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Dermal Fillers



Examples of Dermal Fillers
Compare Types of Dermal Fillers

Dermal Fillers General Information

Types of Dermal Fillers

What are Facial Dermal Fillers?

Two Classes of Dermal Fillers

Silicone Dermal Fillers

Collagen Fillers

What are the Risks of Dermal Fillers?

How much do Dermal Fillers Cost?
Before & Afters
Derma Fillers Related News & Articles

Examples of Dermal Fillers

  • Juvederm
  • Restylane
  • Perlane
  • Prevelle Silk
  • Elevess
  • Radiesse
  • Evolence
  • Sculptra
  • Cosmoplast
  • Cosmoderm
  • Artefill

 

 

 

Compare Types of Dermal Fillers

 

  Juvederm Restylane Perlane Radiesse Evolence
What is it made of? Hyaluronic Acid Hyaluronic Acid Hyaluronic Acid Calcium Hydroxyl Apatite Cross-linked Porcine (Pig) Collagen
What is it used for? Nasolabial folds, lips, around the mouth, cheeks, etc. Nasolabial folds, lips, around the mouth, cheeks, etc. Nasolabial folds, lips, around the mouth, cheeks, etc. Nasolabial folds, cheeks, temples, around the mouth. NOT IN THE LIPS Nasolabial folds, around the mouth, cheeks, etc.
How many treatments are needed? 1 1 1 1 1
Is skin testing required? No No No No No
How long does it last? 6 to 12 months in the nasolabial folds, 3 to 6 months in the lips 6 to 12 months in the nasolabial folds, 3 to 6 months in the lips 6 to 12 Months 6 to 12 months 6 to 12 Months
Is there a risk for hypersensitivity? rare rare rare rare rare
Where does it come from? streptococcus bacteria streptococcus bacteria streptococcus bacteria Synthetic Purified Porcine (Pig) Collagen
Is it animal based? No No No No Yes
How much does it cost? $$/$$$ $$/$$$ $$/$$$ $$$ $$

 


 

  Sculptra Prevelle Silk Elevess Cosmoplast & Cosmoderm Artefill
What is it made of? Poly Lactic Acid Hyaluronic Acid Hyaluronic Acid with Lidocaine anesthetic Human Collagen mixed with Lidocaine anesthetic Poly Methyl Methacrylate (PMMA) and Bovine (Cow) Collagen
What is it used for? Generalized Facial Volume in the Cheeks, Chin, and Temples Fine lines, nasolabial folds, lips, lines around the mouth. Nasolabial folds, lips, around the mouth, cheeks, etc. Nasolabial Folds, Lips, and Fine Lines Nasolabial Folds, Cheeks, Chin. NOT IN THE LIPS
How many treatments are needed? Multiple over several Months 1 1 1 1
Is skin testing required? No No No No Yes
How long does it last? 2 to 4 Years 2 to 6 Months 3 to 12 Months 2 to 6 months More than 5 Years
Is there a risk for hypersensitivity? rare rare Contains Sulfa and May cause allergic reaction for many people sensitive to Sulfa rare Hypersensitivity to the Bovine (Cow) Collagen requires skin testing
Where does it come from? Synthetic Polymer of Lactic Acid streptococcus bacteria streptococcus bacteria Purified Human Collagen PMMA is synthetic and collagen comes from cows
Is it animal based? No No No No The collagen is animal based
How much does it cost? $$$$ $$ $$ $ $$$$

 

Dermal Fillers General Information
Dermal fillers are becoming increasingly popular as a means to help reverse the changes associated with aging. Because the goal is to return the dermis to its original youthful state, dermal fillers can give a more natural appearance than surgical face lifts. Dermal fillers are being used to reduce or eliminate wrinkles, raise scar depressions, enhance lips, and replace soft-tissue volume loss.

As our skin ages, the dermis gradually loses its major constituents: collagen, elastin and hyaluronic acid. Collagen acts as the major support protein for our skin, elastin allows our skin to stay firm and resist wrinkles, and hyaluronic acid helps to trap water and add volume and shape to our skin.

