How Belotero Balance® is Different Than Other Dermal Fillers

Many dermal fillers and injectable treatments are available to address nearly every effect of aging around the face. Each of the treatments works best when treating specific aesthetic conditions and changes.

From injections like BOTOX® that temporarily block muscle contraction to others that restore lost volume with hyaluronic acid (HA), these treatments are safe, easy, and provide excellent results. With so many options, there are not a lot of specific formulas that stand out among the others in the same category.

Belotero Balance®, however, takes the benefits of HA and is created with a proprietary Cohesive Polydensified Matrix (CPM) process, which can provide even better results than other HA treatments available.

Although our bodies naturally create HA, this production decreases around age 20. Along with the decrease in collagen production, this can create sunken areas on the face where decreased volume does not push outward on the skin. This can lead to lines and wrinkles and even larger creases to form.

Belotero Balance® restores this lost volume with its HA that absorbs nearby water molecules and increases volume from below the skin. And with the specific formulation, Belotero Balance® blends much better into the skin than many other HA treatments. This can lead to a more even and natural-looking enhancement to the aesthetics of your face.

Not only does Belotero Balance® give exceptional results, it blends in with the surrounding skin tissue, making it safe and successful at addressing many areas around the face, including the nasolabial folds around the nose, chin wrinkles, and creases around the lips.

Like other HA treatments, however, the results are not permanent, and as the body metabolizes the HA, you may notice a decrease in volume. However, since this special formula blends well with your skin, the results generally last at least a year.

The doctors and aestheticians at Maehara Eye Surgery and Laser in Honolulu, HI, have the experience and knowledge needed to select the best dermal treatment from all the options available to help best meet your aesthetic goals. Visit or call 808-955-3937 to schedule a consultation and get started on your aesthetic journey.

Pretty smiling woman with clean skin in white fluffy sweater

Are Restalyne® Treatments Painful?

The effects of aging can be on many areas of our face. From brow lines and crow’s feet to frown lines around your mouth, creases and wrinkles can continue to grow or deepen, despite a dedicated rigorous at-home skincare routine.

When your regular cosmetic routine is not enough to lessen the appearance of these lines and wrinkles, dermal injectables are a safe and effective way to achieve the look you want.

For mild to moderate lines and creases around the lower portion of your face, Restalyne® is an FDA-approved and proven way to reduce their appearance safely and effectively. Using hyaluronic acid (HA), a molecule produced by and found in your body, the Restalyne® injections fill in lost volume by pulling in nearby water molecules.

Since your body already produces HA naturally, there is minimal risk of severe or adverse reactions. The Restalyne® treatments just boost the normal production of HA that decreases over time. Although the results from Restalyne® are temporary, the treatments are safe enough to be repeated to maintain the desired youthful look you want.

Restalyne® treatments are performed in the office and often take less than 30 minutes. Best of all, the FDA recently approved Restalyne®-L. This new formulation takes all of the proven results and aesthetic benefits from Restalyne® and adds lidocaine to the injection to help alleviate any minor discomfort that might occur with the treatments.

Although many dermal fillers and injectables available today can be used in many areas of the face, it is important to choose a doctor or aesthetician with the experience needed to know which will best address your specific concern. Restalyne®-L is a great option to treat lines and creases on the lower areas of the face nearly painlessly.

The team at Maehara Eye Surgery and Laser in Honolulu, HI, has the experience necessary to create the perfect aesthetic treatment plan to meet all of your goals. Whether you are interested in Restalyne®-L or other aesthetic treatment methods, call the office at 808-955-3937 or visit to get started with a comprehensive consultation today.

How Radiesse Can Add Volume and Smooth Lines and Wrinkles

As we age, our body begins to slow its production of collagen and hyaluronic acid that helps keep even volume in our skin. Along with the decrease in the elasticity and how often it is used for talking or showing emotion, the skin around our faces and especially mouths can begin to look dull and sag,

There are several dermal injections available on the market that help replace the lost collagen and hyaluronic acid in targeted areas. Since these essentially supplement the natural production of those molecules, they are great for smoothing fine lines and wrinkles. However, for moderate to severe folds, creases, and wrinkles, Radiesse is an FDA-approved dermal injectable that can help you regain that youthful and toned look on your face.

Radiesse works very similarly to other dermal injectables on the market. However, it does not merely replace lost collagen or add volume by using a hyaluronic acid that absorbs nearby water molecules. Radiesse is a special formula of calcium hydroxylapatite (CaHA) suspended in a gel.

