Say Farewell to Your Frown with Xeomin

We all expect to see a few lines and wrinkles on our skin at some point. That doesn’t mean that certain wrinkles don’t bother us. For many people, the most concerning creases are those that develop between the eyebrows. Glabellar lines, or frown lines, are the result of aging but they do a lot more than make us look older. Frown lines make us look angry. They can make us look unfriendly and may inhibit authentic social and professional interactions. It is possible to say farewell to frown lines. In our Spring Lake office, patients can choose to do so with Botox or with Xeomin. Here, we discuss why Xeomin is becoming a popular option.

What is Xeomin?

Frown lines aren’t merely the result of aging skin. We get these lines because of the frequent use of the muscles at the center of the lower forehead. When we squint or frown at all, the same muscles contract. As with any muscle in the body, the continual contraction of these muscles leads to toning. Just like toned abdominal muscles can etch the stomach, toned forehead muscles can create contours between the eyebrows. Xeomin can correct this.

Xeomin is an FDA-approved drug that is classified as a neurotoxin, neuromodulator, or wrinkle-reducer. The basis of this cosmetic treatment is the action that purified botulinum toxin type A has on muscles. As a muscle-relaxer, the botulinum toxin provides substantial efficacy in the treatment of muscular disorders. In much lower doses, this ingredient can relax the small muscles between the eyebrows to smooth permanent dynamic lines. It works by inhibiting the release of a neurotransmitter that is responsible for making muscles contract. When injected, the targeted muscle relaxes for three to six months.

How Xeomin Differs from Botox

Seeing Xeomin as just another Botox, many people may instinctively choose the more well-known product. There are differences between the two drugs that may affect the outcome of treatment. Making the best choice means making one that is well-informed. Though both drugs inhibit muscle contractions by inserting botulinum toxin type A into muscle tissue, Botox also introduces accessory proteins. These proteins may contribute to the risk of an allergic response after treatment. The response occurs as a result of antibody formation. With Xeomin, this risk may be decreased because there are no proteins included in the solution, only purified botulinum toxin.

Xeomin has been clinically proven to achieve comparable results to Botox and provides adults with the opportunity to see how much younger and friendlier they look without frown lines and other wrinkles. Learn more about Xeomin and what it can do for you. Call (732) 449-0167 to schedule a consultation at our Spring Lake office.

Botox® Specialists Monmouth County, NJ

An Hour and Some Innovation Can Do a Lot For Your Skin

During this time of year, we can’t help but think about what’s to come. We also think about what has occurred in the previous months, and how the upcoming months will be different. After getting through a bustling holiday season, many people are ready for some pampering. What better way to do that than to visit your trusted dermatologist for a quick turnaround of your look?

Cosmetic Treatments for a Younger-Looking Face and Body

If you are interested in refreshing your look in some way but feel pressed for time (who doesn’t?), rest assured you only need about an hour or so to refresh, rejuvenate, and retain the beauty of your skin. You might be thinking, “I already know what Botox and dermal fillers can do and I’m not there yet.” Ok. We are aware that most people these days are well-informed about what injectables can do for their appearance, so we won’t go there. Here, we’ll focus on the lunchtime procedures that can make other types of impact on your look.

  • This beauty treatment is powerful because it can improve several concerns at once. From fine lines to laxity to acne scars, microneedling is an efficient corrective-measure. Treatment works by stimulating activity in the fibroblast cells, which are responsible for producing collagen and elastin. For about a week after a single treatment, the skin looks radiant and smooth. With a series of treatments, more significant concerns can be corrected.
  • Body-sculpting. Many people express an interest in either reducing waist circumference or getting rid of cellulite, sometimes both. With Velashape treatments, this is possible. During the brief appointment, patients lie comfortably beneath a radiofrequency applicator that delivers thermal energy deep into fatty tissue. The stimulation destroys fat cells and also tightens collagen fibers to improve both circumference and skin texture.
  • The skin needs periodic pick-me-ups to maintain a smooth, radiant appearance. Microdermabrasion is a comfortable, no-downtime treatment that is done to remove the dead and damaged cells that have accumulated on the epidermis.

There are many ways to support aging and sun-damaged skin. We can help. To schedule your visit to our Spring Lake dermatology office, call (732) 449-0167.

Addressing the Unique Changes in Aging Skin: Part II

Knowledge is power. This statement can be true in numerous different situations, including how you address aging skin. The more you know about the ways your skin and face may change with age, and why, the more capable you are of managing your beauty regimen adequately. In a recent post, we discussed one of the three critical aspects of aging, the development of dynamic wrinkles. Here, we move on to the second: volume loss.

