Soft tissue fillers are FDA-approved and safe for use by most patients. Many of the fillers are made from substances found naturally in the body, or synthetically made to mimic natural substances or stimulate collagen production. These fillers are injected directly into the skin of the targeted area to restore volume and reduce the appearance of fine lines and wrinkles. At Weissmann Mehrel Dermatology, we offer patients several different soft tissue filler options in order to provide the best possible results for their individual needs, including the following:
Restylane® is an injectable filler, used for smoothing out facial wrinkles. It is a biodegradable gel composed of hyaluronic acid, a natural substance occurring within the body. In addition to adding fullness to the skin, Restylane attracts water molecules to the site of the injection, further enhancing its effectiveness.
Restylane provides results that are noticeable immediately after injection, although it may take a few days for swelling to subside. Day-to-day activities can be resumed immediately afterwards, with no downtime necessary. To maintain its effects, additional Restylane injections should be administered about 4 to 8 months later.
There are minimal complications associated with Restylane. The compound itself is derived from bacterial origins, so most allergies should not be an issue (unless specific to bacterial proteins). Side effects may include slight redness, minor swelling, and mild discomfort, which usually subside within three days, as the body adjusts to the new hyaluronic acid. Patients should refrain from rubbing or massaging the treated area for approximately 48 hours.
Perlane® is an injectable filler used to treat deep facial lines, augment the lips and contour the cheeks and chin. Made by the same company that produces Restylane®, Perlane contains purified hyaluronic acid, a sugar found naturally in the body that works with collagen to keep the skin smooth and supple. It is hypoallergenic and does not require a pre-treatment skin test. With its unique ability to bind with water, Perlane continues to perform up to 60% longer than collagen.
Juvéderm® Voluma XC
Juvederm Voluma XC in a newly FDA approved gel flller suitable for volume replacement in the cheeks and has been reported to last up to two years with optimal treatment. It is injected with our gentle technique to minimize bruising and swelling and produce immediate results. Its placement in the deeper layers of facial tissue allows for plumping and lifting of facial sagging and can often be combined with other more superficial fillers to produce comprehensive volume rejuvenation sometimes referred to as "liquid face lift".
Juvéderm is an injectable gel that gently reverses many signs of aging in the face, including fine lines and wrinkles, crow's feet, thinning lips and loosening skin. It can also "plump up" the lips, sculpt the cheeks, and restore a youthful oval shape to the face. It is made with hyaluronic acid, a natural substance found in the body that works with collagen and elastin to give volume and support to the skin. Because it is non-animal-based and highly biocompatible, no pre-treatment testing is needed. Juvéderm comes in three formulas optimized for the depth of the area being treated. Results last about 6-9 months and can be made to last even longer with a simple follow-up treatment a few weeks after the initial injection.
Radiesse® is a synthetic injectable filler that reduces wrinkles, creases and scars by augmenting the body's natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse is made from the same minerals found in our bones, so it carries little risk of allergic reaction. Radiesse can be used on many areas of the body, including the lips, nasolabial folds, peri-oral lines, depressed scars and oral commissures.
Treatments typically take 15 minutes and require only local anesthetic. Side effects such as swelling or bruising are minimal and should fade within a few days. Results are visible immediately after the injection and can last for months or years, although the procedure can be repeated as often as you wish.
Sculptra® is an injectable product that restores and corrects the signs of facial fat loss by replacing lost volume. Facial fat loss, or lipoatrophy, is the loss of fat beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. Sculptra provides a gradual and significant increase in skin thickness, improving the appearance of folds and sunken areas.
The results from Sculptra® are not immediate but they are long-lasting. In a clinical study, effects lasted for up to two years after the first treatment session in most patients. No skin testing is required.
The use of blunt tipped microcanulas has revolutionized the techniques we use for facial volume restoration using fillers. Applying our decades of expertise of using canulas in fat transplantation the advent of these thin microcanulas now allows fillers to be deposited in any tissue layer of the face, where there is depletion of tissue volume in a non invasive, safe and comfortable manner. Whether localized to certain areas or a more extensive "liquid face lift", the use of these instruments has greatly enhanced the spectrum of non invasive facial rejuvenation.
Belotero Balance® is an advanced hyaluronic acid (HA) gel dermal filler that is injected just under the skin's surface with minimal irritation. The gel adds volume and smoothes out facial wrinkles and folds for a more youthful appearance.
Belotero Balance® consists of purified hyaluronic acid, which is a natural complex sugar already found in your skin. The patented HA formula is particularly suited to be injected into superficial lines and wrinkles such as those around the mouth and eyes. The molecules attract less fluid than other HAs and the amount of swelling after injection is reduced.