Filler Dissolving and Complications management with Ultrasound

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Although not all injectors use ultrasound guidance, our expert Physician Dr. Fahad Alam finds it to be an invaluable tool for several reasons.
By incorporating ultrasound into his practice for filler injections, filler dissolving and complications he prioritizes:
Less Risk
Although we can never guarantee zero risk, ultrasound helps to reduce the chance of unintended vascular injections, prioritizing patient safety.
More Precision
Achieving precise depth for optimal and natural-looking results.
Peace of Mind
Real-time visualization ensures accuracy and minimizes potential risks.
Customized Treatment
Tailoring treatments to individual anatomy, enhancing overall outcomes
Reduced Discomfort
Implementing controlled injections for a more comfortable patient experience
Complication Management
In the rare case that an adverse or unintended event does occur, ultrasound visualization can assist with rapid diagnosis and treatment of the problem.
Embracing ultrasound guidance isn't about criticizing other approaches—it's about adopting the best practices available to deliver exceptional care and results for every patient.

About Dr. Fahad Alam

Dr. Fahad Alam is an Assistant Professor, Anesthesiologist and medical education researcher at Sunnybrook Health Sciences Centre and the University of Toronto. He is also a Hyperbaric Medicine Physician at Restore Hyperbaric Oxygen & Medical Centre. 

As an ultrasound guided cosmetic injector, a significant portion of Dr. Fahad Alam’s practice involves managing complications. Leveraging expertise as a hyperbaric physician adds a unique dimension to his approach. Beyond enhancing aesthetic features, he is dedicated to ensuring a safe and comprehensive experience for his clients. 

What does an appointment entail?

Consultation with Dr. Fahad:  If you’ve experienced unsatisfactory results, filler migration, or complications from dermal or lip fillers, or Sculptra granulomas, and you would like to discuss your treatment options with Dr. Alam, this appointment is for you. Please note this appointment does not involve scanning the area using ultrasound technology. 
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Complication Management and Filler Dissolving Treatment: This appointment is for individuals experiencing complications from filler treatments or are looking to get their existing fillers dissolved. During this session, Dr. Alam will utilize real-time ultrasound technology to scan the area(s) of concern and develop a treatment plan. If time permits, Dr. Alam may also administer hyaluronidase treatment to the area to dissolve the filler. Pricing is determined based on the number of areas being scanned and treated.
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Embracing ultrasound guidance isn't about criticizing other approaches—it's about adopting the best practices available to deliver exceptional care and results for every patient.
At Integra Skinlab, Dr. Alam employs Ultrasound technology to address the following additional areas of concern:

Sculptra Granulomas

A rare inflammatory reaction to Sculptra injections, resulting in small nodules around the injection site.

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About

Neuromodulators for Migraines

If you've received a migraine diagnosis and suffer from frequent migraine episodes, you might be curious about ways to proactively manage them.

Botox, also known as OnabotulinumtoxinA, gained approval in 2010 for adults with chronic migraines. To be eligible, you must meet the following criteria:

  • A history of recurring migraine headaches.
  • Experience headaches (including tension-type headaches) on most days, which totals 15 or more days in a month, and each headache episode lasts for at least 4 hours.

It's important to note that Botox treatment is not authorized if you:

  • Experience headaches on 14 or fewer days each month.
  • Have different types of headaches, such as cluster headaches.

Frequently Asked Questions

How does Botox work to treat a migraine headache?

Botox's mechanism for treating migraines is intricate, involving a reduction in the release of inflammatory and excitatory neurotransmitters and proteins. Neurotransmitters, which transmit signals in the nervous system, and proteins with crucial structural and functional roles in cells are part of this process.

Among these protein neurotransmitters, calcitonin gene-related peptide (CGRP) is noteworthy as it tends to be elevated in migraine sufferers. Botox helps by suppressing pain signals from peripheral nerves and reducing CGRP activity, which is often overactive in migraine patients.

CGRP is a target in various other migraine-specific medications, both preventive and acute.

How is Botox from Migraines Administered?

The Botox treatment for chronic migraines involves administering 30-40 injections into the head and neck region every 12 weeks. These injections are typically targeted at the forehead, temples, back of the head, upper neck, and shoulders. The entire procedure is brief, taking less than 10 minutes, and is generally well-received by patients.

What are the potential side effects?

