Wrinkle relaxers, dermal fillers, and non-surgical facial contouring.
Grace Medical Aesthetics is leading the aesthetic industry with experience, knowledge, and an artistic eye for facial rejuvenation. Non-surgical injectable treatments using wrinkle relaxers and dermal fillers can help to prevent and correct volume loss, asymmetry, and wrinkles. Each face is different with unique characteristics that make it interesting, beautiful, and most importantly - you! At Grace Medical Aesthetics, our injectors will help you to achieve and maintain the look you desire while enhancing your best features.
Our customized treatment plans will keep subtlety and natural looking results at the forefront, while working towards your anti-aging goals. The use of neuromodulators, such as Dysport or Botox, are meant to relax specific muscles to prevent dynamic facial movements that cause deep wrinkles to begin and set in. Dermal injectable fillers are meant to restore volume or augment an area of the face. A customized combination of wrinkle relaxers and dermal fillers is the most effective non-surgical anti-aging solution in the industry.
Grace Medical Aesthetics is ranked as the #1 Injectable Practice in Connecticut, New York, and New England and the #6 Injectable Practice in the United States by Galderma.
Charis Wipfler was named a 2017 RealSelf Top 25 Most Loved Injector in a nationally held competition.
*as seen in Glamour Magazine, April 2018.
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MEET THE INJECTORS
Krista Stryjewski, APRN-DNP
Charis Wipfler, APRN-FNP
Heather Tomchik, PA-C
Alma Joseph, APRN-FNP
The lead injector at Grace Medical Aesthetics is owner/operator Charis Wipfler, APRN-FNP. She practices in all of our Southbury, CT, Bedford Hills, NY, and Westport, CT offices. Charis is proficient in Dysport, Botox, and dermal fillers. Charis was voted a RealSelf Top 25 Most Loved Injector in 2017 and is one of the highest utilizers in the United States for Galderma products, specifically Dysport and the Restylane family of dermal fillers. Her claims to fame are her natural looking lip augmentations and what she has dubbed the “Grace Glow Up”, which is a customized full face rejuvenation combining cheek filler, jawline filler, chin filler, and lip filler.
Also on our injectable team is Heather Tomchik, PA-C, a skilled physician assistant with a background in plastic surgery who prides herself on natural looking rejuvenation. Heather practices mainly in our Bedford Hills, NY office and occasionally in our Southbury, CT office. You'll quickly love her attention to detail, eye for symmetry, and warm personality.
Another addition to our injectable team is Krista Stryjewski, APRN-DNP. Krista has been with Grace Medical Aesthetics for a few years as a laser and skincare nurse and transitioned to an injector, training under the watchful eye of Charis to build and perfect her skills using wrinkle relaxers and dermal fillers. Krista practices solely in our Southbury, CT office.
Our injectable team rounds up with Alma Joseph, APRN-FNP. Alma has background in medical and cosmetic dermatology and joined the Grace team officially after shadowing Charis in our Injectable Shadowing Experience multiple times. She is now heading in our Westport, CT office, hoping to empower her clients and their self confidence through their own natural beauty.
Additionally, the majority of our nursing staff has been trained under Galderma and Charis in the art of wrinkle relaxers for your convenience in our Southbury, CT office. Read more about our injectors and full team here.
Dysport, Botox, and Jeuveau injections are safe, non-surgical treatment options that are used in various areas of the face to prevent and correct fine lines and wrinkles.*
Once strategically injected based on your unique facial expressions, the facial muscles relax allowing the skin to sit smoothly.
Dermal injectable fillers are meant to restore volume or augment an area of the face. Dermal fillers can plump a lip, add contour to a cheek bone, define a jawline, and correct a hollowing under eye. Most commonly dermal fillers are made of various consistencies of hyaluronic acid (HA), which allow creases and folds to be softly filled to help smooth the skin and reduce the signs of aging.
FREQUENTLY ASKED QUESTIONS
What does Botox or Dysport feel like? Do injectables hurt?
Your comfort is one of our injector’s top priorities! Because everyone’s pain tolerance is different, it is hard to say whether or not injectables are going to hurt you. Dysport or Botox injections are typically the least painful due to the small needle size and may feel like quick, tiny pinches. To ease your discomfort, ice or vibratory distraction devices can be used.
What do lip injections feel like? Do you use a numbing cream or dental block?
The lips are typically the most sensitive area when it comes to injectables. Grace Medical Aesthetics’ injectors always use a strong lidocaine based numbing cream before injecting. The first few pokes will feel like tiny pinches, but there is lidocaine in the product itself which provides additional numbing as the treatment goes on. Although extremely rare, we can provide dental blocks per your request. Additionally to ease discomfort you may feel, ice or vibratory distraction devices can be used. Grace Medical Aesthetics also offers self administered nitrous oxide (laughing gas) for pain tolerance if desired.
Injectables before & after: How long until I see results? Are results immediate?
