01.05.2020

How to Fix Hollow Cheeks? 5 Reasons to Consider Voluma

If you’re interested in improving your skin and getting rid of the unwanted signs of aging, it’s time to consider the Juvederm family of dermal fillers. They offer a wonderful alternative to cosmetic surgery and have long-lasting effects that can refresh your look. At ProMD Health in Baltimore, MD, we think there are some great reasons to consider Voluma, and especially if you’re dealing with hollow cheeks.

5 Reasons to Consider Voluma

It Can Be Better Than Collagen

Hyaluronic acid is the basis of this injectable, and this substance is what our bodies produce to keep our skin hydrated. Hyaluronic acid molecules are able to hold a thousand times their own weight in water, and they’re also responsible for moving nutrients from our bloodstream to our skin cells, giving our skin resilience.

Other injectables contain collagen, but this injectable hydrates and strengthens the skin while also stimulating the body to make more collagen and heal quickly. And the special formula that Juvederm uses has an enhanced molecular structure that resists the natural breakdown process. That means this product can last twice as long as other products with hyaluronic acid.

It Offers Immediate Effects

There’s no long waiting period with this injectable. Once it is injected, you’ll immediately see a lift to your skin. The hyaluronic acid goes to work supporting your tissues, bringing in hydration for an immediate plumping effect and stimulating collagen growth for a long-term plumping you’ll enjoy for years. As soon as treatment is over, you’ll notice the new, improve contours to your cheeks.

It’s Safe and Non-Invasive

One great reason to consider a dermal filler of any type is to avoid having cosmetic surgery. While cosmetic surgery is necessary in some advanced cases, surgery is always difficult, expensive, and time-consuming. It’s also not uncommon for people to experience a negative reaction to some aspect of a surgical procedure.

In contrast, this treatment uses a substance that is exactly like what your body already naturally produces, so the chances of having a reaction are very slim. And though there are minor injections involved, these are nothing like the invasiveness of surgery. The lidocaine including in Voluma’s formula will keep you perfectly comfortable, and you can, for the most part, go straight back to your normal routine as soon as treatment is finished.

It Has Long-Term Benefits

Dermal fillers are a great idea, but early versions tended to break down pretty quickly. Most only lasted about three to six months and people complained of “injection fatigue” as they tallied up the cost of getting a touch-up treatment every 90 days.

Modern fillers last much longer, and especially the top-of-the-line fillers like those from Juvederm. The formula used in this version of filler has been processed using Vycross technology, which links the molecules of the hyaluronic acid together. This makes them stronger and allows them to last for as long as two years!

It’s Reversible

Some cosmetic treatments are irreversible. Once they’re done, you’re stuck with the results whether you like them or not. That’s not the case with Voluma, which is not only smooth to inject and naturally biodegradable but also reversible. If you don’t like your look, simply come in and we can treat you so you get the look you really do want.

Important Questions About Treatment

Can I Really Lift My Cheeklines?

It might seem impossible to do this without surgery, but Voluma is specially formulated to firm up your cheeks and the skin on them. It goes deeper into the dermis than other formulations of Juvederm, and this thickness helps it stay in place. Even as you move your cheeks to smile, your dermal filler will stay in place.

But that’s not all that this treatment can do. It’s also a good filler for the entire midface area, and it can work in many areas of the face where lost collagen is causing your skin to sag.

Am I a Candidate for This Treatment?

For the most part, any adult who is dissatisfied with the way they look and wants to plump up their cheeks or reverse sagging skin is a good candidate. There are only a very few things that could keep you from getting treatment with this dermal filler.

Come talk to us at ProMD Health, and we can help you determine if this is the right treatment for you and if you’re a good candidate. Our goal is always your best look, so you can be sure we’ll only recommend what really is right for you.

What Should I Expect?

Before Treatment

There isn’t much you need to do to prepare, though there are some standard pre-treatment instructions that apply to most dermal fillers. We always encourage our clients to wear sunscreen, and never more than just before and after treatment. It’s also a good idea to avoid anything that might make your skin unusually sensitive, like waxing, bleaching, or even plucking.

To get the best possible experience, we also recommend that you avoid things that thin the blood and thus make it likely you’ll bruise. This includes aspirin and certain supplements, like St. John’s Wort.

During Treatment

The length of treatment always depends on your unique goals and how much of your face is being treated, but normally it takes less than an hour for a session. We can offer you a topical anesthetic cream if you’re nervous about needles, but the needles are so fine and the lidocaine within the filler is so effective that most people don’t need it.

We’ll carefully inject your Voluma filler in just the right pattern to enhance your look while ensuring you still look perfectly natural and like yourself. Injecting dermal fillers is as much art as science, and we have extensive experience and training in doing it just right.

After Treatment

Your instructions for after treatment aren’t much different than the ones that came before! Take care of your skin, avoid things that might irritate it, and avoid medications that might cause bruising. Other than this, you can go back to your normal activities quickly.

What Is the Difference Between This Filler and Botox?

You’ve likely heard of Botox, but you might not realize that it’s actually quite different from this product. They have different modes of actions, different ingredients, and are made to address different issues.

