Best Dermal Fillers

One of the busiest cosmetic dermatologists in Southern California, Doctor Simon Ourian M.D. discusses the dermal fillers Radiesse, Restylane, Juvéderm and collagen.

April 6, 2009 — Doctor Simon Ourian, Medical Director of Epione Beverly Hills, located in the exclusive shopping, restaurant and hotel enclave in Los Angeles, California knows all about dermal fillers. Year after year he is one of the leading injectors of dermal fillers and Botox Cosmetic in the United States. He knows this because the manufacturers tell him so. More than ten years ago Doctor Ourian opened his practice in Beverly Hills devoted exclusively to injectables and other minimally invasive cosmetic treatments.

“There are two types of wrinkles, ” explains Doctor Ourian, “dynamic wrinkles and static wrinkles. Dynamic wrinkles happen when we use our facial muscles to frown or to smile. Crow’s feet are an excellent example of dynamic wrinkles. Botox is the treatment of choice for dynamic wrinkles. A static wrinkle can be seen when the face is at rest. These often occur in the nasolabial folds. The main purpose of dermal fillers is to correct static wrinkles though I find they are an excellent tool for treating acne scars.”

For most people, both men and women, aging is the cause of static wrinkles: as we age there is a natural loss of elastin, collagen and hyaluronic acid in the skin. These elements provide structure and volume for the skin. The most common dermal fillers are:

Collagen: Trade names include CosmoDerm, Cosmoplast (human collagen), Zyderm, and Zyplast (bovine collagen). Due to the risk of an allergic reaction, collagen products typically require a skin test prior to treatment. “Collagen was the first dermal filler I worked with”, says Dr. Ourian, “but I think the drawbacks outweigh the benefits.”

Restylane: Manufactured by Medicis Pharmaceutical Corporation, Restylane is made from hyaluronic acid, one of the structural components of skin noted above. It is considered a semi-permanent filler and will last six to twelve months. Medicis claims that Restylane is the best selling dermal filler in the world.

Juvéderm: Manufactured by Allergan, Inc. (the makers of Botox) Juvéderm is also a gel made from hyaluronic acid. According to Allergan’s website Juvéderm is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year and is the first hyaluronic acid dermal filler that the Food and Drug Administration (FDA) has approved as being safe and effective for persons of color.

Radiesse: Manufactured by Bioform Medical Inc. Radiesse, formerly known as Radiance, is composed of calcium based microspheres suspended in a water based gel. According to the manufacturer Radiesse stimulates the body to produce new collagen in a process called collagenesis. Bioform has clinical data to support their claim that Radiesse may last more than two years.

“What is the best dermal filler?” asks Dr. Ourian. “The one that, in my medical opinion, is most suitable to meeting my patient’s aesthetic goals. I don’t use a cookie cutter approach; I examine each patient, discuss their needs and goals and make a recommendation based on my ten plus years of experience, it’s a collaborative process.”

Dr. Simon Ourian Top Radiesse Injector

An alternative to more invasive cosmetic procedures: Radiesse injections offer clinically proven safety and longevity. Renowned cosmetic dermatologist Dr. Simon Ourian M.D. is one of the most experienced Radiesse injectors in Southern California, if not the country, celebrated for achieving natural looking, rather than “done”, results.

March 23, 2009 — Beverly Hills is the plastic surgery and dermatology mecca of Southern California, maybe even the United States. Patients come from all over seeking invasive cosmetic surgery procedures such as liposuction, breast augmentation, rhinoplasty. And when they’re looking for minimally invasive treatments, many say Dr. Simon Ourian’s Epione Beverly Hills is the only place to go.

For the uninitiated, minimally invasive treatments are those done without the use of anesthesia or an operating room to address concerns such as facial wrinkles and lines or the loss of fullness due to the effects of aging. These include Botox for wrinkle correction and various dermal fillers like Radiesse, Restylane, Juvéderm, and collagen to fill in lines and. Laser hair removal and laser skin resurfacing are also considered minimally invasive procedures.

Restylane, a hyaluronic acid based dermal filler is, according to their website, the world’s most popular filler. Collagen is the original dermal filler. Radiesse (formerly known as Radiance) is an FDA-approved, dermal filler injected for the correction of facial lines and wrinkles such as nasolabial folds. Manufactured from calcium-based microspheres suspended in a water-based gel, Radiesse filler is injected into the skin through a simple, minimally invasive procedure offering immediate, visible improvement of folds and wrinkles, and providing long-lasting and beautiful results. Radiesse is a convenient treatment that stimulates the body to produce new collagen.

Dr. Ourian has worked with nearly every available dermal filler over the course of his 10 plus years as a Beverly Hills cosmetic dermatologist and he prefers to use Radiesse. “Every face is unique and my goal is always to achieve the maximum aesthetic result, ” says Dr. Ourian, “but I find myself using Radiesse more often than not. The results are predictable and certainly the longest lasting of all the fillers with which I work.”

