Fillers

 

Choose the Filler That’s Perfect for You

Women and men are looking for better anti­aging solutions that enhance their looks in a natural but subtle way, such as, a gentle brow lift, smoothed out lines or lips that look fuller but feel soft and natural. As we age, collagen and fat disappears, leaving sagging, loose skin which turns to wrinkles. Proteins such as hyaluronic acid (HA) in our skin’s lower layers also diminish as we age, resulting in lost plumpness and youthful tone, which causes small wrinkles to appear. These issues are not only caused by age, but also by sun exposure, genetics, scarring and trauma. Thankfully, injectable fillers like Juvederma and Restylane are available as a safe, non-invasive option to correct these problems. Fillers restore youthful characteristics, leaving patients looking and feeling young and refreshed.

Dermal fillers are injectable gels used to temporarily reduce fine lines, wrinkles, plump lips, enhance volume, soften facial creases and improve the appearance of scars. The fillers we carry are all FDA approved, providing very safe and effective results. There are several different types of dermal fillers; some are used to correct wrinkles while others are used to restore lost volume. Our injection specialists can choose the best anti­aging treatment that is recommended for your unique facial features!

Fillers

Fillers are used to smooth away wrinkles, contour the skin and create fuller lips. The most commonly treated areas include:

    • Nasolabial folds (nose to mouth lines)
    • Cheeks
    • Lip enhancement
    • Perioral lines and Oral Commissures (lines around the mouth)
    • Can be used to replace lost volume and tissue, and correct scars

In today’s world, women and men look much younger with advanced cosmetic technologies. In 2002, the FDA approved Botox for its wrinkle reducing properties. Immediately upon approval, Allergan (Botox manufacturer) released Juvederm Fillers. Juvéderm remains one of the most popular cosmetic products in the U.S. It delivers amazing results for tough to treat wrinkles from the nose folds to the stubborn corners of the mouth.

juvederm-pricing-1

juvederm-ultraplus-xsJuvederm XC Ultra Plus lasts quite a while and absorbs slowly, due to your body’s natural acceptance of the gel. XC Ultra Plus is used on the corners of the mouth and around the nose and lips. Typical treatment commonly lasts 9 months but could be as long as 12 months for non smokers. Juvederm Ultra XC is an injectable gel, 3D hyaluronic acid, with 0.3% lidocaine, a local anesthetic. Juvéderm Ultra is another extremely versatile hyaluronic­acid filler that is a little thinner and more suited for thinning lips associated with smoker lines, corners of the eyes and aging mouth wrinkles. Its also perfect for patients who have naturally less voluptuous or thin lips that wish for that more voluptuous look.

juvederm-voluma-xcJuvederm Voluma is an injectable gel made of 3D hyaluronic acid, with 0.3% Lidocaine, a local anesthetic. It is a very thick gel used to correct the cheek bone or apex, apple and hollow to improve the contour of the face to bring you a more youthful appearance in the cheek area. Voluma can restore facial contour up for to 2 years.

restylane-pricing

Restylane Touch® – Instant Aesthetic Treatment is particularly suited for very fine give-away lines across the forehead, top lip and diminishing appearance of crow’s feet, for a wide treatment range. Restylane is made of hyaluronic acid and lasts up to 6 months. Q-Med, Swedish biotechnology company makes Restylane which is the U.K.’s leading injectable filler treatment for aesthetic beauty.Restylane Silk is used to enhance lips and wrinkles surrounding the lips, and can be used to plump the lips as well. It is a non-surgical option for lip implants, making lips appear fuller and healthy up to 6 months. Silk is one of Galderma’s most popular products.

Radiesse Volumizing Filler instantly treats deep wrinkles and hollows due to age, scars, sun or injury. It also increases collagen production so results continue to improve. Radiesse lasts up to 12 months. It consist of calcium hydroxyapatite sphere and methylcellulose.

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Alternatives to Juvederm- facial fat grafting:

The history of cosmetic surgery includes the development of several methods designed to reshape the face, and not all have been completely successful. Early efforts involved “nip, tuck, and suture” procedures which attempted to “lift” the face by pulling the skin tight by anchoring it to deeper structures, namely bone. This wasn’t particularly effective and often resulted in a very unnatural look. It was also risky: this type of procedure is a major surgery with a long recovery time, and could result in infection, improper healing, and extensive scarring. It was also extremely expensive. When taken together, these factors gave this type of surgery a poor reputation, and the quest to find a better alternative went on.

Next came silicone implants.