Understanding Botox

Botox is made from a bacterium that interferes with the communication between your nerves and the muscles of your face. By doing so, it allows those muscles to calm down, and the skin over them smooths out. This is the perfect treatment for addressing what are known as dynamic wrinkles. These are the wrinkles that form because of the movements we make.

Juvederm fillers, in contrast, are made to address static wrinkles, which are the wrinkles that form regardless of the movements we make. They can also address volume loss and sagging skin, which Botox does not.

Combining Treatments

If you’re seeing hollow cheeks and also dynamic wrinkles, there’s no problem combining treatments to get the perfect look. When you meet with us for your consultation, we can help you decide if combining treatments is the right step for you.

Know Your Skin

To understand just how dermal fillers can restore your youthful look, it’s important to understand what makes up our skin and how aging affects us.

Skin Structure

There are essentially three layers to our skin. The two outermost layers are the epidermis and the dermis. The innermost layer is the subcutaneous layer.

Epidermis

The epidermis is the layer you can see. It’s the waterproof barrier that protects you from the outside world. It keeps out bacteria, protects the deeper layers from UV radiation, and takes the brunt of the hit when you’re exposed to something like pollution. As a result, it shows signs of aging much faster than the other layers.

Dermis

The second layer–the dermis–is flexible. It’s essentially like a cushion between your body and the outside world, and it also contains the glands that produce all the oils you need to keep your skin strong and elastic. This layer also has your hair follicles and the nerve receptors that signal when something touches your skin.

Subcutaneous Layer

This innermost layer consists of fat and the connective tissue that keeps your outer layers of skin connected to your muscles and the general structure of your face. This is where the blood vessels are.

The Effects of Aging Skin

Epidermis

As mentioned, your epidermis takes the brunt of the aging process because it sees the most damage from the weather, pollution, the sun, and more. Over time, it starts to look dull and doesn’t rebound quickly when damaged.

The cells of the epidermis can also start to thin out over time, which makes our pores appear larger and allows “age spots” to form.

Dermis

The dermis has small blood vessels that start to break down with age. As we get older, we also stop producing so much collagen, which causes this layer to break down and become less firm and supportive.

Subcutaneous

One of the first effects of aging on this layer is lowered sebaceous oil production, which means our skin gets drier and itchier and can begin to sag. As we get older, we also lose fat in this layer, which means there’s less support for the upper layers, causing a hollow cheeks look and the sagging we all dread.

How Dermal Fillers Change Things

Dermal fillers in general are designed to replace the lost collagen and hydration our skin needs. By doing this, they strengthen the skin and make it more resilient. Some dermal fillers are made to go into the upper two layers of skin, but Voluma is designed to go straight to the deepest layer: the subcutaneous.

There it draws water and hydration to the area and signals the body to make more collagen. This collagen fills in the sunken areas and makes the subcutaneous layer a better foundation for the rest of the skin.

A Full Line of Products

At ProMD Health, we offer a full line of products that can address all the signs of aging in your face. Each is designed to work in a specific way to get you the natural results you’re looking for. In addition to Voluma, we also offer:

  • Bellafill
  • Juvederm Volbella
  • Juvederm Vollure
  • Juvederm  Ultra XC and Plus XC
  • Restylane classic
  • Restylane Lyft
  • Restylane Defyne
  • Restylane Refyne
  • Restylane Silk

We also have Botox and other neuromodulators, so whatever your concerns, we can help.

Treat You Cheeks

This treatment is a safe, reversible, non-invasive way to plump your cheeks and restore your aesthetic. It takes only a few minutes to get back your youthful look, and you can go right back to your day afterward.

To learn more and find out if this treatment is the right one for you, call us at  ProMD Health in Baltimore, MD today. We can’t wait to help!

01.05.2020
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Max Lenowitz

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Aesthetic Consultant

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Kelly Battista

Aesthetician

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Katarina Markulin

Master Aesthetician

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CRNP

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Tori graduated from Towson University with a Bachelor of Science in Nursing, and began working at University of Maryland in the Medical Intensive Care Unit. She then went on to be a travel intensive care nurse until joining the ProMD Health team in October 2021. Tori is currently attending Chamberlain University to earn her Master’s degree as a Nurse Practitioner. Her desire is to make each patient feel comfortable and to take time to listen to each individual’s concerns. Tori sees both men and women for hormone related issues and is passionate about helping others feel their best and will use her clinical expertise to assist with our Hormone Optimization Therapy.

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Laken Tychostup

Director of Clinical Operations

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Laken Tychostup has been an integral part of our team since 2017, bringing over 10 years of experience in the field of aesthetic medicine. In her role as the Director of Clinical Operations, Laken collaborates closely with Dr. Gavrila to ensure the smooth functioning of our clinical operations while prioritizing the delivery of excellent patient care by our staff.
Laken's expertise extends beyond daily operations; she also plays a key role in supporting our franchise development team. Her involvement spans from assisting new franchises with space planning to facilitating operational strategies, training programs, and successful openings.
With a commitment to efficiency and quality care, Laken's approach is grounded in practical experience and a dedication to fostering a positive and effective working environment within our organization.

