Injectible Fillers

Injection of Hyaluronic Acid can be used to improve facial wrinkles and depressed scars, by filling in sunken areas of the skin, helping you look and feel better! Hyaluronic acid is a polysaccharide molecule naturally found in the extracellular space of all tissues in all vertebrates. Its function is usually to provide a matrix to provide volume and support to cells and tissues.

Juvéderm™Restylane® and BELOTERO BALANCE® are specific brands of Hyaluronic Acid Fillers and are FDA-approved for use in facial wrinkles.

How do fillers work and are fillers right for me?

Hyaluronic Acid is introduced into the affected area by injection. The purified Hyaluronic Acid thus stays in the desired area of the skin, and "fills" it in. Water binds to the molecule, and helps provide volume. Different conditions in which areas of the skin are sunken in or depressed respond well to this treatment. Common conditions include wrinkles, such as around the cheeks, lips, frown lines or smile lines between the upper lip and cheeks. Flattened or less defined lip borders can also be plumped up with Hyaluronic Acid. Depressed acne scars can also be filled. Pitted or "ice pick" acne scars do not respond well. A treatment typically lasts more than 6 months, before the body naturally reabsorbs the injected Hyaluronic Acid. At that time, repeat treatment can be done if desired. Unlike collagen injection, Hyaluronic Acid treatment can be performed without prior skin test.

Your practitioner will determine the amount and type of hyaluronic acid to be used, depending upon the defect to be treated.

What can I expect during the consultation?

Prior to treatment, your physician will take a medical history, to be sure that you can proceed with treatment. You should let your physician know if you have a history of cold sores. You should avoid blood thinning medications such as aspirin, ibuprofen, St. John’s Wort, or high doses of vitamin E, for one week prior to and after treatment.

What can I expect during and after treatment?

The actual Hyaluronic Acid treatment involves injections with a fine needle directly into the desired areas. Topical anesthetic can be placed on the area prior to treatment, and you can ask your practiitoner beforehand. Also, at the time of treatment, a nerve block can be administered, which involves injection of a local anesthetic into the areas of the gums.

There may be some local bruising, similar to having blood drawn. There is usually some slight swelling and redness, lasting approximately 2-3 days. Cold compresses may be applied to help alleviate symptoms. Other less common risks include allergic reaction, formation of scab or scar, and light or dark discoloration at injection sites, or infection. There is a remote possibility that hyaluronic acid can be injected into a blood vessel causing blockage. There is always the possibility that you will not notice improvement.

For additional safety information for Juvéderm™ click here, for Restylane® click here, and for BELOTERO BALANCE® click here.

Restylane® before and after photos:

 

Juvéderm™ before and after photos:

 

BELOTERO BALANCE® before and after photos: