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Injectable Fillers

Soft-tissue fillers, most commonly injectable collagen, hyaluronic acid, or fat, can help fill in facial fine lines and creases, temporarily restoring a smoother, more youthful-looking appearance.

As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, such as smiling, chewing and squinting. The underlying tissues that keep our skin looking youthful and plumped up begin to break down, often leaving laugh lines, smile lines, crow's feet or facial creases over the areas where this muscle movement occurs. Soft-tissue fillers, most commonly injectable collagen, hyaluronic acid, or fat, can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance.

If You're Considering Injectables...

When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift.

What are the different types of fillers?

Juvederm® is wrinkle filler used to correct moderate to severe facial wrinkles and folds. By replacing lost volume, the hyaluronic acid in Juvederm quickly corrects wrinkles with a simple injection.Juvederm® comes in several different formulas to correct wrinkles of varying severity. The latest formula, Juvederm Ultra XC, contains lidocaine for a more comfortable injection.

Placement for Juvederm is determined after carefully evaluating the wrinkles present on your face. If necessary, areas to be treated may be numbed with a topical anesthetic to make the procedure comfortable. Using a fine needle and special technique, your plastic surgeon injects Juvederm to correct the contour irregularities present on your skin.

For most patients, the results of Juvederm® last 9-12 months. You will need touch-ups and repeat treatments to maintain skin volume and wrinkle correction over the years.

Radiesse is a long-lasting wrinkle filler indicated for treatment of facial wrinkles and folds. Plastic surgeons frequently use Radiesse because it is biocompatible, durable and easy to use. The composition of Radiesse is unique. It is made with a substance called calcium hydroxylapatite or CaHA, a water-based gel that contains small calcium microspheres.

Before treatment, the facial area is cleansed and topical anesthetic is administered for comfort. The doctor injects Radiesse beneath the skin at a specific depth. After your injection, the doctor briefly massages the area to promote a smooth result. When Radiesse combines with your tissue, it acts like a scaffolding for new collagen. Your body will gradually metabolize Radiesse and naturally clear it away.

Studies have shown results with Radiesse lasting an average of one year. Most patients return for another treatment after about 12 to 18 months. Although side effects are uncommon, immediately after your injection, it is possible to experience mild irritation, edema, swelling, itching, discoloration, or tenderness at the injection site. Ask your doctor for more information if you are concerned about these side effects.

Restylane, the world's best-selling dermal filler, is an FDA-approved wrinkle filler made from hyaluronic acid, a naturally occurring substance in the connective tissue of your skin. Restylane is formulated with a proprietary non-animal stabilized hyaluronic acid that restores skin volume to give your face a more youthful appearance.

The doctor will decide the best placement for Restylane after carefully evaluating the unique way your face is aging. Areas to be treated are numbed with a topical anesthetic to make the procedure comfortable; Restylane is then injected with a very fine needle to correct the contour irregularities present on your skin.

While results of Restylane last six months or more, you will need touch-ups and repeat treatments to maintain the volume and wrinkle correction you desire over the years.

Sculptra aesthetic is a dermal filler used for treating a variety of contour deficiencies on the skin. Composed of the polymer poly-L-lactic acid, Sculptra actually stimulates long-term collagen growth for an enduring result.
Sculptra was originally used to treat persons with HIV because they experienced facial lipoatrophy, a condition characterized by premature aging due to degradation of the tissue. In 2009, the FDA granted clearance for Sculptra to be used in cosmetic applications.

Sculptra produces a delayed result, so it's best to inject a conservative amount for your first treatment. Using a fine needle, your plastic surgeon injects Sculptra under the skin using a special technique. Discomfort can be managed using a dental block or numbing cream. After your first treatment, another may be performed after about four weeks for best results. Results of Sculptra are long lasting; correction has been shown to last up to one year after the initial treatment.

Your New Look

If you're like most patients, you'll be very satisfied with the results of your injectable treatments. You may be surprised at the pleasing results that can be gained from this procedure.