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Face Procedures >

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Juvederm, Restylane and Radiesse NY

Dermal Fillers (Juvederm Ultra®, Restylane®, Radiesse®, Sculptra)



Overview
Facial fillers are manufactured products or materials from your body that are injected to temporarily erase wrinkles and fill volume.

Key Facts

Anesthesia: Topical/local
Length of procedure: 30 minutes
Length of stay: Office procedure
Discomfort: Mild
Anticipate: Local swelling for 3 to 7 days and, possible mild swelling
Final result: 3 to 7 days as swelling resolves
Duration of results: 6 to 12 months with collagen or hyaluronic acid 12 to 18 months with Radiesse temporary or permanent with fat injections

Facial Filler Options

Hyaluronic Acid Juvederm Voluma
Juvederm Voluma XC is one of the newest, FDA approved, injectible gel fillers available. Although it sounds similar to its close relative, Juvederm XC, the two products work very differently. Juvederm XC is used to temporarily smooth out moderate to severe wrinkles and folds around the nose and mouth. Where as, Juvederm Voluma XC is used to temporarily correct age related volume loss by adding volume back to the midface/cheek area.

Juvederm Voluma XC also contains a small amount of lidocaine which helps to numb the treatment area during the injection procedure. Results are instant and have lasted up to two years with optimal correction.

Hyaluronic Acid Juvederm
Hyaluronic acid products are injected to decrease fine lines, creases and depressions and to restore skin volume and fullness. Hyaluronic acid injections may be combined with Botox Cosmetic or other injection treatments.

A topical anesthetic is applied prior to injecting the skin. Results of the treatment usually last at least six months to one year.

Juvederm has a higher concentration of hyaluronic acid than Restylane. It is used to diminish moderate-to-severe facial wrinkles, including nasolabial folds, wrinkles on the lower and upper face, small wrinkles directly above the lips, and to create fuller lips.

To minimize bleeding or bruising at the injection site, patients should not use non steroidal and anti-inflammatory medications, aspirin, herbal supplements or high doses of vitamin E three weeks prior to a Juvederm injection.

Juvederm use does not cause an allergic reaction, because it is a non-animal-based product. An anesthetic cream is applied to numb the skin prior to the injection. Results of treatment usually last six months to one year.


Hydroxyapetite Radiesse
is considered a semi permanent filler for deeper skin wrinkles and creases. It is not intended for high movement areas such as the lips. It also can be used to contour the jawline or correct facial asymmetry or facial dips. Radiesse injections may last one to three years. When used for contouring, injections last up to one year.

Fat Transplantation
Fat may be harvested from certain areas of your body, often the lower abdomen, through liposuction and then placed in a syringe and injected through small incisions into the cheek, tear trough, temple or forehead. Like bovine collagen, the effects are unpredictable and may be temporary depending how the body reabsorption of the fat. Bruising usually diminishes within three weeks.

Sculptra
Sculptra is a facial filler consisting of poly-L-lastic acid. It is uniquely different from other facial fillers because it replaces collagen overtime, resulting in a natural, long-lasting appearance. Sculptra is commonly used to correct shallow to deep facial wrinkles, folds, and other facial depressions in the cheeks, temple area, eyebrow area, and even the sides of your face.

How Does Sculptra Work?
As we age, our body begins to produce less collagen - the main component that helps keep our skin looking smooth and youthful. Although this is a natural part of aging, the effects of decreased collagen production can result in the appearance of wrinkles and facial depressions. When Sculptra is injected, it rests under the deep dermis layer of our skin.  Patients will see an immediate correction of the defect but a temporary reappearance will occur within the next few days. Micro-particles of PLLA (poly-L-lastic acid – the main component of Sculptra) then begin to replace the lost collagen. This reinforces the skin’s structure, resulting in the smoothing out of shallow to deep wrinkles, folds, and other facial depressions. Results can vary, but typically last up to two years.  On average, a series of three injections are needed over a period of a few months. It’s also important to note that the number of injections per session can also vary from person to person.

 
     
 
 
 
 
 
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Dr. David Shafer is a Double Board Certified Plastic Surgeon, a Diplomate of the American Board of Plastic Surgery and a Member of the American Society of Plastic Surgeons

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