My philosophy on fillers? With the right one – or the right combination – you can plump, fill and smooth wrinkles beautifully, achieving results similar to or better than those of more aggressive procedures.
A dermal filler injection is one of the few procedures that can instantly improve your appearance with little or no downtime. While there are many types of fillers available (and while it’s not uncommon for physicians to treat multiple areas of the face with just one), they offer different benefits. To me, using the best possible filler for each area of treatment is key to achieving the most natural and beautiful effect. However, equally important to the type of filler used, its also where the filler is placed that gives one the best look possible. Also, to decrease the risk of bruising, I often use cannulas to inject fillers, rather traditional needles.
The following injectable fillers are highly effective when used in the appropriate areas:
Volume filling, facial shaping or lifting
Fat injections
Voluma
Radiesse
Sculptra
Fine line or crack filling
Belotero
Restylane Fine Lines
General filling
Juvaderm
Juvaderm Ultra Plus
Restylane
Perlane
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Hyaluronic Acid (HA) fillers are versatile, long-lasting fillers that primarily contain Hyaluronic acid. Hyaluronic acid is a natural sugar found in the human body that attracts and binds water which enhances the volume of the skin and comes in the following various forms. Many patients prefer these types of fillers due to their easy reversability. Restylane is a medium firm HA filler and is my product of choice for under eye filling and turning up the corners of the mouth. It can take years off ones face by softening the nasal-labial folds. Juvederm is the softest of all HA products and yet has the highest concentration of hyaluronic acid. It is considered to be the long lasting and is an excellent choice for soft, natural looking and feeling lip enhancement as well as improvement of the nasal-labial folds. Perlane and Juvederm UltraPlus are thicker versions of these products and work well for enhancing cheekbones, angles of the jaw and filling in hollow cheeks.
Voluma is the newest hyaluronic acid deep filler which is also exceptional for treating volume loss. This works wonders for creating cheekbones, jawlines, chins and filling in very hollow cheeks. You can achieve an instant lift that can last up to 1 or 2 years.
Radiesse is a firm calcium based filler that is exceptional for creating strong cheekbones, filling in sunken in cheeks and restoring a fuller chin. Areas that require a larger fill volume to soften, enhance and lift usually do very well with this product.
Sculptra is a great injectable material that is used to fill in larger areas It is a biostimulatory product, which means that it slowly gives change over time by stimulating your own collagen production. Multiple injections may be required, however, once the desired affect is achieved the results can last up to two years. No skin test is required.
Belotero and Restylane Fine Lines are best used to fill in fine lines and cracks in the skin. I often supplement very light Dysport injections in the forehead with these fillers to soften forehead lines and lines around the upper lip.