“Am I the top Radiesse injector”, Dr. Ourian asks with a smile, “it’s not for me to say. But I do know from the manufacturers of Radiesse that I’m one of the busiest injectors in the country. I like to think that I have more experience with Radiesse that most doctors, even plastic surgeons, and that my results speak for themselves.”

Dr. Ourian’s patients have spoken loud and clear. Here are just a few of the glowing remarks posted on our website:

“Your staff has treated me with Botox and Radiesse and your services are excellent. You are knowledgeable kind and very good at what you do.” – C.W.

“I would suggest to everyone that you not waste your money elsewhere. Go to Epione and get the topnotch professional results you’re looking for. This is your body and your face and you are investing in it for the future. At Epione you can relax and know that you will be getting the highest quality of service and aesthetics available—anywhere in the world today.” – Y.B.

“I was completely satisfied with Dr. Ourian when I received Radiesse on my cheeks and lips.” – J.W.

Dr. Ourian’s Epione Medical Corporation, located in Beverly Hills Golden Triangle, is among the most comprehensive and state-of-the-art laser and aesthetic surgery centers. Dr. Ourian has been a pioneer for laser technology and non-invasive aesthetic procedures including Restylane, Botox, Juvéderm, Radiesse and Sculptra. These treatments are used for correction or reversal of a variety of conditions such as acne, acne scars, acne scar removal, skin discoloration, lip enhancement, wrinkles, stretch marks, varicose veins, unwanted hair, and tattoos, cellulite, and tens of others. Skin care products are also available.

The Non-Surgical Cheeklift

Renowned cosmetic dermatologist Dr. Simon Ourian M.D. reports a rise in requests for non-surgical cheeklifts by clients of his Los Angeles, California institute, Epione Beverly Hills.

March 22, 2009 — Strong, high cheekbones have always been a hallmark of beauty. Unfortunately most people aren’t lucky enough to have been born with them. Weak, sunken cheeks, an unfortunate side effect of aging, can make a patient’s face appear emaciated.

According to Dr. Simon Ourian for years plastic surgeons have used facial implants to effectively augment the bone structure of the cheek region and to help restore a more youthful appearance. “Today I can offer comparable results without the risks of surgery, ” says Dr. Ourian. “I can inject dermal fillers such as Radiesse or Juvéderm to restore the fullness to a patient’s cheeks that have been lost with aging or to correct flat, unattractive cheeks and achieve a more symmetrical facial shape that is oval or heart shaped.”

A traditional cosmetic surgery procedure for cheek augmentation involves an incision on either inside of the patient’s upper lip or lower eyelid. A pocket is then created and a solid silicone implant is inserted. If the cheeks implants are being done at the same time as another cosmetic procedure, such as a facelift or eyelid surgery, the surgeon may use the incisions he’s already made for those procedures. Stitches are used to close the incisions and these usually dissolve within about 10 days.

While many plastic surgeons have seen the economy eat into their practice Dr. Ourian says that he isn’t surprised more patients are asking him about their non-surgical options. “Traditional plastic surgery costs are high because patients typically have to pay for the time of their plastic surgeon as well as the time of an anesthesiologist and the use of an operating theater”, states Dr. Ourian. “A hidden cost, but one which I’m sure is on the minds of more consumers than ever, is the downtime. If you can’t work, you can’t earn a living. And I think people aren’t certain leaving their job for a week or more is the best idea in these uncertain economic times.”

“I can offer them a non-surgical option that is safe and fast with a recovery that is typically quick and minimal downtime. I can do this in my Beverly Hills clinic on an out-patient basis. I customize the treatment for each patient, injecting only the amount of dermal filler required. If necessary, I can do a touch-up treatment later to achieve the maximum aesthetic result.”

Dr. Ourian’s Epione Medical Corporation, located in Beverly Hills Golden Triangle, is among the most comprehensive and state-of-the-art laser and aesthetic surgery centers. Dr. Ourian has been a pioneer for laser technology and non-invasive aesthetic procedures including Restylane, Botox, Juvéderm, Radiesse and Sculptra. These treatments are used for correction or reversal of a variety of conditions such as acne, acne scars, acne scar removal, skin discoloration, lip enhancement, wrinkles, stretch marks, varicose veins, unwanted hair, and tattoos, cellulite, and tens of others. Epione also offers their own specially formulated skin care products. For further information please contact (888) 951-3377.

Top Restylane Doctor in the United States

An alternative to more invasive cosmetic procedures: Restylane is the world’s best-selling dermal filler. Renowned cosmetic dermatologist Dr. Simon Ourian M.D. is one of the most experienced Restylane injectors in the country, celebrated for achieving natural looking, rather than “done”, results.

