Robotic surgical treatment enables a specially qualified robotic doctor to improve on the minimally intrusive benefits of laparoscopic surgical treatment by enhancing precision,versatility,and gain access to to difficult areas in the body. Contrary to the common mistaken belief,the robot is entirely controlled by the doctor.

The TIF 2.0 treatment uses an incision-less technique to deal with gastroesophageal reflux disease (GERD). TIF is an acronym for Transoral Incisionless Fundoplication:

Transoral– The treatment is carried out from within the GI system with the EsophyX device placed through the client’s mouth.

Incisionless– Using a transoral technique,abdominal cuts and internal dissection of other anatomy are not needed.

Fundoplication– The EsophyX device allows the restoration of the anti-reflux valve according to anti-reflux surgical treatment’s established concepts.

AboutDr Pozzessere Ramsey NJ

Based in Bergen County,Dr. Anthony Pozzessere is an award-winning,published,and fellowship-trained General Surgeon in Ramsey,NJ. His practice focuses on Advanced Gastrointestinal Surgeries and specializes in minimally intrusive and robotic methods. He is a Fellow of the American College of Surgeons and is board certified in General Surgery.

Dr. Pozzessere knows that choosing a doctor can be frustrating and that in an emergency situation,you wish to be 100% positive that the doctor caring for you or your loved one is among the very best. You should have an experienced doctor who uses sophisticated techniques and really appreciates your healing.

Dr. Pozzessere’s ingenious methods to surgical treatment have actually offered him a solid record of success. Procedures include surgeries for benign and deadly illness of the esophagus,stomach,gallbladder,bile ducts,pancreas,little and big intestines (colon),spleen,and adrenal glands,in addition to hernia repairs.

Raised in the coal-mining area of northeastern Pennsylvania,it was during his youth thatDr Pozzessere Ramsey NJ established a strong work ethic while playing numerous sports and in his research studies. He graduated from Hazleton Area High School with the greatest honors and captain of the university baseball group.

After high school,he transferred to Philadelphia to attend Saint Joseph’s University on an academic scholarship. He graduated summa cum laude with a B.S. in Chemistry and a minor in Health Care Ethics. Throughout his time at St. Joe’s,he also operated in the Service-Learning Department,where he established a dedication to serving others and took part in numerous service immersion trips to impoverished areas of Appalachia,a Native American reservation in New Mexico,and the Dominican Republic.

The loss of an enjoyed one informed him with the awareness that life was brief,and he wished to use his abilities to pursue a purpose that would supply others with the capability to live the very best life they could.

Therefore,he chose to stay in Philadelphia to pursue his medical degree at Jefferson Medical College.

He maintained his dedication to service throughout his time at Jefferson,offering at JeffHOPE’s street-side clinics for homeless Philadelphians. With a small group of schoolmates,he also founded a medical student company assisting refugees navigate the health care system,which has considering that blossomed into a complex task,including student-run totally free clinics. Dr. Pozzessere transferred to California to finish his residency in basic surgical treatment at Santa Barbara Cottage Hospital. Throughout his time in Santa Barbara,he established a strong interest in intricate and minimally intrusive intestinal surgical treatment. He chose to pursue fellowship training in Advanced Gastrointestinal Surgery at The Valley Hospital in Ridgewood,New Jersey. He knew the knowledge and experience he would acquire at this particular program would supply him with the well-rounded understanding and aptitude he would need to supply his patients with the care they may not have the ability to get somewhere else. In fellowship,he acquired comprehensive training in laparoscopy and robotic surgical treatment,treating benign and deadly illness of the esophagus,stomach,pancreas,gallbladder,bile ducts,and intestines,in addition to repair work and restoration of the abdominal wall and inguinal hernias. Beyond medication,he takes pleasure in spending time with his family and pals,playing guitar,and gathering vinyl records.

