As we age, facial creases and lines begin to dominate our facial expressions. Dermal fillers have completely changed the anti-aging strategy for restoring age-related volume loss and redefining facial youth. Nothing is more gratifying for cosmetic patients than having an immediate correction of wrinkles or folds as a result of the injection of the dermal filler. Soft fillers are substances injected beneath the skin to restore facial volume and eliminate wrinkles, creating a smooth and youthful-looking appearance of the skin.
Dermal fillers are widely used to correct a variety of cosmetic concerns such as glabella and periorbital wrinkles, droopy eyebrows, dark circles or puffy under-eyes, tear-trough deformities, flat cheeks, deep nasal folds, vertical lip lines (Smoker’s lines), oral commissures, marionette lines, thin lips, depressed acne scars, aging hands, and others. It is well known that dermal fillers are able to stimulate collagen growth, taking years off your face and delaying the necessity of surgery.
JUVÉDERM® family of products:
$500-$825 per syringe
Restylane® family of products:
$650-$800 per syringe
Merz Aesthetics® family of products:
$700-$750 per syringe
Revanesse® family of products:
$650 per syringe
FDA-Approved to Last for 5 Years:
One week prior to your treatment with filler, avoid taking St. John's Wort, aspirin, non-steroidal anti-inflammatory drugs, e.g. Advil, and high doses of Vitamin E supplements. These agents may increase bleeding and bruising at the injection site. During your visit photographs will be taken. A mild anesthetic cream is applied to the treatment area for your comfort. The dermal filler is then injected into the skin beneath the wrinkle using a small, atraumatic cannula. A small injection of a numbing agent is used to numb the area prior to the filler injections.
Treatments are very quick and take about 20-40 minutes depending on the number of facial areas and wrinkles treated. The results are very striking and can be seen instantly. Some redness following the treatment is common and usually resolves after a few hours. Make-up can be applied immediately after a dermal filler treatment and you can return to your daily activities.
Application of cold compresses or ice will help to reduce some of the swelling, as well as soreness from injections. For the first 24 hours following treatment, you should avoid strenuous exercise, excessive sun or heat exposure, and consumption of alcoholic beverages in order to help minimize the risks of side effects. After the treatment, some temporary injection-related reactions may occur, including redness, pain, itchiness, discoloration, firmness, swelling, bumps, and tenderness at the injected site. Studies have shown that these are usually mild to moderate in nature and clear up on their own in 7 days or less. If you experience swelling at the injection site, you can apply an ice pack for a brief period. If you have previously suffered from facial cold sores, there is a risk of recurrence. You would be given medications that may minimize a recurrence.
The extent of time that dermal fillers last depends on the type of filler used and the area treated. A Hyaluronic Acid dermal filler on average lasts around 6-12 months. Thicker dermal fillers such as Radiesse® and Juvederm Voluma® tend to last longer than those used for fine lines. At about 6-8 months as the dermal filler is gradually broken down and the level of volume lessens, you are advised to touch up the area to retain the effect. If you decide not to, the area will gradually return to how it was before the treatment. A great advantage of dermal filler treatments is that they are long-lasting, but not permanent, which gives you the option to reassess your needs, once the initial effects have worn off.