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Upper Lip Wrinkles • Frown Lines • Sagging Skin • Laugh Lines • Sunken Cheeks

Nothing STOPS The Signs of Aging like Dermal Fillers THE ULTIMATE GUIDE: WHICH FILLERS WORK BEST ON SPECIFIC AREAS OF THE FACE With having injected more than 10,000 syringes of dermal over the years and after more than 12 years working as a PA along side some of LA’s most noted plastic surgeons, dermatologists and anti-aging doctors, Aaron Furey’s skillful hand and eye for detail keeps some of Hollywood’s biggest stars red carpet gorgeous. Here’s his take on dermal fillers that can keep you looking ageless! “It’s my goal to give patients a positive experience; deliver effective medical care and natural, beautiful, undetectable cosmetic results.” — Aaron Furey, PA

BHT: Which filler is best for which area on the face? AF: Fillers are like paint, each has different attributes and can be manipulated differently. Ultimately, results depend on the skill of the person injecting the filler and their experience with that specific product. What is magic in one person’s hands is disaster in another's. You pay for the skill of the “injector” more than the product itself. • HLA (Hyaluronic Acid) Fillers—Juvederm, Perlane, Restylane: Better suited for around the mouth and in the lips because they are clear and have a softer look. • Calcium-based filler like Radiesse: Best for deep injections to restore areas like the upper cheeks, and temples. • PLLA (poly-L-lactic acid) filler like Sculptra: Best to soften areas of large volume loss like the mid-cheek. • Permanent fillers: Should be approached with extreme caution. The lure of not having to come back every 6-12 months can be offset by a lifetime of regret. BHT: Any way to avoid the “frozen” deer in the headlight/loss of expression look Botox can create? AF: When using "relaxers" Botox or Dysport in the forehead/eye area, there’s a fine line between softening and paralyzing or "freezing" the area. Patient expectations or demands is an issue. Some want to erase all wrinkles/ lines because it looks better in “photos” forgetting the other 99.9% of the time their face is “in motion.” Success for fillers depends on the “injector” setting realistic expectations and boundaries for patients. I don’t do "frozen"... it looks bad, and I consider it a disservice to patients.

BHT: What is the difference between fillers and fat injections? Don't they achieve the same results? AF: One strength of filler over fat is predictability. Initially, FAT needs to be overfilled because the body reabsorbs up to 50% during the healing phase. Fat taken from a particular area (ie., abdomen) behaves like abdominal fat while in the face. If major weight loss/gain is experienced, transplanted fat may not expand/shrink at the same rate as surrounding tissue. It’s clear what course a filler takes over it's lifespan. BHT: Aging/loss of fat causes hollowness under the eyes. Which filler is better for that “under eye” area? AF: Underneath the eyes is a very sensitive area to treat, but also one of the most important since it's where most people focus when they look at you. I attribute most of the poor results we see to three strategic causes: 1. Filler injected too close to the surface of the skin. The thinnest skin on the body is located beneath the eye. If filler is injected too superficially, inconsistency shows. 2. Filler injected above the tear trough (the “little valley” under the eyes. There’s no way to erase dark circles/puffiness under the eyes with filler. We can make them appear to go away by smoothing the transition from the under eye area to upper cheek area. Filler extending too close to the tear trough causes fluid to back up making puffiness worse. This could improve as filler is absorbed by the body. 3. Use of HLA fillers too close to the eye. Hyaluronic acid loves water attracting many times it's own weight in water, and holding onto it aggressively. Some patients are prone to congestion under the eye, not knowing it's an issue. If the under eye area gets congested due to hayfever, water retention or sleeping in an odd position, HLA grabs onto extra water in that area swelling up, causing lumpiness or puffiness possibly worse in the morning, improving as the day passes. I use Radiesse under the eyes, and inject mostly deep under the muscle for a natural look in restoring volume to support facial tissues. Radiesse is difficult to master, so the practitioner's skill is key for success. BHT: Some upper lip areas with wrinkles have filler injected that makes the area look unnatural. What's the answer? AF: Your face is a living, breathing, animated, multi-dimensional canvas. A practitioner’s success with filler requires skill, experience and

patience. Smoker's lines are “wrinkles” caused by repetitive movement and volume loss. A new HLA filler BELOTERO targets fine lines/wrinkles and is appropriate if volume loss is not an issue. For crinkling of the lip, volume restoration is the answer. Over-filling lips or the surrounding lip area is poor practitioner technique and/or lack of an artistic eye. BHT: Is there is a way to get a "face lift" using filler? AF: YES, the "liquid face lift". Generally, fillers "fill" and surgery lifts "lift" BUT advances in non-surgical tightening like ULTHERA, never-before-seen-results are achieved using a combination of both. When done correctly restoring volume loss can help lift to some extent. Technique involves fillers in areas where volume is lost. The downside is the face can become “overfilled” weighing skin down. Result is an unnatural look of unwanted bulk. Best results are achieved using filler for each part of the face. A photo of the patient when they felt their face looked it's best helps a practitioner achieve a more youthful look. I work closely with patients on details to achieve a natural, undetectable look and tell them BEFORE we begin what we can or can't achieve using fillers. If something does not look good, I don't do it. l Currently named "Top Injector 2012 Southern California" by Aesthetic Everything website, Aaron Furey, PA, BS, trained at the University of Southern California School of Medicine. He hands-on trained extensively in the use of Sculptra, Radiesse, Juvederm, Belatero, Restylane, Perlane, Artefill and Botox. For more than seven years, Aaron worked with one of the largest HIV Lipoatrophy programs in the country, rebuilding faces of patients with HIV.

Aaron Furey, PA FOREVER YOUNG, INC. Dr. David Rahimi 6333 Wilshire Blvd. #406 Los Angeles, CA 90048 323-448-0688 www.turningbacktime.net

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