Patient-Centered Care

Dr. Pozzessere shows an authentic desire to supply patient-centered care. He and his team effort to supply the very best possible result no matter the barriers,including monetary hardships. His attentiveness and capability to develop a relationship with each client shows his dedication to their well-being.

Dr. Pozzessere’s patients are positive that he and his group really care about their journey to an effective healing and attaining their desired outcomes. For Dr Anthony Pozzessere,serving his neighborhood as a doctor is not just a profession; it is his calling.

Based in Bergen County,- is an award-winning,published,and fellowship-trained General Surgeon in Ramsey,NJ. Dr. Pozzessere moved to California to finish his residency in basic surgical treatment at Santa Barbara Cottage Hospital. Throughout his time in Santa Barbara,he established a strong interest in intricate and minimally intrusive intestinal surgical treatment. In fellowship,he acquired comprehensive training in laparoscopy and robotic surgical treatment,treating benign and deadly illness of the esophagus,stomach,pancreas,gallbladder,bile ducts,and intestines,as well as repair work and restoration of the abdominal wall and inguinal hernias. Dr. Pozzessere shows an authentic desire to supply patient-centered care.

Opening a Cat Cafe – A Fun Experience For the Family

For the uninformed,The Cat Cafe may seem quite difficult to locate,but once inside the bright and spacious studio,it’ll be well worth your effort. The interior is minimalist,yet warm and inviting. With two small dining areas,a cafe table,and a few plush cat beds scattered about,The Cat Cafe is ideal for an evening with friends or a quick break from home. What’s more,the place is open later nights for breakfast as well as snack food. And best of all,no one seems to mind – at least when I’m around.

So,just what is it about The Cat Cafe that makes it such a popular name in the local Singapore communities? According to the people at the cafe,many cats are abandoned each night on the north bridge Road. Some are hit by cars,others get lost in the maze of alleys and pathways,and still others are simply stolen for their shiny fur. When the owners return from their trips,they leave their feline companions along the road,an invitation to thieves and opportunists. To prevent this problem,The Cat Cafe has decided to offer some much-needed respite from the bustle of the everyday world by setting up their very own cat cafe on the north bridge road.

And why should cat cafe enthusiasts visit The Cat Cafe,rather than some other places in Singapore? For one thing,the ambiance is distinctly different from most of the cafes dotting the city. The laid back atmosphere invites visitors with gentle music and a friendly atmosphere. You could even say that the cafe symbolises the best of old and new Singapore. Since opening its doors in February last year,the cat cafe has received a steady influx of enthusiastic pet lovers.

The Cat Cafe offers three different kinds of meals a day. They serve chicken Kow Ram in morning,Mango chicken in the afternoon,and spicy beef in the evening. The unique atmosphere draws a steady stream of visitors through the week. Even during the holidays,people from far off visited the place to enjoy a well-balanced diet of fresh fruits,homemade cakes,and desserts. They were rewarded when the cat cafe opened its doors to the public in December last year.

According to the latest statistics,over a hundred and sixty-five cats are taken care of at these establishments. Of these,about twenty-five are shelter pets,while the rest are abandoned or lost. The Cat Cafe realised the importance of introducing these cats to people who do not know them and could adopt them. By setting up their own cat cafes,the volunteers hope that by adopting these unwanted animals,they help to save more future cat rescues.

In fact,The Cat Cafe’s rescue mission is not the only one being undertaken by the volunteer organisations. Since last March,thousands of stray and abandoned cats have been placed for adoption at the centres. The idea behind the first cat cafe in Singapore is to provide loving homes for these poor animals. To date,the cat cafe is open for three hours on Friday,Saturday and Sunday.

The idea of opening a cat cafe is catching on fast. So far,there are over twenty cat cafes operating in the city. If you are looking to set up your own cafe soon,then the best time to start is during the Chinese New Year from January to February. On that time,most of the streets around the central business district are cleaned up for the Chinese festival,so you will find many empty storefronts.

