in aesthetic medicine, in order to deliver superior results with a focus on patient safety.

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Cellular Growth Factor Therapy (CGF) Montreal

Cellular Growth Factor Therapy (CGF) is a high concentration of platelets surrounded in its own plasma. This process has been shown to be beneficial since there are lots of favorable growth factors and nutrients in CGF that help to stimulate collagen remodeling as well as improvements in skin quality and texture. This technique is helpful in treating fine lines under the eyes, cheeks, neck and chest. Studies have even shown benefit for male and female hair thinning, since CGF has so many desirable proteins that help to strengthen hair and prevent further thinning and loss. Since the CGF is derived from the patient’s own blood, there is virtually no risk of an allergic reaction or rejection, and this is considered by many to be the most “natural” injection to enhance the radiance of the skin.

The process is simple; we draw blood similarly to routine blood tests. That blood is subsequently spun in a centrifuge in order to separate out the platelets from the rest of the blood. The CGF is then activated to release essential growth factor and nutrient proteins into the plasma, which is then applied onto the skin for optimal results. Collagen stimulating factor, epidermal growth factor, keratinocyte growth factor are some the important proteins contained in CGF that result in a natural enhancement of the skin.

There are a few different ways the CGF can reach the targeted dermis underneath the skin. In the eye area, CGF is sometimes injected in the same manner as a dermal filler, and this allows for improvement of fine lines and wrinkles. At MunkMD, Dr. Munk will often use CGF after laser treatment to enhance the results with laser surgery and add to the improvement in skin texture. The theory is simple. The fractionated laser will create tiny little openings in the skin in order to stimulate collagen, and the CGF will subsequently be rubbed on the skin, penetrate the openings, and reach the target endpoint which is the collagen in the dermis. This process will enhance the laser’s efficacy in improving and tightening the skin, while also speeding recovery from the laser. This process is often very helpful to improve acne scarring, wrinkles, skin laxity, and fine lines. Finally, the other way CGF can be administered is after microneedling, where multiple small openings are created in the skin, similar to laser, and the CGF in then applied directly on the skin.

When it comes to alopecia, CGF is often injected directly in the scalp in the areas of thinning. The growth factors create a favorable environment to slow the process, and even stimulate some regrowth of new hairs. Many new studies have shown promise using CGF for multiple different types of alopecia.

To obtain the desired endpoint, usually 3-4 treatments done monthly are required. The results are then usually appreciated a few months later as new collagen is formed. As this technique is natural and uses a person’s own blood, side effects and risks to the treatment are rare.

CGF
Cellular Growth Factor

Warning: These photos are for reference only and to provide information on the treatment. Results may vary from patient to patient.

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Belkyra™

Belkyra™ (deoxycholic acid) is a new injectable that is very effective at reducing the appearance and profile of moderate to severe fat below the chin (submental fat). It is the first injection that has obtained FDA approval for treatment of the double chin. It is not known whether the use of Belkyra™ outside this zone is safe at this point in time.

How Does Belkyra™ Work?

Deoxycholic acid is a naturally occurring molecule that aids in the digestion and absorption of dietary fat. When injected into the fat underneath the chin, BelkyraTM causes the destruction of fat cells. Once destroyed, the cells can no longer store or accumulate fat.

Is Belkyra™ Safe?

Belkyra™ has been the focus of a global clinical development program involving over 20 clinical studies with more than 2,600 patients worldwide, of which over 1,600 have been treated with Belkyra™. The safety profile of Belkyra™ is well characterized. The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area. These can last anywhere from a few days to a few weeks.

When Can I See My Results?

The majority of patients will experience visible results in 2 to 4 treatment sessions. During these sessions, Dr. Munk will administer Belkyra™ into the fat under your chin using multiple injections. Up to 6 treatment sessions may be administered spaced no less than one month apart. When injected into the fat under your chin, Belkyra™ causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After the aesthetic response is achieved, retreatment with Belkyra™ is not expected. Results are long lasting.

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Warning: These photos are for reference only and to provide information on the treatment. Results may vary from patient to patient.

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Silhouette InstaLift (Thread Lift)

Silhouette InstaLift®, also known as Thread lift,  is a dual-action cosmetic rejuvenation device that restores skin to a youthful appearance by lifting sagging and aging skin in the mid-face area and restores volume through new collagen production. Changes to the shape and appearance of the face happen gradually as skin strength and elasticity decreases with age. Silhouette InstaLift® is a minimally invasive procedure with little to no downtime and works to re-shape the face and restore a youthful glow. 

How Does Silhouette InstaLift Work?

Silhouette InstaLift® uses micro-suspension technology, MST, to lift the skin in the mid-area of the face while simultaneously activating the production of natural collagen to boost volume. 

Is Silhouette InstaLift Safe?

Silhouette InstaLift® is the only FDA approved dual-action device for cosmetic rejuvenation. Side effects may include minor pain, swelling, and bruising. Being a technique-sensitive treatment, Dr. Munk will determine if a patient is the right candidate to receive treatment based on skin type, age, facial structure and medical history. 

When Can I See My Results?

Silhouette InstaLift® provides immediate results with skin noticeably lifted in one session. Results are long lasting as the treatment gradually restores lost facial volume in the mid-face area by triggering natural collagen production that lasts up to 2 years. 

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