What Volume Loss Looks Like

The skin is not the only part of the face and body to show the signs of aging. It is the skin that we notice, though, because it is the outermost part of our being. At some point, most of us find ourselves looking in the mirror and using our fingers to pull the skin up and back over the cheekbones. Doing this, we see more contouring in the midface and less sagging at the jawline. If you’ve done this and found yourself thinking, “if only it could stay this way,” you’re experiencing the effects of volume loss.

Beneath the dermis are subcutaneous structures that “pad” the cheekbones and area under the eyes. The fat pads that live here act as a scaffolding for the skin. With age, fatty tissue in the midface begins to deteriorate. The loss of these structures allows the skin to slump downward. We may see hollows under the eyes or, conversely, puffiness that is exacerbated by the flattening of the upper cheeks. The lack of volume in the midface is also what is responsible for the creases the form around the nose and mouth.

How to Manage Volume Loss

It used to be common to undergo facelift surgery as a corrective measure for facial aging. Over time, we’ve learned that this may not be sufficient, especially when dealing with volume loss. The primary ways that volume is restored today include replacement and regrowth.

Volume replacement is often achieved with dermal fillers like Restylane and Radiesse. This technique inserts biological substances such as hyaluronic acid into the dermis where particles bind to water molecules. This marriage of the two increases the plumpness of the tissue beneath the epidermis, beautifully rounding out cheeks, lips, and lines.

It may seem difficult to regrow volume naturally. It’s actually quite simple. One way to do this is with the body’s own fat. Fat transfer treatment has become more popular in recent years, but it may not be right for everyone. The procedure is surgical; it requires minor liposuction. It is also somewhat unpredictable. Easier alternatives include microneedling and Sublime skin contouring treatments. Each stimulates the ongoing production of collagen, leading to tighter, smoother, plumper skin.

Restore volume for a more youthful look. Schedule a visit to our Spring Lake, NJ office at (732) 449-0167.

Hyaluronic Acid Spring Lake, NJ

Reasons to Love Hyaluronic Acid

Many people have heard of hyaluronic acid because this nourishing carbohydrate molecule provides the foundation for many of the dermal filler products that are commonly used today. The body makes hyaluronic acid, or HA, as a way to cushion the joints and moisturize the eyes, connective tissue, and skin. As vital as hyaluronic acid is to beauty and wellness, the natural aging process depletes the body of this sugar compound. The gradual decline in the production of hyaluronic acid is, as you may know, a contributing factor to aging skin.

What Hyaluronic Acid Does for the Skin

Although one of the most recognized uses of hyaluronic acid involves reducing the appearance of lines and creases on the face and hands, several others benefits stem from making this an ingredient you demand for your skin.

Hyaluronic acid is:


It’s easy to see that hyaluronic acid improves hydration in the skin by observing what it does. Whether made naturally or introduced topically or sub-dermally, hyaluronic acid’s task is to bind with water molecules. This carbohydrate binds to 1,000 times more water molecules than its weight. That’s a lot of water, and it doesn’t only benefit the skin’s appearance from the inside out. Hyaluronic acid, when applied to the skin in a quality skin care product, adheres to the surface to hold moisture in.


The skin has a protective barrier that is made up of lipids. These are thicker than water and necessary for keeping pollutants and free radicals from greatly affecting the epidermis. Additionally, a strong lipid layer supported by HA offers a minor degree of UV protection (but you still need sunscreen). Because hyaluronic acid sits on the skin to preserve the moisture and lipid barrier, it is an ingredient that is particularly beneficial for people with eczema.


We don’t typically like things that are combative unless there is a measure of protection in it for us. What hyaluronic acid combats are aging and acne, two common problems that are difficult to avoid. When used as a skincare ingredient, HA inhibits the overproduction of oil, a major contributor to clogged pores and acne flare-ups. This ingredient also offsets the drying effects of benzoyl peroxide and salicylic acid, which are commonly found in acne-fighting products.

Get the help you need for your skin in our general and cosmetic dermatology practice in Spring Lake, NJ. Call (732) 449-0167.

Dermal fillers Monmouth County NJ

Are You Still Making Friends with Fillers?

Dermal fillers and other injectables have been a part of medicine for quite a few years now. The popularity of these non-surgical solutions is widely known – so widely known that it may seem like you’re the only one not on the bandwagon at the moment. Obviously, that’s not true. We continually meet patients who are new to the injectable trend. Many of them report that they hesitated for months because they had questions that they simply didn’t ask. If you have questions about dermal fillers and other injectables, we encourage you to contact our office for a personal consultation. In the meantime, we’ll answer a few common questions here.

Exactly what is a dermal filler?

A dermal filler is a product that smooths lines and creases by adding volume. There are various fillers on the market these days, each of which may restore volume with a unique ingredient. The most common ingredient found in dermal fillers is hyaluronic acid. This is the base ingredient for the Restylane® products that we use when treating facial aging. The introduction of hyaluronic acid into subdermal tissue invites water molecules to plump the skin. Because hyaluronic acid particles bind to water molecules, the skin stays smooth for months at a time. We also use Radiesse®, a filler that is made with micronized granules of calcium hydroxyapatite.

