Fillers

Botox® directly reduces dynamic wrinkles- those that occur with facial expression and movement. But Botox® is also preventative – by softening muscle movement and thus preventing reinforcement, the “etched-in” wrinkles that occur with aging can be reversed and prevented.

Dr. Cabin employs a micro-aliquot approach to Botox®, using smaller amounts across more targeted areas. This technique leads to the most natural reduction of dynamic wrinkles, along with effective, long-term prevention of etched-in lines.

Botox® can be used to narrow the lower face, creating a more aesthetic “heart-shaped” or “V-shaped” relationship to the cheek. By safely shrinking the masseter muscles – large muscles that add bulk of the jaw – the lower face can be dramatically narrowed. Dr. Cabin is an expert in this procedure, targeting Botox® safely and comfortably deep within this muscle.

Many patients who have a disproportionately wide lower jaw also have enlarged masseter muscles from teeth grinding or clenching, usually while sleeping. This procedure has the added benefit of reducing the pain associated with these unconscious behaviors, frequently referred to as TMJ disorder. See below for more details.

Temporomandibular Joint (TMJ) Disorder leads to severe headaches radiating from the ears and the side of the head. TMJ pain is related to the repetitive force within the TMJ, generated by the masseter muscles.

The masseter muscles are our primary chewing muscles located just over the angle of the jaw. Whether related to teeth misalignment, teeth grinding or clenching, or arthritis in the joint, the pressure coming from this muscle typically exacerbates and perpetuates this pain.

Targeting Botox® to these muscles can weaken their force, thus alleviating TMJ pain for up to six months. Although dosing varies, there is generally an aesthetically pleasing narrowing of the lower face that benefits the patient.

Dr. Cabin is a world-renowned expert in interventional migraine treatment, including micro-targeted Botox® treatment. Micro-targeted migraine Botox® involves both diagnosing and addressing specific migraine trigger sites, unique to each migraine patient. This technique is equally effective to traditional migraine Botox. But, as opposed to the classic protocol, targeted Botox requires many fewer injection sites and a lower dose of Botox®.

Botox® can be used to treat disruptive sweating that occurs anywhere in the body – particularly in the hands, underarms, scalp and face. By infusing micro-droplets of Botox® just beneath the skin, Botox® acts upon the sweat glands, dramatically reducing bothersome and untimely sweating. Dr. Cabin is an expert in sweat-reduction Botox®, using cold therapy for comfort and providing maximal sweat reduction with minimal injection points.

Misshapen and under-volumized lips can take away from overall facial harmony and balance. Careful and targeted filler application can be used to correct these issues, providing subtle volume and aesthetic shape the lips. The goal is to naturally enhance the lips, building upon a patient’s natural structure to maximize the aesthetic quality of the lower face and balance the lips with other facial features. Depending on patient desire and goals, Dr. Cabin uses both cannula and needle techniques for lips, providing targeted, micro-injections of filler to re-shape and volumize. Dr. Cabin does not believe in over-volumizing lips (the “duck” look). Instead, the overall goal is a more harmonious lower face, but without any signs of augmentation or injection.

Aging involves not only the descent of skin, but also the loss of volume. This can be particularly noticeable under the eyes, where the combination of undereye volume loss and cheek descent causes hollowness. Some may hear this referred to as a “tear-trough deformity”. Dr. Cabin uses a select few fillers – strictly employing the canula technique - to re-volumize the eyes, bringing a smoother transition between cheek and eyelid. Using a carefully-developed fanning and layering technique, micro-droplets of filler are deposited in overlapping fine aliquots to avoid lump or bump formation. By approaching the lower eye with a canula from below, swelling and pain are also minimized, and bruising is completely eliminated.

Temple hollowness can be related to aging, genetic factors or disease. Although rarely addressed, Dr. Cabin believes that filling the temples can make a dramatic difference in reversing the signs of aging, and lead to the illusion of wider-set eyes. Dr. Cabin uses a more robust, longer-lasting filler – like Voluma® or Sculptra® – to rejuvenate the temples, dramatically addressing aging of the upper face. The filler is injected into a safe area beneath the muscle to provide subtle, contoured enhancement of the temples.