These could indeed reliably change the proportions and contour lines of the face, yet this approach was far from perfect. Much like the type of procedure described above, results were not reliable. Some patients achieved a fantastic final look, while others were left with the overdone look seen in various celebrity “plastic surgery disaster” pictures taken in the 80s and early 90s. These procedures carried the same risks of infection and possibly severe scarring, and had lengthy recovery times. Implantation procedures also carried their own unique risk known as implant migration. This undesirable outcome is much as it sounds, and involves implants moving out of their intended position.

Facial fillers, dermal fillers or HA

The first real quantum leap in cosmetic facial reconstruction was a highly effective yet temporary solution, namely facial fillers. Often known as dermal fillers or HA (Hyaluronic Acid) fillers (Juvederm, Restylane) these injectable medications could restore lost facial volume with ease, yet were eventually reabsorbed by the body. These patients enjoyed wonderful results for several months, followed by an awkward “in between” period during which the patient’s look began to deteriorate yet additional treatment wasn’t yet warranted. Another main drawback was cost. Since these injectable medications wore off in anywhere from 4-10 months, reapplication was always necessary. Even so, these injectable fillers did indeed work, and weren’t nearly as risky as the surgical procedures described above. Examples of dermal fillers are Juvaderm and Restylane, and today these enormously popular products are found in most well equipped medical spa or surgeon’s office. They do indeed work wonders, but even the longest lasting filler is temporary (and quite expensive).

Fat Transfer to Your Face

Ironically, while plastic surgeons, cosmetic surgeons, and dermatologists were searching for better, longer lasting filler materials, facial fat transplant techniques were already being used on a small scale. This technique had proved itself safe and reliable, but the results weren’t as consistent as those achieved with dermal fillers such as Restylane and Juvaderm. They did, however, have two distinct advantages: they were for all practical purposes permanent, and when they worked the results were very natural looking.

The central problem was obtaining enough healthy, living fat cells to make the procedure reliable, and this was solved with modern minimally invasive liposuction methods. Today’s techniques are capable of removing fat in quite a gentle manner, ensuring a high percentage of viable transplant cells. Once obtained, this thick liquid could be injected into the face exactly as other fillers, and after a short period would become fully integrated into nearby tissues. In most cases the results are fantastic, and while the up-front cost of the surgery is higher than that of dermal fillers, the procedure often pays for itself in about 1 ½ to 2 years since additional filler injections aren’t needed.

What is filler injectable?
As we age, our collagen thins and the effects of aging begin to show. Collagen is a natural skin support structure. Fillers replenish the collagen layer making wrinkles and facial lines smooth out. Injectable fillers can be used to add fullness to cheeks and lips.Am I a good candidate for fillers?
Those who have deepening creases, furrows and lines characteristic of lost volume or aging can benefit the most from fillers. Those who desire bigger cheekbones, lips or a more defined chin can gain benefit from fillers as well, It is also a great option for those hesitant to undergo surgery.How is this treatment done?
Fillers require a precise procedure that is conducted with extreme care. Our specialist will examine your face to see where to achieve the best results. Depth of scars and area of creases and symmetry are also addressed. The filler is injected directly under the wrinkle line or area that you want elevated. The procedure is performed in office and takes about 25 minutes per area, it requires no downtime and patients may return home after procedure.Any discomfort during treatment?
No anesthesia is needed prior to injecting. All fillers contain a formulated anesthetic for numbing. Mild discomfort is expected and lasts the duration of the injection. You may be numb for approximately one to two hours after your treatment. For your convenience, we give our patients a cold pack after their procedure to reduce all discomfort and any possible swelling that may occur. But, patients can return to their normal activities immediately following the procedure.When can I expect results?
Immediately after, the furrow, crease, wrinkle line or scar will be elevated. Often times, the patient will look even better the next day. Many patients are pleasantly surprised at the noticable effects right after their treatment. The results can vary from 6-­12 months. The presence of Botox can also enhance duration.Do I need to follow up with additional treatments?
Yes, for best results, we recommend maintaining your fillers one to three times per year, depending on the area injection.How much filler will I need?
We will determine your goals and how much filler you will need to achieve those goals during your consultation. You will also be given an estimate on the cost.What is hyaluronic acid?
Hyaluronic acid is a natural substance found in the body to add volume and hydrate the skin. HA is broken down naturally in 1­2 days, and is then replaced. However, as we age, replenishment diminishes, leaving skin looking dull, saggy and wrinkled.How long will my appointment take?
You can expect to visit our office for about 1 hour for filler treatments.

What are the most commonly treated areas for fillers?
Fillers are used to smooth away wrinkles, contour the skin and create fuller lips.

    • Nasolabial folds (nose to mouth lines)
    • Cheeks
    • Lip enhancement
    • Perioral lines and Oral Commissures (lines around the mouth)
    • Can be used to replace lost volume and tissue, and correct scars
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