Results using dermal fillers are immediately seen (instant gratification is so satisfying, right?), however some areas of the face may require more than one session to safely reach your final goal outcome. Once the dermal filler is injected into the specific area, the area may swell for 24-72 hours and take up to 2 weeks to fully “settle”. Although you will see the presence of the dermal filler immediately, the final and lasting result is shown about 2 weeks post procedure. Generally speaking, we will tell you that the lips you see in the mirror immediately following your lip filler will go down about 20% due to the swelling.
Results of Dysport or Botox are not immediate. Dysport will take 3-5 days to fully relax the muscle and prevent dynamic movements. Botox will take 7-10 days. Once the muscles are relaxed, the fine lines and wrinkles that have set in over time may take weeks to months to fully smooth, however will improve little by little daily.
What are the side effects and risks of Botox or Dysport? Are Botox and Dysport safe?
When injected by an aesthetically trained, licensed medical professional, both Botox and Dysport are safe. Both products are FDA approved and at Grace Medical Aesthetics are injected by either an APRN, PA, or RN with extensive aesthetic training. Common side effects of Botox and Dysport may include bruising, redness, or soreness at the injection site. There is the possibility of the brow either “spocking” or dropping once the wrinkle relaxer has set in, however both are adjustable. Risk of a common side effect or an adverse event may depend on the area being treated and your medical history and will be discussed as part of your consultation with your injector prior to being injected.
What are the side effects and risks of fillers? Are dermal fillers safe?
When injected by an aesthetically trained, licensed medical professional, dermal fillers are indeed safe. All dermal fillers utilized at Grace Medical Aesthetics are FDA approved and injected by either an APRN or PA with extensive aesthetic training. Common side effects of injectable dermal fillers include swelling, bruising, redness, pain or soreness, and tenderness. These side effects should subside within 24-72 hours post procedure. Risk of a common side effect or adverse event may depend on the area being treated and your medical history and will be discussed as part of your consultation with your injector prior to being injected.
Bruising after injectables: What can I expect? Can I prevent bruising?
Bruising after dermal fillers or wrinkle relaxers is a common side effect that the injectors of Grace Medical Aesthetics try our best to avoid. The risk of bruising depends primarily on the area being injected and the number of vessels in the area. Grace Medical Aesthetics’ injectors utilize microcannulas whenever possible to limit the risk of bruising and increase safety. The risk of bruising can be lowered by avoiding alcohol, aspirin, ibuprofen, fish oil, vitamin E, and non-steroidal anti-inflammatory drugs (NSAIDs) 24 hours before your appointment. If you do develop a bruise, oral or topical Arnica Montana will help diminish bruising. For more pre-care and post-care information, click here.
Swelling after injectables: How long does swelling last after fillers?
Swelling after dermal fillers is normal and to be expected to begin within an hour of your appointment lasting up to 72 hours. The severity of post procedure swelling will depend on the area treated and the product used. Lips and under eyes will swell significantly and can be improved by sleeping on extra pillows, drinking a moderate amount of water, and avoiding salty foods. Lips can swell up to 3 times their normal size and is not an indicator of an allergy. Cheeks treated with Radiesse will swell more significantly and more sharply than other products. Grace Medical Aesthetics will send you home with an icepack for your comfort and convenience to minimize the onset swelling. For more post-care information, click here.
Dysport is a neuromodulator meant to relax muscles, prevent dynamic facial movements, and smooth fine lines and wrinkles. Grace Medical Aesthetics' injectors prefer to use Dysport as our primary wrinkle relaxer. Dysport takes 3-5 days to show full results and tends to give a more natural looking result, meaning there is still some movement post injection without forming wrinkles. Dysport lasts about 4 months.
Botox is a neuromodulator meant to relax muscles, prevent dynamic facial movements, and smooth fine lines and wrinkles. Botox takes 7-10 days to show full results and tends to be associated with a "frozen" look, meaning there is very little to no movement post injection. Botox lasts about 4 months.
Restylane is a hyaluronic acid (HA) based dermal filler and the original filler in the Restylane family product line from Galderma. It is extremely versatile and can be used in most areas of the face. Specifically, Restylane is great for defining sharp borders of a lip or correcting volume loss in a deep tear trough. Depending on the area it is injected, Restylane lasts 6-9 months.
Favored in Europe over the last few years for lips, Restylane Kysse is finally FDA approved and available in the United States! Restylane Kysse is a hyaluronic acid (HA) based dermal filler that offers both a soft plump and strong definition. Charis Wipfler traveled to Sweden in October 2019 as a hand selected member of the Galderma New Product Advisory Board and was able to learn the about this revolutionary new product hands-on before it’s arrival to the USA. Grace Medical Aesthetics’ injectors find it the most suitable option for lip augmentation. Restylane Kysse lasts 6-9 months, depending on the area it is injected.
