FILLERS 2017-11-07T15:04:34+00:00

Fillers – Juvederm® and Radiesse®

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Injectables: Our Approach

Dermal fillers are recommended only after a complete facial evaluation by one of our surgeons. These treatments are then applied when appropriate.

  • Our selection of dermal fillers is based on two factors: safety and effectiveness. 
  • Treatments are carried out by our physicians.  Results are technique dependent and there is some risk involved with any procedure. Therefore to achieve best results and to minimize risk, injections are not delegated to an assistant.

Synthetic Fillers
Dermal fillers can be an effective temporizing measure to reduce wrinkles and fill depressions related to aging. All fillers we use in our office are FDA approved and have been shown to be safe.

Hyaluronic Fillers
Hyaluronic acid is a polysaccaride (a type of sugar) that occurs naturally in the human body. Its most important function is to carry and bind water. Non-animal hyaluronic acid does not contain animal protein and does not require a skin test prior to use. Hyaluronic acid can be used to reduce fine wrinkles, soften deep folds, and augment lip fullness. Treatments can result in temporary swelling, redness and tenderness.

Examples of Hyaluronic dermal fillers are Restylane®, Juvederm®, and others. Our experience with Restylane has been extremely positive. It is a very effective filler for fine wrinkling around the mouth, as well as, the naso-labial folds and lips. Early patient satisfaction has been impressive – instant gratification is the major benefit! The major disadvantage of this product is the short duration of time.

Duration of fillers depends on the individual agent and location of the injection. For example, fillers injected into the lips may be absorbed as early as 3 months.

RADIESSE® is a long-lasting synthetic filler material that is approved by the FDA as a soft tissue augmentation in two specific areas: the vocal cords and the bladder. Specific use for face wrinkles is pending, but its use “off label” is permitted. We are using this synthetic material to fill skin depressions and deep folds.

Radiesse® has immediately observable results, lasts 1-1.5 years and has very little risk of allergic reaction. It is calcium hydroxylapatite, a substance found in bone that is made into an injectable paste. When used in the lips, some lumpiness has been observed, therefore we are not using this material for lip augmentation. We are very impressed with the ease of administration and results with Radiesse. It is the best choice for the naso-labial folds.

Injection of various materials into wrinkles can eliminate those wrinkles without plastic surgery. These treatments are offered in doctors’ offices, beauty salons, day spas, and even house parties. Local and national marketing provide a huge demand for filler treatments. Because of their effectiveness and ease of administration, these fillers are fast becoming one of the most popular cosmetic procedures.

Many different materials have been tried through the years, with varying degrees of success. However, none has proven to be permanent. Some last only a few weeks or months and others have even had disastrous results.

Other Concerns:

  • Used appropriately, fillers can improve signs of aging and delay the need for cosmetic surgery. If not used selectively and judiciously, results can be disappointing.
  • Though often marketed as an inexpensive alternative to cosmetic surgery, the accumulative cost of repeated injections can be high.
As with any procedure, when considering fillers, a second opinion is often helpful. Filler injections are a non-surgical procedure that can be done by any physician. This being said, a surgeon certified by the American Board of Plastic Surgery may advise this treatment, but can also provide surgical care when indicated.

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