What are Fillers?
Dermal fillers help to diminish facial lines and restore volume and fullness in the face.As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin’s surface, so smile lines and crow's feet become more apparent.The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity and lifestyle.
Dermal fillers can plump thin lips, enhance shallow contours, soften facial creases and wrinkles, improve the appearance of recessed scars, reconstruct contour deformities in the face, and decrease or remove the shadow of the lower lids. Dermal fillers can be very helpful in those with early signs of aging, or as an added value to those who have undergone facial rejuvenation surgery.
Is it safe?
Dermal fillers have risks like any other medical procedure, but are overall very safe. We use only FDA-approved fillers that have been purchased directly from the manufacturer. Our fillers are injected in a medical setting using sterile instruments by highly trained medical professionals. Severe complications from dermal fillers are very uncommon. Potential risks include acne-like skin eruptions, asymmetry, bruising, bleeding, or swelling at injection site, infection at injection site, lumps, skin rash with itching, skin redness, under or over correction of wrinkles, blindness, skin necrosis. The majority of these risks can be mitigated by choosing a medical facility that uses FDA-approved fillers that are injected by a trained medical provider such as a doctor, nurse, nurse practitioner, or physician assistant.
How do fillers work?
Dermal fillers are Hyaluronic acid based, which is a substance that naturally exists in your body.Dermal fillers consist of a soft injectable gel comprised of stabilized, non-animal hyaluronic acid. The gel is tissue-friendly and closely resembles the hyaluronic acid that exists naturally in the body. It binds water and can act as a lubricant and shock absorber in movable parts of the body such as joints. It is also important for the transport of nutrients and in regulating water balance in skin.Dermal fillers work by boosting the skin’s supply of hyaluronic acid by revitalizing and adding volume to the skin, instantly diminishing the appearance of lines and wrinkles, and giving a soft natural look. It is long-lasting but not permanent.
Who is a candidate for filler?
If you are physically healthy, do not smoke, have a positive outlook and realistic goals regarding your appearance, and are committed to maintaining good skin health, you may be a candidate for dermal fillers. Additionally, if you have hollow lines or wrinkles, fat loss in your face due to age or other factors, or are seeking to add volume to any aspect of your face, neck, or other body parts, fillers may be a good treatment for you.
Is it painful?
Fillers are not known to be a highly painful procedure, but we take precautions regardless to ensure our patients are as comfortable as possible. We always offer topical numbing cream prior to the injections so that the patient feels the injections as little as possible. Some more sensitive patients can experience bruising and swelling immediately after the injection and into the next day. Most patients compare the pain level of dermal filler injections to Botox injections, and experience very little, if any pain.
How long do filler injections take?
Your entire appointment should only take about 30 minutes total. We recommend letting the topical numbing cream absorb for 10-15 minutes prior to the injections. Once the numbing cream has been removed, depending on how many areas you are doing, the injections themselves should only take a few minutes each. You are welcome to remain in your patient room after your injections to ice any sensitive areas before leaving our office.
When will I see results and how long dothey last?
The results of dermal fillers are seen immediately upon injection. Your medical provider will be able to check for symmetry and consult with you along the way to make sure they inject your desired amount. Depending on the type and brand of filler used, the results last approximately six months to two years. Once you notice the effects of the fillers have started to dissipate, it’s time to make an appointment for your next round of injections.
What areas of the face or elsewhere can be treated with filler?
The most commons areas of the face where fillers are injected are the cheeks, lips, chin, jawline, nasolabial folds, and under eyes. Fillers can also be injected into the nose, into acne scars, frown lines or crow’s feet, scars, neck lines, hands, and anywhere else with fat loss or deep wrinkles. If you are wondering if you can use dermal fillers on an area not listed above, ask your provider for advice.
What do I need to do to prepare for a filler injections?
Prior to filler injections, stop taking any blood thinners for at least 7 days to prevent excess bleeding. Filler should be injected into clean makeup free skin, so you can come to your appointment makeup free, or we can remove your makeup for you.
When will I see results?
The effects of dermal fillers can be seen instantly upon injection. This allows the provider to check for symmetry, and also allows you to monitor the amount of filler being injected and let your provider know if you feel like you need more in any particular area.
What is the recovery from filler injectionslike?
You may experience immediate bleeding, swelling, or bruising from dermal filler injections. Bleeding should subside moments after the injection, but bruising or swelling can remain for a couple of days. You should ice the injection site, avoid touching the areas injected, and avoid exercise for the following 24 hours.
What should I expect at my appointment?
If you’re a new patient or have never had filler before, you will fill out paperwork and sign consents that detail everything there is to be aware of when it comes to dermal fillers. One of our providers will consult with you and make sure your expectations align with what fillers can do to improve your appearance. Together, you will make a plan for what areas and how much filler should be used. We will take “before” photographs so we are able to compare your original look to your results. Next, we will apply topical numbing cream and allow this to work for 10-15 minutes. Your injector will spend a few minutes on each area and will hand you a mirror to see the immediate results. Your provider will make sure you are happy with the areas and amount injected before concluding your procedure. You will be provided with ice packs and you are welcome to stay in our office until any bleeding or swelling has subsided.
How much does filler cost?
The cost of fillers depends largely on the type and how long they last. Fillers are sold by the syringe, and costs range from about $600-1500 depending on the brand and the longevity of the filler. Fillers are more costly than Botox, but they tend to last at least twice as long, and are well worth it when you see the improvements they can make in your face or other areas they are used in.Please don't forget to ask about any promotions we are running. If you consent to participate in our “model release" we may offer additional discounts on your procedure.