Dermal Fillers

 As we age, the number of collagen fibers decrease and the underlying tissues that keep our skin looking youthful and plump begin to lose its' elasticity where wrinkles and sagging begin to form.  Injectable dermal fillers are used to increase tissue volume (as with lip augmentation or with hollowness in the cheeks and temple regions), reduce lines and wrinkles, and improve skin’s overall contour.

Injectable skin dermal fillers have come of age in the past several years, with many new fillers being introduced into the United States market thus allowing skilled injectors to treat lines and wrinkles and to also have an added benefit in treating volume needs in the rejuvenation process. All of these fillers are forms of rejuvenation without surgery, and have been found useful when injected by skilled injectors.  You may read about some of these fillers as "Liquid Face Lifts".

What are cosmetic fillers used to treat?

Fillers are used to correct facial wrinkles and folds, augment lips, shape facial contours, and improve depressed scars.

What types of fillers are there?

The newest generation of fillers is made from a substance, hyaluronic acid (HA), which occurs naturally throughout the body and is found predominantly in the skin.  This substance is what keeps our skin plump and young looking and is what we lose over time as we age.

How safe are cosmetic fillers?

When used correctly and injected by a Dermatologist, cosmetic fillers are very safe.  Because HA is a natural substance already found in skin, there is very low risk that a patient will have an allergic reaction to a treatment.  No skin allergy testing is required. 

What are the risks and potential side effects of cosmetic fillers?

With the HA types of fillers, most patients have very few, if any, adverse side effects and little downtime after treatments.  The most common side effects are redness and/or swelling at the injection site which typically lasts for about two to three days.  As with any injection, bruising is also a possibility.  Please call our office to obtain the prefiller instructions to minimize your risk of bruising.  In addition, a very small percentage of patients (1 in 5000) may develop a hypersensitivity reaction to HA fillers, resulting in prolonged red, tender, or swollen areas. 

How do they work?

A Dermatologist will inject the filler under the wrinkle or fold.  The line is then filled in and the results are instant.  The cosmetic filler helps to restore volume to the skin, thereby softening wrinkles and reducing the visual effects of damaged skin.  They also can be used to fill in scars and to provide fullness to the lips.  One of our favorite areas to fix is the stubborn lines above the lip.  This will keep your lipstick from running into the lines.  In addition, many patients achieve quick, dramatic results by combining cosmetic filler treatments with Botox injections.

 Dr. Haley and Vicki Filz, CNP  have extensive experience treating thousands of patients with the following fillers:

  • Juvederm, Restylane, Perlane: These products are various formulations of a dermal filler that is based on hyaluronic acid and works together with the body’s own hyaluronic acid to create volume. Studies show that results last up to 6-12 months. They are effective for the nasolabial folds, under the eyes, between eyebrows and lip plumping.  



 

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  • Radiesse®: Another product within the “filler” category, Radiesse is made up of calcium hydroxylapatite (CaHA) suspended in a water-based gel. No skin testing is required. This product has a thicker consistency and is best for deeper nasolabial folds and rebuilding hollow areas of the cheeks, temples, and even hands.  The consistency of this product allows it to last longer than most fillers, up to 18 months. 

                                                               

 

 

 

 


Filler Pre-Treatment Instructions:

One Week Prior to Appointment:

  1. Stop taking Aspirin, Ibuprofen, Fish oil, St. John's Wort, and vitamin E
  2. Start taking Arnica Montana, 4-5 tablets, 4 times per day (Natural Grocers)

One Day Prior to Appointment:

  1. Eat a whole fresh pineapple or Take a Bromelain supplement

**** If you have previously suffered from facial cold sores, discuss it with your provider. You may need medications to minimize their recurrence.

Post-Treatment Instructions:

  1. There may be redness, swelling, and bruising for up to two weeks following your treatment. Be sure you don't have special events planned for that time frame.
  2. Using a cold compress immediately after treatment will help reduce swelling.
  3. Avoid touching the treated area within six hours following treatment. Then, you should wash your face normally with soap and water. You may return to your usual skincare routine the day after treatment.
  4. You may experience lumps or bumps in the treated area. Please schedule an appointment with your provider if they have not softened within one week.
  5. Continue to avoid using the blood thinners mentioned above for 48 hrs after treatment.
  6. If you bruise, continue Arnica Montana until bruising resolves. If you do not bruise, you will not need to continue this supplement.

Please call with any questions. We are here for you. (970) 252-7444