stock-photo-7020305-botox-treatmentDermal Fillers

Click the links below to see more information about each of our Dermal Filler procedures.

Fat Grafting

Juvéderm/Juvéderm Voluma

Restylane/Perlane

Belotero

Sculptra

Radiesse

LaViv

 

Fat Grafting

Fat can be used as a filler for reversing the signs of aging and lifting wrinkles. Fat transfer is a safe natural, non allergic procedure that uses your body’s own fat to add volume back to the face. Fat is harvested from a donor site and can be reinjected into facial areas-cheeks, chin, jawline, nasolabial folds, temples, lips and scars.

A fat harvest is an in office procedure under local anesthesia, where fat is removed from an area of excess. The procedure takes one hour and medical clearance is needed. Additionally, we recommend arnica and bromeline pre-op for three days prior. Hips, abdomen, legs are common fat donor sites. After the fat is removed, it is then injected into the areas to be treated. The procedure takes one hour and medical clearance is needed. The treated area is immediately swollen after injections. Bruising can also occur which resolves in about a week. Multiple injections are needed over time and spaced 4-8 weeks apart. Once grafted, fat can last up to two years.

Areas to be treated can include hollow cheeks, lines around the mouth and chin, acne scars, traumatic scars, and hands. Using your own fat is a wonderful filler alternative.

Juvéderm/Juvéderm Voluma

 

Juvéderm

Juvéderm injectable gel is a hyaluronic acid dermal filler that helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds. Hyaluronic acid (HA) is a naturally occurring molecule. Its primary function is to bind and absorb water, which creates volume in the face. Young, healthy-looking skin contains an abundance of a hyaluronic acid (HA). As you age, the amount of HA reduces in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds.

Juvéderm XC injectable gel works to correct this by restoring hyaluronic acid in your skin, helping to diminish wrinkles and nasolabial folds.

Juvéderm XC dermal filler is a nonsurgical, physician-administered treatment for nasolabial folds and other facial wrinkles. Using a fine needle, Juvéderm XC under the skin to fill the soft tissue of the dermis. This adds volume and diminishes the appearance of wrinkles and nasolabial folds instantly. Longevity varies depending on the area injected.
While there are a variety of hyaluronic acid fillers, Juvéderm XC is uniquely formulated. A next generation HA filler, Juvéderm XC uses a manufacturing process called HYLACROSS technology. HYLACROSS gives Juvéderm XC its special smooth-gel structure that holds up over time.

Juvéderm Voluma

Some patients need additional volume in their cheeks for lifting. Juvéderm Voluma XC  injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour. It’s different than Juvéderm XC and works on a different area of the face. Juvéderm XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. Juvéderm Voluma XC, however, adds volume to the cheek area. Juvéderm Voluma satisfies a need for volumizing the cheeks to restore support for the lower face in addition to the upper face.

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is a risk of infection.

Restylane/Perlane

Restylane and Perlane are hyaluronic acid dermal fillers. Hyaluronic acid (HA) is a naturally occurring molecule. Its primary function is to bind and absorb water, which creates volume in the face. Young, healthy-looking skin contains an abundance of a hyaluronic acid (HA). As you age, the amount of HA reduces in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds.

Restylane helps restore volume and fullness to the skin to correct facial wrinkles and folds. Perlane is more concentrated, and offers beautiful enhancement for additional areas of the face — the lips, the chin line, the cheeks, around the mouth and eyes, and very deep folds between the lips and nose. Both dermal fillers are made of hyaluronic acid, a natural substance that already exists in the human body. The hyaluronic acid in Restylane and Perlane is a crystal-clear gel called NASHA or Non-Animal Stabilized Hyaluronic Acid.

Restylane and Perlane are injected into the skin in tiny amounts with a very fine needle. The results are instantaneous and produce a long-lasting, natural enhancement, gentle and safe to your skin. The hyaluronic acid in Restylane and Perlane is hydrophilic or “water loving.” This ability of hyaluronic acid to bind to water is what helps provide long lasting benefit.

Perlane is used over Resytlane to correct deeper wrinkles and give more volume lifting. Perlane has larger average size particles than Restylane and is injectioned deeper into the skin.

The most commonly observed side effects are swelling, redness, pain, bruising, and tenderness at the injection site. These are typically mild in severity and resolve in less than 7 days in nasolabial folds.