5 Internet Marketing Strategies for Business Growth

Business growth is an important factor for any organization. It is especially relevant for small businesses and startups. Growing your brand awareness,customer base and revenue is important for staying afloat. In this article,we’ll analyze some of the best internet marketing strategies for growth. Keep reading to learn about the top internet marketing strategies for business growth.

Digital marketing has numerous benefits. The right strategy can be aligned to boost any business goals. This is a list of the top strategies for business growth and brand awareness:

To learn more,click here -.

Top 5 Internet Marketing Strategies

Search Engine Optimization –

SEO refers to a number of strategies that aim to improve your ranking in the search results. It is used to gain a higher ranking for keywords and phrases related to your niche. SEO consists of two main categories: On-page and off-page SEO. On-page SEO optimizes your website’s speed,keywords,and performance. Off-page SEO mainly involves earning quality backlinks. This is important to gain authority with Google’s bots.

Content Marketing –

Content marketing is among the most efficient online lead generation methods. Your chances of conversion increase after your visitors just read a helpful article you published. Furthermore,it will establish your brand as an authority. You can use text or any type of visual and audio content. The key is to offer valuable content that informs your readers about your business. This shouldn’t be used as a sales pitch,but as a means of engagement.

Web Design –

Your website is the online storefront of your business. Making a good first impression is crucial for your conversion rate. Web design can grow your brand’s reach and revenue. Investing in professional web design might be the most impactful step for online business growth. It will improve your site’s speed,navigation,and user experience. This will also inspire people to spend more time on your page,which will contribute to your SEO.

Email Marketing –

This digital marketing strategy usually yields the highest return on investment (ROI). Email marketing is a powerful tool that lets you connect with your audience in their inbox. It offers outstanding segmentation and personalization options,based on user behavior. You can personalize your campaign based on your audience’s interests,contributing to customer retention. Building an email list isn’t easy,but a valuable newsletter will grow your ROI.

Pay-Per-Click Advertising –

PPC Marketing is one of the most popular internet marketing models. As the name suggests,you pay for each click you get on your ad. You bid for your ad to be triggered by certain keywords on the top of the search results. The main benefits of PPC are its cost-efficiency and scalability. You can pay as little as $1 per click. Only paying for the customers who engage with your ad promotes effective cost management. This is a great strategy for small businesses with a limited budget.

These are the top 5 internet marketing strategies to employ for guaranteed business growth. Finding the best strategy and optimizing it to your needs is important. Yet,keep in mind that large corporations leverage several types of digital marketing strategies. For the best results,we recommend you combine multiple strategies.

If this is your first time employing online marketing,we’re here to help. At Salterra we specialize in growing businesses with professional internet marketing campaigns.

Get in touch with us,and let us grow your business with professional online marketing services!

Pool maintenance is something too important to outsource to pool service providers you don’t know much about. Your health depends on the cleanliness of your pool and on the ability of your contractor to do a proper job at disinfecting and preparing it for use. Here’s how to find a good pool service company to help you with this type of jobs.

You probably know that you can search for local services online. Thanks to modern technology,every contractor can afford to maintain a good looking and informative website. In addition,Google and other major search engines offer local companies the opportunity to create and maintain a business page on their servers. This service is free of charge,so even new businesses with very few clients can afford them. This means that virtually everyone can build an online presence to increase the odds that their potential customers find them in the virtual space. In addition,most businesses have a Facebook page and a Twitter account. Everybody does their best to help people like you find them online.

However,the simple fact that a business has a great online presence doesn’t vouch for the quality of their services. If you want to find a good pool service company,you’ll have to check their work experience,their background,and their methods. It’s in your best interest to find someone who has a wealth of experience with servicing pools and with all required maintenance and repair works. In addition,you have to pay close attention to the methods and substances different contractors use to clean and disinfect the pools of their clients. Ideally,you should choose a green company,as this is the best method to contribute to the protection of the environment. Furthermore,by choosing a green provider,you’ll also protect your health,as the substances these companies use are among the safest.
The best method to check out the quality and the reliability of a service provider is to ask their other clients what they think. If you can’t get in touch with these clients directly,consider searching the web for client reviews. If you’re lucky,you’ll find some good client feedback to help you understand which of these services on your list are truly worth working with.