Weakness is one of the most frequently observed side effects of Botox. Since Botox is administered in the areas surrounding the face, head, neck, and shoulders for chronic migraines, patients may encounter the following side effects:

  • Drooping of the eyelid or eyebrow
  • Neck weakness
  • Shoulder weakness

Minimizing contact with the injection sites for 24 hours can help mitigate the risk of weakness, although it cannot entirely eliminate it. If weakness does manifest, it is typically temporary and resolves within 12 weeks. Additional potential side effects encompass:

  • Headache
  • Neck pain
  • Flu-like symptoms
  • Muscle pain

Am I an ideal candidate for Botox treatment in addressing chronic migraines?

If you're an adult grappling with chronic migraines, you might be a suitable candidate for Botox injections. It's worth noting that Botox lacks FDA approval for individuals experiencing migraines on 14 or fewer days each month.

Given the potential for significant side effects associated with Botox, it's imperative to communicate your other medical conditions and medications with your doctor. If you have neuromuscular conditions like amyotrophic lateral sclerosis (ALS), myasthenia gravis, or Lambert-Eaton syndrome, you may be at a heightened risk of experiencing severe side effects, including difficulties with swallowing or breathing.

It's essential to refrain from Botox injections if you've had an allergic reaction to any form of botulinum, which includes:

  • Myobloc® (rimabotulinumtoxinB)
  • Dysport® (abobotulinumtoxinA)
  • Xeomin® (incobotulinumtoxinA)

Neuromodulators for Migraines

If you've received a migraine diagnosis and suffer from frequent migraine episodes, you might be curious about ways to proactively manage them.

Botox, also known as OnabotulinumtoxinA, gained approval in 2010 for adults with chronic migraines. To be eligible, you must meet the following criteria:

  • A history of recurring migraine headaches.
  • Experience headaches (including tension-type headaches) on most days, which totals 15 or more days in a month, and each headache episode lasts for at least 4 hours.

It's important to note that Botox treatment is not authorized if you:

  • Experience headaches on 14 or fewer days each month.
  • Have different types of headaches, such as cluster headaches.

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Dermal Fillers using Ultrasound Guidance

Our expertise lies in ultrasound-guided treatments that not only help address concerns but also boosts your self-assurance.

Using ultrasound technology imaging in real-time to guide the injectables ensures a more precise and natural-looking result, while minimizing the risk of complications.

Before and After Pictures

Come back soon for Before and After Pictures
Lift and Bright

The key to graceful aging combines Radio frequency skin tightening with Skin rejuvenation, ideal for brightening and correcting skin tone while sculpting and contouring. This treatment encourages the skin to heal itself by replacing damaged collagen fibers with new ones under the skin revealing firmer, younger looking skin.

Benefits of Radio Frequency and Skin rejuvenation:

  • Can treat hands, neck, decollete and face to target sun spots and wrinkles
  • Improves appearance of lines and wrinkles & reduces signs of aging
  • Improves health of skin affected by sun exposure and environmental pollution 
  • Reduces appearance of pigmentation and sun damage
  • Tightens and improves skin laxity
  • Short and effective sessions 
Book Here
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Porcelain Facial

Catered for overall skin rejuvenation and signs of photoaging using fractional skin resurfacing to produce fresh younger looking skin to treat face, neck, decollete and hands. The laser helps to shed off the old problematic areas on the top layer of the skin revealing improved texture, wrinkling & spots with an overall renewed radiance.

Benefits of Skin rejuvenation and Fractional Resurfacing:

  • Treats acne scarring & pigmentation
  • Smoothes fine lines and wrinkles
  • Replaces old damaged cells with new healthy ones
  • Adapts to patients needs by adjusting depth and strength 
  • Combats a variety of skin issues at once
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Glow Up Facial

Experience a detailed skin analysis, double cleanse with steam, extractions (if needed), customized mask, hot towel aromatherapy, rejuvenating massage, and revitalizing serums. This 60-minute session deep cleanses, unclogs pores, and leaves you with radiant, hydrated skin.

Benefits: Boost Circulation and Hydration .

Book Here
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Glow to Go (Express 'Lunchtime' Facial)

Glow to GO Facial: This 30-minute facial includes a cleanse, dermaplaning, custom mask, hot towel aromatherapy, and finishing serums. It targets dryness, dullness, fine lines, and acne scarring, leaving you refreshed and glowing. (Please come with no makeup).

Benefits: Rejuvenate and Brighten, Ideal for Busy Schedules.

Book Here
Power Glow

This 75-minute indulgence treats dullness, fine lines, and congestion. Get a skin analysis and enjoy a double cleanse with steam, extractions (if needed), dermaplaning, customized mask, hot towel aromatherapy, lymphatic drainage massage, and nourishing serums for soft, glowing skin.

