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Fillers along with Botox and more recently Dysport and Xeomin (neuromodulators) have revolutionized our capacity to non-surgically rejuvenate facial appearance. Fillers are injectable products that can smooth lines, wrinkles and folds as well as add volume to restore youthful facial contours and improve facial symmetry. Used in combination with Botox, Dysport, or Xeomin, a dramatic, yet natural appearance can be achieved in the properly selected patient. While fillers and neuromodulators can defer the need for surgery in the some patients, they do NOT replace surgery.

With skill, artistry, and the ability to visualize the desired outcome prior to beginning the treatment, your appearance can be significantly improved giving you a very natural, youthful, healthy, energized appearance.

What do fillers do?

  • Smooth lines and wrinkles
  • Fill deep furrows
  • Add volume to areas of fat loss
  • Add volume and definition to lips
  • Camouflage jowls giving the illusion of a smooth jawline
  • Soften lip lines
  • Camouflage puffy lower eyelids
  • Minimize the appearance of acne scars
  • Minimize the appearance of laugh lines –nasolabial folds (lines running from the nose to the mouth
  • Soften marionette lines (lines extending from the corner of the mouth to the chin)
  • Diminish the appearance of dark circles under the eyes by filling under-eye hollows
  • Improve the appearance of crows feet (especially when used in combination with Botox, Dysport, or Xeomin)

What are the different types of fillers?

Hyaluronic Acid Fillers – Restylane, Perlane, Juvederm, Voluma and Beloltero
Hyaluronic acid is a natural substance found in human tissues—skin, joints, and connective tissue. It provides volume and fullness to the skin and cushions joints. Hyaluronic acid that is injected for facial rejuvenation is a synthetic gel used to treat lines, wrinkles, folds and add volume. While Restylane, Perlane, Juvederm and Belotero , and Voluma XC are all hyaluronic acids, each has unique properties. Should there be an overcorrection, lump, or bump from injection with a hyaluronic acid, it can be “erased”—dissolved by injecting hyaluronidase, an enzyme that dissolves hyaluronic acid.
Radiesse is a calcium-based filler made from tiny spheres of calcium hydroxyapatite. Injection of Radiesse provides an immediate correction of deeper folds and can restore facial volume. Over time, Radiesse stimulates your skin to make new collagen, which enhances its filling effect and longevity.

LAVIV recently FDA approved, is an injectable made from your own skin cells that can be used to treat lines and wrinkles. After administering a tiny amount of local anesthesia behind the ear, a sample of skin cells is taken and sent to a laboratory to grow more cells. Over a period of three months skin cells are grown, processed and returned to your physician as collagen filled syringes ready for injection. Generally it takes three treatment sessions spread three to six weeks apart to achieve the desired degree of correction. When more collagen is needed the laboratory can grow more cells.

Sculptra (poly-l-lactic acid) is an injectable material that works by stimulating your body to replace lost collagen. It is not a filler. Usually three injection sessions are required over a few months. It gradually causes your tissues to replaces lost collagen over several months. Sculptra can be used to treat lines, wrinkles, folds and facial hollows. The results can last up to two years.

How do I know which filler will work best for me?
Schedule a consultation with a physician properly trained and experienced with using fillers for aesthetic facial improvement. During the consultation the patient should express his/her concerns and goals. While the physician should address the specific patient concerts he/she should also advise the patient what other treatments might be of benefit. Results depend on a variety of factors including skin quality, age, and the area treated.

Is there one filler that works better than others? Some fillers work better than others in specific facial areas. There is there is no one filler that is best overall. For example Radiesse or Voluma can enhance the cheekbones; Perlane or Restylane can camouflage puffiness of the lower eyelids and Juvederm or Restylane can restore fullness and definition to the lips. Both Fat and Sculptra can be used to enhance facial volume. Fat transfer is a minimally invasive surgical procedure. Depending on the facial area, the number of areas treated fat transfer can, in some instances be performed under local anesthesia with nerve blocks. vPatients may need sedation administered by an anesthesiologist depending on the extent and areas treated.

How long do fillers last?
How long a filler will last depends on the particular filler and where it is used. The same filler may last longer in one patient than in another (patient) and may last longer in one site than in another (site) in the same patient. In general the less movement in the area where a filler is placed the longer it will last. Fillers can last from 6 months to up to two years.