Injectable fillers are used to reduce the appearance of wrinkles and lines. They are typically used for the nasolabial folds, marionette lines, and lips. They can also reduce soft tissue defects from surgery, an accident, or even acne. When injected below the surface of the skin, these substances plump or fill out an area. Though the results are immediate, it is important to know that for most products, the results are only temporary lasting from 6 months to over one year.
The majority of injectable fillers are hyaluronic acids. Hyaluronic acid is a natural complex sugar found throughout all living organisms that retains water-absorbing more than 1,000 times its weight and adds volume to the skin’s surface. In addition, hyaluronic acid binds with collagen and elastin and transports essential nutrients to these fibers. The triple combination of collagen, elastin, and hyaluronic acid provides structure, elasticity, and volume to the skin and contributes to its overall appearance.
As the skin ages and is exposed to environmental pollutants and ultraviolet light, the cells lose the ability to produce hyaluronic acid. As a result, the skin begins to lose volume, resulting in the formation of facial wrinkles and folds.
Radiesse is a new synthetic material made of components well-known to be biocompatible. Each of the elements in Radiesse has an extensive record of safe clinical use in a range of applications. Radiesse is composed of microspheres of calcium hydroxylapatite (CaHA), the same material that is a major component of bone and teeth. It is suspended in a carrier gel of sodium carboxymethycellulose, glycerin, and water. There is no allergy testing required for injection of Radiesse. There are no animal or human derived components. Many of the new uses involve filling of the nasolabial folds, gabella, marionette lines, and nasal augmentation. We do not use Radiesse for any lip augmentation due to the occasional appearance of lumps or nodules.
Radiesse now comes in 1.5cc syringes. It is injected with a small 27g 1/2 inch needle into the mid dermis area. It has a shelf life of about 2 years. Many of the initial studies done in Europe indicate that Radiesse lasts longer than most filler. It is our experience that the filler may last for up to 1 year.
- No allergy testing required
- No animal or human derived components
- Easily injected sub-dermally or intramuscularly
- Many years of safe clinical use
The “next generation” of Hyaluronic Acid Dermal Fillers
Juvederm is a cross-linked hyaluronic acid dermal filler that was approved by the FDA in June 2006. In its natural form, unbound hyaluronic acid forms a liquid made of highly-hydrated individual polymers (chains) that are metabolized in the body in just 12 hours. Cross-linking refers to a process in which the individual chains of hyaluronic acid are chemically bound (or “cross-linked”) together, transforming the liquid hyaluronic acid into a soft solid, or “gel”. The firmness of the gel depends on the degree of cross linking of the individual hyaluronic acid chains. The body metabolizes cross-linked hyaluronic acid more slowly, resulting in a longer duration of effect when hyaluronic acid is used therapeutically.
Juvederm dermal filler is the only hyaluronic acid dermal filler developed using a proprietary, technologically advanced manufacturing process that results in a malleable smooth gel that flows easily into the skin, creating a smooth, natural look and feel. All other currently approved hyaluronic acid dermal fillers utilize a gel particle suspension formulation. These gel particles can be visibly seen as opposed to the smoother formulation used in Juvederm. Juvederm dermal filler can be administered in a smooth-flowing injection, providing a high level of control for individual, tailored facial contouring and for achieving a smooth and natural look.
In the U.S., Juvederm injectable gel is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds), and is generally well tolerated. The most common reported side effects are temporary injection site redness, swelling, pain, tenderness, firmness, lumps, and bruising. Exposure of the treated area to excessive sun, and extreme cold weather should be minimized until any initial swelling and redness has resolved. If laser treatment, chemical peel or any other procedure based on active dermal response is considered after treatment with Juvederm injectable gel, there is a possible risk of inflammation at the treatment site.
Patients who are using substances that can prolong bleeding, such as aspirin or ibuprofen, as with any injection, may experience increased bruising or bleeding at the injection site. You should inform us before treatment if you are using these types of substances. As with all skin injection procedures there is a risk of infection. Juvederm injectable gel should be used with caution in patients immunosuppressive therapy, or therapy used to decrease the body’s immune response, as there may be an increased risk of infection. The safety of Juvederm injectable gel in patients with a history of excessive scarring (e.g., hypertrophic scarring and keloid formations) and pigmentation disorders has not been studied.
Juvederm injectable gel should not be used in patients who have severe allergies marked by a history of anaphylaxis or history of multiple severe allergies. Juvederm injectable gel should not be used in patients with a history of allergies to gram positive bacterial proteins. The safety and effectiveness of Juvederm injectable gel for the treatment of areas other than facial wrinkles and folds have not been established in controlled clinical studies.
Restylane is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds. Restylane is made of non-animal based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. Unlike other products, Restylane is non-animal based which virtually eliminates any risk of animal-based disease transmission or allergic reaction. Restylane requires no pretesting. You should avoid aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort, or high doses of Vitamin E supplements prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence.
How long does Restylane last?
