There is an increasing consumer trend for non-surgical alternatives to plastic surgery. They are typically non-invasive, affordable, and provide near-immediate improvement. They can be performed before or after surgical procedures, and they may give patients a small “psychological” boost, delaying the need for more invasive procedures. Patients that utilize fillers may also have an interest in taking care of their skin through professional skin care. Our plastic surgeon James Matas, MD, performs all cosmetic injection procedures to ensure patients receive the highest quality results. The following facial fillers are currently utilized in our practice:
- JUVÉDERM VOLBELLA® XC
- JUVÉDERM VOLUMA™ XC
- BOTOX® Cosmetic
- What to Expect at Your Consultation
- How the Treatment is Performed
JUVÉDERM® is a smooth, colorless, hyaluronic acid-based gel that is injected into facial tissue to smooth wrinkles and folds–especially around the nose and mouth–minimize acne scars, and add fullness to the upper and lower lips. Hyaluronic acid is a naturally-occurring substance found in the human body. The role of hyaluronic acid in the skin is to deliver nutrients, hydrate the skin by holding in water, and to act as a cushioning agent. The filler material contains no anesthetic, so we administer a topical anesthetic to increase patient comfort. JUVÉDERM® injectable gel temporarily adds volume to facial tissue and help to restore a smoother appearance to the face. Results are immediate and may last up to 12 months. Expect mild swelling and mild tenderness. JUVÉDERM® is our most used filler agent.
JUVÉDERM VOLUMA™ XC
JUVÉDERM VOLUMA™ XC injectable gel is the first dermal filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile for up to 2 years. As we age, the cheek prominence flattens and sagging can occur. VOLUMA™ reverses these effects.
BOTOX® Cosmetic is one of the most popular injectable treatments in the U.S., but it is NOT considered a facial filler. BOTOX® Cosmetic is injected into the muscles of the face that are responsible for exaggerated facial expressions and creases. It then blocks the nerve impulses so the expressions and lines are greatly reduced or eliminated. To assist with patient comfort, we administer a topical anesthetic prior to injection. The effects can be fully seen within 3 to 10 days and will last about 4 months. BOTOX® injectable is often combined with facial fillers in about 45% of patients who need filling and softening at the same time.
Restylane® is another type of dermal filler made from hyaluronic acid, similar to JUVÉDERM®. This clear gel is designed to add volume and fullness when injected under the skin. The body’s own moisture helps to maintain the gel’s long-lasting shape. It contains no anesthetic, so we administer a topical anesthetic to enhance patient comfort. Results are typically immediate and often last 6 – 9 months or more. Common treatment areas include the lines between the nose and mouth, lines extending from the corners of the mouth, and the upper and lower lips. Acne scars also respond well to treatment. Expect mild swelling and mild to no tenderness.
Radiesse® is an FDA-approved dermal filler that can typically provide both immediate and long-lasting results of up to 1 year or longer. Radiesse® filler is designed to stimulate collagen production and help to restore a healthy, natural look. This beneficial treatment is a volumizer, and it can be placed around traditional areas like the nose and mouth, in the cheekbone and mid-face areas, and in other indentations to add volume. This material should not be used in the lips, as an adverse condition may occur. Radiesse® filler is made of calcium-based microspheres that are suspended in a water-based gel. To optimize patient comfort, a dental block or lidocaine will be administered prior to treatment. Radiesse® is injected into the skin through a minimally invasive procedure and typically provides immediate correction. Expect mild to moderate swelling for up to 3 days.
What to Expect at Your Consultation
At your initial consultation, Dr. James Matas will help you develop a treatment plan that’s right for you. He’ll explain the type of injectable products available that can offer the best possible results for your areas of concern, and he will recommend an appropriate quantity. In some cases, your treatment can be administered immediately following consultation!
He will advise you to avoid using aspirin, ibuprofen or Vitamin E before your treatment, as this may increase bleeding and bruising at the injection sites. He may also recommend you take Arnica Montana after injection, to help minimize bruising and swelling. A small dosage is available for purchase in our office at your request.
How the Treatment is Performed
Before treatment is performed, a topical anesthetic will be administered for your comfort. A series of small injections place the filler material beneath the skin and into the areas where improvement is desired. Since you are awake during treatment, you can provide Dr. Matas with immediate feedback on the correction he makes in each area. The procedure typically takes just a few minutes, and you may drive yourself back to work or home. Depending upon the type of treatment, mild redness, bruising, and tenderness may be experienced, but it can usually be covered with makeup.
Your New Look
Bothersome lines and wrinkles will often be gone and lips will be fuller without the risk and expense of a surgical procedure. While the treatment effects are temporary, periodic touch-up injections can help you maintain the desired degree of correction all year