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Celebrating 25 years as East Tennessee's Plastic Surgeon
Awarded one of America's Top Plastic Surgeons by the Consumer's Research Council of America.
Compassionate Doctor Recognition, 2009, 2010, 2011
On-Time Physician Award, 2009, 2010, 2011
Patients' Choice Award, 2009, 2010, 2011
2011 Top Doc Selected Again as Cityview Magazine's "Top Doc".
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Hyaluronic acid dermal fillers are the fastest growing non-invasive facial procedures in Knoxville. Juvederm, Restylane, and Prevelle are all injectable wrinkle fillers made from hyaluronic acid. Fillers differ in formulation and one size definitely does not fit all. Some are more plumping and some last longer than others. There is also a significant difference in cost.
Shopping for Injectable Fillers
Many more wrinkle fillers are awaiting approval by the FDA so it will become increasing difficult to keep them all straight. It is very important to understand that just because a filler is new, doesn't mean that it's better. The key is to find the right Knoxville office with a great injector who has access to the latest fillers and makes recommendations based on your goals and budget.
There are many physicians's offices that are now injecting fillers. Why come to us?
Experience combined with artistry- You will benefit from an injectable plan designed personally for you by Dr. Reath. The injectable consultation with him is free and patients find it very helpful. Working under the direct supervision of Dr. Reath, our nurse injector, Jill Maze, RN, trains with the most renowned experts in Cosmetic Injectables. Patients routinely comment on her caring manner and her fabulous results.
We Use Flexible Blout Cannulas to Inject our Fillers- This is not only the safest way to inject fillers, but it also results in less pain and bruising for you!Flexible cannulas cost more than traditional needles, but we think your safety and comfort is worth the expense on our part. Read why in Dr. Reath's recent blog We’re “Stuck” on a Better, Safer Way To Inject Fillers.
About Hyaluronic Acid Based Fillers-
Hyaluronic acid is a natural complex sugar found in all living animals that retains water and adds volume to the skin’s surface. It binds with collagen to provide structure, elasticity and volume to the skin and contribute to its overall appearance. As the skin ages, the cells lose the ability to produce hyaluronic acid. As a result, the skin begins to lose volume, often resulting in thinning lips, facial wrinkles and folds. Dermal fillers comprised of cross-linked hyaluronic acid are used to temporarily replace the lost hyaluronic acid and to restore skin volume with a smooth natural appearance.
Juvederm XC- This is our best selling facial filler for two reasons. First, it lasts longer than other hyaluronic acid fillers. Second, it contains lidocaine so it is less painful to inject.
The hyaluronic acid in Juvederm XC is manufactured in a smooth gel versus a gel particle suspension in Restylane. This different formulation is providing a smoother, longer lasting correction than current hyaluronic acid products on the market. Even better, Juvederm XC, in conjunction with Botox, makes both products last longer.
Juvederm XC is available in two different formulations: Regular Juvederm XC is a thinner gel so it is used for mild corrections and to outline the lips. Juvederm Ultra Plus XC is much more popular with our patients. It has a thicker, plumping formula which is perfect for the lips. It works better to contour the face and add volume to larger areas such as the cheeks.
Per syringe: Juvederm XC $600 Juvederm Ultra Plus XC $650
Second Syringe Discount $25
Prevelle - Prevelle is a hyaluronic acid filler from Mentor Corporation, the company we use for our breast implants. Like Juvederm XC, Prevelle contains lidocaine. It's thinner formulation is perfect for treating really fine lines. For example, we are having great results using Prevelle under the eyes. However, it's important to know that because of its thinner formulation, Prevelle does not last as long as Juvederm. Still, if you are on a budget or considering fillers for the first time, Prevelle is an excellent choice.
Prevelle $300 per syringe
What About Restylane?- We can still get Restylane by special request, but we don't carry it in stock. Our patients overwhelmingly prefer Juvederm XC because it lasts much longer and contains lidocaine.
Helpful Resources for Your Research
Bruising after fillers is very common especially if you tend to bruise easily. But, there are things you can do the week BEFORE your facial filler appointment to minimize your bruising afterwards. Click Here for Easy Ways to Minimize Bruising After Injectable Treatments.
