DERMAl FILLERS

Injectable fillers comprise a group of products such as:

Juvederm, Voluma, Restylane, Belotero

These products provide volume, support, and balance and compensate for bony and fat loss or
changes that occurs on the face, and even the body, with time. Properly placed injectable fillers
restore and rejuvenate – without looking “done” – creating the very best physical version of yourself.

Eliminate Nose and Mouth Wrinkles

Do you have stubborn lines and folds that stretch around your nose and mouth? These lines often
occur as a result of genetics, repeated mouth movements, and the aging process. Additionally,
sagging cheeks can exacerbate the appearance of nasolabial folds, leading many people to look
much older than they actually are. The latest FDA-approved injectionables were designed to fill out
and smooth the appearance of nasolabial. With use of newer and softer fillers, patients can enjoy a
younger, more rejuvenated appearance.

What are dermal fillers?

Derma fillers contain a mixture of hyaluronic acid this gel mixture is injected into the folds along the nose and mouth, adding immediate and noticeable lift. This technology helps to lighten the hyaluronic acid molecule, while also minimizing discomfort associated with the needlepoint injection.

Majority of fillers have been shown to last for 6 to 12 months, with no downtime. Patients should expect some swelling to last for the first few days after the procedure.

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.
As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent.
The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity and lifestyle.

What dermal fillers can do?

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars
  • Reconstruct contour deformities in the face
  • Decrease or remove the shadow of the lower lids

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

What dermal fillers can't do?

For some patients, surgery such as a facelift, brow lift or eye lift may be the best approach. Minimally invasive rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results, but may help delay the time when consideration of a facelift becomes appropriate. It is important to remember that dermal fillers are temporary treatments for facial aging and that ongoing treatments will be needed for long-term results.

What types of dermal fillers are available?

There are several different types of dermal fillers. The most common types are:

Calcium hydroxylapatite

Brand names include: Radiesse

Calcium hydroxylapatite is found naturally in human bones and is a mineral-like compound. It’s often used to:

  • Moderate-to-severe creases such as nasolabial folds, marionette lines and frown lines
  • Enhance fullness of the cheeks and other facial contours
  • Improve volume in areas of facial wasting such as can occur in HIV-positive people taking certain medications

Calcium hydroxylapatite is biosynthetically produced, which means that no animals or animal products are used. This lowers your risk of an allergic reaction and no skin testing is required. This type of dermal filler is known to produce a very natural result, doesn’t migrate and side effects are rare. This dermal filler was first used in dentistry and reconstructive surgery and has a long safety record.

Hyaluronic acid

Brand names include: Juvederm ,Restylane, RHA, Revanesse® Versa™ BELOTERO

Hyaluronic acid injections can be used to improve the skin’s contour and reduce depressions in the skin due to scars, injury or lines. You can see potentially dramatic improvements for:

  • Acne scars
  • Cheek depressions
  • Crow’s feet at the corner of your eyes
  • Deep smile lines that run from the side of the nose to corners of the mouth (also known as nasolabial furrows)
  • Frown lines between the eyebrows
  • Marionette lines at the corners of the mouth
  • Redefining lip border
  • Scars including burns, acne and those caused by wounds
  • Smoker’s lines; vertical lines on the mouth
  • Some facial scars
  • Worry lines that run across your forehead

Hyaluronic acid is a natural substance found in your body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It’s also in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and now has become one of the most popular kinds of injectable fillers. If the term sounds familiar, it’s because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning.

Polylactic acid

Brand names include: Sculptra

Polylactic acid is a synthetic dermal filler that is injected into your face, causing your body’s own production of collagen. This type of dermal filler is known as a stimulator. This non-toxic, biodegradable substance has been used for more than 40 years as suture material.

Polylactic acid is known to work particularly well in the lower half of your face, and is used to:

  • Fill the lines caused by laughing
  • Plump thin lips
  • Treat deep nasolabial folds

This substance is unlike other dermal fillers because it doesn’t produce immediate results. Instead, it stimulates your own body’s collagen production, so results appear gradually over a period of a few months.

You will likely need about three monthly treatments to achieve your desired results. With each treatment, there is re-stimulation of your own collagen. Then it can take four to six weeks to see the full effect. While this type of dermal filler is considered semi-permanent, you may still need occasional touch-ups.

Polymethyl-methacrylate microspheres (PMMA)

Brand names include: Bellafill

PMMA is considered a semi-permanent filler and is most often used to treat medium-to-deep wrinkles, folds and furrows, particularly nasolabial folds. It can also be used to fill out pitted scars and to augment thin lips. When a more permanent solution to facial wrinkles is desired, PMMA is often used instead of collagen replacement therapy or hyaluronic therapy. PMMA has been used for many years in permanent surgical implants. Because of this, your surgeon will likely under-fill on the first treatment, adding more later if needed. One of the downsides of PMMA is that a number of injections are needed to create volume and it can take up to three months to realize the full effects. It may also be visible under the skin. To avoid any unwanted results, it’s key that your plastic surgeon is familiar with the proper technique, which involves injection at the dermal subcutaneous junction using threading or tunneling methods.

Summary

Dermal fillers differ in chemical makeup, longevity and have varying degrees of softness. Softer fillers are used in the lips, for example, while sturdier fillers might be desired to enhance cheekbones.
Your injector will determine with you the best type and volume of filler needed for your particular areas of concern. For many people, the use of “off-the-shelf” fillers can be a simple office-based procedure that can nicely enhance their appearance. These dermal fillers are very predictable and have relatively minimal risks and side effects.