Once injected, the body breaks down the suspension gel, allowing the CaHA to help stimulate and promote the natural growth of collagen in the targeted areas. This new collagen helps to smooth moderate to severe lines and wrinkles on the face and is a great option to use around the mouth and nose.

Radiesse is also approved by the FDA to be mixed with lidocaine. Although the injections are small and relatively painless, the lidocaine further eases any pain that might occur during the sessions.

Results are nearly immediate, and there is no recovery after each treatment session. The results for most patients last between 6 months and a year after the treatment course of 2 sessions. Although the results last a long time, they are temporary, and touch-up treatments may be required to meet your aesthetic goals.

If you have moderate to severe wrinkles, creases, or folds around your mouth and nose, contact the expert staff at Maehara Eye Surgery and Laser in Honolulu, HI, to see if Radiesse is right for you. The office can be reached at 808-955-3937 or

How Restylane Can Smooth Lip Wrinkles

As a non-surgical procedure that can give you the fuller and more voluptuous lips you want with almost no recovery needed, lip fillers are a great solution. Using the state-of-the-art injectable hyaluronic acid (HA) Restylane, you can smooth wrinkles around your mouth and increase lip volume.

Restylane, as well as Juvederm can be used as lip enhancement to treat several potentially unflattering lip shapes, including thin or small lips, uneven lip shapes, a flat cupid’s bow, etc. During your consultation, the doctor will work with you to create a plan based on your wishes. The improvement can be small or minor refinements or a more robust treatment plan to perfect your mouth shape.

With either product, the HA, which is also naturally found in your body, binds with nearby water molecules to add volume and hydration to your lips. This creates a smooth and natural-looking enhancement to flat or thin lips.

Not only are these proven safe and effective, they are also FDA-approved fillers for lip augmentation. Both fillers can also be incorporated into a more comprehensive facial treatment for a complete cosmetic plan to give you the look you want. Since there is nearly no recovery period needed, you can enjoy the results almost immediately, with little inconvenience.

At Maehara Eye Surgery and Laser, we know that not every patient is the same in their expectations and recovery. Regardless of the procedure, the expert staff will combine state-of-the-art technology and years of experience to provide you with the best care possible while meeting your expectations.

The doctors at Maehara Eye Surgery and Laser know that no two procedures are the same, even of the same type. Your doctor will use their artful eye to guide precise surgical operations to meet your specific aesthetic goals. You will receive warm and compassionate care from the entire team, as well as a board-certified doctor who understands the importance of creating results that are both elegant and natural-looking.

Call Maehara Eye Surgery and Laser in Honolulu, HI at 808-955-3937, or visit to schedule a consultation, today.

beauty woman clean skin and hairstyle brunette

How does Radiesse work to remove lines and wrinkles?

Cosmetic injectables are increasingly popular ways to turn back the hands of time on your face. Botox is a household name for smoothing out lines and wrinkles in the upper third of the face, but doesn’t correct all lines and wrinkles. That’s where dermal fillers come into play. One of the most popular fillers is called Radiesse.

Read on to learn what makes it a great option to help you achieve a more youthful appearance.

  • Radiesse is an FDA-approved injectable filler for reducing moderate-to-severe wrinkles, folds and creases around the nose and mouth. Is specifically improves the appearance of nasolabial folds, which run from the corners of the nose to the corners of the mouth, marionette lines, which run downward from the corners of the mouth, downturned corners of the mouth, jowl pre-sagging and chin wrinkles.
  • Radiesses is composed of microspheres in a water-based gel that are made of calcium hydroxylapatite. This substance stimulates the production of collagen and, when injected into lines and wrinkles, smoothes out the lines and wrinkles and adds volume to the skin to give you a more youthful appearance.
  • If you are between the ages of 35 and 60 and have developed folds and wrinkles around your mouth and nose, you may be an ideal candidate for Radiesse treatments. If you have experienced fat loss in your face due to HIV infection, Radiesse may work for you as well.
  • One of the reasons why cosmetic injectables like Radiesse are so popular is the fact that you can get treatment in about 15-30 minutes, with no required downtime. Most patients return to their normal activities right after treatment.
  • The results from Radiesse treatment are immediate and can last up to 1-2 years. As it works, it also stimulates the collagen production beneath the skin. Since results are temporary, you will want to return for touch-up treatments to prolong the effects of the filler.