Will I look fake if I get dermal fillers?

It’s unfortunate that such as thing as “bad Botox” and poorly-done dermal fillers exists. The fact is, there are many high-profile people who have made it seem as though dermal fillers will augment areas of the face too much. This isn’t the norm. Let’s say you would like to correct the natural deflation of your lips by enhancing them with dermal fillers. When you visit our office, this process can restore just the right amount of fullness to give more definition to your lip line and more symmetry to your mouth. There is no need for dermal filler treatment to look “done.”

How much does it cost to get dermal fillers?

Many patients are surprised at just how affordable dermal filler treatment is. The overall cost is determined by the amount of filler that is used to achieve your unique goals. Generally, one to two syringes is all that is needed to reduce lines and wrinkles or enhance the lips. Cheek augmentation may require slightly more, but this varies on a case by case basis.

Are you ready to get friendly with fillers? Call (732) 449-0167 to schedule a no-obligation consultation in our Spring Lake, NJ office.

Botox and Xeomin Monmouth County, NJ

Is Xeomin Better than Botox?

The demand for non-surgical, minimally-invasive treatments to correct the signs of aging has been high for decades and seemed to have been met fully and completely with the development of BOTOX Cosmetic. While we offer BOTOX in our Spring Lake dermatology practice, we are also proud to provide wrinkle-reduction with Xeomin. Here, we want to discuss how the two products differ in an attempt to answer the question “is Xeomin better than Botox?”

Botox was first approved by the FDA in 2002, and only for the treatment of frown lines between the eyebrows. Oh, how times have changed! Today, we routinely use this and other neuromodulators for lines on the forehead and around the eyes, for migraine headaches and excessive sweating, and to restore a nice upward curve to the corners of the mouth. Xeomin is the “new kid on the block,” having gained FDA approval in 2010. It is important to note that, like many other cosmetic treatments, Xeomin was widely used in other countries as early as 2005.

Same neurotoxin, Different Protocols

One of the reasons that there may be a bit of confusion regarding BOTOX and Xeomin is that each product contains a purified form of botulinum toxin A. This means that, when injected into the muscles on the face, neck, or another area, the mechanism of action is the same. Both BOTOX and Xeomin inhibit the release of a chemical that enables nerve endings to receive neurotransmission. These products blunt the receptors in muscles so they do not contract as they normally would. This has huge therapeutic and cosmetic value. So, why would we have more than one product that does the same thing?

The primary difference between these two cosmetic prescription drugs is that Xeomin has been developed uniquely. Whereas BOTOX is purified and then compounded with preserving proteins, Xeomin is purified so extensively that no preservatives are needed. This is why Xeomin is described as the “naked BOTOX.” As a result of purification, Xeomin may work better in cases where the desired outcome was not achieved with another neuromodulator.

The Bottom Line

The good news about BOTOX and Xeomin is that it’s not an “either/or” thing. One is not better than the other. While Xeomin is more purified, there are cases for which BOTOX may be better suited. To determine which product is most appropriate for you, Dr. LoBuono performs a thorough consultation before treatment.

Call (732) 449-0167 to schedule your consultation to see how we can help you love the way you look.

dermal fillers Spring Lake, NJ

Puffy Eyes: Need a Fix?

Eyelid puffiness may occur for some reasons. Sometimes, the underlying cause is a temporary bout with allergies or fluid retention after a weekend of partying. Additional reasons why puffiness may affect the eyes include poor-quality sleep, smoking, hormone changes, and general fatigue. Rather than spending time trying to figure out just why your eyes have puffed-up like a down-blanket, spend time reducing puffiness and learning how you might prevent this problem in the future.

Quick-Fixes for Puffy Eyes

  • Cucumber slices. Cucumber slices do hold a bit of magic in soothing tired, puffy eyes. Just make sure to use slices from a refrigerated vegetable. Part of the power of cucumbers is cold, and part is the water content of cucumber that may absorb into the tired skin. Additional options include a cold washcloth or spoon applied to the eyes for a few minutes.
  • Tea bags (black or green tea with caffeine) can be placed in water and refrigerated for several minutes to cool them. The cold soothes puffiness, while caffeine minimizes fluid retention.
  • If you’ve got zero time for a five-minute home remedy for puffy eyes, splashing some cold water on your face may help reduce swelling.

