Dermal Fillers and Injectables

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

Facial wrinkles are a sign of aging but are also a function of several other factors, including:

  • Strong facial musculature may produce deep furrows.
  • Sun exposure and cigarette smoke can produce fine wrinkles.
  • Genetic factors make each individual more or less likely to develop wrinkles at any given age. 
  • Loss of facial volume contributes to the development of facial wrinkles, analogous to the difference between a grape and a raisin.

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:

  • Correct the depressions found along the junction between the eyes and cheeks, known as the tear trough
  • Correct the crease between the nose and the lips, known as the nasolabial folds
  • Improve the marionette lines below the lips
  • Fill thin lips
  • Correct temple hollows
  • Aid in scar camouflage
  • Improve other areas depending on the patient’s needs/anatomy

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®.

Other Products

Multiple other materials have been developed with variability regarding the duration of effect, risk of complication, and overall natural-appearing results, such as:

  • Radiesse™ is a Hydroxyapatite product that is also popular and produces results in excess of 12-18 months. It may be used for deep nasolabial and marionette folds and cheek augmentation.

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. 

Dermal Fillers and Injectables FAQs

How long does it take to see results from dermal fillers?

Results are immediate with dermal fillers but may take up to 2 weeks to settle to the final result.

Is it a good idea to schedule dermal fillers and injectables before an important event?

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.

What is the recovery time after filler and injectable procedures?

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.

How are dermal fillers administered?

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.

How do you prepare for injectable filler treatment?

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.

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