Frequently Asked Questions
INJECTABLES
What can filler be used for?
Some of Dr. Khiani’s favorite procedures include fillers! Lip Filler can be used to enhance the volume of lips along with hydration. Cheekbone and jawline fillers can be used to create a more sculpted look of the face. Chin filler can be used to add balance to the face and balance the side profile. The procedure Dr. Khiani is perhaps most well-known for is smooth marionettes, whereby filler is placed strategically in the lower mouth area to lift the corners of the mouth and to soften the lower face.
How long does filler last?
Filler is metabolized at different rates by different people, and it also tends to last longer in those areas of the face that have less movement. In general filler lasts about 6 months to a year. Recent MRI studies are showing filler is lasting in certain areas much longer than we expected, years. Dr. Khiani will always guide you and let you know if it’s time for more filler or if it’s better to wait.
What are fillers made out of?
Injectable fillers are man-made derivatives of hyaluronic acid. Hyaluronic acid is a complex sugar molecule and a major component of the body’s own collagen. All of our fillers are FDA-approved and the body naturally degrades them over time.
What is a neuromodulator?
Neuromodulators (more commonly known by their brand names of Botox, Xeomin, Dysport, and Jeuveau) interrupt the signal between nerve and muscle, causing the muscles to contract less, smoothing the wrinkles in the relevant area.
When will I see results from my neuromodulator treatment?
You will not see immediate improvement in fine lines and wrinkles. Results can be seen in 4 to 8 days and sometimes longer. The results peak at 30 days and then slowly diminish over 3-4 months.
How long do neuromodulators last?
The amount of time your neuromodulator lasts depends on your metabolic rate. The majority of patients maintain neuromodulator treatments every 3 to 4 months.
What can neuromodulators be used for?
While neuromodulators can be used to smooth wrinkles, they can also be used for much more! For example, they can be used to create an eyebrow arch, carry out a “lip flip,” correct gummy smile, slim the lower face, and reduce grinding/clenching and TMJ dysfunction. They can even be used in the neck (for a “Nefertiti Neck Lift”).
Watch Dr. Khiani explain more in this video.
What is Poly-L Lactic Acid?
Poly-L Lactic Acid is often known as Sculptra and this is Dr. Khiani’s area of expertise. She does full face collagen stimulation with Sculptra for a natural, anti-aging injectable treatment that lasts 2-3 years. Full Face consultation is required prior to the procedure. 3 sessions required initially. Vials recommended depend on genetics and age.
Is there any downtime associated with injectables?
There is no meaningful downtime from an injectable treatment, however, it is common to experience swelling, bumps, or bruising within the first two weeks of receiving treatment. We also recommend that patients refrain from exercising for the rest of the day after coming in for an injection. To help with bruising and swelling, a natural supplement called Arnica can be taken prior to the procedure.
How long does it take to see results from a filler injection?
You will begin to see results right away, however, filler takes 2-3 weeks to fully settle and rehydrate. During this time it is normal to experience a lump or bump that will settle on its own until the filler integrates with the tissue.
What are the aftercare instructions for an injectable treatment?
Avoid exercise for the rest of the day. Avoid makeup for 6 hours. Avoid alcohol and blood thinners for 1 to 2 days, as well as salt, saunas, steam rooms, and sleeping on your face. Ice can be used as needed for comfort and/or swelling (not for PRP).
How much do injectables cost?
Please contact our office at (631) 979-7400 for more information on pricing.
What is PRP for hair loss?
PRP (Platelet-Rich Plasma) therapy for hair loss is a treatment that uses your own blood’s platelets to stimulate hair growth. A small amount of blood is drawn, processed to concentrate the platelets, and then injected into the scalp to promote hair follicle health and regrowth.
Medical Aesthetics Protocols
No flight for 48 hours after procedure
Confirm any cold sore history and a valtrex script will be sent in by Dr. Khiani for prophylaxis 500 mg bid x 5 days.
Avoid alcohol aspirin and NSAIDS (anti-inflammatory medications) 72 hours prior to procedure including certain supplements that can thin the blood ie garlic, turmeric, vitamin E, fish oil.
If you are at high risk for bruising or want to prevent it you can purchase arnica tablets and start the day prior to the procedure.
For Lip Filler no dental procedure 7-10 days prior to procedure or after the procedure.
Evia Botox Protocol
Appointment should be every 3-4 months; if you schedule sooner there is a chance of developing resistance.
No facials or microblading scheduled for 2 weeks after injections.
Bruising is not common with botox .
No strenuous exercise/jumping day of procedure.
No laying down for 2 hours after procedure.
Can take zinc supplement to increase duration of botox.
Touch up might be necessary until Dr Khiani learns your individual facial anatomy.
If it is your first time, a headache and/or numbness tingling is normal; this will subside.
Evia Sculptra Protocol
Avoid alcohol, aspirin and NSAIDS (anti-inflammatory medications) 72 hours prior to procedure including certain supplements that can thin the blood ie garlic, turmeric, vitamin E, fish oil.
If you are at high risk for bruising or want to prevent it you can purchase arnica tablets and start the day prior to the procedure.
Swelling, redness, bruising are common after the procedure along with tenderness especially in the jaw and temple areas. Avoid hard food the first day and take Tylenol as needed.
Swelling will subside in 24-48 hours, any bruising can take time to heal.
After Treatment Massage
Use the rule of 5. Massage for 5 minutes, 5 times a day, for 5 days: This is necessary to distribute the product evenly (to prevent nodule formation) and to increase the effectiveness of the product.
Evia PRP/PRFM Protocol
To ensure a proper blood draw please be hydrated the day of the procedure. This means drinking enough water the day prior to the procedure and the morning of the procedure. It is recommended to drink half of your body weight in oz on a daily basis.
Avoid alcohol/smoking prior to the procedure.
PRP/PRFM works by causing inflammation and recruiting “good” cells to do their job. Hence do not take any aspirin, anti-inflammatories 7 days prior and 7 days after the procedure. Tylenol is absolutely fine. Avoid NSAIDs.