Preventing Puffiness

This is where it can pay to understand a bit more about why your eyes puff up. Knowing the cause of puffiness allows you to take preventive action such as:

  • Reducing salt-intake, especially at night. Salk leads to fluid retention, which leads to a puffy appearance not only around the eyes but elsewhere.
  • Stay hydrated, especially if you eat salt! Hydration maintains a good salt to water ration in the body, which prevents fluid retention.
  • Minimize alcohol consumption at night. Alcohol almost always disrupts sleep patterns, which causes puffiness and many more issues.
  • If puffiness occurs alongside redness and itching, take an over-the-counter allergy medicine for relief. For severe or chronic allergies, prescription allergy medication may be necessary.

Is it Just Puffiness?

To have puffy eyes is one thing, but to live with ongoing heaviness and bagging of the upper or lower eyelids is something else entirely. If your eyes appear puffy and tired day after day, it is likely a result of genetics and aging. In this case, quick-fixes will not provide the relief you seek. Cosmetic treatments such as dermal fillers are routinely performed to reduce the appearance of under eye bags. Upper eyelid hooding may be due to a drooping brow. In such an instance, Xeomin, an effective neuromodulator, may be applied to raise the brow and open up the eyes.

Learn more about how to rejuvenate your eyes. Call our Springlake, NJ office at (732) 449-0167.

RADIESSE® Spring Lake, Monmouth County NJ

Why People Rave about Radiesse

Cosmetic concerns develop gradually as we age, and are exacerbated by time spent in the sun (or tanning bed) as well as other lifestyle and environmental factors. The accumulation of damage eventually shows up in the form of lines, wrinkles, and loss of volume. Historically, the changes that have affected a person’s facial aesthetic have been corrected with surgery. This is no longer the case.

Yes, there are cases in which surgery is the best option for lasting rejuvenation. However, because more people are starting an anti-aging program earlier in life, dermal fillers have become a common go-to for a younger appearance. Dermal fillers like Radiesse are cost-effective, efficient, safe, and convenient, but these are only a few of the obvious benefits to treatment.

What is Radiesse®?

Most of the dermal fillers that are recognizable to consumers are made with hyaluronic acid. This naturally-occurring chemical binds to water molecules. This is how products like Juvederm reduce wrinkles. Radiesse is different. This filler is made from microparticles of Calcium Hydroxylapatite. The particulates in this gel-based filler are small enough to pass through a tiny needle but are larger than other fillers. As such, they are less flexible. The viscosity of Radiesse, then, makes it ideal for people with thicker skin and use in larger areas such as the cheeks.

Benefits of Treatment

Each dermal filler product that we use has unique attributes that make them valuable. One of the reasons that Radiesse is advantageous is that this filler provides immediate improvement as well as ongoing support. Yes, as the filler is absorbed over time, fullness will diminish. However, beneath the surface, stimulation from the microspheres continues in the form of collage production. Due to the rebuilding of the skin’s foundation (collagen fibers) and the longevity of microspheres, many patients require less frequent touch-ups than would be necessary with other fillers.

Is Radiesse Right for You?

It is difficult to determine which dermal filler would be most appropriate for you by reading about the characteristics of each product. In many cases, a combination of injectables is used to fully rejuvenate the face, neck, and hands.

To consult with our experienced team about anti-aging treatments like Radiesse, Botox, and other therapies, call our Spring Lake office at (732) 449-0167.

Dermal Fillers | Monmouth County, NJ

Restylane vs. Perlane — Is One Better than the Other?

Every day it seems another filler is brought to the market. For consumers, it can be hard to differentiate between the different names and what they were developed to address. But most fillers have specific targets that they are designed for.

At Lubuono Dermatology, we carry both Restylane and Perlane. Both are made by the same company, QMed, and both are hyaluronic acid fillers. You’ve probably heard of hyaluronic acid, a naturally occurring substance in the body that gives the skin its volume, hydration, and fullness. As we age, the body’s production of hyaluronic acid slows down, so our skin becomes more loose and prone to wrinkles and folds. Volume in certain areas goes away, too.

Both Restylane and Perlane are injected to fill the space between collagen and elastin fibers within the skin because those two proteins provide support structure to the skin. Both also bind with water molecules to hydrate and fill the injection area.

But that’s where their similarities end. Here’s the difference between the two.

Perlane is thicker in consistency than Restylane. In fact, it is three times thicker than Restylane. Because it is thicker, Perlane can’t be injected into areas of thin skin and areas that are lean. It needs fat around it to hide the filler. So, it works well adding volume to the cheeks, chin, and nasolabial folds. Moderate to severe folds love Perlane.

Restylane is the more popular filler, having been injected over 11 million times! It is far thinner than Perlane. This allows Restylane to flow, so it is perfect for defining the lips or the hollows under the eyes. It works well on sensitive areas with finer wrinkles and thinner skin.

So, when you look at these two QMed fillers, it’s easy to see that they don’t compete, but they actually complement each other’s strengths.

Which lasts longer? Perlane, of course, because its thickness allows it to stay in the tissue longer. Restylane lasts about a year or more; Perlane six months longer than that.