Boston Cosmetic
Boston Cosmetic

















Boston Cosmetic


Dermal Filler in Boston

Facial Plastic Surgeon in Boston

shutterstock_119680303[1]Its is an undeniable fact that we all age and as we age, our skin changes. Over time, the natural volume of youthful face begins to diminish as highlights turn into shadows and the texture of the skin becomes less smooth as wrinkles and folds form. This process can be effectively slowed and in some cases, reversed. Dr. Edwin Ishoo, a facial cosmetic surgeon at Boston Skin Essentials, has extensive experience and expertise in using injectable fillers like Juvéderm and Expression to restore volume and fullness to the skin and smooth away facial wrinkles and folds. Juvederm and Expression, like Restylane, Perlane and Elevess, are hyaluronic acid soft tissue fillers. These fillers produce very pleasing enhancements, most commonly for your “laugh lines,” “smile lines,” or “parentheses” (nasolabial folds), “marionette lines”(oral commissures) or “tear-trough deformity” (under eye hollowness). Fillers are also popular to restore cheek and lip volume lost over time or to enhance lips that have always been thin or asymmetric. Dr. Ishoo also uses these fillers to improve dimpled acne scars to smoothen skin texture along with resurfacing techniques.

Dr. Ishoo is able to offer a combination of treatments using Botox or Dysport along with Juvederm and Expressions to perform liquid facelifts and achieve remarkable non-surgical facial enhancement and rejuvenation. The results are nearly immediate. In about 30 minutes, you’re on your way to wonderful results that minimize your signs of aging and enhance your best features; full lips, diminished folds, and scars; and restore the contours of your youthful face. If you are considering fillers such as Juvéderm and Expressions in the Boston area, come to Boston Cosmetic Surgery Center and Boston Skin Essentials where Dr Ishoo will personally perform the treatments. Dr Edwin Ishoo, a board certified surgeon specializing in facial plastic facial surgery, has performed thousands of facial rejuvenation procedures and been awarded the patient choice award for his clinical excellence.

What is Hyaluronic Acid Injection-Boston Cosmetic Specialists-merge from Dr. Ishoo on Vimeo

Frequently asked questions about treatment with Juvederm:

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring complex natural sugar found in many tissues of the body such as skin and cartilage in all mammals. It binds to water to create more volume and elasticity in the skin to correct the appearance of wrinkles and facial folds. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.

What is cross-linked hyaluronic acid?

Uncross-linked” hyaluronic acid in its natural form is in a liquid state. “Cross-linking” is the process through which hyaluronic acid is made into a gel product that can be injected into the skin for long-lasting results.

What are the Advantages of using hyaluronic acids such as Juvederm over Radiesse?

Hyaluronic Acid fillers, unlike Calcium Hydroxylapetite fillers such as Radiese, can be dissolved and removed with a simple injection of an enzyme if desired; whereas, Radiesse cannot be removed. Also, Radiesse, cannot be used in areas of thin skin such as under eyes or lips as the calcium hydrxylapetite crystals reflect a bluish tint of light. “Tyndall effect”, creating discoloration of the treated area. Additionally, granuloma formation or “lumpiness” is more common with Radiesse than with Juvederm or Expression.

What is Juvederm?

JUVÉDERM® smoothes unwanted lines, restores natural contours and lost fullness in your cheeks, and enhances your lips to give you a youthful, natural and refreshed-looking appearance.

JUVÉDERM® is used for facial rejuvenation and enhancement. It can:

  • Soften smile lines
  • Accentuate and restore lost fullness in your cheeks
  • Enhance the size and shape of your lips
  • Restore the contour of your jaw line

The most appropriate lines to treat with JUVÉDERM® are those that are described as static – the lines you can see when your face is still. JUVÉDERM® can also be used to enhance your lips or accentuate cheeks for soft, subtle results that leave you looking your best.

Do I need an allergy test?

No allergy test is required with JUVÉDERM®

What’s the difference between JUVÉDERM® and collagen injections?

JUVÉDERM® is made of a substance called hyaluronic acid (HA) which with collagen, is found naturally in the skin. These two components, along with some others, tend to break down over time, causing the skin to become thinner and begin to show the signs of aging.

Collagen injections have been used for some time as facial fillers to fill out the loss of skin volume, removing wrinkles and restoring fullness to the face. HA fillers, such as the JUVÉDERM® ULTRA™ range of products, have now become more popular because they can last longer – in the case of the JUVÉDERM® family, up to one year1 – whereas most collagen injections tend to wear off after approximately four months.2

The Principle of Facial Fillers from Dr. Ishoo on Vimeo


Another key benefit of hyaluronic acid treatments like JUVÉDERM® is that they bind and absorb water, helping to create volume in the face. JUVÉDERM® will replenish hyaluronic acid to refresh your appearance by smoothing away unwanted lines, restoring lost volume, and keeping your skin hydrated.

What will a treatment with JUVÉDERM® accomplish?

JUVÉDERM® smoothes away unwanted lines, restores natural contours and enhances lips to give you a smooth, natural and refreshed appearance. Most patients need only one JUVÉDERM®treatment to achieve optimal wrinkle smoothing or volume enhancement with results that last up to one year. Actual treatment results may vary from one person to another.

How long does the treatment usually take?

The injection process is quick and easy and takes only about 15-60 minutes, depending on the areas treated. You’ll also need to allow time to consult with your cosmetic doctor prior to treatment.

Is a treatment with JUVÉDERM® painful?

JUVÉDERM® is injected directly into the skin using a fine needle to reduce injection discomfort. Generally there is no need for numbing; however, we find that pre-injection icing helps reduce discomfort significantly. In select cases, topical anesthetic cream or even local blocks with lidocaine injection may be used to reduce potential comfortable treatment.

How is JUVÉDERM® facial filler used in treatment?

Your cosmetic doctor will inject JUVÉDERM® under your skin using a fine needle. The smooth gel flows easily into the skin, providing a soft, natural look and feel. You will see an immediate improvement in the treatment areas.

How long before I see results?

Results are instant. You will see an immediate improvement in the treatment area. Most people need only one treatment to achieve an optimal outcome. Supplemental “touch-up” treatments may be required to achieve and maintain the desired look.

How long does JUVÉDERM® last?

The unique formulation of JUVÉDERM® is clinically proven to last up to one year3 with one treatment.

What is the recovery time following a treatment?

Treatment requires minimal downtime and most people return to their normal routine immediately.

What are the possible side effects?

JUVÉDERM® is generally well tolerated. Possible side effects are mild to moderate in nature and generally last less than 7 days. They may include temporary skin reactions such as redness, tenderness and bruising which may be covered by makeup.

Can people with different skin tones/colors be treated with JUVÉDERM®?

Yes. In fact, JUVÉDERM® is the first hyaluronic acid facial filler with proven effectiveness in persons of color. Studies with JUVÉDERM® showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.

Injectables Patient Education(1) from Dr. Ishoo on Vimeo.

At Boston Cosmetic Specialists, our medical and esthetic staff is highly experienced with Boston area Juvéderm injections for lip enhancement and facial rejuvenation. Achieve the natural appearing results you desire by completing our virtual consultation form to set up your initial consultation and treatment