Since pool maintenance is an ongoing job,you may want to check and compare several price quotes from different providers before making your final decision. Hiring the first pool service company you find is a bad idea,as you’ll never know whether you’ve made the best possible choice. Since doing research online is fast and easy,there;s no reason why you shouldn’t ask several companies to provide you with estimates on your job. This should be your chance to find an excellent deal without having to compromise on the quality of the services. The best deals are the ones that result from side by side comparisons. When you can look at the main benefits and drawbacks of each of these services,you have the opportunity to gain a better understanding of true value.

How the Drug Detox Centers Treat Drug Addiction

Drug and alcohol rehab facilities in Amarillo Texas excel in their field due to the in depth strategy they take in treating patients. Drug and alcohol rehab is not an easy endeavor. It requires strong determination,commitment,professionalism,patience,compassion,motivation,and compassion to take care of this disorder. Drug and alcohol rehab centers take advantage of various resources to address this problem.

Drug and alcohol rehab centers take advantage of different therapy approaches to provide the very best solution for their own patients. In-patient services will be the typical methods of treatment offered by these facilities. Patients who are suffering from addictions of any sort can experience in-patient therapy at these facilities. The treatments offered at the middle will depend on the nature and seriousness of addiction. Drug and alcohol rehab centers make use of both short term and long term treatments to treat the disease.

Need Help Now? Check out Helpline at:Amarillo Texas Rehab Centers Directory

A main part of the treatment procedure offered at the amarilla drug rehab facilities comprises behavioral treatments. These treatments want to remove the physical dependence of the individual on drugs or alcohol. The professionals in these facilities try to make the patient accustomed to the changes which have happened in his life due to the disease of addiction. Psychological counseling is another important feature of therapy at these facilities. It aims at providing the patient mental support in order to cope up with the hard struggles of life.

The withdrawal symptoms that are experienced by the individual while getting the drug detox procedure in these facilities are occasionally too severe for him to bear. Therefore,group therapy is provided at these facilities to help the people suffering from addiction handle the withdrawal symptoms effectively. Another important aspect of this therapy is the normal exercise routine that is undertaken by the patients. This assists in removing the impurities and toxins in the body. It also stimulates the blood circulation in the body.

Drug and alcohol rehab centers offer the ideal kind of therapy to patients suffering from the disease of addiction. But,there are certain groups of people who should never be given admission in these facilities. These include young children,women who are pregnant,people suffering from weight problems and chronic diseases,as well as alcoholic addicts and people suffering from serious psychological ailments. All these groups are denied admission in the Amarillo Drug and Alcohol Rehab Centers.

People who suffer from drug addiction are people who want rapid acting aid to eliminate the withdrawal symptoms that are experienced when someone starts taking medication to deal with the condition. There are various kinds of drugs available on the marketplace which are utilized for treating different sorts of addiction conditions. However, most of these medications cause severe side effects and dependency issues. Using tablets is highly illegal in the Amarillo Drug Rehab Centers and it is highly recommended to go for different alternatives like the acupuncture,both the yoga and the exercises that can help you in getting rid of their addiction entirely.

The withdrawal symptoms experienced when a person stops using controlled substances is very severe. It may consist of intense tingling,nausea,sleeplessness,depression,anger and anger. The medical drug detox clinic in Amarillo presents effective treatments to fight offthese signs. Since most of those withdrawal symptoms occur due to prolonged use,the doctors at the rehab center follow a particular program of healing which will make the patient return to the ordinary life without using the substance later on.