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Mario Nelson

Chief Growth Officer

About

Mario is the Chief Growth Officer of ProMD Health and is primarily responsible for driving the growth of the ProMD Development Group by launching new franchise locations and identifying opportunities to strategically grow ProMD’s footprint nationwide. Mario graduated from Johns Hopkins receiving a master’s degree in Health Administration, a Bachelor of Arts in Public Health Studies, and a minor in Entrepreneurship and Management. Mario has an extensive history in startups, business development and healthcare. Prior to joining ProMD, Nelson worked at several firms and most recently was a senior manager at New York-based Cold Start Ventures, where he helped build and launch early-stage healthcare companies. In 2020, Nelson was CEO and Co-Founder of New York-based Micro Audio, Inc. He built the company and grew its platform to 10,000 users in the first 90 days of operation. From 2014 to 2018 Nelson worked at global consultancy Deloitte as a senior consultant where he spearheaded a $1 billion financial turnaround of a leading healthcare system. He also developed a five-year strategic plan for military hospitals in the Washington, D.C. area, and he executed a complete digital overhaul of a hospital system in the Midwest, resulting in 20 percent cost reductions. In his spare time, Mario is an avid Basketball player and fan and is passionate about education and volunteers as a tutor in New York City after school programs.

Safa Aljuboori

Safa Aljuboori

Chief of Staff

About

Safa Aljuboori is our Quality Assurance Manager. She joined the ProMD health team in 2018 after five years of business analytics and management experience. Safa holds a Bachelor of Science in Applied Mathematics. As ProMD Quality Assurance Manager, Safa is responsible for developing and overseeing an effective quality management system to continuously identify opportunities for improving the patient’s quality of life.

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Abby Ramos

Chief Marketing Officer

About

Abby is our Marketing Director. She joined the team in 2017 after graduating from UMUC with a Bachelor’s degree in Healthcare Administration and Marketing. She currently works remotely in Colorado Springs. Abby’s primary focus is to increase brand awareness and track and analyze marketing efforts to help drive business results. By managing and creating content for various marketing channels, she strives to use her skills and experience to keep ProMD Health’s patients well educated and informed about the latest and greatest ways to Look and Feel their best.

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Carla Cook

Vice President of Operations

About

Carla, the Vice President of Operations at ProMD Health, is a pivotal figure in ensuring the company's seamless functioning. With her extensive experience dating back to 2006 and a background as a Certified Patient Consultant, Carla brings a wealth of expertise to her role.
Her commitment to ProMD Health's core values, especially in delivering top-notch patient care, shines through in her daily endeavors. Carla's responsibilities span managing all of the corporate offices, overseeing staff, and optimizing operations to guarantee the highest standards of patient experience.
What sets Carla apart is her fusion of administrative prowess with clinical understanding. Her background equips her to not only manage operations efficiently but also to comprehend and cater to patients' clinical needs. This unique blend enables Carla to recommend tailored treatments, procedures, and care plans, ensuring patients receive optimal care and support.
Carla's dedication to excellence makes her an indispensable asset to ProMD Health. Her role as Vice President of Operations ensures the organization's smooth functioning, benefiting both staff and patients alike. Through her leadership, ProMD Health continues to uphold its commitment to delivering exceptional healthcare services.

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Scott Melamed

President

About

Scott has led the ProMD team to win many awards including the Torch Award for Business Ethics from the Better Business Bureau. Scott brings a wealth of experience from scientific research and a management consulting background. Scott has worked in academia studying pancreatic and urologic cancers at Weill Cornell, Columbia NY Presbyterian Hospital, Sloan Kettering, and Johns Hopkins. Scott attended the Johns Hopkins Medical Institution, where he earned his graduate degree and focused his coursework on Novel Drug Development and Large Firm Leadership. Scott is a published author in academic journals. In his free time, Scott sits on the Allergan Aesthetics Advisory Board and the Baltimore Child Abuse Center Advisory Board. Scott is a consultant and Faculty for Galderma's GAIN Business Unit. Scott is also an active volunteer with Johns Hopkins Alumni recruiting, the Baltimore Animal Rescue & Care Shelter, The House of Ruth, VOLO City, Pi Kappa Alpha, the Better Business Bureau, the American Foundation for Suicide Prevention, & several other organizations including ProMD Helps, which is the philanthropic foundation inside of ProMD Health, of which he is the Executive Director.

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George Gavrila, M.D

Founder & Medical Director

Locations

About

Dr. George Gavrila is a native of the Greater Baltimore area and has spent time studying medicine, primary care, functional, aesthetic, and integrative medicine. Dr. Gavrila completed his residency at the University of Maryland and served as a Fellow at the Center of Integrative Medicine at the University of Maryland School of Medicine. He’s currently a member of several prestigious medical organizations such as AMMG (Age Management Medicine Group), A4M (American Academy of Anti-Aging Medicine), and AAAM (American Academy of Aesthetic Medicine).
Dr. Gavrila has treated a wide range of patients, including celebrities, models, athletes, and international royalty, and is renowned throughout the country as a trainer of other physicians.