March 19, 2009 — Dr. Simon Ourian’s experience as a pioneer with various non-surgical anti-aging procedures has made his Beverly Hills medical center a new magnet for patients eager to try Restylane.

“I was looking for the top Restylane doctor, ” explains Cheryl, a 44-year-old patient who chose Beverly Hills Restylane Dr. Ourian. “It’s because of him that I have fewer wrinkles. I look fresher.”

Ourian, founder of the Epione Medical Center, says his treatments of Restylane, a dermal filler, are also gaining popularity because “they are a quick boost. It’s an easy filler for your face in areas where you have lost elasticity. Restylane under the eyes is another popular treatment.”

Ourian, a MD and Medical Director of the Epione Medical Center in Beverly Hills, Calif. (the #1 Botox center in Southern California), is among the first cosmetic surgeons to pioneer the use of Restylane, as a result of his experience with Botox, Radiesse, collagen and non-invasive, aesthetic procedures.

“Restylane provides a safe alternative for people who are hesitant to try collagen, “ says Dr. Ourian. “Since the substance naturally occurs in humans, it is the safest filler on the market, and the results, lasting up to eighteen months, are immediate and look very natural.”

Ourian’s patients who want plump lips like Angelina Jolie or the youth of Britney Spears agree. They have seen how Restylane injections under the eyes reduce circles and wrinkles and how they plump lips that have become smaller with age.

Restylane before and after photographs show how these injections take off years. Restylane can be used to remove worry lines, smile lines, lines between the eyebrows and hollows under the eyes. It helps to reduce folds between the nose and the corners of the mouth. Restylane also works to build up the chin.

One of Dr. Ourian’s Los Angeles Restylane patients was astounded with the results.

“I was totally blown away, ” said Claire, 35, of Los Angeles, one of Dr. Ourian’s patients. “My wrinkles started to go away immediately. The lip augmentation was amazing. My lips are a lot fuller. Now I see before and after photos and I am so happy I had Dr. Ourian do this facial work.”

Ourian points out that Restylane cost is less than some other treatments and a fraction of the cost of plastic surgery. Restylane cost ranges vary depending on the area treated and results last up to eighteen months.

Restylane is a crystal-clear, non-animal, biodegradable gel based on hyaluronic acid, a natural substance that exists in all living organisms. Since the acid is a natural component of connective tissues, including the skin, the skin does not react to the material. Restylane injections not only last longer than collagen, but don’t require allergy skin testing.

Pain during Restylane injections varies and depends of the sensitivity of the patient. The injections may prick a little but normally, no anesthesia is needed for treatment of wrinkles and folds. Most people report that the injections are relatively painless. For some a lip treatment may be uncomfortable and therefore, a nerve block is normally made.

Temporary Restylane swelling is possible. Rare Restylane side effects include temporary redness, swelling, itching or tenderness. Most of these effects last for only a couple of weeks. Restylane was launched in 1996. More than 10 million treatments have been completed since then. Before this, only collagen injections made from cow hide had been available.

Ourian won’t promise to make his patients into movie stars, “but if you bring me a photo of yourself five to ten years ago, I think that’s something we can achieve.”

Dr. Ourian’s Epione Medical Corporation, located in Beverly Hills Golden Triangle, is among the most comprehensive and state-of-the-art laser and aesthetic surgery centers. Dr. Ourian has been a pioneer for laser technology and non-invasive aesthetic procedures not only with Restylane and Botox, but also with Juvéderm, Radiesse and Sculptra. These treatments are used for correction or reversal of a variety of conditions such as acne, acne scars, acne scar removal, skin discoloration, lip enhancement, wrinkles, stretch marks, varicose veins, unwanted hair, and tattoos, cellulite, and tens of others. For further information please contact 310-271-6506.

Youthful Hands

Do you want to know a person’s real age? Just look at their hands. According to studies, many people can accurately judge a person’s age by viewing only their hands. Overall, the physical characteristic which most commonly gave away age was prominent hand veins. Fullness and a lack of wrinkles and veins characterize the youngest looking hands.

Fortunately, at Epione we can address these concerns with non-surgical. Coolaser treatments can reduce or eliminate brown spots, age spots and freckles. Blue Light treatments can reduce undesirable hand veins. Dermal filler injections can be used to plump up hands and reduce the visibility of veins.

(Here’s a free tip: Nail polish and jewelry were also found to make hands appear younger looking.)

Please call our office today at 888.931.3366 for further information.

Botox and Dermal Fillers: The Perfect Combination

At Epione we consider patient education one of our primary purposes. We believe that one key to patient satisfaction is aligning the results we can offer, and do our best to achieve, with the expectations of our patients. Patient education is fundamental to this relationship. And an educated patient typically has a better understanding of the post-procedural at-home aftercare that is often key to maximizing their results.

