Dr Micki Ly - Maui Dermatologist
Home Meet Dr. Ly General Dermatology Cosmetic Dermatology Products

Procedure
and investment
How it works Pros Cons Possible side effects How long
results last
Artefill®
Wrinkle solution
$1,500 to $2,000
Contains tiny PMMA (poly-methyl-methacrylate) microspheres in a purified bovine collagen gel with an anesthetic for comfort during injection. The collagen acts as a carrier for the PMMA and dissolves over several months, leaving the microspheres in your skin. These microspheres provide the permanent support your skin needs for enduring wrinkle correction.
Results are immediate and only 1-2 treatments are usually required.
Contains microspheres that help provide the permanent support for wrinkle correction. Treatment results are lasting. The microspheres can only be surgically removed.
As with any Injectable Cosmetic Enhancement filler, you can expect mild swelling and reddening at the treatment site. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
5 year results
Aquamid ®
$1,500 to $2,000
Aquamid® is a long lasting transparent, injectable implant containing 97.5% water bound to 2.5% cross-linked polymer. Aquamid ® has been specially designed and formulated for facial soft tissue correction, deep folds, wrinkles, lip augmentation, lipodystrophy and shaping of facial contours. Not only are the results with Aquamid ® immediate, they are also safe and long-lasting.
Aquamid is made up polyacrylamide and does not contain microspheres. It can be used in the lips and cheeks, and doesn't require skin testing. Scientific research has shown that the gel will stay in its place unchanged for at least 10 years and there is no reason to expect any changes after this period. Progressive ageing of the skin does continue and if required, extra Aquamid® can be injected as necessary.
Aquamid® may cause transient pain, oedema, redness, minor haematoma, and other minor side effects. Patients should be informed that there is a small risk of transient oedema and tenderness occurring near the injection site within the first 1-2 days after injection. If not caused by infection, the symptoms will be self-limiting and disappear within a couple of days.
As with any Injectable Cosmetic Enhancement filler, you can expect mild swelling and reddening at the treatment site. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
10 year results
Autologous fat
Injection
(Fat Transfer)
$900 to $5,000
Fat from another part of the body--usually the abdomen, thighs, or buttocks--is injected into the face.
Since the fat is taken from your own body, itís completely natural.
Some doctors say fat doesn't always stay where itís injected. Procedure is performed in operating room, often under sedation.
As with any Injectable Cosmetic Enhancement filler, you can expect Some swelling and bruising at the treatment site. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Fat Transfer Enhancement.
1 to 2 years
Belotero®
Hyaulorinic Acid Filler like Juvederm, Perlane, and Restylane.
It has some unique properties that will make it ideal as a more superficial filler compared to Radiesse.

Beloteroís unique structure completely fills the dermal spaces and produces a lasting natural cosmetic effect with smooth transitions between treated and untreated areas.
Some patients experience swelling or redness after injection which usually subsides soon after treatment. Some return to work immediately after treatment. As Belotero is applied by injection you may experience a slight bruise, but nothing that a little concealer can't hide.
As with any Injectable Cosmetic Enhancement filler, you can expect Some swelling and bruising at the treatment site. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Fat Transfer Enhancement.
The effect will depend on the individual and the area that has been treated. Most clients opt for follow-up treatments after 6 to 12 months to maintain a fresh, youthful appearance.
Collagen injection
$150 to $600
Synthetic collagen is injected with a fine needle along the edge of a wrinkle or line, instantly filling out skin.
Product is made with lidocaine, so you don't usually need additional anesthetic.
Because itís made from bovine collagen, It can cause allergic reactions: a skin test is typically done 30 days before the procedure.
As with any Injectable Cosmetic Enhancement filler, may cause slight bruising; allergic reactions can cause itching and redness. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
2 to 3 months, possibly longer
Evolence Breeze
$350 to $650
EVOLENCE® dermal filler is made of natural collagen, one of the most prevalent materials in your body. The advanced collagen in EVOLENCE® has been naturally cross-linked, so it mimics the 3-dimensional structure of your skin's own collagen. This allows it to integrate beautifully and support your skin's own existing collagen network by adding structure, strength, and volume for a natural look and feel that last.
Although new to the US, EVOLENCE® has been used extensively in Canada, Europe, and Israel for several years
Achieves immediate, natural-looking results, so you can walk out of your aesthetic professional's office looking beautifully refreshed
Causes minimal-to-no swelling or bruising, so you can get right back to daily activities
Possible side effects of EVOLENCE® are usually injection-site related and include mild swelling, redness, and pain. Other rare side effects include the development of small areas of firmness under the skin at the treated sites that may be noticed when the areas are pressed upon.
As with any Injectable Cosmetic Enhancement filler, may cause slight bruising; allergic reactions can cause itching and redness. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
6 months
LaVivTM
$350 to $650
LaVivTM (azficel-T) is an autologous cellular product indicated for improvement of the appearance of moderate to severe nasolabial fold wrinkles in adults.

