Soft tissue fillers are man-made products that are used to restore volume to the face.  There are many options on the market and each one has it’s advantages and disadvantages.  Not all soft tissue fillers are created equal, and no product is ideal. During your consultation, we will help you decide what filler is best for what areas and what are realistic expectations. These treatments are extremely popular and around 2 million soft tissue filler treatments are performed each year in the United States.

Radiesse®

Radiesse® is man-made product composed of Calcium Hydroxylapatite, which is a substance found in our bones.  Since this substance is found in all humans, patients do not react to it when it is injected under the skin.  Radiesse® is most often use to provide volume to the cheek folds, chin folds and to restore volume to the cheekbones. 

  • Material: Calcium hydroxylapatite microspheres
  • Duration: 1.5 years
  • FDA indications: HIV-associated lipoatrophy, moderate to severe facial wrinkles and folds (eg, nasolabial folds)
  • Off-label uses: Marionette lines, glabella folds, prejowl sulcus, cheek volume loss, dorsal nasal deformities, lip augmentation

JuvedermXC®

Juvederm Ultra Plus XC® is made from a substance called Hyaluronic Acid, which is found normally in all human tissues.  JuvedermXC® is injected in a superficial layer of the skin.  For this reason, it is best for more superficial wrinkles, such as those around the lips and eyes.  All of the Hyaluronic Acid products will initially take up water in the skin, and may look a bit overfilled for the first few days. Importantly, Hyaluronic Acid fillers may be reversed if need be with an injection of another medication (Hyaluronidase).

  • Material: Hyaluronic acid
  • Duration: 9 months
  • FDA indications: Moderate to severe facial wrinkles and folds, such as nasolabial folds
  • Off-label uses: Correction of age-, surgery-, and disease-related facial depressions and rhytides and volume augmentation at other body sites

Belotero Balance®

Belotero® is also made from Hyaluronic Acid, but it is a thinner gel and is formulated to be able to be injected as superficially as possible.  For this reason, it is gernerally used for very superficial wrinkles.  Often, we use Belotero to inject individual pesky wrinkles that aren’t adequately treated by other methods.

  • Material: Hyaluronic acid
  • Duration: 9 months
  • FDA indications: Moderate to severe facial wrinkles and folds, such as nasolabial folds
  • Off-label uses: Correction of age-, surgery-, and disease-related facial depressions and rhytides and volume augmentation at other body sites

Sculptra®

Sculptra is an injectable filler that works differently than others. After injection into the skin, Sculptra induces the production of collagen, which provides the volumizing affect. This process starts at the time of injection and builds over 1-2 years.

  • Material: Poly-L-lactic acid
  • Duration: 1-2 years
  • FDA indications: HIV-associated lipoatrophy
  • Off-label uses: Cosmetic use

Filler Post-Procedure Instructions

  • Avoid strenuous physical activity for 24 hours and then return to normal activities.
  • As always, avoid excessive sun exposure and use a moisturizer with SPF 25.
  • Please use Acetaminophen as directed on the bottle for pain relief; prescription pain medication is not routine.
  • All of your other medications can be resumed the night of the procedure.
  • Cold compresses may be used to control pain and swelling.
  • Please avoid massaging or manipulating the treated areas for at least 24 hours, as this can disturb the position of the filler.
  • If bruising should occur, treat them with warm, moist compresses, such as a moist washcloth that has been placed in a microwave for 5-10 seconds.

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