When the medical drug detox is over,you’ll need to undergo special counseling sessions in order to prepare yourself for life without drugs. This counseling is known as the residential therapy and it continues for six weeks. In this time period,you’ll be taught to identify the causes for your addiction and how it is possible to combat it effectively. The doctors will even teach you manners in which you’ll be able to stop using the material slowly and not too.

Starting into retirement or semi-retirement can be intimidating enough without making the option to move into a new home at the very same time. However many people age 60 and above are picking to leave their high upkeep or too large family home to move into active adult communities,which are restricted to homes with at least one member age 60 and older.

According to a Senior Sentiment Survey carried out by Financial Freedom,the nation’s largest reverse home mortgage loan provider,the number one reason older grownups pick to move into a retirement community is security. Fifty-four percent of the study,that included more youthful seniors age 62-75,said they feel much safer in a planned community. Other factors offered for moving into an active adult community include the desire to be with people their own age,the services and facilities provided and the lack of everyday demands of owning a house. Most active adult communities feature low-maintenance homes,and generally yard mowing and snow removal are included in the community fees. Check out this great active adult community:

• senior independent living cary nc
• alzheimers care cary nc

Making the choice to sell the household home and move into a new community needs individuals or couples to determine when they want to move,where they want to move and how much they can afford to spend. Elders are frequently picking to move into retirement communities close to their current area so that they can be near family and good friends,rather than moving out of state.

An Internet search can offer a list of hundreds of active adult communities around the nation. To narrow the search,older individuals and couples must begin by identifying whether they want to stay in their current state,look at neighboring states or move farther away. In addition to considering the significance of proximity to friend or family when picking a retirement area,seniors may want to think about the environment they want to reside in and whether they want to reside in or near a city or a smaller sized town with cultural facilities. For some older grownups,owning a house on a golf course,near lakes and rivers for fishing or within driving distance of the ocean is more crucial. For others,the ability to drive to a city or resort location for brief weekends is necessary.

Undoubtedly,seniors who still mean to work full-time or part-time are required to remain within commuting distance of the workplace,but even seniors who are retired should invest time going over way of life plans with their spouses. In any of these scenarios,the area of the brand-new home needs to be within close range of a college or university,a location to pursue volunteer interests and work locations.

Transport requirements are simply one of the numerous factors to consider which can change with time. According to the National Association of Home Builders (NAHB),the average age of purchasers in active adult communities has dropped over the past 10 years from 67 to 61. Younger seniors are generally driving,extending their careers,and are more physically and socially active. As they age,their requirements alter and they may no longer be able to drive,so public transportation or services provided by the active adult community should be examined.

Younger seniors,according to the NAHB,don’t like to think about themselves as “seniors”. They do want their homes to incorporate what are known as “universal style” features which offer simpler ease of access if mobility ends up being an issue. Purchasers in active adult communities must ask their builders if they have included universal style in their homes and if there are optional features which can improve future ease of access problems. Universal style elements include raising electrical outlets,reducing light switches and changing them with rocker switches,using lever door handles instead of doorknobs,widening doorways and putting a seat in the shower. If this should end up being necessary,most of these features are appealing to purchasers of all ages and they can make it simpler to transform a house to accommodate a wheelchair.

Purchasers in active adult communities require to determine when a house will really be all set for them to move in,as in some developments it can take 10 months to a year or more before their home is all set. In addition,if planned facilities such as clubhouse,gym or golf course are necessary,it would be smart to make certain these facilities will be completed as quickly as possible. Some developments offer these facilities only after most of the homes have been completed,which might suggest a long wait for the very first group of locals.

In Conclusion

Doing your homework on all these subjects can help any active adult in making the best choice about buying a new home.

Other factors offered for moving into an active adult community include the desire to be with people their own age,the services and facilities provided and the lack of everyday demands of owning a house. Most active adult communities feature low-maintenance homes,and generally yard mowing and snow removal are included in the community fees.