Belotero

Belotero Balance Dermal Filler is a different type of filler specially designed to integrate into your skin and mold to your distinct facial contours. By adapting to the individuality of your skin, it softens lines and wrinkles around the nose and mouth for smooth and natural results. Belotero is an injectable hyaluronic acid gel with different properties that allow it to adapt within the skin for soft and even correction. It can be injected into fine wrinkles yet the versatility of the product makes it strong enough to handle many treatment areas such as: nasolabial folds (smile lines around the mouth) and delicate areas such as vertical lip lines (thin lines that appear above the lip line) and tear trough (under eye area).

After any injection, you may experience mild irritation, swelling, itching, redness, bruising or tenderness at the injection site. These side effects typically resolve on their own. The results typically last four to six months.

Sculptra

Sculptra Aesthetic is made of a synthetic material called poly-L-lactic acid, which works to replace lost collagen. Poly-L-lactic acid is safe — absorbed naturally by the body — and has been used for years in dissolvable stitches. When injected, it adds volume to larger areas of the face. Sculptra is especially useful for patients with thin faces, or who have lost much of their cheek fat due to extreme fitness, genetics, medications, or other reasons. Sculptra Aesthetic is suitable for: deep folds between the nose and the mouth (nasolabial folds) also called smile lines, the lines framing your mouth (marionette lines) and chin wrinkles. It can also be used in the back of hands for aging, in the upper chest for deep lines, in areas of depressions, and for cosmetic correction of scars.

The Poly-L-lactic acid particles stimulate the formation of new collagen in the skin, adding volume over time. As you age, your body’s collagen production decreases, and you may begin to see wrinkles. The Poly-L-lactic acid particles stimulate the formation of new collagen in the skin, adding volume over time.

Within the deep dermis, your skin’s structure is reinforced as Sculptra Aesthetic helps to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow to deep facial wrinkles and folds that has been depleted over time. It requires multiple treatment sessions spaced 2-3 months apart. Improvement is gradual over 6 months but provides a more youthful looking appearance that can last more than two years.

You should not use Sculptra Aesthetic if you are allergic to any ingredient of the product or have a history of keloid formation or hypertrophic scarring. It should not be injected while you have an active skin infection or inflammation in the treatment area and should not be injected into the red area of the lip. Side effects may include injection site discomfort, redness, bruising, bleeding, itching and swelling. Other side effects may include small lumps under the skin that are sometimes noticeable when pressing on the treated area. After injections, patients are instructed to massage the area multiple times a day and for a few days.

Radiesse

Radiesse is a synthetic dermal filler made of calcium hydroxylapatite. When injected into the deep dermis and subcutis, Radiesse acts as a scaffold under the skin providing structure and stimulating your own collagen to grow. This natural collagen continues for several months. The results are immediate correction and long lasting.

It is used for soft tissue augmentation and can help to fill in deep skin folds and wrinkles. It is helpful for jawline definition, chin, cheek augmentation, temple augmentation, and even in the hands. The effects of a Radiesse treatment can last six months to one year.

Immediately after injection, the areas will be iced for 15 minutes. There is no exercise for the rest of the day and no dental work for two weeks. It is normal after injections to have temporary bruising and swelling that can last a week.

LaViv

LaViv (azficel-T) is an autologous cellular product indicated for improvement of the appearance of moderate to severe nasolabial fold wrinkles in adults.

Your LaViv therapy is made up of tens of millions of collagen-producing fibroblasts that are cultivated from your own skin samples. The result — LaViv contains at least 98% pure fibroblasts.

LaViv is a personalized cell therapy that uses your own fibroblast cells to improve the look of your smile lines. Here’s how the process works:

  • To begin, small skin samples from behind your ear with the use of a local anesthetic.
  • These skin samples are sent to Fibrocell Science, the makers of LaViv.
  • Using a state-of-the-art process, Fibrocell Science expands your fibroblasts from your skin sample into millions of new fibroblast cells. These cells then undergo a comprehensive quality control process.
  • All of your cells are cryopreserved (frozen) and those that are not immediately used are stored at Fibrocell Science’s FDA-inspected manufacturing facility for future use.

Following the development and quality control processes, your personalized LaViv therapy will be ready in approximately 3 months.

Using a small needle, LaViv is injected directly into your smile lines. You will receive 3 injections of LaViv, spaced at intervals of 3 to 6 weeks.

It is very important that you arrive on time and as scheduled for your treatment sessions. If you need to miss an appointment, you must notify our office no later than 2 days prior to your scheduled appointment to reschedule. Your LaViv therapy is made up of live collagen-producing fibroblast cells. If you miss a treatment session, your LaViv cells will expire and must be thrown out.

The most common side effects of LaViv are at the injection-site, including redness, bruising, swelling, pain, bleeding, lumps, irritation, and itchiness. In clinical trials with LaViv, most injection-site adverse reactions resolved within one week and most required no treatment.