The visible signs of facial aging occur over time as a result of sun exposure, heredity and life style. One of the earliest signs of aging is a loss of facial fullness and the development of wrinkles. Softening of these facial lines and the restoration of volume and fullness in the face often can be achieved non-surgically with injectable fillers. At PeaceHealth Medical Group, Dr. Gabriel and Dr. Champaneria use Juvéderm® XC and Juvéderm Voluma® XC. Both Juvéderm and Voluma (made by the same company as BOTOX) use hyaluronic acid as the active ingredient, which is a natural substance found in our bodies to restore facial contours and reduce the appearance of lines and creases for their patients in Southwest Washington and the Portland metro area. Non-surgical rejuvenation treatments such as injectable fillers cannot achieve the same results as a surgical facelift, but may help delay the time at which a facelift becomes appropriate. The initial treatment will include a complete consultation before a treatment plan is created and performed. Subsequent follow-up procedures may take only a few minutes, as the full process of consultation is not necessary to repeat, although consent is required at each visit.
"This review only contains a rating"- A.B. / Facebook / Oct 02, 2015
"A 76 Year Old's Experience with Peace Health Plastic Surgery Group - Vancouver, WA - I went online to find a plastic surgeon and happily found Peace Health Plastic Surgery Grp. My consultation appointment was with Dr. Champaneria. I knew from this meeting he was who I wanted to perform my procedure. In June, 2016 had a Face & Neck Lift. It went so well and looks great. I was to have another procedure to follow later once I was healed, a CO2 Laser treatment to my mouth and cheek areas. In the mean time he performed eyelid surgery on Oct. 17, 2016. This surgery was covered by my insurance as a medical necessity. Again, it turned out wonderful. Recently I underwent the CO2 Laser treatment, Feb. 7, 2017 and at this time am still healing from it. What I love about Dr. Champaneria is, not only he is a great guy, but he is conservative and certainly has great expertise when it comes to performing plastic surgery. Nothing drastic to alter the natural look. For me that is the art of plastic surgery. I look and feel good and would recommend this Doctor to anyone seeking the need or desire to enhance one’s self image. The staff in the office are all so nice and helpful making you feel very relaxed and welcomed. I stayed one night at Peace Health Medical Center, in Vancouver, WA, following the face-neck lift. The hospital care was excellent."- W. / RealSelf / Feb 10, 2017
"I have a great Doctor - I love Dr. Champaneria. He is great he is kind and has the best attitude. He did a wonderful job on my first surgery and I am scheduled for another one with him in one week. I know that this one will be as successful as the first. - - I love Dr. Champaneria. He is great he is kind and has the best attitude. He did a wonderful job on my first surgery and I am scheduled for another one with him in one week. I know that this one will be as successful as the first."- E. / RealSelf / Feb 09, 2017
"Breast Cancer Reconstruction - Vancouver, WA - I would and have trusted Dr, Gabriel with my life. He is one of the most compassionate and gifted people I have ever known. He is an expert in his field and feels strongly about healing all women. With women who have had a breast cancer diagnosis, Dr. Gabriel is as concerned with the psychological wounds from a cancer diagnosis, as he is with the medical procedure necessary to survive breast cancer. - - Doctor Allen Gabriel of Peace Health Medical Group did my initial surgery and several subsequent surgeries after. Aside from being an exceptional surgeon, Dr. Gabriel and his staff are equally concerned with the psychological repair of each and every women they treat. Although I had a large support group of family and friends, the staff at Dr. Gabriel's office, including Dr. Gabriel were always a source of support and comfort to me. Recently, I had the new gummy bear implants and for the first time in 6 years, I feel like I am whole again. The new implants are amazing and seem so real and Dr. Gabriel and his staff has been with me throughout the entire process. Dr. Gabriel is an amazing surgeon and I would never want to see anyone else and recommend his office to anyone I know that is considering or needing cosmetic surgery."- C. / RealSelf / Feb 06, 2017
"Seri mesh 480cc gummy bear implants. - To say Dr. Allen Gabriel is amazing would be an understatement!!! I ended up getting 480cc gummy bear implants with Seri mesh. Dr.Gabriel had suggested Seri mesh and after doing my own research I decided to get it. Seri mesh works as an internal bra so keeps your breast perky longer! Also my breast were extremely small before and I had to create a new breast fold( seri mesh helps with this by... - - To say Dr. Allen Gabriel is amazing would be an understatement!!! I ended up getting 480cc gummy bear implants with Seri mesh. Dr.Gabriel had suggested Seri mesh and after doing my own research I decided to get it. Seri mesh works as an internal bra so keeps your breast perky longer! Also my breast were extremely small before and I had to create a new breast fold( seri mesh helps with this by keeping the implant from falling down your chest wall) along with breast augmentation I got a bunch of free gifts such as laser hair removal, face cleansing products and I got to choose between latisse eye lash serum or Botox! I'm 100% satisfied with my results and it was worth every penny! (The photo posted both of us got our breast done by him) "- C. / RealSelf / Feb 02, 2017
Types of Derma Fillers@headingTag>
Technological advances have made it possible to manufacture a variety of fillers. Most fillers are derived from natural substances (such as collagen) while others are artificially produced. The patient’s skin condition and aesthetic goals will decide which type of filler will be best to use.