If you’d like to learn whether Radiesse or other cosmetic injectables are right for you, call 808.955.3937 for an appointment with Dr. Maehara.

Botox vs. Xeomin: Which is best for me?

It’s no doubt that Botox is a household name as it’s the most popular non-surgical cosmetic treatment around. Xeomin is a similar injectable made from the same botulinum toxin, but it’s important to know which one is best for your needs as they have some differences. Here we break down the differences between both. 

Botulinum toxin type A

Botox and Xeomin are made from the botulinum toxin type A, which is the same bacteria that cause botulism. While Botox and Xeomin both relax muscles in the treatment area, Xeomin is made only with the botulinum toxin and no other ingredients, thus getting the name “the naked injectable.” Botox contains additional proteins.


Some people have a condition called blepharospasm, in which they experience involuntary muscle spasms and contractions of the muscles around the eyes. Xeomin is an effective treatment for blepharospasm. It is injected into the muscle, blocking the signal from the nerve and effectively stopping the spasms. Treatment takes about 15-30 minutes and starts to work within a few days after injection. Effects or results last for up to three months, at which point you may need to return for treatment. 

Lines and wrinkles

Botox is the worldwide choice for the temporary reduction of lines and wrinkles on the upper third of the face, but Xeomin may be substituted for patients who have a reaction to the proteins in Botox. 

Botox works on dynamic wrinkles that form on the skin when the muscle beneath the skin contracts. These wrinkles are caused by repeated expressions such as laughing or frowning. Forehead lines, frown lines or 11 lines between the eyebrows and crow’s feet around the eyes can all be successfully treated with Botox. Similarly to Xeomin, treatment only takes 15-30 minutes, results appear in a few days and last for about 3-4 months. You may need additional treatment to maintain results. 

To learn more about cosmetic injectables and how they may help you with your cosmetic concerns or functional needs, call 808.955.3937 today to schedule an appointment.

How Belotero Balance works to rejuvenate the lower third of the face

So much attention has been paid to the upper third of the face with all the mask-wearing over the last year. But the lower third of the face shows the signs of aging and can make you look older than you are. Between the loss of collagen and elastin as you age, and repetitive expressions such as smiling and laughing, all contribute to lines and wrinkles around the lips and mouth. A cosmetic filler called Belotero Balance will help smooth out lines and wrinkles and help you appear more youthful.

What is Belotero Balance?

Belotero Balance is an injectable gel that is used to temporarily smooth out and fill moderate-to-severe nasolabial folds and other moderate-to-severe lines and wrinkles around the lips and mouth. It’s made of a substance called hyaluronic acid, which is naturally occurring in the skin. It’s formulated into a uniquely smooth and cohesive injectable gel that blends into the natural structure of the skin to fill in those unwanted lines and wrinkles.

Is treatment painful?

There may be some slight pinches as with all injectable treatments, but your doctor can help you with any discomfort you may feel. There is no downtime, so patients can return to their normal activities right after their treatment.

How is Belotero Balance different from other fillers?

It is a hyaluronic acid filler that is designed to integrate into facial skin tissue. Once injected, the soft, cohesive gel fills the skin to smooth out lines and wrinkles. It’s designed for moderate-to-severe lines, but also can treat delicate areas such as etched-in smile lines and vertical lip lines, which are thin lines above and around the lips.

When will I see results?

Like many fillers, you will see results upon treatment. While individual results will vary, it should last about six or more months. Repetitive movement such as eating, talking and smiling may affect how long results last.

Cosmetic injectables can temporarily smooth out lines and wrinkles and help you look more youthful. If you’re interested in learning more, schedule an appointment by calling Maehara Eye Surgery & Laser at 808.955.3937.

Smooth out lines and wrinkles in just minutes

Cosmetic injectables are a safe, quick and effective way to improve the signs of aging on your face. So how do you know which injectable is right for you? Here we discuss some of the more popular treatments and what wrinkles they address.

Dynamic wrinkles

Cosmetic injectables such as BOTOX and Dysport are FDA-approved to treat one of two types of wrinkles: Dynamic wrinkles. These wrinkles form when a muscle contracts from making facial expressions such as laughing, squinting, smiling and frowning.

