Injectable filler has grown to be a mainstay in today’s arsenal to fight aging or augment areas like cheeks and lips for better facial symmetry.  Unlike years ago when collagen was the only option, we now have a wide variety of fillers available to treat specific areas, melding into the skin seamlessly. The outcomes are better and patients look more natural, making fillers a popular choice for rejuvenation. The longevity has also been improved upon with some brands lasting two years or longer.  Dermal filler remains one of the top 3 ranking non-invasive procedures patients seek out and starting early has its benefits to improve the way our face ages without dramatically changing the way you look.

Understanding how our face ages

As we age our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement. The underlying tissues that keep our skin looking plumped up begin to break down leaving laugh lines, smiles lines and facial creases over the areas where this muscle movement occurs.  The fat pads under our skin also lose volume along with our lips.   If you picture your fat pads close together vs. a separation (atrophy), you can see how replacing sunken areas of the face are so effective in recreating that smooth continuous surface. Shrinking lips and drooping corners of the mouth (oral commissures) are also areas that look more youthful by adding volume.

What are the Benefits of Dermal Filler?

There are multiple benefits to choosing a dermal filler. One of the biggest is that you see results almost immediately. Everyone is busy and wants instant results; dermal filler is one of a few options to improve your appearance with little to no downtime.

  • Dermal filler stimulates collagen production. Collagen decreases as we age creating thinner skin, think of your skin’s mattress becoming thinner, the more collagen we stimulate, the thicker you’re dermis is, the better our skin will look.
  • Filler can be used in combination with other procedures like Total FX fractional Co2 resurfacing, Fraxel Dual and
  • Dermal filler can also be used in a wide variety of areas; nasal folds, cheeks, temples, lips, radial lip lines (smoker’s lines), jowl area and hands. Also, some types of scars can be treated like acne scars.

Getting Started and What to Expect from the Treatment

Facial rejuvenation is very individualized. Discussing your goals and expectations during your consultation is very important. Dr. Michalak or one of his physician assistant ’s will evaluate your face and select treatment options that help meet these goals, taking into consideration your anatomy, lifestyle, and budget.

Prior to beginning, they will review what to expect from the treatment so you are well informed. You will also be given a price quote so you know exactly what the treatment will cost and any additional treatment options your provider feels will be of benefit.  Some things to consider are that injectable fillers are not permanent, the material is eventually metabolized by the body and how long each filler lasts differ from person to person.  Bruising is common, especially in patients that bruise easy or are taking certain medications.

Types of Materials Used in Dermal Filler

Hyaluronic acid: A sugar that is a naturally occurring substance found in our bodies. Hyaluronic acid binds up to 1,000 times its weight in water and swells when in a gel form. The Restylane family of products, Restylane Define & Refine and Restylane Silk are derived from hyaluronic acid. So is the brands Juvederm, Voluma, and Vobella. Hyaluronic acid products vary in longevity from 6 months up to 2 years.

Calcium hydroxylapatite: Is a mineral-like compound found naturally in human bones. It is also suspended in a gel-solution.  This product is the heaviest of facial fillers and is better used for deeper creases such as nasolabial folds, to enhance cheeks and popular in hand rejuvenation.  Under the brand name Radiesse, this product lasts up to 18 months.

Poly-L-lactic acid (PLLA): PLLA is a biodegradable synthetic polymer and has been used in medical applications such as absorbable sutures for over 30 years. In the US branded as Sculptra Aesthetics, it was initially introduced to treat lipoatrophy or facial wasting.  Sculptra is effective in rejuvenating most areas of the face including the temples, cheeks, and jawline.

 Scheduling  your Appointment

Dr. Victor Michalak, Emily Nardiello PA-C, and Elizabeth Wood PA-C are available for consultations and dermal filler appointments. Appointments can be made by calling the office during business hours. For general questions, you can also email us via the website here on the sidebar or contact us page.

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