Some of the most amazing results occur when dermal fillers, like Juvederm XC and Prevelle, are used in conjunction with Botox or Dysport. It makes a remarkable difference for patients who have deeper lines that still show after the facial muscles have been relaxed. See Results using Botox and Fillers together.
Radiesse is a facial filler made of very tiny smooth calcium hydroxylapatite (CaHA) microspheres rather than hyaluronic acid. Click here to Read About Radiesse.
Manufacturer's rebates are frequently available for Juvederm XC. We have a page on our website dedicated entirely to keep you updating on what's out there to save you money. Click Here to visit our Plastic Surgery Rebates page.
Reath Rewards is a loyalty program that everyone loves. For every dollar you spend on Botox and Dysport you earn points towards special discounts designed exclusively for Reath Rewards members. These discounts are over and above any advertised specials and rebates. Click Here to Understand Why Our Patients Love Reath Rewards.
New! Check Your Reath Rewards Balance
Wondering what your current balance is? You can check it right here by entering in the number on the back of your card. (FYI, all of our cards start with nine zeros, so enter in the zeros and then the rest of the number.)
Note: You will actually see two balances since our cards can be used either as a gift card or a loyalty card. The first is the gift card balance if you have one, the second is the number of Reath Rewards points you have.
Card Balance Inquiry
Check your Reath Rewards balance by entering your card number in the box above then click on the submit button.
Before and After Photos of Facial Filler Patients
Before and After Prevelle Silk: This is a 37-year-old who asked us for help with the dark circles under her eyes. Nurse Injector Jill Maze injected Prevelle Silk in her tear troughs with this fabulous result. Just a small amount makes a big difference!
Before and After Prevelle Silk and Dysport- Here is a perfect example of dramatic improvements that can be made without surgery, recovery time and at a relatively low cost. She is 48 and was concerned with aging around the eyes. Nurse Injector Jill Maze used Dysport in her crow's feet and a tiny bit of Prevelle filler under the eyes. The change is remarkable, but subtle.
Before and After Prevelle Silk: This is a very active 60-year-old who wanted her face to look as young as she feels inside. She particularly mentioned the hollows under her eyes which she felt make her look older and tired. Jill Maze injected Prevelle Silk in her tear troughs. Isn't it amazing what a change a little Prevelle can make?
Before and After Pearl Fractional Laser and Juvederm XC in Her Lips:
This is a 64-year-old woman who was concerned about facial aging and wanted to explore nonsurgical options for facial rejuvenation. Here she is before and after her Pearl Fractional Laser treatment with Juvederm in her lips and nasolabial folds. What an incredible difference!
Before and After Juvederm Ultra Plus:
This is a 44-year-old woman who has a very public job. She was concerned that the aging around her mouth did not match her warm personality. Nurse Injector Jill Maze, RN used three syringes of Juvederm Ultra Plus to fill in her nasolabial folds and the "marionette" lines under her mouth.This is a great example of the artful use of fillers, and she is thrilled with her results.
Before and After Juvederm: This is a 39 year old patient who was concerned about her lips and nasolabial folds. Jill Maze, RN injected one syringe of Juvederm Ultra Plus to her lips and one syringe of Juvederm Ultra to the nasolabial folds. The patient had a great result and restored fullness in her lips.
Before and After Juvederm Ultra Plus- Here is a fifty-year-old woman who wanted to rejuvenate the area around her mouth. She particularly did not like the way her mouth set in a frown in repose. Nurse Injector Jill Maze, RN artfully used Juvederm Ultra Plus to contour and lift the area around the corners of her mouth as well as to restore fullness in her upper and lower lips. These fabulous results just took one syringe of product and her “after” photo was taken over five months after she had her treatment.
Before and After Juvederm: This is a 40-year-old man before and after his Juvederm treatment.
