The most commonly used injectable fillers today contain either hyaluronic acid (Restylane, Perlane, Juvaderm), polylactic acid (Sculptra), or calcium hydroxylapatite (Radiesse). Hyaluronic acid binds to water and has a volumizing effect beneath the skin. Because it is found throughout our bodies, the risk for allergic reaction is minimal and it is extremely safe. Polylactic acid differs from other fillers because it is thought to stimulate the cells in our skin to produce more collagen. Calcium hydroxylapatite fillers are the newest addition to our menu of options. These fillers contain small particles of a bone-like substance in a gel carrier and may have the longest period of efficacy.

Fillers are injected to correct depressed facial scars, to fill deep wrinkles, to volumize various parts of the face including the lips, and in some cases, to create the effect of a lift in the face. Among the most common reasons patients seek treatment is to correct deep lines in the face. The most commonly treated places are the nasolabial folds (lines extending from the nose to the jaw on both sides), Marionette lines (the ‘parentheses’ lines on either side of the mouth) and the lips for augmentation.

Dermal fillers are excellent options for the treatment of specific areas in the face. The overall degree of facial aging, the indications for alternative treatments, the risks and expectations are thoroughly discussed by your cosmetic surgeon. Be sure to seek advice from a board certified plastic surgeon who plans on performing these injections him or herself. See the table below for more information on the longevity, indications and differences between the fillers commonly used in my practice.
Although cost varies depending on the type of filler used, talk with the office staff about our discount office days for even more cost savings.