According to the National Association of Home Builders (NAHB),the average age of purchasers in active adult communities has dropped over the past 10 years from 67 to 61. Purchasers in active adult communities must ask their builders if they have included universal style in their homes and if there are optional features which can improve future ease of access problems. Purchasers in active adult communities require to determine when a house will really be all set for them to move in,as in some developments it can take 10 months to a year or more before their home is all set.

Well before you sign a commercial industrial space lease it’s essential that you carry out your due diligence to confirm that you and the property manager are on the same page as to who is on the hook for what.

There are numerous distinctions to renting industrial and warehouse properties and even minute misjudgments might be very pricey. Not all warehouse spaces come with the same features so make certain to ask the landlords a bunch of questions regarding them and enlist the services of experts (e.g. electrical installer) if required to certify that the spaces will fulfill your necessities. To help get you going below are a handful of things you must take into consideration when renting Warehouse or Industrial properties.

These are simply a handful of things you need to very carefully evaluate in advance of executing an industrial space or warehouse space lease. If you think of any questions pertaining to leasing warehouse property for lease or want to find out how to compute your monthly warehouse leasing cost do not be reluctant to get in touch withyour warehouse leasing company such as Austin Tenant Advisors.

Heating,Ventilation,and Air Conditioning (HVAC)– Many warehouse buildings aren’t supplied with full building A/C. In the case that the tenant chooses to obtain it each tenant is responsible for the install of their own HEATING AND AIR unit. In a lot of circumstances you wind up renting out a space that had been formerly contracted by another tenant and they had set up and utilized an HVAC system. Considering that you never know if that occupant fully took care of the unit make an effort to keep from assuming liability of a possibly neglected system.

Discuss with the property manager that you will pay for a COOLING AND HEATING routine service contract to keep the existing HVAC unit property serviced,however if the system needs to get a major service or replacement the landlord must be responsible. Prior to executing the rental contract make sure to require that the landlord get the HEATING AND COOLING systems evaluated and restored (if needed) and verified in writing that they are in great working condition by a certified HVAC professional.

Operating Expenses (also known as NNN)– Make certain you are aware of what is and what is not covered in the operating costs and what may be left out (e.g. roof repairs ). Operating expenses usually include property taxes,insurance coverage,and repairs and maintenance. You need to figure out what the property manager is going to pay for and what you will be responsible for.

Square Footage — Some landlord determine the square footage differently. Make sure you find out precisely how they are performing their estimations and what they are including. Ideally you only prefer to pay for your usable square footage which is the actual space you occupy. Several landlords will certainly try to include the area under the buildings drip lines and some will decide to calculate from the exterior of the wall vs the center or inside.

Parking Area– Parking lots require maintenance (asphalt or concrete) and some property owner’s try to make the occupants pay for this. Repairs and maintenance really should be the landlord’s obligation for the reason that is a long term expense and a component of future commercial property value estimations. What is the use of the parking? Exactly who will be using it the most? Do you want to be able to leave trucks or cars overnite? If so see to it that you possess the option to.

Zoning– Verify the Manufacturing or warehouse commercial property is zoned for your planned use. Some retail occupants (e.g. martial arts) like the concept of renting an industrial space considering that the lease prices are less costly than retail. If the commercial space is not zoned for retail use they will not be able to lease it… unless they or the landlord is willing to apply for a zoning update. You also want to make certain the property’s parking ratio (parking spaces per 1000 sf) is sufficient for you. If you want extra then look into some other property or lease retail space.

Routine maintenance of the commercial property– Make certain you learn what the property manager is accountable for and what you are going to be responsible for. Trash will ordinarily be at your expense.

