Lakes Dermatology Announces Expression - The Newest Filler on The Market

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Cosmetic dermal fillers are primary to maintaining a fresh and youthful appearance. Expression is the latest advance in dermal fillers and Lakes Dermatology is one of the few to carry the product.

Expression - The Latest & Greatest Filler

"Not everyone is a candidate for this new product, but many are. They need to come to my office, free of charge and I'll take a cursory look at the areas that need to be injected.

When one looks in the mirror, a man or woman can see the distinct areas that seem to lose volume most quickly. The lines from the nose to the lips are called NasoLabial folds and the creases from the lips to the chin are called "marionette" lines as they resemble that of a puppet. As one ages, these lines and creases become more prominent with deeper recesses.

But there's hope in Las Vegas, Nevada. Depending on one's desires and the areas one wants injected, Dr. F. Victor Rueckl can help you decide if Expression is the right filler for your needs through a free consultation. "Not everyone is a candidate for this new product, but many are. They need to come to my office, free of charge and I'll take a cursory look at the areas that need to be injected. I may use other products, such as Restylane, Juvederm or Perlane. There are many on the market today. But I am really excited about Expression because it works differently and the results are great," said Rueckl.

Cosmetic dermal fillers add volume and help fill, smooth, and minimize lines and wrinkles on the face, as well as fill the lips. A great deal of artistry, skill, and attention to detail are required when working with the subtleties of dermal fillers like Expression. In December 2012, Dr. Rueckl was asked by the makers of Expression to test their newer dermal filler (which has been in use since July 2012) on some of his existing patients, and see if it was something he would like to add to the service line. The patients and Dr. Rueckl were so impressed with the results, Expression is now available at Lakes Dermatology.
Dr. Rueckl has always been the only injector of Expression at Lakes Dermatology. He has never delegated this responsibility to a Physician Assistant, Nurse, or Medical Assistant. This fact is important to the integrity of his practice and to his patients' consistent care and his high patient return rate.

What is Expression and what does it do?
Created by Enhancement Medical, Expression is considered a third generation hyaluronic acid (HA) filler. It was created by some of the original creators of the injectable, Radiesse, which has been used as a dermal filler for many years. Like other HA fillers, Expression is a smooth gel made of hyaluronic acid—a naturally occurring substance in the human body. Over recent years, hyaluronic acid, a complex sugar, has become a favored compound for replenishing the areas of the face and lips where the skin's volume and fullness have been lost due to age, sagginess, or other reasons. Dr. Rueckl injects Expression into the necessary areas of the skin to restore the patient’s skin's volume and smooth away facial wrinkles, lines, and folds, and add volume. Expression provides a smooth, natural look and feel to sites where it is injected and has been shown to last 6 months or more..

Where is Expression used?
Because of its specialized cross-linking and compound, Expression can be used for more shallow injections and finer lines, as well as into deeper folds, wrinkles, and the lips. It can also be used under the eyes or into the cheeks to add volume. Depending upon the site of injection and the patient’s specific volume loss, multiple syringes may be needed for full effects.

Why is Expression different than other fillers?
Expression features the first HA to be produced with the pathogen free medium, Bacillus Subtilis. The manufacturing also uses a water-based process, free of organic solvents such as ethanol, and without the use of animal derived materials. Unlike some other HA fillers, Expression does not contain any suspended lidocaine in the syringe. Dr. Rueckl will still, as always, pre-numb with a block though. Another difference is that a syringe of Expression is 1.5mL – so 1½ the size of JUVÉDERM®, Restylane®, or Perlane® syringes, which means there is more to use. And finally, the scientific compound of this HA filler is different in that it doesn’t draw water to itself upon injection. Other HA fillers draw water to themselves, so patients can be a bit more swollen post-injection. With less swelling, that means less downtime for the patient, and a better understanding of what the final result will look like right after the injection is complete.

What is an Expression treatment like?
At Lakes Dermatology, as with all filler injections, Expression is only injected by Dr. Rueckl. He will begin by discussing the treatment with the patient and have you sign a consent for the procedure. Dr. Rueckl will prep the site with a lidocaine with epinephrine block to further reduce any pain or discomfort during the procedure and have the patient wait about 10 minutes. By waiting this amount of time, the blood flow to that area is able to dissipate a bit, resulting in less bruising and swelling. After about 10 minutes, Dr. Rueckl will administer the Expression syringe and expertly and artistically inject the substance into the areas to be filled and re-volumized. Dr. Rueckl applies ice packs to the injected areas and has the patient sit for a few minutes to apply pressure, thereby further minimizing swelling and bruising. The full procedure takes approximately 30-45 minutes. You will leave the office having minimal discomfort or other affects and be able to return to normal activities.

What kind of results can I expect from an Expression treatment?
The patient should see an immediate improvement in the treatment areas with minimal bruising or swelling. Sometimes bruising and swelling can be minimized by taking Arnica pills or using Arnica gel before the procedure and post-procedure. Arnica is a natural medication that can be obtained from a local health food store. It is not necessary to take it, but some people find it helpful, particularly if they are prone to bruising. Ice packs and avoidance of aspirin for a few days will help. Expression will help fill, smooth, and minimize the lines, wrinkles, and/or folds into which it is injected. For most patients, Expression will last 6 months or more, although in some cases and areas, the duration of the effect may be shorter or longer. Supplemental treatments may be required to achieve and maintain optimal results.

How much does Expression cost?
As with all fillers at Lakes Dermatology, Expression is charged by the syringe. One syringe of Expression is 1.5mL and costs $750.

For more information on Expression, including all FDA information, please visit the Enhancement Medical website at

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Katie Rueckl

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