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. Botox, Dysport, and Xeomin referred to as neuromodulators or neurotoxins, minimize muscle activity which also affects the appearance of lines, and wrinkles.
Used in combination with Botox, Dysport, or Xeomin, a dramatic, yet natural, appearance can be achieved in the appropriately selected patient. While fillers and neuromodulators can defer the need for surgery in the some patients, they do NOT replace surgery.
What do fillers do?
- Smooth lines and wrinkles
- Fill deep furrows
- Add volume to restore youthful facial contours
- Add volume where facial fat has been lost
- 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 Products, Juvederm Products (including Voluma) and Belotero
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, or inadvertent isolated 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.
Sculptra (poly-l-lactic acid) is an injectable material that works by stimulating your tissues to replace lost collagen. Usually, three injection sessions are required approximately three weeks apart. It gradually replaces lost collagen over several months. Sculptra can be used to minimize folds, reduce facial hollows and enhance areas that are usually convex like the “cheek-bones”, restoring a more youthful facial architecture. The results can last up to two years.
How do I know which filler will work best for me?
Schedule a consultation with a board certified plastic surgeon experienced using fillers for facial aesthetic improvement. During the consultation express your concerns and goals. He/she will examine you, address your concerns and goals, and develop a treatment plan. Results depend on a variety of factors including your skin quality, genetics, age, history of sun exposure, environmental toxins, lifestyle as well as the areas treated. Your appearance can be significantly improved giving you a very natural, youthful, healthy, energized appearance.
Is there one filler that works better than others?
There is no single filler that works better than all other fillers. Each filler has unique properties and certain fillers are more suited than others to correct a particular problem. There are fillers used primarily to restore volume and reestablish youthful facial contours. Other fillers work best to treat fine lines and wrinkles. See a board certified plastic surgeon with expertise and experience in the use of facial fillers. He or she can help you develop a treatment plan to meet your needs.
In some cases where there is a significant loss of volume in multiple facial areas, your plastic surgeon may suggest using your own fat instead of fillers. Fat transfer is a more involved procedure that usually requires about one week of downtime. While some patients can have fat transfer to the face performed with local anesthesia others may need sedation administered by an anesthesiologist depending on the extent and areas treated. For additional information of fat transfer see this website’s section on Fat Grafting.
How long do fillers last?
How long fillers will last depends on the particular fillers 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.