BOTOX® BOTOX® Cosmetic (onabotulinumtoxinA) Important Information

Botox, also called Botulism Toxin Type A, is an injectable filler that blocks nerve impulses to the muscles and keeps them from contracting. This nerve block results in a softened and relaxed, youthful appearance.

Where does the Botox go, and how long will it last?

Botox treatments are the treatment of choice for forehead wrinkles, fine lines between the eyebrows, crow’s feet, and nose creases. It can also be used for Hyperhydrosis (excessive sweating) in the underarm area or on the palms of the hands. The results of Botox treatments will appear in three to four days. The effect will last three to four months, after which the treated muscles will gradually regain their action. A simple repeat treatment is all that is necessary to maintain the desired results.

Are there any side effects?

As with any injection, there can be temporary redness, swelling, bruising, or a mild headache. Patients with neuromuscular disorders should contact their doctor before therapy. Botox treatments should not be administered to women who are pregnant.

How many units will I need?

FDA recommended dosages are as follows:

  • Glabellar lines (frown lines): 20 units
  • Canthal lines (crow’s feet): 24 units

The number of units required will vary by each patient. For recommendations on additional treatment areas, the number of units suggested, or a more precise individualized amount, please call to schedule a consultation.


LATISSE® is an FDA-approved treatment to grow eyelashes for people with inadequate or not enough lashes.

Important Safety Information:

If you use/used prescription products for eye pressure problems, use LATISSE® under doctor care. May cause brown darkening of the colored part of the eye which is likely permanent. LATISSE® may cause eyelid skin darkening which may be reversible. Only apply at the base of upper lashes. DO NOT APPLY to lower lid. Hair may grow outside the treatment area. If you have eye problems/surgery, consult your doctor. Common side effects include itchy and red eyes. If discontinued, lashes gradually return to the previous appearance.

To report a side effect, please call Allergan at 1-800-433-8871.

Please see LATISSE® full Product Information.


JUVÉDERM® XC is the smooth gel filler that your provider uses to smooth away wrinkles around your mouth and nose instantly. With just one treatment, you’ll get smooth and natural-looking results that last up to a year.  JUVÉDERM® XC is manufactured using HYLACROSS™ technology, creating a smooth-consistency gel. It is infused with lidocaine to improve comfort during treatment. Price: $525.00/syringe

Where does it work?

Everyone’s skin ages differently and JUVÉDERM® XC may be used to rejuvenate multiple problem areas. From smile lines to vertical lip lines, you can smooth away unwanted wrinkles and restore natural contours.

Side effects

JUVÉDERM® XC injectable gel is well tolerated. Most side effects are mild to moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin-injection procedures, there is a risk of infection. Hyaluronic acid fillers are biocompatible, which means allergy skin testing is not required before treatment.

For more information, click the link below:


KYBELLA® (deoxycholic acid) injection is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat in adults. Kybella – Eliminate Unwanted Double Chin Permanently.

Now at Georgia Center Med Spa, you can, Non-Surgically Improve your chin and neck profile with Kybella!

Kybella is the first and only FDA-approved injectable drug that contours and improves the appearance of submental fullness, or “double chin.”

Treatment with Kybella is customized to the patient’s aesthetic goals for an improved chin profile.

What is KYBELLA?

KYBELLA (deoxycholic acid) injection is the first and only FDA-approved prescription nonsurgical treatment that is used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called, “double chin.” It is not known if KYBELLA is safe and effective in children less than 18 years of age. It is not known if KYBELLA is safe and effective for use outside of the submental area.

How does KYBELLA work?

The active ingredient in KYBELLA is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath your chin, KYBELLA causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.

Is KYBELLA right for me?

Only you and your doctor can decide if KYBELLA is right for you. If you’re bothered by submental fullness or double chin, ask your doctor about KYBELLA.

How many people have been treated with KYBELLA?

KYBELLA 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 KYBELLA.

What can I expect during my KYBELLA appointment?

You and your doctor will customize your KYBELLA treatment regimen, including how many treatments you need, based on your desired chin profile. Your doctor will give you a series of injections at each treatment session, which is spaced a month or more apart. Many patients experience visible contouring of their chin profile in two to four treatment sessions spaced at least one month apart. Up to 6 treatments may be administered.

Will I experience any side effects?

The safety profile of KYBELLA is well characterized. The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area.

How many treatments will I need?

You and your doctor will customize your KYBELLA treatment regimen, including how many treatments you need, based on your desired chin profile. Your doctor will give you a series of injections at each treatment session, which is spaced a month or more apart. Many patients experience visible contouring of their chin profile in one to six treatment sessions spaced at least one month apart. Up to 6 treatments may be administered.

How long will the results last?

When injected into the fat under your chin, KYBELLA causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After the aesthetic response is achieved, re-treatment with KYBELLA is not expected.


Restylane® is an injectable, non-surgical facial treatment designed to slow and hide the effects of aging. Restylane® filler injections are composed of a clear hyaluronic acid-based gel that not only fills in lines and wrinkles in the face but also adds moisture and lubrication to the skin, making it feel younger and more comfortable. Price: $300.00/syringe

How does Restylane ® work?

Restylane ® works immediately by adding volume to smooth away wrinkles. A clear gel formulation of hyaluronic acid, Restylane is specifically formulated to act like your body’s hyaluronic acid, and eventually breaks down naturally.

