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Face Procedures > Latisse Dermal Fillers (Juvederm Ultra®, Restylane®, Radiesse®, Prevelle Silk®, Sculptra)

Latisse
Short and thinning lashes can be a common problem as we age. This can noticeably affect your overall facial balance. Latisse is the first and only FDA approved, prescription solution treatment used to grow eyelashes, making them longer, thicker, and darker. In the Latisse clinical study, Latisse patients saw full results in 16 weeks and half of Latisse patients saw significantly more prominent eyelashes after only 8 weeks.

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, occasionally, mild bruising
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

Collagen Injection Evolence

Collagen is a fibrous protein found in skin, bones and connective tissues. Collagen helps give skin its texture and elasticity. Aging, sun damage and smoking break down collagen and contribute to the development of wrinkles.

Collagen is injected into the skin to treat certain acne and other scars on the face, and to fill furrows on the forehead, cheeks and lips. It can stay in the skin for up to six months or, in some cases, as long as a year. Collagen is ultimately absorbed by the skin and its effects disappear. Collagen must be reinjected every six months to one year to sustain the appearance of fullness.

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.

for the body's 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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