Facial Fillers
With increased technology, chemists have developed longer lasting hyaluronic acid injectables. Restylane, Perlane and Juvaderm are
appropriate for medium depth lines around the mouth, eyelids, cheeks and to fill the lips. Smokers fine lip lines can
be smoothed out as well as the corners of the mouth. This will turn up the corners to diminish a sad, drooping
appearance. Radiesse, similar
to hydroxyapetite, the major constituant of bony tissues, can correct the smile lines from the mouth to the nose,
and the chin and between the brows, for up to one year when combined with Botox in these areas. These
products are relatively allergy free. Immediate results are noted with mild swelling which subsides overnight. Occasional
bruising can be camouflaged with leg and body cover cream. You will look better that same evening.
We have expanded the use of Radiesse and Sculptra to build up the hollows below the eyelids, cheek bones jawline and
temples and outer brows. Carefull injection into the eyelids will lift the brows, fill out the lids and prevent the
need for skin excision in mild cases of lid skin excess. This enlargement will last one to two years. Always
keep in mind that an additional filling session at one to four months may be necessary to maintain longterm results.
These fillers stimulate your own collagen production improve the quality and appearance of the skin. This effect begins
a month after injection and lasts up to two years.
Please check with our staff one week in advance to ensure we have your choice available.
Permanent Fillers
This most appealing group of procedures can give a permanent correction to the
deeper folds surrounding the nose, mouth, lips, and between the brows. Cheek bones, the chin as well as the outer upper brow/eyelid
can be augmented. Several different implant options are available including grafting of skin from an existing scar, facelift,
eyelid or tummy tuck, otherwise discarded skin.
Autologous tissue
grafting continues to render the most long lasting natural appearing results
Silicone, polymethylmethacrylate, latex, gortex and Alloderm have been used successfully
to yield permanent correction of these areas, albeit with higher complication rates and occaisional palpability.
We are very excited about the re-introduction of Artefill. This permanent
filler is an excellent choice for those seeking longterm correction of laugh lines, hollows below the eyelids and creases
around the corners of the mouth. We can inject this gel to enhance the lips as well as augment
the cheek bones, eybrows and jawline. Careful consideration of long term changes in facial anatomy must be made in planning
the location and amount of correction. Facial tissues may droop leaving these permanent bulges in inappropriate locations.
Conservative correction with follow up sessions obviate this potential undesireable result.
Those Juicy Lips!
Our approach to lip aesthetics has become more sophisticated. Filling and
shaping the lips in the appropriate areas will give a more attractive and pouty appearance than just enlargement alone. We
can fill one or both lips, central and outer areas, depending on the shape of your lips and the look that you like. Restylane
and Juvaderm are the most common fillers used today. The results can last up to 6 months. Fat suctioned from your waist or
hips, injected into your lips, may last longer, and in some cases, fat injections result in permanent augmentation. Artefill
a permanent injectable gel of methylmethacrylate microshperes produces natural, soft, permanent lip enhancement. The
placement of alloderm or synthetic implants is also an option for more permanent lip enhancement.
Studying your lips and the photos of others helps us to shape your
lips in the most desirable way. The various options and expected results will be reviewed during your consultation.