Benefits:  Treat Dullness and Fine Lines

Book Here
Men’s Facial

Tailored for men, this 60-minute facial features a deep double cleanse with steam, extractions and decongestion, dermaplaning or beard line-up, custom mask, rejuvenating massage, serums, and finishing products. It addresses dryness, dullness, congestion, and rejuvenates the skin.

Benefits: Combat Dryness and Dullness.

Book Here

PRE AND POST-CARE PROTOCOL

FREQUENTLY ASKED QUESTIONS

How does Botox work to treat a migraine headache?

Botox's mechanism for treating migraines is intricate, involving a reduction in the release of inflammatory and excitatory neurotransmitters and proteins. Neurotransmitters, which transmit signals in the nervous system, and proteins with crucial structural and functional roles in cells are part of this process.

Among these protein neurotransmitters, calcitonin gene-related peptide (CGRP) is noteworthy as it tends to be elevated in migraine sufferers. Botox helps by suppressing pain signals from peripheral nerves and reducing CGRP activity, which is often overactive in migraine patients.

CGRP is a target in various other migraine-specific medications, both preventive and acute.

How is Botox from Migraines Administered?

The Botox treatment for chronic migraines involves administering 30-40 injections into the head and neck region every 12 weeks. These injections are typically targeted at the forehead, temples, back of the head, upper neck, and shoulders. The entire procedure is brief, taking less than 10 minutes, and is generally well-received by patients.

What are the potential side effects?

Weakness is one of the most frequently observed side effects of Botox. Since Botox is administered in the areas surrounding the face, head, neck, and shoulders for chronic migraines, patients may encounter the following side effects:

  • Drooping of the eyelid or eyebrow
  • Neck weakness
  • Shoulder weakness

Minimizing contact with the injection sites for 24 hours can help mitigate the risk of weakness, although it cannot entirely eliminate it. If weakness does manifest, it is typically temporary and resolves within 12 weeks. Additional potential side effects encompass:

  • Headache
  • Neck pain
  • Flu-like symptoms
  • Muscle pain

Am I an ideal candidate for Botox treatment in addressing chronic migraines?

If you're an adult grappling with chronic migraines, you might be a suitable candidate for Botox injections. It's worth noting that Botox lacks FDA approval for individuals experiencing migraines on 14 or fewer days each month.

Given the potential for significant side effects associated with Botox, it's imperative to communicate your other medical conditions and medications with your doctor. If you have neuromuscular conditions like amyotrophic lateral sclerosis (ALS), myasthenia gravis, or Lambert-Eaton syndrome, you may be at a heightened risk of experiencing severe side effects, including difficulties with swallowing or breathing.

It's essential to refrain from Botox injections if you've had an allergic reaction to any form of botulinum, which includes:

  • Myobloc® (rimabotulinumtoxinB)
  • Dysport® (abobotulinumtoxinA)
  • Xeomin® (incobotulinumtoxinA)

OUR PRICING
LASER HAIR REMOVAL
Summer Sale
1 Session
Package of 3
10% Discount
Package of 6
15% Discount
Package of 8
20% Discount
Neck and Beard Line
$80
$216
$240
$408
480
$512
640
Buttocks
$115
$112
$310
$587
$690
$736
$920
Neck
$75
$75
$225
$383
$450
$480
$600
Full Legs
$535
$594
$660
$1,122
$954
$1,408
$1760
Beard Line
$55
$55
$165
$238
$280
$352
$440
Half Legs
$110
$110
$330
$561
$660
$704
$563
Full Back
$200
$200
$600
$1,020
$867
$1,280
$1600
Half Back
$120
$120
$360
$612
$720
$768
$960
Abdomen
$85
$229
$255
$433
$510
$544
$680
Brazilian
$267
$297
$330
$561
$660
$704
$880
Bikini Line
$158
$175
$195
$331
$281
$416
$520
Underarms
$65
$175
$175
$331
$390
$416
$520
Small Body (Areola, Navel Line, Hands/Feet)
$50
$135
$150
$255
$300
$320
$400
Half Arms
$170
$189
$189
$357
$420
$448
$358
Full Arms
$243
$270
$270
$510
$600
$640
$512
Face - 1 Area (Cheeks/Side of Face or Upper Lip or Chin)
$50
$50
$150
$255
$300
$320
$256
Nape
$60
$60
$180
$306
$360
$384
$480
Full Chest
$135
$135
$405
$688
$585
$864
$1080
Full Face
$100
$270
$300
$510
$434
$640
$800
Face - 2 Areas (Chin/Cheeks, Both Ears)
$55
$148
$148
$280
$330
$352
$282

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