Loading areas– Will you have goods delivered or picked up by means of 18 wheeler or UPS style vans? If so then you will really need dock high loading and a truck court big enough for 18 wheelers to navigate. Do you need to have the capability to operate box trucks or other vehicles within the warehouse? If so then you have to have grade level loading. What ever the case see to it you ask if the warehouse building has what you require or if the lessor wants to install what you want. Trailers and eighteen-wheelers used to be 45 ft +/- but these days they are 60 ft +/-. What this suggests is you have to have at least a 120 ′ turning area. Much older warehouse properties probably won’t be able to accommodate this.

Electrical– Make sure the warehouse properties come with electrical power acceptable for your requirements. Do you want 3 phase power? If you or the lessor does not know what is available then employ an electrician or electrical engineer to look at the location. You should guarantee the building has adequate amperage and power so you will not blow transformers or learn it’s underpowered in the future.

Ceiling Height– Make sure you ask about the ceiling height. If you intend on stacking goods or equipment or running large equipment you want to make sure you know how high you’re able to go. Ceiling heights in most cases range from 18 ft to 25 ft.

Expansion options– Ask the property owner if any surrounding occupants possess expansion options. If you count on expanding later it would certainly be nice to know if you get the option to do so. If your neighbors have an expansion option on your space then negotiate to get the lessor move you at the landlords expense.

Floor Load– What is the flooring load for the concrete slab versus what your designated use will be ?

Fine lines and wrinkles are a natural part of aging. But if you are bothered by the appearance of wrinkles,there are several ways to go about rejuvenating your face. Botox and fillers are currently some of the most common anti-aging treatments in the plastic surgery industry.

Many patients considering getting Botox and dermal fillers are already aware of the benefits of injectables. Some admit finding it a little confusing when it comes to differentiating the uses of each treatment option.
What they don’t know is that Botox and fillers can be combined to create a full spectrum anti-aging treatment for the face. Well,it’s a relatively new innovative treatment,but it is becoming increasingly popular.

BOTOX VS. FILLERS: WHAT’S THE DIFFERENCE IN USES?

BOTOX

Botox is a Botulinum toxin protein in a purified form which,when injected into the facial skin,relaxes the muscles in the target area. It is an ideal treatment option for correcting dynamic wrinkles,which are commonly known as expression lines. Dynamic wrinkles occur due to muscle movement.

Botox works best on wrinkles lines on the upper face points where muscles contract,such as:
· Crow’s feet around the eyes
· 1s’ between the brows
· Horizontal forehead lines

Botulinum toxin is not the only neurotoxin used in anti-aging treatment. There other three FDA-approved neurotoxins: Xeomin,Dysport,and Jeauveau.

DERMAL FILLERS

Fillers are also injected into the skin to treat wrinkles on the face. However,they work on different lines — lip lines,laugh lines and sleep wrinkles. If you need a nose or sunken check correction,the surgeon will also recommend fillers.
As the name suggests,fillers are used to add volume and fullness. They can reduce the static wrinkle lines that are visible when facial muscles relax.

There are a variety of FDA-approved temporary and permanent filler materials,including:
· Hyaluronic acid
· Calcium hydroxylapatite (Radiesse)
· Poly-L-lactic acid
· Polymethylmethacrylate

However,hyaluronic acid (HA) and calcium hydroxylapatite (CaHA) fillers are the most commonly used. These soft tissue fillers come in different types of thickness. Therefore,you wouldn’t have trouble finding the right one for your skin type.
Your body produces hyaluronic acid. The main function of this naturally occurring polysaccharide is to keep tissues well lubricated. The skin,eyes,and connective tissues have the most amount of hyaluronic acid,although it gets depleted by the aging process. So,injecting HA beneath the surface of the skin can help the cell to hold and retain more water,thus improving skin elasticity.
Calcium hydroxylapatite is also a naturally occurring substance. When used in skincare,it augments the soft tissues and stimulates the production of collagen. It is recommended for deep filling.

HOW LONG DO BOTOX AND HYALURONIC ACID FILLERS LAST?