You’re an excellent candidate for this procedure if you’re over 21 years of age and have deep-set nasolabial folds along the nose and mouth.

Defy Gravity and Restore Volume

Do your cheeks look flat and sunken? Is volume loss in your cheeks making you look older? As you age, it’s not just about lines and wrinkles. Your cheeks can lose volume. Your skin may sag. Is this causing you to look older than you are? A more youthful face starts with full, rounded cheeks.

Juvederm Voluma XC and Restylane Lyft can add back that lost volume and make a tremendous difference in terms of reducing the signs of aging. Typically, the mid-face is one of the first areas that shows the signs of aging. We lose our facial fat, contours sharpen and the cheeks appear hollow. At NuFaceGlow we use individualized approach to restore fullness and the soft contours of a youthful face. We only use injectables that are FDA-approved fillers to create lifted and rounded cheeks.

Volumizing fillers are injected under the skin above the cheekbone, using a fine needle. It can instantly add just enough volume to gently lift the cheek area. To reduce discomfort during the procedure, most of them contain an anesthetic. Such lidocaine. Volumizing fillers contain hyaluronic acid, which is a sugar, found naturally occurring in the skin, to restore facial volume in the cheeks and to add contours to the chin.

With majority of fillers, there is no downtime or recovery time, and results are lasting up to 18 months. Many of our patients often experience additional benefits from this facial filler, including: Juvederm Voluma and Restylane Lyft add volume lost in the aging process. It is a nonsurgical treatment that requires no downtime. They contain a modified hyaluronic acid (HA) made from a naturally occurring complex sugar. Fillers have ability to creates fuller, lifted cheeks in a subtle natural way for up to 2 years.
The also restores youthful appearance without surgery.

JUVEDERM VOLUMA

Defy Gravity with Juvederm Voluma XC

Do your cheeks look flat and sunken? Is volume loss in your cheeks making you look older? As you
age, it’s not just about lines and wrinkles. Your cheeks can lose volume. Your skin may sag. Is this
causing you to look older than you are? A more youthful face starts with full, rounded cheeks.
Voluma can add back that lost volume and make a tremendous difference in terms of reducing the
signs of aging. Typically, the mid-face is one of the first areas that shows the signs of aging. We lose
our facial fat, contours sharpen and the cheeks appear hollow. Voluma can restore fullness and the
soft contours of a youthful face. This one-of-a-kind injectable is the only FDA-approved filler that
creates lifted and rounded cheeks.
Voluma is injected under the skin above the cheekbone, using a fine needle. It can instantly add just enough volume to gently lift the cheek area. To reduce discomfort during the procedure, Voluma
contains an anesthetic. Juvederm Voluma uses hyaluronic acid, which is a sugar, found naturally
occurring in the skin, to restore facial volume in the cheeks and to add contours to the chin.

With Voluma, there is no downtime or recovery time, and result lasting up to two years. Many of our patients experience additional benefits from this facial filler, including:

  • Voluma adds volume lost in the aging process
  • It is a nonsurgical treatment that requires no downtime
  • Contains a modified hyaluronic acid (HA) made from a naturally occurring complex sugar
  • Creates fuller, lifted cheeks in a subtle natural way for up to 2 years
  • Restores youthful appearance without surgery
  • Long-lasting results

BELOTERO

the new wrinkle filler that is considered the most versatile injectable treatment for fine lines. Belotero has unique properties that allow it to adapt within the skin for soft, smooth, and even correction of vertical lip lines and small lines around the eyes.

ABOUT THE TREATMENT

Belotero is the new wrinkle filler that is considered the most versatile injectable treatment for fine lines. Belotero has unique properties that allow it to adapt within the skin for soft, smooth, and even correction of vertical lip lines and small lines around the eyes.

Integrative and adaptive are words used to describe Belotero as it is specially designed to integrate into your skin and mold to your distinct facial contours. The wrinkles and fine lines around your mouth, nose, and eyes will be smoother with natural-looking results after Belotero injectable treatment.

Belotero was developed in Switzerland by Anteis in 2005, a country best known for quality and precision. Approved by the FDA in November 2011, Belotero is part of the family of products by Merz Aesthetic, providers of Radiesse volumizing filler and Xeomin wrinkle relaxer.

Layering is often a technique used by dermatologists to get the best results for their patients. Deeper lines and folds are often treated with Juvederm, Restylane, or Radiesse first as they provide a larger volume to fill in the area. The unique structure of Belotero makes it the ideal “top layer filler” for superficial wrinkles.

How Does Belotero Work?

Belotero is made of a natural substance called hyaluronic acid (HA) which is a natural component
found in the skin. HA has the capacity to bind to water which plumps and fills in wrinkles and folds, allowing immediate and smooth correction.

How Is The Treatment Performed?

Belotero dermal filler is injected into the skin in a quick and simple procedure using a fine gauge
needle.

How Soon Can I Expect Results?*

The results are immediate upon injection. Belotero plumps the skin and smoothes away lines and wrinkles.

How Long Does Belotero Last?*

Belotero lasts roughly 3-6 months or more depending on the individual and the areas that have been treated. Most patients do opt for follow-up treatments to maintain that smooth, youthful appearance.

How Long Is The Recovery Time?*

There is very little to no downtime associated with a Belotero treatment. In fact, most patients return
to their normal daily activities right after their visit. Just like any injection, you may experience mild
irritation, swelling, itching, redness, bruising or tenderness at the injection site, but these side effects typically resolve on their own within a few hours or days depending on your sensitivity.

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