OH GRAVITY, why do you plague me?!

Have you ever wondered why do we all end up looking like the same person as we age? Sunken eyes & mouth, flat cheeks, receding chin, jowls, and that wonderful turkey neck?! The reality is that our cute chubby baby faces and the firm skin of our youth is created by our facial fat pads, collagen, and hyaluronic acid. As we age, our production of collagen and hyaluronic acid decrease. Our muscles shrink. We also have bone resorption (breakdown). Our fat pads decrease in size and lose their battle with the earth’s gravitational pull.

The result is thinner skin that droops and drapes, enlarging eye sockets (orbits), nose socket (pyriform aperture), and falling of the facial fat pads (especially the apples of the cheeks) inward toward the middle of the face and downward. What does all this translate to? Our temples waste away, bags form under the eyes, nasolabial folds develop on the sides of your nose and mouth, marionette lines appear around your mouth and chin, jowls dangle past your chin as it recedes, and a turkey neck develops…and that is just from the neck up!

Dermal fillers

replenish the loss of natural, youthful plumpness

The good news is that we can replace that long lost hyaluronic acid (HA) and collagen using commercially available dermal fillers and collagen stimulators that can be used in various places on our face and body to help replenish the loss of our natural, youthful plumpness (aka: “fat pads”) and improve skin tone. Dermal fillers can be pure hyaluronic acid (HA), which is a naturally occurring substance in our body. These HAs come in varying thicknesses and last anywhere from 6 months to up to 2 years depending on the product, the area being treated, and the individual’s metabolism. The amount needed varies from person to person. These products include Belotero Balance®, Juvederm® Products, and Restylane® Products.

Belotero Balance Revolution Medical
Juvederm Revolution Medical
Restylane Revolution Medical

Dermal Fillers can be used for enhancing/correcting:

  • Cheek volume (aka: plump up the areas where the fat pads were)
  • Temporal hollows from muscle wasting (sunken skull appearance between the hairline and eyes)
  • Tear Trough Deformity (bags & hollowness under the eyes)
  • Nasolabial Folds
  • Marionette Lines
  • Smoker’s Lines (lines around the mouth—ie lipstick bleed)
  • Lip Enhancement
  • Sad Mouth (downturned corners of the mouth)
  • Receding Chin
  • Jowls
  • Hands (wrinkled, veiny backs of the hands)

frequently Asked Questions

What Are Dermal Fillers?

Treatment with dermal fillers (such as Belotero Balance®, Juvederm® Products, Restylane® Products, Radiesse® and Sculptra®) can smooth out facial folds and wrinkles, add volume to the lips, and contour facial features that have lost their volume and fullness due to aging, sun exposure, illness, etc.

As we age, our production of collagen and hyaluronic acid (HA) decrease. Our muscles shrink. We also have bone resorption (breakdown). Our fat pads decrease in size and lose their battle with the earth’s gravitational pull. The result is thinner skin that droops and drapes, enlarging eye sockets (orbits), nose socket (pyriform aperture), recession of our teeth and jaws, and falling of the facial fat pads (especially the apples of the cheeks) inward and downward—creating our nasolabial folds, jowls, marionette lines, and saggy chin.

The good news is that we can replace that long lost hyaluronic acid (HA) and collagen using commercially available dermal fillers and collagen stimulators that can be used in various places on our face and body to help replenish the loss of our natural, youthful plumpness (aka: “fat pads”) and improve skin tone. Dermal fillers can be pure hyaluronic acid (HA), which is a naturally occurring substance in our body. These HAs come in varying thicknesses and last anywhere from 6 months to up to 2 years depending on the product, the area being treated, and the individual’s metabolism. The amount needed varies from person to person. These products include Belotero Balance®, Juvederm® Products, and Restylane® Products.

There are also two types of products that help to stimulate your own natural collagen production: Radiesse® and Sculptra®.

What Can I Expect During My Visit?

Facial rejuvenation can be carried out with minimal complications. These dermal fillers are injected under the skin with a very fine needle. This produces natural appearing volume under wrinkles and folds which are lifted up and smoothed out. The results can be seen immediately.

You will have a consultation with the provider to determine your areas of concern and make recommendations for treatment.

  • Your provider will take photos of your areas of concern then perform facial mapping to determine how much product you will need and
  • The amount of filler you need for full re-volumization or for enhancement depends on a variety of factors. Skin laxity, fat loss, gravity, genetics, environmental factors all play a part in aging and in the amount of filler needed to correct the areas of concern.
  • The great part about fillers is that you will see the results right away.
  • Depending on the extent of re-volumization needed, you can layer fillers over time to reach optimal correction.
How Much Do I Need?

