Restylane, Perlane, and Juvederm now have Lidocaine pre-mixed into the syringes. These are now standard at The Aesthetic Clinique. When comparing costs amoungst offices, please ask if you are getting these. They are more expensive in general, but there is no extra cost at The Aesthetic Clinique.
When choosing an office for dermal fillers, remember it's "The Filler", not the filler.
What are dermal fillers and what do they do?
Dermal fillers are gels or compounds which are injected to fill in creases, folds, and deep wrinkles on the face. They offer immediate improvement in a client’s appearance. More recently, fillers have been used to volumize the aging face.
What dermal fillers are used at the Aesthetic Clinique?
We are proud to offer a large variety of fillers which includes:
- Juvederm Ultra
Are these natural substances?
Restylane, Juvederm Ultra and Ultra Plus, Belotero, and Perlane are made of hyaluronic acid, which is a naturally occurring human substance found in the skin and joints. Radiesse is made of microscopic calcium spheres. Therefore all these require no prior testing to see if there is a reaction prior to their administration. In contrast,
How are dermal fillers administered?
We now use blunt cannulas for most areas. Less pain, less bruising, less downtime. See Blunt Cannulas.
Which areas are commonly injected?
The areas injected with dermal fillers are:
- Nasolabial folds (lines from the nose to the corners of the mouth)
- Lips (for fuller lips)
- Under the eyes in the tear troughs
- Forehead creases (usually only after Botox® administration)
- Cheeks (to enhance and lift the cheeks)
- Jowls (actually hides them)
- Marionette lines (vertical lines from the corner of the mouth and downward)
- Frowning mouth (used to turn up the corners of the mouth)
- Chin crease (soften this area)
- Nasal area (to hide humps)
- Wrinkles around the mouth and cheek area, “Smokers” lip lines
- Temples (fill in hollows found in weight loss, athletes, and in age related loss)
- Preauricular (in front of ear area, particularly common in people who have had facelifts)
How long do the dermal filler last?
Dermal fillers can last anywhere from 3 months, up to 18 months or longer. The exact duration is determined by the area of placement and the dermal filler used. In general, the more muscle movement, the less longevity of the filler. Dermal fillers are gradually reabsorbed and when they are fully absorbed, you can expect to go back to your pretreatment appearance. It is recommended to have touch up injections rather then wait until complete absorption occurs.
Afterwards, what can I expect?
One can expect some post treatment swelling for a couple days, which may last up to one week. It is therefore recommend to not have this treatment within 2 weeks of any special occasion that is planned. Bruising can occur and can last up to 2 weeks but with blunt cannulas, bruises are much less common. If one develops a bruise, we offer complimentary VBeam treatment which will decrease the duration to just a couple days.
Tell me about the different fillers.
Restylane is by far the market leader of fillers in the world. It is made of crossed linked hyaluronic acid (HA). Restylane will last about 4 months when injected into lips, and up to nine months in the nasolabial folds (smile lines) and tear troughs. It has a soft and natural appearance with instant results upon leaving the physician’s office. Hyaluronic acid absorbs water, which results in prolonging the corrective effect.
Dr. Weiner answers several questions about Restylane
Juvederm Ultra Injection Gel
Juvederm Ultra Injection Gel received FDA approval late 2006. It has been used in Europe and Canada since 2001. The composition is Hyaluronic Acid (HA), which is naturally occurring substance found in skin and joints. One advantage of Juvederm Ultra Injection Gel is that of being thinner and softer and therefore, may feel more natural. A disadvantage may be that a thinner material can spread more easily to areas that might not be where filler is desired. It comes in a 0.8 cc syringe whereas Restylane is in a 1.0cc syringe. Juvederm Ultra Injection Gel tends to have slightly less redness and swelling when compared to Restylane, and is slightly more comfortable. Juvederm Ultra Plus has more cross linking than Juvederm Ultra, which makes it last somewhat longer.
Dr. Weiner answers questions about Juvederm
Radiesse is a FDA approved filler that is known for its longevity. It has been reported to last for 18 months. Occasionally, a small “touch up” is required at about 6-9 months to achieve this duration. The composition of Radiesse is microscopic spheres of calcium in liquid slurry. The longevity of the correction is the result of the body creating new collagen in response to the Radiesse. The liquid portion of the filler is absorbed in 3-6 months and when that is absorbed, but before the collagen is completely integrated is when a touch up might be needed.
Radiesse is an ideal filler for the nasolabial and marionette lines and is The Aesthetic Cliniques preferred filler for raising the corners of a dropping mouth. One great benefit to using Radiesse is its longevity, and that it comes in 1.5 cc syringes, which is 50% more then Restylane and nearly 100% more then Juvederm. In addition, 1cc of Radiesse corrects approximately 30% more then 1cc of Restylane or Juvederm.
A recent study has shown that Radiesse has the highest satisfaction rate among consumers of all the dermal fillers in the 97% range.
Dr. Weiner answers questions about Radiesse
Perlane is a cousin of Restylane. The difference is that Perlane has larger molecules than Restylane. It will be injected at a slightly deeper level in the skin and tend to have more longevity. Perlane is priced slightly higher than Restylane.
Dr. Steve Weiner is a board certified Facial Plastic/Head and Neck Surgeon. His services include Botox, Restylane, Juvederm, Perlane, Juvederm Ultraplus, Radiesse. He also performs Zeltiq, Ulthera, Coolsculpting, Fraxel Dual, Sculptra, Laser Hair Removal, Gentlewaves, Blu-U. He services: Destin, Panama City, Rosemary Beach, Seaside, Watercolor, Watersound, Crestview, Niceville, Atlanta, Birmingham, Nashville, and Sandestin.