Injections

Leslie is the aesthetic nurse practitioner injector at Bella Via Day Spa in Toledo, Ohio. She has over 19 years of experience in aesthetics and has received extensive training in many areas including neurotoxins, dermal fillers, vascular laser treatments, radiofrequency, laser hair removal, and micro-needling.

Leslie completed her MSN degree in 2020 from Chamberlain University and is licensed in Ohio as an Advanced Practice Registered Nurse (APRN). She is the only Certified Nurse Practitioner (CNP) that is also a Certified Aesthetic Nurse Specialist (CANS) in northwest Ohio. She is a member of the International Society of Plastic and Aesthetic Nurses (ISPAN), the Ohio Association of Advanced Practice Nurses (OAAPN), and the American Association of Nurse Practitioners (AANP).

Leslie works in collaboration with Dr. Craig Colville at Reconstructive and Aesthetic Surgeons, Inc., which is a nationally recognized Allergan Top 500 account. She enjoys educating her patients and is passionate about tailoring treatments for each individual to help her clients look and feel their best.

Neurotoxin and Filler Products Used by Leslie

Call for pricing.

Allergan Products

Botox
Voluma
Vollure
Volbella
Juvederm Ultra
Juvederm Ultra Plus

Galderma Products

Dysport
All Restylane Fillers
Sculptra

Merz Products

Belotero
Xeomin
Radiesse

Revance

RHA 2
RHA 3
RHA 4

FAQs about Neuromodulators

What is a neuromodulator?

There are currently four neuromodulators available in the US. These include: Botox (Allergan), Dysport (Galderma), Xeomin (Merz), and Jeuveau (Evolus). Patients at Bella Via in Toledo choose neuromodulator treatments to soften forehead wrinkles and reduce worry lines. When injected by an experienced, skilled provider, these treatments can create a relaxed, rejuvenated appearance.

How do they work?

Botox, Dysport, Xeomin, and Jeuveau all work by temporarily relaxing the tiny facial muscles that move whenever you squint, frown, or appear surprised. When these muscles contract, the skin furrows, creating what are called dynamic wrinkles. These may include:

Horizontal forehead lines
Crow’s feet
Vertical lines between the eyebrows
Chin wrinkles
Lip lines
Neck bands

The active ingredient in these treatments prevents the nerves from sending signals to these muscles making the lines or wrinkles less noticeable. Dermal fillers, on the other hand, smooth and fill lines and folds that develop from our skin losing volume as we age. Leslie Ehle, CNP, a certified aesthetic nurse specialist who is a trained injector, injects Botox with precision into the targeted muscle or muscles. We take a conservative approach to treatments and inject a tiny amount of Botox using a short, thin needle.

Are there possible side effects?

Most patients experience very little discomfort during the injections. Minor bruising, swelling or redness may occur, but you can resume your normal activities or return to work immediately after getting Botox injections. Serious complications are very rare. It’s important not to rub the treatment area in the first few hours following the procedure because that could cause the product to move into a different area. You should also avoid exercise for at least 4 hours.

How long does it take for a treatment and how long will the results last?

Treatments typically take about 15 minutes and results may appear as soon as 24-48 hours with optimal results in 7-10 days after treatment. Results can vary, but most people have improvement for at least 3-4 months. For optimal results and to maintain effect, it is best to return before the previous treatment has completely worn off.

How much does it cost?

Cost will vary depending on the number of areas treated and the amount of product used. This would be determined at your consultation.

To book an appointment or if you have further questions, contact us today.

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FAQs about Dermal Fillers

What are dermal fillers?

Dermal fillers are used to add volume, fill lines or depressions, define and shape, and stimulate collagen production. The most popular fillers are made up of hyaluronic acid (HA) in a gel form, a natural complex sugar found in all living cells. HA retains water like a sponge, absorbing more than 1,000 times its weight. This helps to attract or maintain water, hydrating your skin and increasing its volume and density. Fillers are chosen based on the area being treated and the patient’s desired outcome.

Where are they used?

Fillers can be used in the temples, cheeks, cheek hollows, tear troughs, ear lobes, nasolabial folds (lines down from the sides of the nose), marionette area (lines/depression down from corner of mouth to chin), lips, chin/jawline, chest, and back of hands.

Which fillers are right for me?

Fillers are designed to address many areas as mentioned above. There are some that are considered all-purpose and others that are formulated so that the consistency of the gel is more appropriate for the area being treated.

Women and men seeking to restore their skin’s youthful, smooth appearance receive fillers to replenish facial volume which can be a non-surgical alternative to plastic surgery.

Leslie Ehle, CNP, Certified Aesthetic Nurse Specialist, offers a wide range of fillers including:

JUVÉDERM® Ultra XC

Lips may be naturally thin or can lose volume with age. Ultra XC adds fullness to thin lips, creating a more sensuous and youthful-looking mouth. The injectable gel filler produces results that look natural and last up to a year. Like other products in the JUVÉDERM family of fillers, Ultra XC is pre-mixed with a local anesthetic to minimize discomfort during the injections.

