Filler

What are dermal fillers?

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

As we age, our faces naturally lose subcutaneous fat.   The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.

Most fillers are made of hyaluronic acid.  Young, healthy-looking skin contains an abundance of a naturally hydrating hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth.  Hyaluronic acid is a natural substance found in your body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It’s also in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and now has become one of the most popular kinds of injectable fillers. If the term sounds familiar, it’s because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning.

What dermal fillers can’t do

For some patients, surgery such as a facelift, browlift or eye lift may be the best approach. Nonsurgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results but may help delay the time when consideration of a facelift becomes appropriate. It is important to remember that dermal fillers are temporary treatments for facial aging and that ongoing treatments will be needed for long-term results.

Dermal fillers candidates

You may be a good candidate for dermal fillers if you:

  • Are physically healthy
  • Don’t smoke
  • Have a positive outlook and realistic goals in mind for the improvement of your appearance
  • Are committed to maintaining good skin health

Your dermal fillers consultation

During your dermal fillers consultation be prepared to discuss:

  • Your goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Any past treatment with soft tissue fillers, botulinum toxin therapy, laser or other non-surgical facial procedures, as well as any prior facial surgery

Also be prepared to:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Discuss your available options
  • Examine and measure your face
  • Take photographs
  • Recommend a course of treatment
  • Discuss likely outcomes of using soft tissue fillers and any risks or potential complications

Dermal fillers procedure steps

Step 1 – Facial assessment & mapping

Evaluation of your facial appearance and skin tone and examine the areas of your face to be augmented.

Strategic points on your face may be marked as the appropriate injection sites for the filler. Photographs may be taken of the areas to be treated.

Step 2 – Cleansing & anesthetizing

The injection sites will be cleansed with an antibacterial agent.

Pain at the injection site may be ameliorated by use of a very cold instrument to chill the skin, anesthetic ointment to numb the skin or injection of local anesthesia.

While not painless, the injections are usually easily tolerated.

Step 3 – The injection

Injection usually takes only a few moments per site. The process of injecting, massaging, and evaluating the result is performed, and additional filler added as needed.

Depending on the number of areas to be treated, the whole process may be as short as 15 minutes, or as long as an hour.

Step 4 – Clean up & recovery

Once the results are deemed satisfactory, any markings will be cleaned off.

You may be offered an ice pack to reduce swelling and alleviate discomfort. Although the area may feel a bit tender for a day or two, it is usually not painful enough to require any medication.

Dermal fillers recovery

Recovery time varies for each patient and for each type of filler injected. You can resume most activities right away, but it is generally recommended that you avoid intense physical activity for the first 24-48 hours to minimize swelling and bruising. Your initial appearance after treatment with any dermal filler may include:

  • An “overfilled” appearance to treated areas
  • Swelling or bruising ranging from mild to severe
  • Temporary numbness or redness
  • Palpable lumps or hard areas at the injection sites
  • Hypersensitivity reaction that can seem like an allergic reaction with hives and swelling

Most conditions can be alleviated with topical icing and massage and will improve within a matter of hours or just a few days. Some reactions may require more aggressive treatment with medications or injections.

Dermal fillers results

The results of soft tissue augmentation using dermal fillers are apparent immediately and will last from several months to several years depending on the filler used and the patient injected. Maintaining good overall health and maintaining healthy and strong skin with appropriate products and skin treatments will improve the results and longevity.


Fillers Offered:

Juvederm XC & Juvederm Ultra XC

Over time, your skin loses elasticity. This natural process, plus genetics and environmental factors like sun exposure, can cause moderate to severe lines and folds such as parentheses, corner, and marionette lines to form around the nose and mouth. JUVÉDERM® Ultra Plus XC and JUVÉDERM® Ultra XC can help these lines and give you natural-looking results that last. Juvederm will also add volume to the lips.

Juvederm will cost $650 per 1.1cc.

Voluma

Wrinkles and lines aren’t the only signs of aging. Over time, age-related volume loss can cause the cheeks to flatten and the skin to sag. JUVÉDERM VOLUMA® XC is designed to add volume to lift and contour the cheek area. Voluma is the first and only injectable facial filler that will correct age-related volume loss for up to two years. Depending on the treatment area, the product is typically injected subcutaneously or supreperiostally.

The cost of Voluma is $800 per 1.0cc.

Vollure

Vollure is injected into the areas of facial tissue where moderate to severe facial wrinkles and folds occur, lasting up to 18 months with optimal treatment.  

The cost of Vollure is $700 per 1.0cc.

Volbella

Some women may wish to add subtle volume to their lips; others may want to soften the appearance of their vertical lip lines. Unwanted lines such as these are often caused by factors such as sun exposure or repeated muscle movement. JUVÉDERM VOLBELLA® XC adds subtle volume to lips and softens the lines around them. 

The cost of Volbella is $400 per 0.55cc.