When should I start injectables?

We often get asked when is the “right” time to start injectables, and while there is no “right age”, there are some signs and age milestones that might signal the time is now!

Think of it this way- when you buy a new car, you don’t wait until it’s falling apart to take it to the shop. Instead, you perform regular maintenance and routine care on it so it stays in good condition as time goes on. Your skin is no different! The best way to age gracefully is to perform regular preventative maintenance and take care of any problems as they arise rather than waiting until you are “falling apart”.


What signs should I look for?

We look at our faces every day, so sometimes it is difficult for us to see small problems as they arise. A good rule of thumb is that if you notice even the faintest lines between your eyebrows, on your forehead, or around your eyes while your face is in a neutral position, it’s probably time for an injectable neuromodulator (neurotoxin) like Dysport, Botox, or Jeuveau. Neuromodulators are the definition of a preventative treatment- they relax a target muscle so as to prevent the movement causing the fine lines you see at rest.

Our bodies typically lose 1% of collagen production per year after age 20, and bone loss begins around age 25. As a result, the skin becomes thinner and more fragile with each passing year. Most people will begin to notice faint fine lines/wrinkles at rest in their mid to late 20s, so that is typically a good time to start neuromodulators if not sooner (before the lines ever even arise!).


What about biostimulating injectables such as Sculptra or Hyper-dilute Radiesse?

Biostimulating injectables like Sculptra or Hyper-dilute Radiesse (HDR) are another good preventative treatment that can be started truly at any age. These act like liquid fertilizers for your skin, increasing production of collagen and elastin to help preserve healthy skin thickness, elasticity, and volume. Remember- collagen loss starts as early as 20 years old so it is best to stay on top of that with these “pre-juvenation” procedures!

What about dermal fillers?

Dermal fillers have a broad range of use. They can be used at any age to plump up lips, help give lift by adding volume to the cheeks or temples, and can help correct volume deficits or darkness to areas such as the under eyes. Aside from spot treating at any age, the rule of thumb for fillers to combat signs of agining is around 1 syringe for every decade of life- so if you are 50 you will typically require 5 syringes, if you are 60 you will require 6, etc. Fillers vary in longevity, but most need to be re-done every ~ 9-15 months.

The bottom line is this: there’s no right age to start injectables. You should start when you’re ready, but as the old saying goes, an ounce of prevention is worth a pound of cure. So the sooner you start, the easier it will be to maintain a youthful, radiant appearance as you grow older!

Everything You Need to Know About Sculptra

As we get older, our face loses both bone structure and fat pad volume, which leads to a sagging, aging face rather than a lifted, youthful face. Hyaluronic acid fillers help to rebuild some of that lost volume and structure, however collagen stimulating therapies such as Sculptra Aesthetic are another popular and very natural looking option.

What is Sculptra?

Sculptra Aesthetic is a safe, synthetic, biocompatible material made of poly-L-lactic microspheres that is injected below the surface of the skin to stimulate collagen production. Think of this as fertilizer for your skin- it can be used for global volume restoration and to spot treat specific areas depending on the placement and amount of product used.

Sculptra Results

As with any biostimulating therapy, the results of Sculptra Aesthetic are not immediate. At your first treatment visit, it may appear that Sculptra Aesthetic worked immediately because of swelling from the injections and the water used to dilute the product. A few days following the treatment, when the swelling goes down and the water is absorbed by your body, you may appear similar to as you did before your treatment. Sculptra takes time, up to 6 months, to see full results. Results have been studied out for 2 years, but likely last even longer than that especially if you keep up with maintenance therapy (recommended 1-2 vials per year after initial series).


At your consult, we will discuss your specific goals to get a better idea of how many vials and sessions you may need. Up to 2 vials may be used per session, and most clients need on average 3 sessions about 6 weeks apart for best results.

After your injections, your face may appear a bit swollen/puffy and you can expect some bruising at the injection site. You will be instructed to massage the treated areas for 5 minutes, 5 times per day, for 5 days following the procedure- this is to prevent nodules from forming under the skin and to ensure even distribution of this “skin fertilizer”. You will likely be a little sore as the lidocaine used to mix the sculptra wears off after the treatment.

We will continue to assess and treat as needed until the desired results are achieved. Schedule your consult today to see if Sculptra Aesthetic is right for you!


What’s The Difference Between Neurotoxins and Fillers?

One of the most common questions we get is “What is the difference between neurotoxins and fillers? And which one is right for me?”.


Neurotoxins (NTs), or neuromodulators, are injectables made up of different forms of botulinum toxin which, when injected, relax the targeted muscle. Brands include botox, dysport, jeuveau, etc.

Relaxing dynamic muscles helps prevent static lines from forming over time in areas such as the glabella (11s), forehead, and crow’s feet (lines around the eyes). Neurotoxins can also help to smooth out lines that have already formed in these areas, but only to an extent. Once a line is there at rest, it is much harder to get it to completely go away, so Neurotoxins are actually best for wrinkle prevention!