Restylane Lyft is a hyaluronic acid (HA) based dermal filler in the Restylane family product line from Galderma. It is the stiffest product in the line and best used for building structural definition in static areas of the face. Most commonly, Restylane Lyft is used by Grace Medical Aesthetics' injectors in the jawline, on the cheekbone, and to enhance chin projection. Restylane Lyft lasts 6-12 months.
Restylane Defyne is a hyaluronic acid (HA) based dermal filler in the Restylane family product line from Galderma. It is a malleable product that can provide structure in areas of the face with continued movement. It has structure, bounce, and elasticity. Restylane Defyne can be used in multiple areas of the face and Grace Medical Aesthetics' injectors find it best suited for shaping and plumping a lip, correcting shadowing and volume loss around the mouth, and in the deep tear trough. Restylane Defyne lasts 6-12 months, depending on the area it is injected.
Restylane Refyne is a hyaluronic acid (HA) based dermal filler in the Restylane family product line from Galderma. It is the softest filler in this product line. It's unique ability to slide and stretch makes it ideal for hydrating the tissue in areas of repeated movement. Using Restylane Refyne to correct a tear trough allows for a soft, natural outcome. It can also be used in the lip on those looking for a soft appearing lip enhancement or those building volume in a naturally petite lip. Restylane Refyne lasts 6-12 months, depending on the area it is injected.
Restylane Contour is a hyaluronic acid (HA) based dermal filler in the Restylane family product line from Galderma. It is a malleable product that can provide a soft filling in areas of the face where there are volume loss, continued movement, or shadowing. Restylane Contour can be used in multiple areas of the face and Grace Medical Aesthetics' injectors find it is best suited for restoring definition in the cheeks, correcting shadowing and volume loss around the mouth, deep tear troughs, and temples. Restylane Contour lasts 6-12 months, depending on the area it is injected.
Restylane Silk is a hyaluronic acid (HA) based dermal filler in the Restylane family product line from Galderma. It is indicated for fine lines around the mouth, tear troughs, and is FDA approved to be injected via microcannula into the lip. Restylane Silk lasts 3-6 months, depending on the area it is injected. It is not ideal for those looking for dramatic or lasting outcomes. Grace Medical Aesthetics' injectors do not choose Restylane Silk as an ideal product for most, however if a client is looking to "try on" an injectable treatment, Restylane Silk is a good option.
$700 per 1.5ml syringe
$625 per syringe as a Boutique Member
Radiesse is a calcium hydroxylapatite based dermal filler and the stiffest injectable product offered at Grace Medical Aesthetics. Radiesse is meant to build sharp, structural definition in the jawline, on the cheekbone, and in the chin. Radiesse is packaged in 1.5ml syringes and lasts 9-12 months.
Sculptra is a product that grows collagen wherever it is placed. This collagen grows over a 16 week period to restore volume loss and lasts 2-3 years. Sculptra may require multiple vials to be placed in a series spread out over a few appointments and once your goal result (in the face) is reached, typically only requires one additional vial per year.
$700 per vial
Kybella, or deoxycholic acid, is an injectable enzyme that permanently dissolves fat cells in small deposits on the body. It is the first injectable FDA approved to reduce submental fullness and the look of a double chin. Kybella can also be used on other parts of the body where there are unwanted small deposits of fat.
$600 per vial
Qwo is the first and only FDA-approved injectable for the treatment of cellulite in the buttocks of adult women. Enzymes called collagenases target the structural causes under the skin, where cellulite starts. It's thought that Qwo works by releasing the fibrous bands, redistributing fat cells, and stimulating the growth of new collagen. Full treatment of Qwo is placed over three treatment visits, spaced 21 days apart. A total of 24 dimples can be treated on the buttocks; 12 dimples on a single buttock.
$400 per visit for up to 12 dimples
$700 per visit for up to 24 dimples
Juvederm Ultra Plus XC
Juvederm Ultra Plus XC is a hyaluronic acid (HA) dermal filler from Allergan. Juvederm Ultra Plus XC is most commonly used by Grace Medical Aesthetics' injectors for lip augmentations on those looking to achieve a specific look of fullness. Juvederm Ultra Plus XC typically lasts 6 months in the lip.
Voluma is a hyaluronic acid (HA) dermal filler from Allergan with the most stiffness out of their products. It is meant to build structural definition in the face, for example along the cheekbones, the jawline, or the chin. Voluma is said to last 24 months, however Grace Medical Aesthetics finds it lasts closer to 12-18 months.
$600 per syringe
$525 per syringe as a Boutique Member
Belotero is a soft hyaluronic acid (HA) dermal filler from Merz. Belotero is best used in the neck for "tech neck" or "necklace" lines. Belotero lasts about 6 months, depending where it is in injected.
$575 per syringe
$500 per syringe as a Boutique Member
Versa is a soft hyaluronic acid (HA) dermal filler from Prollenium. Versa is a versatile filler that can be used in various areas of the face, including the lip. It tends to swell less than other dermal filler products and lasts about 6-12 months, depending where it is injected.