Dermal Fillers

Hyaluronic acid (HA) is a naturally occurring component within our skin that provides hydration and volume. HA dermal fillers are injections of gel-like substances to restore volume loss, provide facial contouring, as well as eliminate the appearance of fine lines and wrinkles. Common treatments include: lip augmentation, cheek augmentation, jawline contouring, marionette lines, and smile lines. Other areas treated with filler include tear troughs, temples, and hands.

Juvederm Ultra is a soft but structural filler that provides volume in order to minimize wrinkles and folds from the aging process. It is frequently used in nasolabial folds, marionette lines, and lips for augmentation. Juvederm Ultra typically lasts 6 months to a year depending on the location of injection and an individual basis. Downtime can range from none, to a few days of swelling and bruising.

Juvederm Ultra Plus is a thicker and more viscous filler compared to Ultra, providing dramatic results in deeper creases and hollows. Ultra Plus works great for deeper nasolabial folds and marionette lines, as well as mild cheek augmentation. Juvederm Ultra Plus typically lasts 6 months to a year depending on the location of injection and an individual basis. Downtime can range from none, to a few days of swelling and bruising.

Juvederm Vollure is a filler used for the correction of moderate to severe wrinkles and folds. Common treatment areas include nasolabial folds and smile lines. Vollure contains a vycross technology that allows for a more flexible filler, making it efficient for maintaining a natural appearance around the mouth and smile lines. Vollure provides immediate results and lasts up to 18 months. Downtime can range from none, to a few days of swelling and bruising.

Juvederm Volbella is a soft filler specifically designed for lip augmentation and perioral lines, often called “smoker’s lines”. With optimal treatment, Volbella often lasts 6-9 months, but has been seen to last up to 12 months in clinical studies. Downtime can range from none, to a few days of swelling and bruising.

Juvederm Voluma is specifically indicated for cheek augmentation. Voluma helps correct mid-face volume loss due to the aging process and loss of fat pads in the cheeks. Depending on the severity of volume deficit, multiple syringes may be necessary to achieve optimal results. Juvederm Voluma provides immediate results and has the ability to last up to 24 months. Downtime can range from none, to a few days of swelling and bruising.

How does Radiesse work?

Radiesse is a dermal filler used to treat folds and wrinkles, as well as plump the skin to correct volume loss. The difference between Radiesse and other dermal fillers is their constituents. Most fillers are comprised of hyaluronic acid, but Radiesse contains Calcium Hydroxylapatite (CaHA). After the immediate fill from the gel substance, the CaHA triggers collagen production.

As the gel absorbs overtime, the body metabolizes the CaHA leaving behind the collagen production it stimulated, maintaining correction of volume.

Where can Radiesse be injected?

Radiesse can be placed into cheeks, subdermal facial tissues, as well as the hands. Common places include nasolabial folds, marionette lines, oral commissures, pre-jowl folds, and jawlines.

How much Radiesse is needed?

The number of syringes needed for treatment will depend on the severity of volume loss as well as the area being treated. It is possible that more than one syringe will be necessary for optimal treatment and desired results.

When are results seen and how long do they last?

Results of Radiesse injections can be seen on the same day. With the added bonus of collagen production from the CaHA, Radiesse has been shown to last a year or more based on clinical studies.

Is there down time or side effects?

After injections of Radiesse, swelling, tenderness, and bruising are possible. Applying ice to the treatment area after the procedure will help minimize side effects. Your daily routine can be resumed immediately after the procedure. It is recommended to refrain from heavy exercise, facials, massages, and any other activities that can excessively move the facial muscles.

Belotero is a hyaluronic acid filler that is indicated to temporarily smooth moderate to severe nasolabial folds. It is also frequently used to provide moderate volume to lips and fill in deep hollows under the eyes. Depending on the location of the filler and the individual, Belotero can last from 6 to 12 months.

How does Sculptra work?

Sculptra is an injectable collagen stimulator used to minimize facial wrinkles and restore volume to the deep underlying structure of the skin. It is comprised of a component called poly-L-lactic acid which stimulates collagen production and gradually improves facial appearance.

Where can Sculptra be injected?

Sculptra is typically injected into the face, particularly the midface, to restore volume loss. Sculptra is also effective at providing volume to sunken in temples. At different dilutions, Sculptra can be used for other indications such as improving the texture of skin on the chest, cellulite on the buttocks and thighs, and providing a mild buttocks lift.

How much Sculptra is needed?

The number of necessary treatments will vary depending on severity of volume loss, degree of wrinkles, and age of the individual. Multiple treatments may be needed in the beginning, but once an appropriate facial volume is restored, maintenance treatments can be performed every 1 to 2 years. For indications of butt lift, cellulite smoothing, and improved skin texture, the number of treatments will vary depending on the desired end goal.

When are results seen and how long do they last?

As it can take up to 3 months for collagen production to begin, results will be seen 45 and 90 days after treatment. Sculptra has the potential to last up to two years. The longevity of the product depends on an individuals age, health status, and the number of treatments. Considering poly-L-lactic acid stimulates natural collagen production, results typically last longer.

Is there down time or side effects?

Downtime is a few days to a week depending on swelling, soreness and bruising that can occur. After a few hours, to a few days, these symptoms generally subside. Immediately following the treatment exercise should be avoided, but other daily activities may be resumed. It is important to follow the after care of massaging the treated area for a few days to avoid formation of nodules. Full aftercare instructions will be provided at the time of scheduling your appointment, as well as the day of.

FAQ

Dermal fillers help rejuvenate facial appearance by replacing volume using a hyaluronic acid based gel. Small needles are precisely used to deposit the filler in regions experiencing the most tissue loss. Dermal filler injections will result in a more plump, smooth, and youthful appearance.

Dermal fillers are placed in areas of volume loss, desired enhancement, and facial contouring. The most common areas to be treated are cheeks, nasolabial folds, and marionette lines. For enhancement, the most frequently treated region are lips. Fillers are also used to minimize dark circles under the eyes, smooth hands, and contour jaw lines.

The number of syringes necessary will depend on how many areas are being treated, along with the degree of volume loss, and desired end goal. It is possible for only one syringe to be needed, but it is not uncommon to use up to 4 syringes in one treatment.

There is little to no recovery after receiving dermal fillers. The most common side effects include soreness, redness, swelling, and bruising. Exercise should be avoided for the remainder of the day. Facials, hot tubs, and saunas are not recommended for the first 24 hours following treatment. Certain laser procedures should be avoided for up to a month and can be discussed with the practitioner.

Results from facial dermal fillers are generally immediate. With the consideration that bruising and swelling can occur for a few days after treatment, optimal results may not be seen until these symptoms subside. Duration of results will depend on the specific filler used, the area it was placed, and each individual’s metabolism.

There is little to no recovery after receiving dermal fillers. The most common side effects include soreness, redness, swelling, and bruising. Exercise should be avoided for the remainder of the day. Facials, hot tubs, saunas are not recommended for the first 24 hours following treatment. Certain laser procedures should be avoided for up to a month and can be discussed with the practitioner.

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