Fillers are injectables made up of hyaluronic acid (HA) (with a few brand exceptions such as Radiesse), which when injected can provide structure, volume, and contouring. Brands include Restylane, Juvederm, Belotero, etc. Fillers are mostly used to treat something that has already happened, such as volume loss to cheeks that can cause the face to sag and create jowls or to fill a line caused by a dynamic muscle that has not been treated preventatively with neurotox!

Which one is right for me?

So which treatment is right for you? That all depends! Everyone, no matter how old or how young, can benefit from wrinkle prevention with neurotox. A skilled injector at Accent Aesthetics can help decide if fillers are a good option for you as well.

Gallery, AdvaTx, Hyperdilute Radiesse dermal fillers, Intracel, Ultherapy, Neurotoxins, chemical peels, IPL, Genesis, microneedling
Gallery, Neurotoxins
Gallery, AdvaTx, Hyperdilute Radiesse, Intracel, Ultherapy, Neurotoxins

neurotoxins neurotoxins neurotoxins neurotoxins neurotoxins neurotoxins

What To Expect at A Neurotox Appointment

Wondering what to expect at your next neurotox appointment?


First, we will discuss which product you want to use factoring in price, look/feel, onset time, etc. Next, we will take before pictures to help track your progress. Then, we will go over the consent and have you sign it. Finally, I’ll take a look at your movement to help determine how many units are needed per spot. Then we ice, and inject!

The biggest thing to remember is that just because a number of units worked for you one time does not mean that same number will work again. Multiple studies have been done showing that dose = duration, meaning the higher dose we use, the longer the product will last. Results can last anywhere from 3-5 months.

Knowing the average number of units used per treatment site can help give you an idea of pricing beforehand, but just know that everyone is different and these numbers are not hard and fast rules. Here’s a few averages for the most common areas: “11s” need anywhere from 10-30 units, the forehead needs 10-30 units, and crow’s feet need 4-15 units per side. Remember that Dysport is dosed a little differently than Botox and Jeuveau, but it roughly comes out to 2-3x the number of Botox units.

Have any other questions about neurotoxins or other injectables?

Schedule a consult so we can find the perfect dose for you!

neurotox neurotox neurotoxins

Platelet Rich Fibrin aka PRF: The “Natural Filler” We’re Obsessed With!

By now we’ve all heard about PRP (Platelet Rich Plasma) and its regenerative abilities. While it is still widely used in several different branches of medicine, there’s a new generation of stem cell therapy, PRF (Platelet Rich Fibrin), and we’re using it in advanced aesthetics!

Your blood contains four main ingredients: red and white blood cells, platelets, and plasma. The platelets are largely responsible for clotting your blood and initiating the healing process any time you’re injured. Fueling the healing response are the growth factors and other proteins found in your platelets, which are released at the site of the damage in order to aid in healing, help with repairs, and reduce inflammation, all at a cellular level.

Platelet Rich Fibrin (PRF) vs Platelet Rich Plasma (PRP)

PRP is spun down at a very high speed, seperating all of the cells from the plasma, or liquid portion, of the blood. This plasma does contain your own growth factors and some platelets, but due to the diluted concentration it dissipates quickly in the area being treated. It has come to be called “fools gold” in our industry because of its unpredictable or unsatisfying efficacy. PRP also contains additives or anticoagulants, such as heparin. This allows for the plasm portion to be used for a much longer time after being spun down so there’s less urgency to get it into the area being treated. Unfortunately, this anticoagulant doesn’t allow the platelets to stimulate the healing process to their full ability.

PRF is spun down at a much slower speed so the cells aren’t completely seperated. While this results in less volume of injectable liquid, the portion used is much more concentrated and rich in platelets and growth factors. PRF keeps the platelets enveloped in a fibrin meshwork which helps build a thicker, slower absorbing layer in the area being treated. When injected this creates a lovely “scaffolding” effect to the skin. Hence the “natural filler” term.

So now you might be thinking “what the heck is fibrin?”  Fibrin, in basic terms, is what platelets bind to as they circulate throughout your blood. When platelets bind to fibrin they release growth factors which help to start the healing process by creating new collagen, blood vessels, and skin cells in the process.

Also, PRF contains no anticoagulants or additives, making it a completely pure product, which is why we call it a “natural filler”.

The PRF product is spun at a lower speed so that the layers of the blood do not separate out as distinctly. This allows some of the white blood cells and stem cells to remain within the platelet layer that is collected for treatment. Thus, there are more healing factors within PRF than is typically seen in PRP. In addition, the lower spin speed causes less trauma to the individual cells of the blood, allowing more stem cells to remain in the final PRF product.

Book a Consultation with Accent Aesthetics today!

platelet rich fibrin, platelet rich fibrin, platelet rich fibrin

Platelet Rich Fibrin