Studies have shown that the average treatment results last six months, or even longer. Restylane should typically be scheduled twice a year and lasts far longer than collagen. One of the advantages of Restylane is that it is not permanent. If the results are not what you expected, the medication will be gone over a 6 month period.
The treatment takes less than 30 minutes. Dr. Jagodowicz uses numbing creams or small dental blocks to reduce pain on injection. Side effects are uncommon, but immediately after treatment the treated area can be slightly swollen and red. This usually disappears within 48 hours. Bruising may also occur.
Restylane most common uses are:
- Wrinkles of the face
- Nasolabial folds
- Marionette Lines
- Glabellar frown lines
- Chin augmentation
- Lip enhancement
- Acne Scars
- Augmentation of cheek bones
- Augmentation of the nipple Sculptra
Belotero is a gel containing hyaluronan, a natural component of our skin, which helps to keep the skin moist and elastic. The hyaluronan content of the skin diminishes with age, which is the reason wrinkle lines begin to appear. Belotero is a filler which plumps up the wrinkles by replacing the lost hyaluronan. Belotero targets specific concerns, where fine lines can form, mostly on the upper lip and around the eyes. Belotero is able to fill out the skin more effectively, giving you a more natural look and setting new standards in wrinkle correction.
We use Belotero to treat the fine lines and wrinkles of the face. It is one of the newest dermal fillers that are used to tackle wrinkles of the upper lip lines and fine lines around the eyes. Because of its ability to seamlessly integrate with the skin’s natural facial features, Belotero provides a detailing effect by providing subtle volume in the face as well as hydrating the skin. Patients, who have lost their once youthful lips and eyes to wrinkles, can have them restored with the injections that provide safe and effective results. Damage over the years and factors such as sun and smoking cigarettes produce wear and tear to the face. Belotero provides a smoother solution for correction of this damage.
- Upper lip wrinkles
- Wrinkles around the eyes
- Correction of nasolabial folds
- Treatment of depressions caused by acne scars
- Treatment of marionette and other facial lines
Sculptra is an injectable implant that contains microparticles of poly-L-lactic acid, a biocompatible, biodegradable, synthetic polymer. Lactic acid polymers have been widely used for many years in resorbable sutures and are typically nontoxic even in large quantities within the body. It is injected into the skin for restoration and/or correction of the signs of facial fat loss (lipoatrophy). This filler was first used in patients with human immunodeficiency virus. Sculptra has been clinically proven to be an effective, well-tolerated, and long-lasting treatment for signs of facial fat loss.
How does Sculptra work?
Sculptra is injected below the surface of the skin in an area of fat loss. The substance provides a gradual increase in skin thickness. Visible results appear within the first few treatment sessions. Sculptra will not correct the underlying cause of the facial fat loss, but will help improve the appearance by increasing skin thickness in the treated area. Are the results from Sculptra immediate? No. At your first treatment visit, it may appear that the material has worked immediately because of swelling from the injections and the water used to dilute Sculptra. In a few days, when the swelling goes down and the water is absorbed by your body, you may look as you did before the treatment. Sculptra takes time to gradually correct the depression in your skin. You will be seen again in a few weeks to decide if you need more Sculptra injections.
How many Treatments are required?
Dr Jagodowicz will decide the appropriate number of treatment sessions and the amount of Sculptra you will need at each session. Patients with severe facial fat loss may require 3-6 treatment sessions.
How long do treatment results last?
Treatment results will differ for each person. In a clinical study, the treatment results lasted for up to 2 years after the first treatment session, in most patients. Touch-up treatments may be needed to maintain the desired effect.
What are the possible side effects of treatment with Sculptra?
The most common side effects with the use of Sculptra include injection-related side effects at the site of the injection such as bleeding, tenderness or pain, redness, bruising, or swelling. These side effects generally last, on average, 3 to 17 days. One possible delayed side effect can be small bumps under the skin in the treated area. These small bumps may not be visible, and you may notice them only when you press on the treated skin. These bumps tend to happen within the first 6 to 12 months after the first treatment. Occasionally, these bumps go away on their own. As with all procedures there is a risk of infection.
Silikon 1000 is highly purified silicone oil. It is approved by the FDA for treatment of retinal detachment of the eye. The use of Silikon 1000 for lip enhancement and augmentation is off-label. Silikon 1000 is a sterile, clear, colorless silicone oil that is non-allergenic and requires no skin testing. The only contraindication is known sensitivity to silicone oil. Several treatment sessions are required to yield better results. You may have swelling, tenderness at the site of injection and possibly bruising following the procedure. Silikon 1000 is also used to produce collagen, therefore injection of the substance also stimulates collagen production in the area. Lip augmentation with Silikon 1000 results in a soft and spongy augmentation of the lips that lasts for years.
At most, patients will need three to four treatments to achieve the desired effect. We inject only small amounts to see how much is needed at each session. Collagen production will appear in the first month and continue for the next two months. Unlike most fillers, Silikon 1000 continues to look better. Injection is not very painful, with little downtime and few side effects. Since it won’t prevent collagen loss in the future, you may need occasional touch-ups for a lasting effect