Most fillers come in 1mL syringe

  • Mid-Face Enhancement:
    • Cheeks 1-3 syringes per side
    • Under Eyes/Tear Troughs 0.5-1.0 syringes per side
    • Temples 0.5-2 syringes per side
  • Lower Face Enhancement
    • Chin 0.3-1 syringe
    • Jawline Definition 1-3 syringes
    • Lip Plumping 0.5-2 syringes
    • “Smoker’s” Lines Around Lips 0.5-2 syringes
    • Oral Commissures (downturned or sad mouth) 0.25-0.5 syringe per side
    • Nasolabial Folds 1-2 per side (after cheek enhancement, which lessens the appearance of the nasolabial folds)
    • Marionette Lines 0.5-1 syringe per side
  • Other: Hands (wrinkled, veiny backs of the hands)
Who CANNOT Recieve Dermal Filler Injections?

YOU CANNOT RECEIVE DERMAL FILLER INJECTIONS IF YOU HAVE ANY OF THE FOLLOWING:

  • Pregnancy or Breastfeeding
  • Allergies to the products or components (including albumin, lidocaine)
  • Infection in the area of treatment
  • Caution used if you have a history if keloids
What are the Risks and Complications?

Before undergoing this procedure, understanding the risks is essential. No procedure is completely risk-free. There are certain inherent and potential risks and side effects in any invasive procedure and in this specific instance such risks include but are not limited to:

  • Post treatment discomfort, swelling, redness, bruising, and discoloration
  • Post treatment infection associated with any transcutaneous injection
  • Allergic reaction
  • Reactivation of herpes (cold sores)
  • Lumpiness, visible yellow or white patches
  • Granuloma formation
  • Localized necrosis and/or sloughing, with scab and/or without scab if blood vessel occlusion occurs
  • Rare complications of blindness from filler embolization have been reported as a complication as well

The above risks may occur, but there may be unforeseen risks and risks that are not included on this list. Some may necessitate hospitalization, and/or extended outpatient therapy to permit adequate treatment.

How Can I Minimize My Risk?
  • 1 week prior to your treatment, avoid Aspirin, Ibuprofen/Advil/Motrin, Naproxen/Aleve, Vitamin E, Fish Oil,  Ginko Biloba, Turmeric, or other blood thinning medications or supplements IF it is safe to do so.
  • Take oral Arnica starting 1 days prior to treatment to help decrease the risk of bruising.
  • Follow Aftercare instructions closely:
    • Avoid rigorous exercise, hot yoga/headstands, anything that increases the blood flow to the area treated as it could cause increased bruising and bleeding.
    • Do not wear hats/headbands, get a massage or facial, or rub the area.
    • Sleep on your back to avoid compression on the treatment areas and potential movement of the dermal filler.
    • Avoid make-up for 4-6 hours to minimize the risk of infection.
    • AVOID DENTAL PROCEDURES 2 weeks before and at least 2 weeks after dermal filler treatment as it increases the risk of infection.
What is the Recovery Post-Procedure?
  • Injections into the facial tissue or elsewhere with a needle or cannula results in local trauma to the tissues which cause an inflammatory reaction that leads to swelling, tenderness, and bruising.
  • There is a good chance of bruising, especially in the lips, nasolabial folds, and marionette lines.
  • Ice and arnica can be gently applied to help with swelling, tenderness, and bruising.
  • Total recovery time can be as little as a few days up to 2 weeks or longer.
  • It is normal for one side of your face to heal before the other side and for there to be some “unevenness”. This will resolve over the healing period or can be corrected once the filler has settled after approximately 2 weeks.
What Type of Follow Up is Recommended?

It is recommended to have a 2 week follow-up appointment to assess the need for any touchups after the product has taken full effect. Touch ups can be done at that time if needed.

How can I stimulate

natural collagen production?

There are also two types of products that help to stimulate your own natural collagen production: Radiesse® and Sculptra® .

Radiesse

Radiesse® is a filler that contains Calcium Hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier it provides immediate volume and correction, then continues to work by stimulating the body to produce its own natural collagen. The gel and CaHA are broken down over time while your own collagen is being produced. The results from Radiesse® last up to 12 months or more.

Sculptra

Sculptra® is a collagen stimulator containing poly-L-lactic acid (PLLA) that acts like a gradual “filler” over about 45-90 days, building your volume as your collagen is produced. PLLA dissolves like absorbable sutures, lasting approximately 2 years in most people.

These can be used for:

  • Cheek enhancement
  • Temple Hollows
  • Jawline
  • Chin
  • Décolletage
  • Hands
  • Buttocks
  • Batwings (flabby skin on the upper arms)
  • Droopy knees
  • Saggy abdominal skin

 

Help me fight gravity!

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