Before and After Radiesse with Juvederm: This is a very active woman who told us she had been thinking about doing something to her nasolabial folds "for years". She finally decided to do something after her 50th birthday. Jill Maze, RN used one syringe of Radiesse and a half syringe of Juvederm XC to achieve her new look. She told us it "turned out better than she ever thought it would!"
Before and After Radiesse and Juvederm: This is a very active 60-year-old woman who told us she wanted to look as young as she feels. She was particularly interested in nonsurgical rejuvenation. Here is a great example of the dramatic improvements that can be made using injectable fillers. Jill Maze, RN used the semi-permanent filler Radiesse in her nasolabial folds and Juvederm Ultra Plus in her lips and mouth area.
About new Juvederm XC- Does adding Lidocaine really make a difference with pain? Dr. Reath and Jill discuss the results of a blind study on this Truth-O-Meter Tuesday video.
Studies show that 93% of the patients treated with Juvederm XC had less pain than when treated with the non-lidocaine formulation of Juvederm.
So, we did our own side-by-side study and here is what our patient had to say:
"I recently got to try Juvederm XC and I must say that I am a believer in this product!
Jill first applied a topical anesthetic around the nasolabial folds (creases that run from my nose to the corners of my mouth). She then proceeded with a very small injection of the Juvederm XC, waited 2 or 3 seconds for the numbing agent to take effect, and then completed the
injection. Other than the initial needle stick (which is really quite minimal), the whole process was painless. Compared to previous procedures I was actually able to sit back and relax.
At the last minute, we decided to add some filler to the lower corners of my mouth, where we had NOT applied a topical. Using the same process - a small injection, wait a few seconds, and then complete the injection - it was still a very comfortable process. I really believe that I could have done without the topical altogether, which will save me 20-30 minutes of "numbing time" on my next visit.
Post-treatment was also a much improved experience. I typically review a lot of paperwork during the work day, so I am constantly looking down. The XC formulation really made a difference, as I was so much more comfortable compared to previous treatments without XC.
My recommendation -- If you decide to use a filler, be sure to ask for
Juvederm XC!"
Introducing Jill Maze, RN
Jill Maze is a welcome addition to our practice. Her patients attest to both her caring bedside manner and her skilled professionalism. Working under the direct supervision of Dr. Reath, Jill’s extensive training, and gentle touch is a winning combination. She is an active member of the American Society of Plastic Surgical Nurses.
Since the FDA’s approval of Juvederm and other fillers, Jill has been focused on training with the southeast’s most renowned experts in Cosmetic Injectables in both Atlanta and Boca Raton, Florida. This year she traveled to Las Vegas to be in the first class in the country to attend the Advanced Injector Competence Training Course designed by the American Society of Aesthetic Plastic Surgeons. In addition, she received specialized instruction on techniques for using Botox® for areas other than the upper face. She is also trained and experienced with the recently FDA-approved semi-permanent filler Radiesse.
This area requires a unique blend of artistry and science as well as the need to stay current, so Jill will continue to travel the U.S. to observe the leaders in her field. When she is not traveling and taking care of patients Jill likes to spend time with her husband and two teen-aged daughters camping in the great outdoors.
If you have questions about Botox, Restylane, Juvederm XC, Prevelle or Radiesse, email Nurse Injector Jill Maze at JillM@dbreath.com
BOTOX® is a registered trademark of Allergan, Inc., and JUVEDERMtm is a trademark owned by Corneal Industries SAS.
David Reath, MD Knoxville Plastic Surgeon
109 Northshore Drive, Suite 101
Knoxville, TN 37919 phone: 865-450-9253 · fax: 865-450-9949
For excellence in plastic surgery, please consider the office of renowned Knoxville plastic surgeon David B. Reath, MD. We offer the latest advances in cosmetic surgery to help you look and feel your best.
Copyright 2011 David B. Reath, MD, PLLC Plastic Surgery Knoxville
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personally for you by Dr. Reath. The injectable consultation with him is free and patients find it very helpful. Working under the direct supervision of Dr. Reath, our nurse injector, Jill Maze, RN, trains with the most renowned experts in Cosmetic Injectables. Patients routinely comment on her caring manner and her fabulous results.
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