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NYC Dermal Fillers
Dermal Fillers with Dr. Nina Naidu
Dermal fillers can be a key component in facial rejuvenation. As we age, the effects of years of facial muscle movement and loss of volume become visible with laugh lines, thinner lips, and less volume in the mid-face. Facial fillers can help to restore volume, producing a smoother, fuller and more youthful appearance.
Many fillers, such as Juvéderm™ and Restylane™, are composed of hyaluronic acid, a natural compound which is normally found in our skin. It is best suited for injection into the creases around the nose and lips, and into the lips. The results last 8-12 months. Voluma™ XC and Restylane Lyft are FDA-approved for the correction of age-related volume loss in the midface, including over the cheekbones. Results may last for up to two years.
Dr. Naidu uses small needles to inject the filler into the deep layer of the skin or lips. The skin is gently and smoothly plumped, and creases and fine lines are filled in. When placed over the cheekbones, a natural fullness is noted. Fillers may be used alone or in conjunction with other procedures such as Botox®. The procedure takes 20-30 minutes to perform, and is done in the office under local anesthesia. The results are visible immediately. No dressings are necessary, and makeup may be worn the same day. Some patients experience bruising for several days after the injections, and therefore you should schedule your injection at least one week in advance of an anticipated event or meeting. Dr. Naidu performs all injections herself; the treatment is never delegated to an assistant.
Facial Fillers Introduction
As we age, our faces naturally lose volume and develop deeper creases and folds. Facial fillers can assist in restoring some of that lost volume. Dermal fillers are an injectable material which can be used to fill folds around the mouth, plump the lips, and add volume to other areas of the face.
What is the Difference Between BOTOX and Facial Fillers?
Botox is a medication which relaxes muscle contraction which can cause wrinkles, while dermal fillers add volume to an area which has loss fullness with age.
What is a Hyaluronic Acid Dermal Filler?
Dermal fillers can be made from hyaluronic acid, a natural substance found in our bodies. High concentrations are typically found in our skin, joint fluids, fluid around the eyes, and cartilage. It was traditional extracted from rooster combs but is now produced through streptococcal fermentation.
What Issues Can Hyaluronic Acid Dermal Fillers Address?
Hyaluronic acid fillers can add volume to the nasolabial folds (smile lines around the mouth), marionette lines (folds from the corner of the mouth to the chin), lips, around the eyes, deep scars, cheekbones, the fold between the eyebrows, the temples, and in some cases to smoker’s lines around the mouth. They are also used for non-surgical rhinoplasty.
Some of the most popular hyaluronic acid filler brands include:
- Juvéderm products, which include Juvéderm Ultra, Juvéderm Ultra Plus, Volbella, Voluma, and Vollure.
- Restylane products, which include Restylane-L, Silk, Refyne, Defyne, and Lyft.
- Other brands of hyaluronic acid dermal fillers include Belotero.
Bellafill is a Semi-Permanent Dermal Filler Consisting of Polymethyl-Methacrylate Microspheres (PMMA).
Bellafill can be used to treat nasolabial folds and pitted scars.
When to expect to see results with:
- Calcium Hydroxylapatite: you will see results immediately with one treatment.
- Hyaluronic Acid: you will see results immediately with one treatment. There will be moderate swelling and firmness for one week, followed by softening of the material.
- Polylactic Acid: you will require several treatments spaced about a month apart, and it may take 6 weeks to see results.
- Polymethyl-Methacrylate Microspheres (PMMA): you will require several treatments and it may take 3 months to see your final results.
How Long Do Facial Filler Results Last?
- Average length of time each facial filler’s results last:
- Calcium Hydroxylapatite: can last as long as 1 ½ – 2 years.
- Hyaluronic Acid: depends on the filler, but usually lasts from 6 – 18 months.
- Polylactic Acid – can last 2-3 years.
- Polymethyl-Methacrylate Microspheres (PMMA) – can last 5 years.
Who is a Good Candidate for Facial Fillers?
Patients who have noted volume loss in the face with aging and who have realistic expectations are good candidates for facial fillers. Fillers are not a substitute for surgery.
What Should I Expect During My Facial Filler Treatment?
During treatment, you will be evaluated and a plan will be formulated. Topical anesthetic and ice may be applied prior to injection. Ice will be applied following injection and you will be given written instructions and a follow-up appointment.
Is There Any Down Time After Facial Filler Treatments?
You may have bruising and swelling with any type of facial filler which can last 2-4 days. Plan to have your treatment done at least a week prior to any events.
Are There Any Risks and/or Complications I Should Know About?
Overall risks associated with dermal fillers include bruising, swelling, overcorrection, undercorrection, and very rarely, embolism to distant arteries, potentially resulting in permanent blindness.
- Risks associated with:
- Calcium Hydroxylapatite – this filler is not reversible
- Hyaluronic Acid – these fillers can sometimes form small lumps which can usually be massaged out
- Polylactic Acid – this filler is not reversible
- Polymethyl-Methacrylate Microspheres (PMMA) – this filler can be visible under the skin
Dermal Filler FAQs
What side effects should I expect following a dermal filler treatment?
Is having fillers injected using a microcannula better than with a sharp needle?
Are there any long-term effects associated with the use of hyaluronic acid fillers?
Which injectable filler works the best for treating troughs/hollows beneath the eyes?
Which filler works the best for augmenting the lips?
I tend to develop cold sores, but I would like to have injections of filler in my lips; will my tendency to develop these sores affect my lip augmentation?
How do they extract dermal fillers from the skin if you do not like the results?
Should I expect to have a lot of bruising after I have filler injections beneath my eyes?
Where is the filler injected to address the hollows beneath the eyes?
Could injectables be used in the temple area?
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