Cheek filler can be broken down into two distinct areas – medial cheek (near the nose) and lateral cheek (near the ear). Depending on patient preference and aesthetic need, filler can be placed in either location. Lateral cheek filler can enhance the natural definition of the cheek bones, projecting the upper face outward and creating more aesthetic balance with the jaw below. This type of injection can also subtly lift the entirety of the cheek, leading to an anti-aging effect that resonates throughout the face. Dr. Cabin uses his needle micro-aliquot approach to precisely target the lateral cheek, hand-molding the filler to create a natural projection. Most-requesting by patients of Asian descent, medial cheek filler can augment a less-defined midface, creating a rounder look from the side profile. For safety and precision reasons, medial cheek fillers should be performed only with a canula.

The jaw extends from the angle – just below the ear – the chin. Patients can develop volume loss in various locations along the jaw, or desire a more contoured jaw shape. Dr. Cabin uses a canula technique to layer and mold filler to the jaw in areas of deficit, replacing volume and contouring the jaw to a patient’s specifications.

The chin balances the lower portion of the face, providing a counterpoint to the nose and serving to elongate the neck. In certain patients, an under-projected chin can lead to the appearance of a larger nose and/or a less defined neck. As an alternative to a silicone chin implant, Dr. Cabin can project the chin in minutes, using carefully placed, robust filler.

Certain cosmetic nasal deformities can be addressed using filler. Using micro-injections of certain hyaluronic acid-based filler, the nose can be dramatically reshaped in minutes, leading to long lasting harmony without surgery.

As the nose is central to a person’s appearance, Dr. Cabin believes in a full rhinoplasty consultation – with 3D photo simulation – before any non-surgical rhinoplasty. This facilitates clear communication of cosmetic goals, allowing Dr. Cabin to tailor the treatment to a specific patient’s request.

A “liquid facelift” refers to the comprehensive rejuvenation of the face with multiple injections. Although very different from a surgical facelift, significant rejuvenation and anti-aging can be achieved using a variety of fillers targeted to specific areas throughout the face. In a non-surgical consultation, Dr. Cabin will review the entirety of a patient’s face to provide a comprehensive plan for rejuvenation. If involving multiple locations and injectables, the patient is welcome to stagger treatments across several visits, or perform all treatments at once.

Kybella® is an injectable, in-office treatment that melts fat. FDA-approved for use in the submental area (“double-chin”), Kybella® works by permanently destroying fat cells, so that fat can no longer accumulate.

Dr. Cabin is an expert Kybella® injector, treating both the “double-chin”, as well as other areas throughout the body with stubborn fat.

Microneedling with Platelet-Rick Plasma (PRP) combines a multi-pronged, vibrating needle pen with a patient’s own blood plasma (PRP) to rejuvenate the facial skin, softening fine lines and wrinkles, improving acne scarring and lightening pigmentation. This in-office procedure is quick, painless and leads to lasting skin improvements.

For reasons still mostly unknown, Platelet-Rich Plasma (PRP) injections around scalp hair follicles fortify active follicles while stimulating inactive follicles to grow new hair. For both men and women looking for hair restoration and health, PRP injections are a safe and easy way to achieve natural results.

Using a series of micro-needle injections throughout the hair-deficient areas of the scalp, Dr. Cabin precisely places PRP into the follicular layer. Performed three times over three months, this advanced protocol results in optimal and maximized permanent hair growth, leading a healthier, more robust head of hair.

Scars resulting from previous surgery or trauma can be unsightly and even painful. Using a combination of injectable and energy-based therapies, Dr. Cabin can reduce the visibility and discomfort of scars, no matter the age. Some scars may also qualify for a surgical revision, possibly in combination with injection therapy.

As we age, the skin thins, loses elasticity, and becomes progressively damaged by UV rays from the sun. There are many treatments branded as “skin resurfacing” that offer to turn back the clock, but Dr. Cabin believes only in the best: the Lumenis UltraPulse. This fractionated laser treatment powerfully resurfaces the skin, reversing years of damage, softening/eliminating wrinkles and improving pigmentation issues. This laser can be performed on its own, or as a supplemental treatment to surgical facial rejuvenation, such as facelift.

Because Dr. Cabin believes in maximizing patient results, all CO2 laser patients are placed on a customized skin care protocol before and after treatment. This ensures optimal results and minimizes risks associated with the laser treatment.