Fillers & Botox

Fillers & Botox

Barrie Botox® Cosmetic

Botox treatments Serving Richmond Hill, Newmarket, Bracebridge & Collingwood in Southern Ontario
Botox Cosmetic® is a purified protein produced by the Clostridium Botulinum bacteria. It has been used for wrinkle therapy since the early 1990s with no serious side effects documented.

A small amount of Botulinum toxin is injected right into the muscles that are responsible for creating wrinkles or undesirable facial muscle effects. This botox injection treatment is quick and results usually last for three to six months. The toxin temporarily inactivates the muscles that produce wrinkles, thereby causing lines to disappear or diminish dramatically. It usually takes a few days after the injection to notice the wrinkle-smoothing effect.
Some of the common areas treated with botox include crow’s feet, frown lines, laugh lines and forehead wrinkles. The toxin can also be injected to weaken the muscles responsible for a “gummy smile”, which can improve this appearance dramatically. Injections into muscles that lower the eyebrow or corners of the mouth can produce a form of a temporary brow lift or lip lift.

After the first treatment, you may return for follow-up injections. Some doctors report that after several treatments, the effect of Botox Cosmetic® appears to last longer, often up to several months.
While the majority of women do not experience complications, it’s important to understand and discuss them with Dr. Tumi during your consultation.

Botox Cosmetic® can be used by almost anyone, however, patients who are pregnant, breastfeeding or who have a neurological disease should not use it.

New uses for Botulinum toxin include a reduction in sweating of hands and armpits (hyperhidrosis) and relief of headaches.

Your plastic surgeon will discuss the details of this with you.

For more information about Botox Cosmetic® treatment, please visit

Dermal Filler

Juvederm Barrie , Restylane Barrie

Minimally Invasive Procedures

Materials used to restore fullness to the face especially lips, cheeks, chin, nasolabial folds and periorbital; around the eyes. It is usually used with a meticulous technique to get a better result.

Types of Dermal Fillers:

• Human fat (autologous fat) is harvested from your own body. Using your own fat requires a more extensive procedure other than injectable fillers. You must undergo liposuction to extract the fat prior to injection. You do eliminate the risk of an allergic reaction or rejection from the body. Not all the cells survive when they are placed in a new site. You can expect a high rate of re-absorption. To try to avoid this, doctors usually overfill the area that is being treated.

• Hyaluronic acid A natural substance that is found in your body. There are high concentrations that are found in soft connective tissue and in the fluid surrounding your eyes. It is also in some cartilage, joint fluids and skin tissue. This same substance is often injected into the aching joints of people with arthritis to ease the pain. Hyaluronic acid is not derived from animal sources. Brand names: Juvederm, Restylane, Perlane, Captique, Esthelis, Elevess, Hylaform, Prevelle and Puragen. The most common ones used in Dr. Tumi’s office are Restylane, Juvederm and Perlane.

• Collagen a natural substance (protein). It is the main component in cartilage, teeth and bones. It either comes from human skin or cows (bovine collagen) Brand names: CosmoDerm, Cosmoplast, Zyderm, Zyplast. The human cadaveric dermis is skin that is cultivated from a cadaver and injected in your face. This results in an impressive filling of facial hollows. Brand names: Cymetra, Dermalogen, and Fascias.

• Calcium hydroxylapatite is the heaviest filler and found naturally in human bones. It is a mineral that is reserved to fill the deepest creases like nasolabial folds, marionette lines and frown lines. It can also be used to enhance the fullness of cheeks and other facial contours Brand names: Radiesse and Radiance.

• Polylactic acid is a synthetic material. It stimulates the body’s own collagen. This is generally best used in the lower half of the face to fill lines that are caused by laughing, augment the lips and fill nasolabial folds. Unlike the other dermal fillers, the results are not immediate. It stimulates collagen production, so the results appear gradually over a period of a few months. Brand names: Sculptra and New-fill.

• Semi-Permanent PMMA (polymethylmethacrylate) fillers contain about 20% of tiny PMMA microspheres that are suspended in 80% of purified collagen gel. It can be removed. It is most often used to treat medium to deep wrinkles, folds and furrows, especially nasolabial folds. It can also be used to fill out pitted scars and also to augment the lips. Brand names: Articol, Artefill and Metacrill

• Less expensive
• Immediate result
• Quick recovery

• Cannot help with excess skin sagging
• Temporary result
• Needs to be repeated.

Lip Enhancement


• Auto-enhancement (from with in the body)
• Fat graft
• Dermal graft
• Exo-enhancement – use synthetic material.
• Restylane
• Other similar products
• Juvederm

The idea is to make the lip proportionate to each other and to the rest of the face with out over doing it. Usually it is done under a local anesthetic.

Fat Injection

This is a relatively new procedure where we use your own fat to fill, augment or enhance a part of your body. This fat is harvested with a certain technique and processed and then injected to the designated area.
Dr. Tumi has been using fat graft to correct a deep scar since 1989. Now, he uses it for lip augmentation, cheek augmentation and breast augmentation. The result of fat augmentation could last longer and you may need more than one sitting to get the maximum result.

• Use your own tissue – less reaction
• Donor site benefit
• The effect could last for longer.

• Time consuming
• Risk of fat embolism
• Good technique of harvesting and delivering are vital for a good result.

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