How does it work?
Most dermal fillers are composed of a clear gel-like substance called hyaluronic acid. Hyaluronic acid is a natural substance found in plants, animals and humans. When injected, it supports 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. Other types of fillers include poly-L-lactic acid and calcium hydroxylapatite, both of which are designed to stimulate the body’s own production of collagen. Each filler is best suited for a specific area, which is where experience and expertise becomes important. We currently offer Restylane, Restylane Lyft, Restylane Silk, Restylane Refyne, Restylane Defyne, Juvéderm, Juvéderm Volbella, Juvéderm Vollure, Juvéderm Voluma, Belotero, Sculptra and Radiesse. An expert injector, Dr. Cox understands the science and art required to acheive aesthetically beautiful results.
Is it safe?
Dermal fillers have an excellent safety profile and all fillers used in our office are FDA approved. Dr. Cox’s expertise includes use of filler in off-label locations, meaning she can safely and effectively inject filler products into areas other than their FDA-approved locations. You will be informed during your consultation if your treatment plan includes any off-label injection areas. Like any surgical or non-surgical procedure, there are risks associated with treatment. As an international teacher and trainer of other physicians in facial anatomy and injection technique, Dr. Cox stresses the importance of finding an experienced physician who understands the finer points of injectable treatment.
A medical expert and thought leader in injectable filler, Dr. Cox performed FDA trials for most of these injectable fillers. She helped bring Restylane, the first hyaluronic acid filler, to the US, and performed the largest single site trial for registration of Voluma, the first filler created for the mid-face. Dr. Cox remains on the forefront of filler development and innovation, with numerous clinical trials of fuiture fillers in process.
How long does recovery take?
Filler treatment is very well tolerated. Dr. Cox will work with you to develop a treatment plan, which is typically executed in 2-3 sessions. Once initial results are acheived, most patients come in once or twice a year to maintain their results. The procedure itself typically takes no more than 15 minutes. Filler is injected precisely where it is needed using a very small needle. Numb gel may be used in advance of treatment for more sensitive areas.
There is no real downtime associated with filler treatment, but we recommend allowing a few days before a significant social or professional obligation. Injection-related side effects may include swelling or bruising, which typically resolve quickly. Aspirin, vitamin E, ibuprofen, and many other herbal supplements may contribute to bruising. We recommend you discontinue these medications 10 days prior to the procedure with consent of the prescribing physician.
What kind of results can I expect?
Fillers produce an increase in volume and softens lines and creases. Fillers treat a variety of concerns, including etched-in forehead lines, loss of volume in the temples, under-eyes and cheeks, deep lines and creases around the mouth, and loss of volume in the hands. It can also enhance the lips and create a more defined jaw line. Results and duration vary based on the quantity, placement and treatment area. Clinical results have demonstrated duration of four months to over two years, depending on the product.