Dr. Ourian is a big proponent of combining Botox injections and dermal fillers such as Radiesse, Restylane and Juvederm to achieve optimal results for the patient who wishes to address the wrinkles on her face and obtain a more youthful look.

Why Botox AND dermal fillers? It is important to understand and distinguish between two types of facial wrinkles: dynamic and static. Dynamic wrinkles occur in people of all ages. The creases that you see between and around your eyes when you squint are examples of dynamic wrinkles. They appear temporarily when a muscle contracts and causes the overlying skin to crease like an accordion. When Botox is injected into a muscle, it blocks the nerve impulse from reaching that area, and as a result, the muscle weakens. As the muscle weakens, the skin overlying the muscle relaxes and the wrinkles in the skin gradually soften and often disappear.

Static wrinkles are always visible, even when all the facial muscles are at rest. Static wrinkles cause the deep grooves between the nose and mouth known as naso-labial folds, or smile lines, and tend to develop in skin that has thinned and stretched as a result of the aging process. Dr. Ourian uses dermal fillers to plump up the groove from beneath.

There are even some anecdotal reports suggesting that Botox helps slow down the breakdown of the filler due to less movement in the area by reducing muscle contractions.

Injectables: M.D. vs. R.N. – Is Good Business Good Medicine?

We find three recent trends disturbing:

  1. Some physicians are turning to nurses to perform most of their injectable treatments. Reasons given for doing so include increasing practice revenue streams and career advancement for the “nurse injectors.” At Epione only physicians administer Botox and dermal fillers such as Radiesse and Juvederm.
  2. Nurses setting up independent cosmetic practices, sometimes asking physicians to sponsor them. A nurse injector is the term for a registered nurse who provides cosmetic injectables treatments. Some states restrict or do not allow the practice of nurse injectors. In California nurses can inject Botox and dermal fillers only under the direction and supervision of a physician. Only a physician can prescribe medication including Botox and dermal fillers. And only a physician can legally evaluate conditions, recommended treatment, offer alternatives and clearly defined the potential outcomes including any complications.
  3. Mall and chain-store med-spas. Of particular concern are nurses who administer injections at medical spas where physician supervision may be minimal to non-existent. It is often the case that one physician is assigned (read “paid”) to supervise a group of such spas despite the physical impossibility of he or she doing so. Who is there to guaranty the setting is a proper, medically-equipped office, with safety and sterilization procedures? Is there a physician on site in the event of a complication or emergency?
    1. At Epione your well being is paramount. Simply because it’s not surgery does not mean it’s not a medical procedure.

Sculptra (poly-L-lactic acid) Tips

SculptraSculptra is used for the restoration and/or correction of the signs of facial fat loss (lipoatrophy) beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. It is the first FDA-approved product of its kind for use by people who have the human immunodeficiency virus.
It involves a series of injections of fine particles of a powder which has been reconstituted in sterile water. Continue reading

The Latest in Fillers this Summer!

Perlane, the Latest filler from Europe

Perlane, part of the Restylane family, was approved by the FDA in May 2007 and has just come on the market. At Epione we are pleased to be among the first offices to make Perlane available to its patients. The difference between Restylane and Perlane is the hyaluronic acid gel particles in Perlane are larger than those found in Restylane. This means that you will get even better contouring and added volume for those deeper facial wrinkles and folds and lips. Perlane treatments should last about six months. Continue reading

Full Lips Forever (Fillers that Last)

Full Lips Forever!We’ve come a long way since the old-fashioned facelift. Over the last several years, a slew of natural-looking injectable fillers have hit the market. However, while smooth, the results of these fillers tend to fade. Now, two new products promise natural-looking results that last. Continue reading



THE PURPOSE OF THESE ARTICLES ARE TO ENHANCE, NOT REPLACE THE DISCUSSION AND CONSULTATION WITH YOUR PHYSICIAN SO THAT YOU CAN MAKE AN INFORMED DECISION BASED UPON THE RISKS, BENEFITS, AND ALTERNATIVES FOR YOUR SPECIFIC NEEDS AND DESIRES. AFTER REVIEWING THESE ARTICLES YOU WILL BE ABLE TO HAVE A MORE MEANINGFUL DISCUSSION WITH YOUR DOCTOR. PATIENTS NEED TO READ ALL CONSENT FORMS FULLY, AS THEY CONTAIN IMPORTANT INFORMATION REGARDING THEIR TREATMENT.
RESULTS NOT GUARANTEED. ADDITIONAL AND/OR ALTERNATE TREATMENTS MAY BE NEEDED TO ACHIEVE THE DESIRED RESULT.