Some of the most significant improvements come with the use of a filler. As we age, our bone structure changes. The cheeks recede, the eye sockets enlarge, and the temples deepen.
Fillers can be used to fill in deep grooves or creases, such as the nasolabial folds, or they can be used to build up a structure, such as the cheekbones, nose, chin, or temples.
Belotero Balance® is a very soft, smooth hyaluronic acid filler. It is useful for filling in superficial creases in the skin, scars, and bags under the eyes (tear troughs). It can also be used to augment structures, such as the lips and nose. Depending on where it is placed, it may last 6-8 months. Similar products include Juvaderm, Restylane, and Restylane Silk.
Radiesse (+)® contains calcium hydroxyapatite, which is the same mineral found in bones. It is a firmer filler and is helpful for adding structure, especially for the cheeks. With the proper underlying structural support, the skin is lifted and re-suspended as it once was, giving a more youthful appearance. Radiesse maintains the results by stimulating your body’s own collagen production. It is mixed with lidocaine, a local anesthetic, to reduce discomfort during placement. Results with Radiesse may last up to 2 years.
Juvederm Voluma and Restylane Lift, formerly known as Perlane, are hyaluronic acid fillers ideal for deeper placement to correct volume loss. These fillers are softer and more malleable than Radiesse, and typically result in much less post-procedure swelling and discomfort.
Artificial fillers create a structure around and through which your own cells may proliferate, creating longer lasting volume restoration. This may be enhanced by adding PRP, platelet rich plasma, with the filler. PRP introduces platelet cells with produce growth hormones and trigger the development of collagen in the area. Adipose, or fat cells, (AdiPrep) may also be used to create this structure, and the volume response may be enhanced by combining PRP with fat cell transplant. The advantages of PRP and AdiPrep are that they are entirely from your own body, replacing volume naturally, and provide greater value than pharmaceutical fillers.
The choice of filler and the exact amount of filler required depends on the result desired. During your consultation, treatment goals will be discussed so that the appropriate filler (or fillers) is chosen.
Swelling is common after treatment with filler, and may last a few days. Bruising is also possible. Massage and facial treatments should be avoided for 1 week following treatment to minimize displacement of the filler.
See our Before & After photos.