LAVIVTM is made especially for you from your own skin cells.
LaVivTM works in a completely new way. It's the first injectable that takes your own fibroblasts—the building blocks of collagen, elastin, and growth factors—and reproduces them in a lab for use in filling wrinkles. The payoff: Skin stays plump and smooth for up to a year, without adverse side effects.
Each treatment consists of three sessions, three to six weeks apart. Since the injection is only a small amount of watery fluid with fibroblasts—rather than a thicker substance designed to fill right away—the results aren't immediate.
The most common side effects of LaVivTM are at the injection site, including redness, bruising, swelling, pain, bleeding, lumps, irritation, and itchiness. In clinical trials with LaVivTM, most injection-site adverse reactions resolved within one week and most required no treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
Up to a Year
Procedure
and investment
How it works Pros Cons Possible side effects How long
results last
Procedure
and investment
How it works Pros Cons Possible side effects How long
results last
Perma Fill®
Wrinkle solution
$1,500 to $2,000
Finally, thereís a simple, in-office procedure developed by Dr. Ly and exclusive to Aloha Dermatology and Laser Center that answers the demand for immediate, enduring correction of facial wrinkles known as smile lines.
Immediate improvement.
Can only be surgically reversed.
As with any Injectable Cosmetic Enhancement filler, mild swelling and reddening at the treatment site. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
5 year results
PREVELLE® Silk
$350 to $600
PREVELLE SILK is a colorless hyaluronic acid gel that contains a small quantity of a local anesthetic (Lidocaine) to provide pain relief at the injection site. Hyaluronic acid is a natural substance found in the human body, which moisturizes (hydrates) and cushions the skin. PREVELLE SILK is naturally broken down by your body over time. Skin testing is not required.
Corrects moderate to severe wrinkles and folds (e.g. areas around the nose and the mouth). The gel plumps the skin to smooth away wrinkles and folds.
Should not be used in patients with a history of allergies to lidocaine or gram positive bacterial proteins.

Should not be used in patients with a history of rare, potentially life-threatening allergic reactions or multiple severe allergies.
As with any Injectable Cosmetic Enhancement filler, treatment may cause temporary pain, swelling, and tenderness for a few days after injection. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
Repeat treatments are needed within 3 to 6 months to maintain the desired result, but the timing of additional treatment varies from person to person
Radiesse®
$700 to $1,000
Made from hyaluronic acid, a naturally occurring skin protein that diminishes with age. Injected along edge of wrinkle or line to be erased.
Great for attacking wrinkles, plumping lips, and getting rid of crow's feet. Radiesse, because it contains calcium, may sustain some fullness for an extended period of time.
Requires local temporary anesthesia
As with any Injectable Cosmetic Enhancement filler, treatment may cause temporary pain, swelling, and tenderness for a few days after injection. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
13 months to 2 years
Restylane®
$450 to $900
Made from hyaluronic acid, a naturally occurring skin protein that diminishes with age. Injected along edge of wrinkle or line to be erased.
Natural looking results; great for filling out nasal-labial folds--deep lines on both sides of mouth.

Lips, marionette lines, tear trough, adding volume to cheeks, finesse areas.
Requires local anesthesia.
As with any Injectable Cosmetic Enhancement filler, the local reaction to the site of injection is mild and pain-free, however, many factors may influence the extent of bruising and swelling. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
6 to 12 months
Silikon 1000®
$450 to $900
Silikon® 1000 provides a very natural-looking permanent solution. Utilizing a micro droplet technique, your body forms collagen forms around Silikon 1000 and eventually the desired look is maintained. The amount of collagen formed depends upon your own body's sensitivity to Silikon® 1000. No skin test is required and there is no downtime.
Results are immediate, however, multiple treatments may be required, depending upon the personís level of sensitivity to Silikon® 1000.
There are no reported allergic reactions. Results from this filler are technique dependent. If injected incorrectly, abnormal lumps and granulomas can form.The more common side effects with any injection include possible bleeding, and tenderness, redness, or swelling. These side effects last, on average, 3 to 7 days.
As with any Injectable Cosmetic Enhancement filler, the local reaction to the site of injection is mild and pain-free, however, many factors may influence the extent of bruising and swelling. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
Permanent
Sculptra®
$450 to $900
SCULPTRA is a synthetic injectable material known as "poly-L-lactic acid." Poly-L-lactic acid is a biocompatible, biodegradable material that has been widely used for many years in dissolvable stitches, soft tissue implants, and other types of implants.
SCULPTRA is intended for restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus.
SCULPTRA is injected below the surface of the skin in the area of fat loss. SCULPTRA provides an increase in skin thickness. Visible results appear within the first few treatment sessions.

No skin testing is required prior to use.
At your first treatment visit it may appear that SCULPTRA worked immediately. That is because of swelling from the injections and the water used to dilute SCULPTRA. In a few days, when the swelling goes down and the water is absorbed by your body, you may look as you did before your treatment. SCULPTRA takes time to gradually correct the depression in your skin. Dr. Ly will see you again in a few weeks to decide if you need more SCULPTRA injections.
As with any Injectable Cosmetic Enhancement filler, the local reaction to the site of injection is mild and pain-free, however, many factors may influence the extent of bruising and swelling. Severity and Duration of these side effect depend on the individual and location of the treatment.
Is this product safe? Click Here to read Consumer Safety Information about the Injectable Filler Cosmetic Enhancements offered by Aloha Dermatology and Laser Center.
In a clinical study the treatment results lasted for up to 2 years after the first treatment session, in most patients. Touch-up treatments may be needed to maintain the desired effect.
Procedure
and investment
How it works Pros Cons Possible side effects How long
results last
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