Fillers & Wrinkle Fillers – Non-invasive, Non-surgical Options
What areas of my face can be improved with fillers?
Fillers are most often used for the nasolabial folds (the crease between the cheek and the upper lip, also know as the smile lines), the marionette folds (the crease extending from the corner of the mouth to the chin), and the lips (for augmentation purposes). In the case of shallow folds and lines, gel fillers such as Juvéderm®, Restylane®, Hylaform, Elevess™, and Prevelle® Silk work best. Typically, 1.0–1.4cc of product is adequate to deliver the desired result.
Fillers may include Radiesse®, which is a higher-density paste, is usually better suited for individuals with deep nesolabial and marionette folds. The thicker paste provides more volume for filling these areas. One syringe of Radiesse® delivers 1.3cc and is usually adequate to treat these areas.
The ideal filler for lip augmentation and lip lines preserves their soft supple feel. Collagen performs well in this location, but unfortunately lasts only 2–3 months. Gel fillers like Juvéderm®, Restylane®, Hylaform, and Prevelle® Silk are also good options, and they typically last 4–6 months.
The under-eye area is a common concern as we age. In some cases, the hallowness and dark circles can be addressed with Juvéderm®, Restylane®, Prevelle® Silk, Elevess™, Radiesse® or Voluma. Because the under-eye skin is so thin, any filler must be injected into the deeper subcutaneous tissue where the filler will absorb more quickly. Fat is an excellent permanent filler options for this area.
Crow’s feet and forehead lines are considered dynamic lines; they appear as the result of muscle movement. BOTOX® Cosmetic is the treatment of choice for these lines. When BOTOX® Cosmetic alone is not enough for the deep vertical lines between the eyebrows, gel fillers can supplement the effect. Studies show better and longer-lasting improvement of these lines with the combination of BOTOX® Cosmetic and gel fillers.
Are any filler materials permanent?
Artefill® if the only FDA-approved non-absorbable filler for the correction of wrinkles known as “smile lines.” The unique microspheres in Artefill® are not absorbed by the body. These microspheres provide permanent support that skin needs for long-lasting wrinkle correction. In a US clinical trial study, full wrinkle correction was maintained throughout the year of the study. European studies, however, have demonstrated up to ten years of effectiveness with similar products.
What should I expect following my filler injection?
With all wrinkle fillers, you can expect mild swelling and redness for the first 24–48 hours. Occasionally, you’ll experience some mild bruising, but it typically disappears in 3–7 days. Less common side effects include rash, persistent swelling or redness, and increased sensitivity for all your injection sites. One other rare potential side effect of all dermal fillers is the appearance of lumps or unevenness. Unevenness for gel fillers usually responds to massage within 5–7 days. In the case of Radiesse® or Artefill®, lumps may signal a tissue reaction. Massage is encouraged; however, further treatment may be necessary.
What improvements can fillers make in my cheeks?
As we age, several events occur around the eyes, cheeks, and mid-face that contribute to a “tired” and aged look. Most notably, we lose fat in our face. This leads to the loss of our normal cheek highlight, as well as the appearance of dark circles under our eyes and hollowness in our cheeks. Volume restoration is often the treatment of choice. Typically, fat transfer to the site, or even cheek implants, provide the best improvement; however, fillers can be used in select cases. Voluma is designed for this area.
What improvements can gel fillers make under my eyes?
Gel Fillers are often used in the area under the eye. This is an area of very delicate and thin skin; therefore, filler should be injected deep under the eyelid muscle layer. Due to the location of the filler, the results may not last as long as desired. Radiesse® has also been injected into this area, but is not recommended as Radiesse® has a white tint that may show through very thin transparent skin.
Sculptra® is used extensively for AIDS patients with moderate to severe lipoatrophy of the face. It can also be used to compensate for the loss of fat volume that occurs with aging. In these cases, several Sculptra® injection sessions may be necessary to achieve the desired result.
How should I choose my filler doctor?
All of the currently available filler substances are safe and effective when used correctly. The skill of the injection is easy to learn. What is not easy is recognizing who is a candidate, which of the myriad of fillers and procedures will give the best results, and lastly, treating complications and side effects should they arise. A properly trained physician follows a complex series of treatment options for every patient. The goal of any treatment with fillers should be to achieve the best possible improvement with the least amount of risk. This knowledge and expertise comes from years of proper residency training and experience, not from a weekend course. Always check your doctor’s credentials and qualifications, and make sure you look for board certification in facial plastic surgery, plastic surgery, or dermatology.
What are my filler options?
Click a link below for more information about the Columbus, Ohio fillers we offer at The Sullivan Centre: