Derma Fillers – Facial Fillers

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There are many injectables that can be used to address varying degrees of wrinkles and folds, as well as different areas of the face. Derma fillers address facial furrows by plumping up facial volume and in turn filling fine lines and wrinkles, while denervating agents such as botox can be used to minimize muscle contractions that lead to expression related creases. After a thorough examination, the doctor will create a customized treatment plan that is designed for your specific signs of aging as well as your goals.

The doctor may use temporary fillers such hyaluronic acid based Restylane and Juvederm or collagen based CosmoDerm and CosmoPlast, as well as longer lasting injectables like Radiesse, Artefill and Sculptra. Botox can also be used in conjunction with fillers to relax the facial muscles that contribute to wrinkles and folds. These products will be injected at varying depths to fill creases and create more youthful contours. Treatment can take as little as 30 minutes depending on the number of injection sites and the injectables used. In general, Restylane and Juvederm fill lips and creases, CosmoDerm and CosmoPlast fill fine lines and thinner tissue, like near the eyes, and Radiesse and Sculptra  create new curves or fill deep crevices.

For the most part, injectable results are seen instantly. However, if Sculptra is used, it can take up to two sessions to see improvement in the treated areas, up to two months apart. It is important to remember that some of the initial plumping may be due to over filling and swelling. While there will be multiple injection sites, there are no incisions, but you may experience swelling or bruising for the first few days after treatment. Any injection runs the risk of bruising. To keep swelling to a minimum, Patients leave the office with an ice pack and are advised not to exercise over the next few hours to prevent an increase in heart rate or blood pressure. Additionally, patients should avoid vitamin E, aspirin, anti-inflammatories, herbal supplements and other medications that promote bruising.

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