What are dermal fillers?

Hyaluronic Acid (HA) fillers are soft tissue fillers. Hyaluronic acid is a naturally occurring substance in our bodies, which makes these fillers safe for the body. These substances can reduce the appearance of wrinkles and creases, and add contour to different areas of the face. Fillers are long-lasting but temporary solutions that are administered in the comfort of our office. Products are selected based on assessment of the area to be treated, health history, and the clients goals.

RADIESSE® and RADIESSE® (+) are dermal fillers that are used for smoothing moderate to severe facial wrinkles and folds. RADIESSE® is considered an injectable implant composed of smooth calcium hydroxyapatite (CaHA). RADIESSE® stimulates your body’s natural collagen, filling in wrinkles long term and helping to improve your skin in the process.

Dermal Fillers we offer in our practice:

Revanesse Versa and Revanesse Lips are soft tissue fillers that can treat moderate to severs facial folds as well as lips. Versa is a soft filler that has the least reported adverse events of all the fillers on the market. It is a versatile product that is predictable and has minimal swelling. Last up to one year.

Juvederm Ultra and Ultra Plus are hyaluronic acid fillers that are commonly used around the mouth and lips. Juvederm ultra plus has larger particles of HA for better structural hold. Each product may last up to one year.

Volbella, Vollure, Voluma are hyaluronic acid fillers with vycross technology which gives the more longevity. These fillers have less swelling post injection which result in a predictable treatment. Volbella is now FDA-approved for orbital hallows, aka tear troughs. Vollure is excellent for mid face volume loss and creates a smooth transitions. Voluma is FDA-approved for midface volume restoration.

Vycross fillers are not for everyone and require a thorough history assessment. Volbella and Vollure last 15-18 months. Voluma lasts up to 2 years.

Belotero is a soft, cohesive hyaluronic acid gel that integrates into superficial lines and creases. The delicate characteristics of this product make it a nice solution for lip lines and other subtle wrinkles. Results can last up to one year but are specific to each patient, the amount of product used, and the area treated.

Restylane Refyne and Defyne is the brand name given to Restylane hyaluronic acid products in Europe. The broad scope of this line treats mild to moderate lines and wrinkles with results lasting from nine months to two years depending on the product and area of treatment.

RADIESSE® and hyperdilute RADIESSE® can be used to treat volume loss in the neck and face. It acts as a biostimulator, which stimulates your body’s own collagen production. This results in a more natural look and improves the “necklace” lines in the neck and lost volume in the face.

RADIESSE® is also used for correcting volume loss in the back of the hands.

Last one to two years.

Who can receive dermal fillers?

Most clients are excellent candidates for dermal/soft tissue fillers. Radiesse is considered nontoxic and hypoallergenic. Hyaluronic Acid fillers are naturally occurring in the body and therefore pose little to no risk. Some clients who are diagnosed with an immunocompromised disease such as Hashimotos or Lupus are not a candidate for some injectables. This will be discussed in your consultation appointment.

What are the possible side effects and adverse events with soft tissue fillers?

Most common side effects are redness and swelling in the injection area. Occasionally, there may be some bruising. Less common are Lumps, bumps, or prolonged swelling and these clients need to be seen in the office.

The most serious risks with using these products is unintentional injection into a blood vessel, this occurs in less then 1% of clients. If this happens the filler will need to be reversed with hyaluronadase. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. If you have white appearance of the skin, or unusual pain during or shortly after treatment, you should notify your health care practitioner immediately.

As with all procedures that involve an injection through the skin, there is a risk of infection.