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Dermal Fillers

Procedures » Injectables and Contouring » Dermal Fillers

Types: Restylane®, Restylane-L®, Restylane-Lyft®, Juvederm® Voluma, Juvederm® Ultra and Ultra Plus, Sculptra®, Radiesse®, Belotero

Dermal fillers are delivered by injections to add volume to the face or to plump up scars, marionette lines, laugh lines or lips.  They are a popular form of skin rejuvenation to soften fine lines and restore youthful contours. Results greatly depend on the skill and experience of the physician.

As with most injectable treatments, you are relying not only on the physician’s intimate knowledge of the physiology of the skin and underlying muscle structure, but also on their aesthetic sense, skill, and ability to deliver an appropriate and natural-looking result.

Injectable treatments are often viewed unfavorably exactly because there are a lot of poorly executed examples in media.

The physicians at Union Square Laser Dermatology are internationally acclaimed experts in the use of dermal fillers, with a reputation for achieving natural results that do not advertise that the patient “had work done.”

Types of Dermal Fillers

The current FDA approved fillers contain one of 3 key ingrededients: hylauronic acid, calcium hydroxyapetite, and Poly-L-lactic acid.

Hylauronic Acid

Hylauronic Acid fillers are composed of a natural sugar-based substance that bind to water and give the skin a natural plumpness. The sugar molecules attach to each other by chemical crosslinks to make smaller and larger size particles to target finer and deeper wrinkles. Hylauronic acid fillers are eventually dissolved by the body’s enzymes within 6-12 months. There are several brands of hylauronic acid fillers including:

Beletero® for fine lines and Restylane-lyft® for deeper lines.

Juvéderm® Voluma is the only FDA-approved filler to correct age-related volume loss in the mid-face and can be used to fill and lift the mid-face and cheeks and to reduce nasolabial folds. Juvéderm Voluma uses a new cross-linking technology to bind the hyaluronic acid molecules that not only produces the lift and fill needed for mid-face applications, but also contributes to its long-lasting nature. Studies have shown that with optimal treatment, results can last up to 2 years. Like other hyaluronic based fillers, Voluma is well tolerated with minimal side effects.

Our Verdict: In the right hands, Juvéderm Voluma™ XC can give a subtle but cosmetically significant lift that helps restore facial contours and reduce nasolabial folds, making our patients look up to 5 years younger!

Juvéderm® Voluma XC before and after

Juvéderm® Voluma XC before and after

Juvéderm® Voluma XC used to fill and lift the mid-face and cheeks and reduce nasolabial folds:

Our Verdict: In the right hands, Juvéderm Voluma™ XC can give a subtle but cosmetically significant lift that helps restore facial contours and reduce nasolabial folds, making our patients look up to 5 years younger!

Calcium Hydroxylapetite

Microspheres of calcium hydroxyl appetite can be used to correct deep wrinkles and folds. The skin creates long lasting scaffolding around this substance, which helps create structure and contour, especially along the jawline. The filler Radiesse® is the only product on the market containing calcium hydroxylapetite.

Radiesse® volumizing filler used to reduce wrinkles in the mouth area of a male patient:

Radiesse volumizing filler on male patient

Radiesse volumizing filler on male patient

Poly-L-Lactic Acid

Poly-L-lactic acid found in Sculptra® is a longer-lasting alternative for individuals with more significant volume loss. Poly-L-Lactic Acid stimulates your own collagen production over the course of 2-3 months to give you a more natural volume. Clinical studies have demonstrated results lasting up to 2 years.

Tear-trough fillers

Dr. Chapas has received recent attention for her technique with fillers in the tear trough area under the eyes. This procedure provides a non-surgical alternative to rejuvenation of the tear trough, which can acquire a hollow look as a result of age-related fat loss.

Our verdict: Tear trough fillers can offer more natural results at lower risk than alternatives like fat transfer or fat grafting, but due to the nature of the skin in this area, considerable skill is required to achieve natural results while avoiding problems such as lumps or unevenness.

Dr. Chapas used this tear trough filler treatment to reduce hollowness and fine wrinkles. As the effect is subtle, check out a higher resolution photo.

Tear trough filler treatment

Tear trough filler treatment

 For more information on the latest fillers, read more from Dr. Chapas on the Huffington Post.

 

All About Fillers: The Different Options And What They Do
Why I Use A Cannula Needle When I Inject Restylane Lyft, A Hyaluronic Acid-Based Filler
ALLURE – The Complete Guide to Facial Fillers
New Beauty – Restylane Announces Another FDA-Approval for Dermal Fillers
Coveteur – 3 Ways Celebrities Use Filler with No One Noticing
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Before and After photos for right thigh treatment with truSculpt
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