Collagen loss is a common factor contributing to signs of aging and can lead to a variety of facial changes, including shifting contours and the development of lines and creases. We use dermal fillers at our Los Angeles practice for women and men who want to address these changes without facial surgery. A procedure such as a facelift is ideal for more dramatic and longer-lasting results, while fillers are ideal for anyone who wants more subtle and temporary changes.
The Cassileth Plastic Surgery and Skin Care team have advanced training and many years of experience administering a range of injectable dermal fillers in order to meet the unique needs of individual patients and ensure that each and every patient looks natural, and never like they've had "work" done. Each filler has specific characteristics and provides particular benefits, so we can accommodate individualized goals.
Every dermal filler has slightly different uses and properties. Our master injectors at Cassileth Plastic Surgery and Skin Care will introduce a small amount of the product into the target area, combining medical knowledge, technical know-how, and an artistic eye to create beautiful results. Working with less-experienced injectors can lead to an "overdone" appearance. We always recommend our patients start with less and add more as needed or desired.
Each injection will feel like a small pinch, and typical after-effects include slight swelling and redness. At Cassileth Plastic Surgery and Skin Care, we also utilize a vibrating tool for muscle distraction along with topical numbing, if desired, to make each treatment more comfortable and tolerable to the patient. The duration of any side effects, as well as the appearance of results, depends on the dermal filler itself and where it is being applied. Redness from the injections subsides within 15 minutes to 24 hours. Initial swelling retreats and lessens within the first 48 hours, with patients seeing their final results at around two to three weeks. For first-time patients, we counsel allowing three full weeks to see final results, as first-time patients' skin can be sensitive to a new treatment.
Dermal fillers can smooth out smile lines, nasolabial folds, laugh lines, and marionette lines, as well as serve as under eye filler to reduce the appearance of hollows, cheekbone filler to define mid-face contours, and nose filler to shape nasal proportions. Subtle, natural-looking lip fillers can enhance the delicate shape of the mouth. As we get older, our loss of collagen and elastin leads to skin sagging and obvious signs of aging. Applying the appropriate amount and type of injectable filler can help revive and rejuvenate your appearance in a natural way without looking overdone or outwardly obvious—simply refreshed and refined.
Some results are visible after a single session, while others may be visible after repeat visits. Again, the specifics depend on a range of variables, including the chosen dermal filler, the amount used, the target area, the pre-treatment condition of the skin, and a person's desired results.
There are five different options in the Juvederm® line, all based on hyaluronic acid, which bonds to water in the skin to provide hydration and volume. These dermal fillers can address wrinkles around the mouth, vertical lines above the upper lip, a down-turned mouth, hollowing cheeks and temples, thinning lips, and deep folds and lines near your nose and mouth (known as nasolabial folds and marionette lines).
The Restylane® line of dermal fillers treats facial wrinkles and folds, provides subtle lip enhancement, smooths lines around the mouth, and adds lift and volume to the cheek. It also helps reverse signs of volume loss in the back of the hands. The formula is also based on hyaluronic acid, a naturally occurring substance in the body that gives skin its fullness and elasticity. As we age, hyaluronic acid and collagen quantities deplete, causing deep folds and wrinkles in areas that used to be full.
Radiesse® is a water-based dermal filler filled with calcium-based microspheres that stimulate your own body's collagen production. This treatment is ideal for deep wrinkles that can make you look and feel much older than your age as they develop from several factors associated with the normal aging process: facial fat loss, decreased elasticity, collagen reduction, and gravity. Radiesse® treats wrinkles and lines, including nasolabial folds and the creases that extend down from the outer corners of the mouth to either side of the chin.
As the first and only FDA-approved Hyaluronic Acid indicated for dynamic facial wrinkles and folds, RHA® addresses many signs of aging we see in the face such as collagen and volume loss, hollowing, and loss of definition. RHA® is designed to be resilient enough to adapt to your facial movement and uses a gentle manufacturing process with few chemical modifications making it a “cleaner” filler in comparison to others available. Using fewer chemical modifications helps preserve the natural structure of the HA, allowing it to mimic the natural HA found in your skin resulting in a more natural looking and feeling filler.
Sculptra® Aesthetic is a different type of dermal filler, more accurately described as a "collagen stimulator". The formula is based on poly-L-lactic acid, which prompts collagen production for more gradual and subtle contouring results that can last for years. The contents of each injection are made up of the same material used for internal, dissolvable stitches, but in an injectable form. Injections can address nasolabial folds, marionette lines, and chin wrinkles.
BOTOX® is ideal for treating wrinkles that form due to muscle activity as opposed to collagen loss. Other options for addressing facial aging include laser skin resurfacing and chemical peels to smooth fine lines and even tone, enhancing the look of areas treated with dermal filler.
Patients who are considering surgery may want a brow lift or blepharoplasty to rejuvenate the upper areas of the face or a facelift to contour the lower third. Fat grafting can also add volume where desired, using a patient's own fat cells.
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