What is Dermal Filler?
Filler is an injectable treatment that restores volume and softens lines and creases. It is used primarily in the face, but may also be used in the hands, chest and other areas.
How does it work?
Most dermal fillers are composed of a clear gel-like substance called hyaluronic acid. Hyaluronic acid is a natural substance already found in soft tissue of the body. When injected, it acts like an inflated cushion to support facial structures and tissues that have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple.
We primarily use hyaluronic acid fillers in our office. Different brands are formulated to best suit different areas. We currently use Restylane, Restylane Lyft, Restylane Silk, Restylane Refyne, Restylane Defyne, Juvéderm, Juvéderm Volbella, Juvéderm Vollure, Juvéderm Voluma, Belotero, and Perlane. Dr. Cox will work with you to determine which filler to use where.
What areas can filler treat?
Fillers treat a variety of concerns, including etched-in forehead lines, loss of volume in the temples, under-eyes and cheeks, and deep lines and creases around the mouth. It can also enhance the lips and create a more defined jaw line.
What kind of results can I expect?
Fillers produce an increase in volume and softens lines and creases. Results vary based on how much product is used and what areas are treated. As an internationally-recognized injectables expert, Dr. Cox specializes in pan-facial filler use. This involves evaluating your areas of concern and developing a holistic treatment plan that may involve multiple filler products strategically placed in different areas.
How long will results last?
Duration of results depends on the filler product and amount used. Some products last four to five months, while others last up to two years. We develop treatment plans with the goal of maximizing result durability.
What can I expect during the procedure?
Filler treatment begins with an in-depth consultation to discuss your concerns and goals. Once you and Dr. Cox have developed a treatment plan, the actual procedure typically takes no more than 15 minutes. After the treatment area is cleansed, Dr. Cox will use a syringe to place filler precisely where it is needed. Numb gel may be used in advance of treatment for more sensitive areas.
How long does recovery take?
Filler does not involve any true downtime, but most patients schedule treatment to allow for several days in advance of significant social or professional obligations. Swelling is normal following your treatment and may last for several days. Temporary lumpiness or asymmetry may also be present and should resolve with time. We recommend you apply an intermittent ice pack for the first hour following your injection, although over-icing can result in additional swelling.
With any injectable procedure, there is a risk of bruising. Aspirin, vitamin E, ibuprofen, and many other herbal supplements may contribute to bruising and swelling. We recommend you discontinue these medications for two weeks prior to the procedure with consent of the prescribing physician.
Is it safe?
Hyaluronic acid fillers have a proven safety profile. All filler products used in our office are approved by the FDA to safely treat specific areas of that face. We also treat certain additional areas “off label” of the approved FDA use. You will be informed if off-label use is recommended as a part of your treatment plan. Though off-label use is fairly common, Dr. Cox stresses the importance of finding an experienced physician who specializes in aesthetic medicine and understands the finer points of facial musculature and movement.
One additional advantage is that hyaluronic acid fillers can be dissolved completely if you are unhappy with the results. This is accomplished through a simple “hyaluronidase” injection. This injectable treatment is much like the original procedure. It breaks down the hyaluronic acid so that it can be safely absorbed by the body, nullifying the result.
Like any injectable filler, there are risks associated with improper injection. For example, if dermal filler is injected into a blood vessel, potentially serious and permanent complications can occur. All consultations include a comprehensive, personalized discussion of each filler and treatment area’s safety profile.
Who is a good candidate?
Good candidates are those bothered by loss of volume, lines and creases, or who want to enhance the lips or sculpt the jawline. Filler is safe for all skin types. As with any procedure, good candidates are those who understand the procedure and post-treatment care, and have realistic expectations concerning results of the treatment.
Is filler used off the face?
Filler may be used off the face. We use Radiesse for Hands, the only filler FDA approved to restore volume in the back of the hands. This calcium-based filler effectively reduces the look of veins and bony structures under the skin. As a Radiesse Hands Center of Excellence, we have been recognized for expert technique, a commitment to superb results and exceptional patient experiences in hand rejuvenation.
We also use Sculptra, a longer-lasting poly-L-lactic acid filler that stimulates collagen production. We use Sculptra primarily to treat crepiness and fine lines of the chest and decollate, but it can also treat other areas of the body.
Why come to Aesthetic Solutions for treatment?
Dr. Cox is an injectables expert and thought-leader in use of pan-facial filler.
- Twenty-six (and counting) clinical trials leading to development of numerous injectables including Belotero, Botox, Dysport, Kybella, Voluma, Restylane, Juvederm, Perlane, Belotero, Restylane Silk and three yet to hit the market.
- Publisher of numerous peer-reviewed articles, Dr. Cox has lectured at meetings worldwide, and served as a trainer for physicians throughout the US.
- Cox’s expert injection techniques have been filmed for physician training purposes by every major injectable manufacturer.
As an advocate for both filler technique and safety, you can feel confident that Dr. Cox will provide the best possible results. Call us today at (919) 338 5007 to arrange a consultation.