Fat transfer is the harvesting of excess fat from a donor site on the patient’s body. The fat is extracted using liposuction. These fat tissues are then purified and reinjected gradually into an area of skin with layering precision. The doctor will massage the skin and ensure that the intended contour is achieved. The body naturally absorbs fat and the results often last up to 6 months.
Collagen is a naturally occurring protein in human and animals. Skin, bone, cartilage and teeth are rich in collagen. These are harvested and converted into a sterilized liquid form and used as a derma filler. It is a popular filler for lip augmentation procedures. Some collage is derived from animals. Patients using a derma filler of this nature will require allergy testing ahead of the procedure to ensure that they will not have any complications.
Usually found in the bones and teeth of humans, calcium hydroxyapatite is also harvested and processed to use as a liquid filler. It is considered as one of the heavier substances and ideal in adding volume to deep creases. This particular filler product usually lasts longer than some of the others on the market.
Hyaluronic acid is another substance that is sourced from humans. Rich deposits of this substance are commonly found in ligaments and connective tissues. As with other natural substances, when used as a derma filler, the results are natural and effective, but they are not long lasting as the body reabsorbs the solution over time.
Polylactic acid is an artificial substance. When injected, it doesn’t just add volume underneath the skin, but it also triggers the production of collagen, which helps in skin renewal. The contours will be visible immediately and the skin quality will be evident after several months. This filler can last up to a year or longer for most patients.
This is a popular derma filler as it lasts longer compared to fillers that are made only from natural substances. PMMA is a hybrid of microspheres mixed with a collagen solution. The result is a more solid, heavy filler that works well for deep creases and for reconstructive purposes when a good amount of tissue is absent. This filler is considered semi-permanent, meaning it has the potential to last for several years or longer.
During/After the Procedure@headingTag>
Injectable fillers are performed in the doctor’s office with the use of local anesthetic creams if necessary. Almost pain-free, the patient will only feel a prick from the injection. The substance will be injected gradually in even layers to make sure a natural looking result and contour is achieved. Sometimes, it may take more than one full syringe depending on how much volume is needed. There may be slight swelling, bruising and redness on the treated area but this usually subsides after a few days. Patients will be able to return to a normal routine a few hours after treatment.
Plan Your Procedure
- Procedure Recovery Location
Injectable Filler FAQs@headingTag>
How Safe Is It?@headingTag>
All derma fillers are FDA approved, meaning they have passed comprehensive testing to prove that the product is safe and effective to use. The majority of fillers are made with a natural substance so if the result is not as the patient desired, the good advantage is that the filler, at some point, will be reabsorbed by the body, and the results are temporary.
Do I Need Reinjection?@headingTag>
Most likely. Natural fillers are absorbed by the body in an average of 6 months to 12 months. When this happens, there will be a loss of volume similar to the condition prior to treatment. Reinjection is recommended to maintain the desired results. Some patients find this high maintenance but feel its worth the natural feel of their cosmetic treatment.
Is BOTOX Better?@headingTag>
The benefit between a BOTOX injection and a derma filler is weighed with the patient’s skin condition. BOTOX is a muscle relaxant that temporarily paralyzes muscles underneath the skin preventing them from contracting, which causes wrinkles. This results in smoother skin and significant decrease with wrinkles. However, if the patient also has loose skin and/or hollow contours, volume may also be an issue and this is when a derma fillers works best. Today, a large majority of patients intermix the use of BOTOX with an injectable filler. Some include other treatments such as chemical peels and laser treatments, which essentially provides the patient with a “liquid facelift.”