Made from botulinum toxin type A, BOTOX is injected into a muscle to temporarily stop it from contracting. This smooths out and softens the look of lines and wrinkles on the upper third of the face, such as forehead lines, crow’s feet and frown lines between the eyebrows known as “11” lines.

BOTOX is the most popular non-surgical cosmetic treatment in the world because it’s fast, safe and effective. The treatment takes only about 10 minutes. It takes about one to three days for the full effect, and the results last for about four months. You’ll return to Dr. Maehara’s office for additional treatment at that time to maintain results.

Static wrinkles

While BOTOX and Dysport treat dynamic wrinkles, dermal fillers address static wrinkles, which are always present. These wrinkles are the result of our skin becoming less elastic and the decrease of underlying proteins as we age. Aging, sun damage, smoking, nutrition and genetics all factor into the formation of static wrinkles. Dynamic wrinkles can become static wrinkles over time.

Examples of static wrinkles include smile lines, nasolabial folds, marionette lines on the side of the mouths and wrinkles on the upper lip and under the eyes. Dermal fillers such as Juvederm are made of hyaluronic acid, a naturally occurring substance in the skin. They fill wrinkles and add volume. Results are instant, unlike Botox, and last for several months to a year or longer, depending on the filler.

Cosmetic injectables can work together to smooth out and improve the appearance of lines and wrinkles temporarily. If you’re interested in learning more about how to achieve a more youthful, rejuvenated appearance, set up a consultation with Dr. Maehara at Maehara Eye Surgery & Laser today by calling 808.955.3937.

How to Get Rid of Dark Circles Under Your Eyes

When you have dark circles underneath your eyes, they can make you look and feel really tired all the time. And although you may be running off only a couple of hours of sleep on a regular basis, nobody needs to know. Although surgical procedures like a lower blepharoplasty are great at helping patients get a more alert look, they aren’t for everyone. So, what are your other options? Let’s take a closer look and see.


Fillers are great at helping patients fix a variety of cosmetic concerns, including dark circles underneath the eyes. When patients age, they tend to lose a lot of volume around their eyes, which can give them a sallow appearance. When we use fillers, we can make strategic injections just underneath the eyes and above the cheekbones to help fill in this appearance and give patients a more rejuvenated look.

One of the things that our patients like the most about fillers is that they start working right away so you don’t have to wait an extended period to see results. Although some patients experience a slight amount of swelling and bruising, that should subside after just a couple of days.

The only real downfall of fillers to treat dark circles underneath the eyes is that they are temporary. Depending on the filler that we use and how your body responds to the filler, they may last the upwards of 12-18 months. However, that timeframe varies from patient to patient.

Having dark circles underneath your eyes can detract from your overall appearance and make you look tired all of the time. Luckily, temporary facial fillers can give you a more rejuvenated appearance. If you want to learn a little bit more about facial fillers and how they can help you look more awake, reach out to our Honolulu office and call us at 808.955.3937.

Fillers | Honolulu HI

How to Feel Sexier About Your Lips On Valentine’s Day

Whether you are dating someone new or if you are planning on spending your Valentine’s day with your spouse that you’ve been with for longer than you can remember, it’s important to try to spice things up every once in a while. Here at Dr. Jeffrey Maehara’s office we not only specialize in vision but in injectables and fillers as well. So, if you’ve been wanting to add more volume to your lips, make Valentines the occasion that you do so.

What Are Fillers?

Here at our office, we offer patients a wide range of injectable including botox and fillers. Botox and fillers are often mistaken for each other but they actually work quite differently. Botox is a neurotoxin that is used to relax the muscles on the forehead and around the eyes which, in turn, softens them and gives patients a more youthful appearance. Whereas fillers work by temporarily filling in fine lines and wrinkles across the face. Not only do fillers help with anti aging but some fillers can also be used to add volume to the lips as well.

By making strategic injections in the lips and around mouth, Dr. Maehara will help you get that sexier pout that you’ve been wanting so that you can give your Valentine a kiss that they will remember for the rest of the year.

What’s Recovery Like?

Recovery from lip fillers varies from patient to patient. Some patients won’t experience much swelling or bruising where as other patients may experience a lot of both. Even though results are almost immediate, many patients do have some swelling that will take a few days to die down. Try to plan accordingly for this swelling so that you can go into your Valentine’s’ Day dinner feeling as confident as ever in your new, sexy pout.

Are you ready to take the next steps to learn more about lip fillers? If so, contact us at our office today and call us at 808.955.3937.