Dermal fillers are becoming increasingly popular as a means to help reverse the changes associated with aging. Because the goal is to return the dermis to its original youthful state, dermal fillers can give a more natural appearance than surgical face lifts. Dermal fillers are being used to reduce or eliminate wrinkles, raise scar depressions, enhance lips, and replace soft-tissue volume loss.

 

 

 


Types of Dermal Fillers:
A variety of dermal fillers are available in the United States today. Some of the most popular include collagen based fillers (i.e. Evolence), hyaluronic acid based fillers (i.e. Restylane and Juvederm), poly lactic acid based fillers (i.e. Sculptra) and calcium hydroxylapatite fillers such as Radiesse. The medial and cosmetic industries are continually developing new technologies and treatments, so new products are constantly being tested and made available, with dermal fillers being no exception.
All types of filler materials can all help improve the youthful appearance and fullness of facial skin, but there are differences in the way each behaves and the duration of time the results of each filler will last. An important element to achieving successful results with dermal fillers is realizing that no one filler is ideal for all areas of the face. For example, lips tolerate fillers differently than the cheek areas do, and not all fillers can be injected in the lips. Because of this, it is valuable to research which dermal fillers work best in the area you desire treatment. In some cases, multiple fillers can be used in various places in the face to improve the entire facial aesthetic, in a procedure known as a liquid facelift.

Any dermal filler you choose should be easy to administer, provide reproducible cosmetic results, remain in the skin for a significant period of time, and be safe if used correctly. Most injectable fillers are administered in just a few minutes, and any discomfort can be managed with topical or injectable anesthetics. The provider will use a thin needle to inject the dermal filler into the wrinkles, folds, or scars where treatment is desired. Some minor initial discomfort is normal, but should be brief, as most patients are comfortable returning to work or other daily activities immediately.

The results can last from three months to five years, depending on the filler being used. Location can also affect the duration of results, for example, fillers tend to provide results that last significantly less time in the lips (3 to 6 months), compared to nasolabial folds. Collagen based products typically provide the shortest duration of results. Hyluronic acid based fillers tend to endure for longer, with effects usually lasting from six months to one year. Products like Artefill provide the longest-lasting results; two to four years or longer. Because of this, Artefill is considered semi-permanent, and may require surgical removal or extrusion if the results of the injection are not desireable. Sculptra also is long-lasting, because it actually works by activating the production of natural collagen which fills the wrinkle or fold over time (usually 2 to 6 months), rather than plumping the area with the product itself. Since it works in this way, Sculptra is not technically classified as a dermal filler, but it is administered similarly to one and the results can last up to two years.

Dermal fillers are minimally invasive and generally very safe. The few complications that may occur usually happen because the provider places the material in an area that it was not meant for or uses poor injection techniques, both of which can be avoided by choosing an experienced, qualified specialist. Side effects are uncommon but can include limited allergic reactions (hypersensitivity), reactivation of an existing herpes infection, localized bruising, redness or swelling at the injection site, and in very rare instances, vascular occlusion and ulceration. If hypersensitivity is a concern, choosing a hyluronic acid based filler may be wise, since these can be broken down enzymatically in the event of a bad result or hypersensitivity reaction using an injection of Hyluronidase.

While researching the best dermal filler for you is very important, experts agree that getting good results has more to do with the injection technique than the type of filler being used. This is why it is critical to find a reputable, experienced specialist in your area who can provide you with the best in care and technique. Referrals are a great way to find qualified specialists, but you should make sure the individual you choose to work with has experience in addition to a pleasant bedside manner. In an initial consultation with a potential provider, patients may want to prepare some questions to ask in order to assess the provider's experience. Some questions to consider are:

 

 

 

  • How many of these treatments have you performed?
  • How many years of experience do you have?
  • Do you regularly treat my target locations?
  • Which type of dermal filler do you recommend for me?
  • Do you have much experience injecting the product you recommend?
  • Are you able to dissolve the material if I have a bad reaction or don't like the results?
  • Can you show me some of your before and after photos?
  • What will each syringe of filler cost?