The effects of Botox and hyaluronic acid fillers wear off because the body naturally degrades these products. Generally,Botox effects last anywhere between 3 and 6 months. Hyaluronic acid fillers,on the other hand,lose effectiveness after 6 to 12 months.
The lifespan of fillers usually depends on the properties of hyaluronic acid filler,treatment area,and movement of the neighboring muscles. With Botox injections,factors like the amount of Botox injected,area of injection,age,skin elasticity,and wrinkle depth can affect the efficacy.
Fortunately,by combining Botox and hyaluronic acid fillers,patients can enjoy longer-lasting facial lift.

BOTOX AND FILLER COMBINATION TREATMENT

As you can see this far,Botox and fillers are made of different substances that affect the body differently. Combined treatment might be a good option if a patient is looking to address multiple facial features for a more natural appearance. Enjoying fewer visits to the surgeon and long-lasting results is music to any patient’s ears.
EXPERIMENT ON BOTOX AND HA FILLER COMBINATION
According to the research study published in the medical journal of the American Society of Plastic Surgeons (ASPS),administering Botox and hyaluronic acid improves the lifespan of HA fillers.
Dr. Ismail Küçüker and his colleagues behind this research found that combining the treatment slowed the degradation of fillers by reducing muscle movement in the treated area.
Part of the study involved injecting hyaluronic acid filler beneath the skin in front of one ear. On the other side,the researchers injected Botox and HA filler. After monitoring the progress for three months,they conducted MRI scans on both sides.
The scans revealed a significant difference in the rate of filler degradation. Combined treatment decreased the degradation rate by 42 percent. The area had 50 percent more HA filler amount than the side where the researchers injected filler only.

SIDE EFFECTS

Medical procedures come with risks. Botox and HA fillers are not an exception. It’s normal to experience bruises and pain at the Botox injection site. Some people complain about headaches. You know something is wrong if you experience drooping eyelids,eye dryness,or a crooked smile.
HA fillers can cause bruising,itching,redness,numbness,allergic reaction,and swelling. But these side effects usually go away within two weeks. Improper filler injections can lead to the Tyndall effect and bumps beneath your skin.
A qualified and experienced doctor can help you avoid severe effects. If you suspect something is not right after treatment,it’s a good idea to contact a board-certified plastic surgeon right away.

WHO IS AN IDEAL CANDIDATE FOR BOTOX AND FILLERS?

Suitability is determined on a case-by-case basis. You should schedule a consultation with a certified plastic surgeon to carefully evaluate your unique face-lifting needs.
Generally,though,the ideal candidate for Botox and fillers should be in overall good health and have realistic expectations. These treatment options are discouraged if you:
· Smoke
· Are pregnant or breastfeeding
· Are allergic to the ingredients used in Botox or related products
· Have a skin infection around the area of injection
· Have a muscle or nerve condition like myasthenia gravis or amyotrophic lateral sclerosis

WHAT TO DO AFTER BOTOX AND FILLER INJECTIONS

After treatment,the doctor will recommend a list of things to observe to ensure you are maintaining good skin health. Don’t expect completely new skincare ideas.
Some of the tips to keep your skin healthy include,but not limited to:
· Limiting your sun exposure by wearing sunscreen,a hat,and sunglasses
· Drinking enough water every day
· Using gentle skin cleansers
· Using a hydrating moisturizer recommended for your specific skin type
· Eating foods that keep your skin healthy

The Takeaway

While combining injectable dermal fillers with Botox is safe,the procedure requires the skills and experience of a board-certified plastic surgeon or dermatologist for better results. We cannot emphasize this enough. Contact us today or visit our offices to discuss your aesthetic goals and needs.

To learn more about anti-aging treatments utilizing Botox and fillers,visitBelle Ame Medical Spa

Link to the research study
https://www.plasticsurgery.org/news/press-releases/with-botox-chemodenervation-dermal-fillers-last-longer