How long does Restylane® last?

Restylane ® lasts 6 to 9 months.

What areas can be treated with Restylane®?

Restylane ® can be used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds. This includes the lines from your nose to the corners of your mouth (nasolabial folds or laugh lines), the area just below the nose and above the upper lip; the corners of the mouth; and marionette lines—the area that extends downward from the corners of the mouth to the jawline.

Restylane ® can also be used to enhance the fullness of the lips, which also creates a more youthful look.

Visit for more information.


JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved to add volume to the cheek area instantly. It gives you a subtle lift, helping restore contour and a more youthful profile for up to 2 years. Price: $800.00/syringe


As you age, it’s not just about lines and wrinkles. Your cheeks can lose volume and skin may begin to sag. JUVÉDERM VOLUMA® XC is the first and only FDA-approved injectable gel to instantly add volume to your cheek area to correct age-related volume loss in adults over the age of 21. It can provide you contour and a subtle lift for up to two years with optimal treatment.

What is the difference between JUVÉDERM® XC and JUVÉDERM VOLUMA™?

JUVÉDERM® XC is a non-surgical filler your doctor uses to instantly smooth out moderate to severe lines along the sides of your nose and mouth. Natural-looking results may last up to one year with optimal treatment. JUVÉDERM VOLUMA™ is the first and only injectable gel that is FDA-approved to instantly correct age-related volume loss in the cheek area for people over 21. It adds volume, creating contour and lift for up to two years with optimal treatment.

For more information, click the link below:

Restylane Lyft

Over time, the natural fat that surrounds the cheeks begins to deteriorate, resulting in sagging skin, more prominent wrinkles and a reduction of volume. Restylane Lyft, formerly known as Perlane-L®, is an injectable hyaluronic acid gel used to correct volume loss and treat wrinkles in the face. Through nonsurgical injections, Restylane Lyft is specifically designed to add fullness to the cheeks and midface area, which can result in a more natural-looking, youthful appearance.

Restylane Lyft is the first and only FDA-approved filler indicated to provide lift to cheeks and add volume to correct and smooth smile lines (nasolabial folds).

Restylane Refyne

As skin loses elasticity with age, the lines that run from the sides of your nose toward the corners of your mouth (nasolabial folds) and the lines that run from the corner of your mouth toward the chin (marionette lines) appear more noticeable. Restylane Refyne is a specifically formulated hyaluronic acid dermal filler made with XpresHAn TechnologyTM† that helps correct these lines for a more natural look to your face.3,4 The unique cross-linking of the gel in Restylane Refyne is also designed to help support your natural expression—for real-life results that help maintain natural movement when you’re smiling, frowning and even puckering up.1,2


Move toward a natural look.Wrinkles aren’t your style and the “frozen look” isn’t either. For adults who want a natural look, there’s Dysport, a prescription injection proven to help smooth the appearance of moderate to severe frown lines between the eyebrows without changing the look or movement of the rest of your face. Untreated muscles still work normally, so you can continue to express feelings naturally. It’s the lines that are minimized, not your expressions. And because Dysport delivers the natural-looking results people want, 97% of users say they’d do it again.1*†‡ Additionally, Dysport is approved in 69 countries2 and has 25 years of clinical experience worldwide.3§ Find out more about Dysport below, including how it works and what you need to know before starting treatment.

The Under-Eye Micro-Cannula Technique, AKA Cannula Tear Trough Filler

Eye bags and dark circles may be present from birth or can develop with age. They make us look older and more tired.

At GCMS, we fill the so-called tear trough to minimize hollowing under the eyes and to soften the under-eye contour. Filling this area makes the eyes look less tired.

Here is what a tear trough is: it’s a valley under the eyelid that contributes to shadows, dark circles, and the appearance of under-eye bags. It is caused by the tight attachment between the eye closure sphincter muscle (orbicularis oculi) and the rim of bone under the eye.

The cannula tear trough filler treatment is a way to minimize or eliminate eye bags without surgery.

See examples:


How is cannula tear trough filler done?
An injection delicately and precisely places a biocompatible material under the skin to lift the sunken area.

There are a few filler types available (Restylane, Juvederm, Restylane Lyft, Belotero, Volbella, Vollure, etc.), and these consist of gels that are packaged in a syringe or a tube. At the tip of this tube is a needle or a cannula that delivers the gel in the right place.

Needle vs. cannula
A needle is the traditional way of performing filler treatments. It has a sharp tip and works with a high degree of accuracy.

A cannula is similar to a needle but the tip is not sharp, it is blunt and rounded. The cannula eye lift has a few benefits:

1. Cannulas can be less likely to cause bruising after filler treatment.

2. Cannulas may be less painful than needles.

3. Cannulas may require less entry points because they tend to be longer than needles.

4. Cannulas may be safer than needles because it is less likely to puncture a blood vessel and inject filler where it doesn’t belong.

Which one do we use?
We use cannulas for the tear trough, mainly because of the improved safety and reduced risk of bruising. At GCMS, many of our patients want to be able to return to their busy lives with minimal recovery time. The cannula makes that much more likely than needle treatments for eye bags.

However, I don’t use cannulas for every filler treatment I perform because certain situations are better suited for needle injections (e.g. shallow fine lines, lips, acne scars, surgical scars).

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