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Dermal Fillers
What are dermal fillers?
While botulinum toxin A relaxes facial muscles, dermal fillers lift up skin from underneath the surface. This allows them to change the appearance of your skin’s contour. Dermal filler injections can correct lines, wrinkles, areas of depression, and regions of volume loss in the face. They can also be used to lift up depressed scars, straighten the profiles of noses, extend weak-appearing chins, and increase lip volume.
What fillers are available?
At one time, we only had bovine collagen to meet these needs. Now, however, we have four different types of fillers that we can use. Interestingly, collagen is no longer one of them. Collagen fillers lasted a maximum of 4 months; they have disappeared due to better, longer-lasting options.
Let’s now look at each of the four classes of fillers now available to us.
Hyaluronic Acid-Containing Fillers.
By far the most frequently used of today’s choices are the HA fillers. These products are popular because they last longer than collagen (6-18 months.) They are also “moldable” throughout their time under the skin. We can use these fillers in all areas of
Restylane
The first family of fillers to gain FDA approval in the US.
Contour
Juvederm
The most commonly used family of fillers in US.
Juvederm Ultra – can be used almost anywhere.
The “jack-of-all-trades” of Juvederm products.
Juvederm Volbella – for extremely fine lines.
Revance
RHA® is Resilient Hyaluronic Acid, and represents the latest advancement in HA filler science: designed for dynamic wrinkles and folds to help you look beautiful at rest, and flawless in motion.
Redensity – for the most superficial of thin lines.
RHA2 – for the thinnest lines.
RHA3 – for medium lines and lips.
RHA4 – the thickest density of the Revance fillers, for deep lines.
Radiesse Filler.
Radiesse is made by the German company Merz Aesthetics. Radiesse lasts an average of 10-12 months, ideally. (The range of duration is a very wide 4-24 months.) It is also relatively inexpensive per unit volume. Radiesse comes in the largest syringe size of 1.5 ml. This product is used mainly as a volumizer in regions like the mid-face (cheek bones, cheeks), temples, noses, and chins. The glabella (the region between the eyebrows) or the lips should not be treated with Radiesse. This product gets high marks for causing a secondary collagen-stimulating effect that can result in long-term skin thickening. Only Sculptra (PLLA) causes more collagen production stimulation than Radiesse.
Sculptra.
Sculptra is a pure, long-term volumizer. It lasts more than two years. Some experts in our field believe that it never goes away entirely. Unlike all of the other facial fillers, Sculptra is injected as a series of 3-4 treatments initially. After that, we use single additional treatments to boost it every 1-3 years. Sculptra is often the best option for a thin, aging face. This is because it can improve that “gaunt” appearance that can be so frustrating for those with thinner faces. We’ve used this product many times over the years with excellent outcomes.
Renuva.
Renuva is a groundbreaking treatment that restores age-related volume loss in the face and hands and body. Over time, Renuva is replaced with your body’s own fat – leaving you with lifelong subcutaneous volumization for a look that’s still you, only better!
Lip Fillers
Under-Eye Fillers
Cheek Fillers
Temple Fillers
Chin Fillers
Jawline Fillers