JUVÉDERM® Ultra Plus XC

This hyaluronic acid filler is formulated with larger particles than JUVÉDERM Ultra, which produces results that last longer. Ultra Plus XC is a soft filler that is an excellent option for treating nasolabial folds and smoothing lines at the corners of the mouth.

JUVÉDERM VOLUMA® XC

VOLUMA XC is the first filler approved by the FDA to help lift and contour the cheek area. Allergan developed VOLUMA to restore lost facial volume in the cheeks, cheekbones, and chin. It was developed to be smoother than other hyaluronic acid facial volumizers. The results can last up to 24 months.

JUVÉDERM VOLBELLA® XC

Using hyaluronic acid, the same active ingredient present in many dermal fillers, JUVÉDERM VOLBELLA XC has a unique formulation (VYCROSS® technology) designed to add soft volume and shape to lips while smoothing away fine lip lines. Whether you have naturally thin lips or your lips have lost definition with age, VOLBELLA can create a fuller, hydrated look. It can also be used in the tear trough area.

JUVÉDERM VOLLURE™ XC

Vollure also uses the proprietary VYCROSS technology, which produces longer-lasting results that look natural. Patients with concerns about lines and wrinkles in the lower face, such as “smile lines,” nasolabial folds, and marionette lines, are good candidates for VOLLURE injections. VOLLURE is a well-balanced filler specifically tailored with a unique balance of gel firmness and cohesivity for corrections in the lower face. The results can last up to 18 months, which is longer than any other injectable for nasolabial folds.

BELOTERO BALANCE®

Thinner than other HA fillers, BELOTERO BALANCE is used to treat tear troughs as well as very thin, superficial, delicate lines that develop above and around the lips. Many of our patients enjoy the results for up to 6 months, depending on the specific area treated.

Restylane® Lyft

This is an option for restoring volume to the cheek area. Restylane Lyft is approved by the FDA to not only lift the cheeks, but also restore volume and smooth smile lines.

Restylane® Kysse

Restylane Kysse was specifically designed to enhance lips. It can create the ideal lip shape and produces results that look naturally luscious.

Restylane® L, Refyne, Defyne, and Contour

These are all further options from the Galderma family of fillers used to restore volume loss in the face that are made with HA.

Sculptra® Aesthetic

Sculptra is one of the non-HA fillers offered at Bella Via. It is made with poly-L-lactic acid, a substance that actually stimulates collagen growth to minimize the visibility of smile lines, restore facial volume, and reduce wrinkles on the sides of the mouth (marionette lines) and chin wrinkles. Results appear more gradually after several treatment sessions and can last up to 2 years.

RADIESSE®

This filler uses calcium hydroxyapatite, a material that is best-suited for filling deeper folds and boosting areas where the structure and volume have been depleted. Additionally, RADIESSE rejuvenates the backs of the hands, an area often overlooked by patients. Shown to last at least a year, RADIESSE contributes to increased collagen within the deeper layers of the skin, allowing for long-lasting and natural-looking results.

How long does a treatment take and when will I notice results?

Injectable treatments with filler are performed at Bella Via and are scheduled for about an hour. A topical anesthetic (numbing cream) is applied for approximately 20-30 min prior to injections and photos will be taken to record your progress. Virtually all fillers produce results that are almost immediately noticeable. The primary exception is Sculptra Aesthetic, which is designed to gradually improve volume after a series of treatments performed over the course of several months. Even though results for HA fillers can be seen immediately, the area injected will continue to improve over the following month. A follow-up appointment is usually made about 3 weeks after treatment.

Are fillers painful and do they have any side effects?

Virtually all fillers are pre-mixed with lidocaine, a local anesthetic, to help minimize any discomfort associated with the injections. As mentioned, we also apply a topical anesthetic before making the injections. Little to no downtime is needed and many patients return to their daily routines immediately following their treatments. Bruising, swelling, lumps or bumps, or firmness in the area may occur and last for hours, days, or weeks. Makeup may be applied 4 hours after your treatment.

How should I prepare for my filler appointment?

Aspirin, Ibuprofen, Vitamin E and Fish oil supplements should be avoided for at least one week, preferably two, as these may increase the risk of bleeding and bruising. If you are taking any prescription blood thinners, such as warfarin, or have been told by your practitioner to take aspirin, you should speak with your provider before discontinuing. It is also best to avoid alcohol for at least one day prior to injections.

What should I avoid after a filler treatment?

Refrain from touching the areas treated immediately afterwards as this can lead to infection or move the filler to an undesirable area. Vigorous exercise, alcohol, and heat should be avoided for a couple days after your injections and chemical peels, lasers, and other aesthetic treatments for 1-2 weeks. If you are unsure, ask your injector for guidance.

Who is not a candidate for fillers?

You should not have filler if you are pregnant or breastfeeding, have an active infection, irritation near the site to be treated, or if you have had or are going to have dental work done within two weeks of your appointment.