 

 

 

While individual provider's fees can vary, keep in mind that the best providers are usually so because they provide quality treatments at a competitive cost to their clients. If the provider has a large amount of experience and many satisfied clients, it is usually a good indicator that your results will be the best possible.  If you have further questions or would like more information about any of the dermal fillers discussed here, consult a local specialist.

What are Facial Dermal Fillers?

Dermal fillers are substances that are injected just below the surface of the skin to fill in lines, wrinkles, and scars. Unlike face lifts that stretch the skin, fillers add volume for a more natural youthful appearance. Fillers can also increase the fullness of the lips (see section on lip enhancement) and lessen the downward slant of the corner of lips. The most common areas treated are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, and acne scars.

Two Classes of Dermal Fillers:
Permanent and temporary. The main permanent dermal filler in use today is silicone. There are a variety of temporary dermal fillers currently in use and several will be discussed below: Hydroxyappetite (Radiesse), hyaluronic acid (Restylane and Hylaform), sculptra, fat, and collagen. Temporary fillers are absorbed by the body over time, usually in 2-6 months and require repeated treatments to maintain the effect.

Silicone Dermal Fillers

The use of silicone fillers has been controversial in the past because of the risk of bumpy scars called granulomas that can form even decades after treatment. New formulations of silicone and new injection techniques have reportedly eliminated granuloma formation but long term studies are still in progress. The FDA has not approved silicone for this particular use. One advantage of silicone is you do not repeat treatments once the desired look has been achieved.

 

 

 


Collagen Fillers
Collagen is an abundant natural protein found in the body that provides structural support to skin, muscle, tendons and bone. In the skin, fibers of collagen are woven together to provide texture, resiliency and shape. Collagen is one of the substances lost during the normal aging process. Collagen injections are performed in an office setting and require no recovery time. They usually take less than an hour to perform. The main risk of collagen injection is an allergic reaction. Some of the collagen products are made from animals and require allergy testing prior to use (see below). The effect lasts between 3-6 months. Combinations of fillers are used to achieve a natural, full look.

Bovine (cow) collagen
Zyplast — Requires skin testing (for deeper wrinkles)
Zyderm — Requires skin testing (for fine lines)
Human (foreskin) collagen
Cosmoderm — No skin testing (for fine lines)
Cosmoplast — No skin testing (for deeper wrinkles)

 

 

 


What are the Risks of Dermal Fillers?
Each filler is unique and has its own risk profile. In general, however, risks include allergic reactions, infections, pain, and scar formation. You should talk to your physician to decide if fillers are right for you. Fillers can be expensive and you may require repeat treatments.

How much do Dermal Fillers Cost?

Fillers are expensive but the pricing varies depending on the number and types of areas being treated and the amount of filler material required. Treatments can range from several hundred to several thousand dollars. Remember that temporary fillers last at most 3-9 months.

 

 

 

Before & Afters

 

 

 

 

 

 

 

 

 

 

 

 

Derma Fillers Related News & Articles

 

 

 


DermaNetwork.org Featured Dermal Fillers Providers in the following locations:
Boston, MA | Colorado Springs, CO | Honolulu, HI | Houston, TX | Mesa, AZ | Miami, FL | New York, NY | Washington, DC | Wichita, KS

Featured Facility
Featured Dermal Fillers Specialist
Body & Face Medical Cosmetic Center
Body & Face Medical Cosmetic Center
Murfreesboro, TN

Body & Face Medical Cosmetic Center was started in order to fulfill our community’s need for safe, effective, non-surgical procedures.

We have a trained, professional staff and a wide offering of quality FDA approved cosmetic treatments. Dr. LaRoche understands the seriousness of the decision to pursue medical cosmetic treatments and looks for the best solutions available.

Whether you are looking for treatment for acne, assistance with safe weight loss alternatives, or are hoping to explore wrinkle correction, our staff is here to consult with you for the best results. Because each individual's physical make-up is different, we strive to offer a solution that makes the most medical sense for your individual situation.

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