Dermal fillers and Injectables are used to soften and minimize the effects of aging in an effort to rejuvenate the face. Basically, dermal fillers are a substance introduced under the skin to “fill in” areas where aging changes have occurred. These changes include wrinkles and folds as well as the volume loss associated with aging. Although most fillers are FDA-approved for use in the correction of nasolabial folds, many physicians use them in an “off-label” fashion in a number of other areas.
The correction of deep facial wrinkles, particularly in areas resistant to other techniques (e.g., Botox, etc.), has been revolutionized by the development of reliable injectable dermal fillers.
Facial wrinkles are a sign of aging but are also a function of several other factors, including:
Facial Areas Commonly Treated With Dermal Fillers
Dermal fillers are used to treat static wrinkles–those that are caused by a combination of gravity and loss of skin elasticity–they are typically located in the lower 2/3s of the face. These types of wrinkles include the nasolabial folds (those that go from the nose to the corner of the lips), marionette lines (those that go from the corner of the lips to the chin), “smoker’s lines” around the mouth, and fat loss in the cheeks.
Our clinicians use reversible dermal fillers, such as Restylane and Juvederm (hyaluronic acid-based fillers) to:
Hyaluronic Acid-Based Fillers
Hyaluronic acid-based fillers are currently the most popular injectable filler products used in the United States today. Hyaluronic acid is a naturally occurring material in all vertebrate animals and can be produced by some bacteria. This non-cellular material does not produce an allergic reaction. Therefore, it requires no skin test. It fits the need for a longer-acting material that is potentially reversible, has a favorable risk profile, and provides natural-appearing results. Generally, hyaluronic acid products offer 9-24+ months of effect and the possibility of more prolonged effects with repeat injections. Some products contain lidocaine, an anesthetic that may improve the experience of receiving the injections.
Examples of hyaluronic acid-based fillers include Restylane™, Juvederm™, Volbella®, Vollure®, Voluma®, Ultra®, Ultra plus®, and RHA®.
Multiple other materials have been developed with variability regarding the duration of effect, risk of complication, and overall natural-appearing results, such as:
The risk of bumps or irregularities is possible with all injectable fillers, but many physicians feel they are less likely to happen with hyaluronic acid fillers than others.
Dermal Fillers and Injectables Available at Warmuth
Call Warmuth Institute of Dermatology today at (856) 358-1500 to schedule your consultation for dermal fillers and injectables. Our clinicians are skilled and experienced in helping patients achieve a natural look with injectable treatments for facial rejuvenation.
Results are immediate with dermal fillers but may take up to 2 weeks to settle to the final result.
We would advise that you not schedule dermal filler and injectable procedures within a week before an important event (such as a wedding) because there is always a chance of bruising. Plus, on rare occasions, swelling may last a day or two. Lip filler may result in swelling lasting 5-7 days.
Most patients can return to regular activity or work an hour after application. Note, though, that swelling may take several hours to resolve, so you should refrain from exercising or from any strenuous activity that day.
Before dermal fillers are administered, a topical anesthetic cream is applied to your face. While your clinician is injecting the fillers with a very fine cannula, an assistant will apply acupressure to various points on your face to help decrease the sensation of the filler as it is being applied. After application, an ice pack is placed on the injection site for 20 minutes to reduce local swelling.
For 5 days before the procedure, you should avoid aspirin or anti-inflammatory medications to limit bruising after the procedure unless prescribed for you by your doctor.