Facial Fillers

Restylane, Perlane & Juvederm Logos

Restylane and Juvederm are a smooth consistency gels made of hyaluronic acid. These injectable gels are placed under the skin to reduce fine lines and wrinkles providing a smooth, natural look and feel. These are crystal- clear biodegradable synthetic injectable gels. These products use NO animal- derived materials, so there is no need for a spot test before treatment. The filler material Hyaluronic Acid is naturally occurring in our bodies and it attracts water, hydrating your skin.

Fillers like Restylane and Juvederm are used to fill in wrinkles and facial depressions that may come with age. Many patients misunderstand fillers and sometimes confuse them with Botox. Fillers are substances that are injected under the skin or lips to plump up the tissues. Facial fillers replace skin fluid that, when lost, causes wrinkles. In youth, our skin is plump from the natural sugar called Hyaluronic Acid that attracts water. As we age, our skin thins by loss of collagen and fluid.

Restylane and Juvederm are clear medium volume injectable fillers with a larger molecular size to augment the lip and fill larger areas by lifting and adding volume. Medium depth fillers are used for folds in the skin and deeper crevices. Medium depth fillers are very effective for naso- labial folds, which run from the corner of the nose to the corner of the mouth. They may also be effective for melo- labial folds (marionette lines) that run down from the corners of the mouth to the jaw. They may also be used for lip augmentation providing plumping and volume. These fillers are also longer lasting than the thin, superficial fillers.

Why/ Where are fillers used?

Fillers for skin wrinkling are usually used for nasolabial folds (laugh lines) or bigger, deeper wrinkles. Fillers can also be used to augment facial anatomy as in making bigger cheeks, chin, or filling in defects and scars. For nasolabial folds (laugh lines) the filler is injected to soften the fold. Patients must understand that the fold will not be totally eliminated (actually adults would look unnatural without any smile lines). For most patients with moderate to deep nasolaial folds (smile lines) a syringe of filler for each side is needed.

For the lips, fillers can increase lip size as well as enhance the definition. They can also plump out lipstick lines. In the lips, the filler is used to enhance the natural lip outline and definition that is lost with aging. It is also used to plump the lips to actually make them bigger and to show more of the lip. For many patients, one syringe may be enough to plump both lips.

The newest application for fillers is the tear trough area under the eyes. Fillers can also be used to fill in the lines that are underneath the lower eyelids called the tear troughs. This area makes patients look hollow and by injecting fillers, it plumps out the depression and improves the dark circle look.

How are fillers given?

Fillers are injected through small needles. Dr. Hardy & Dr. Andelin go to great lengths to make this procedure painless. All patients are first treated with numbing cream on the areas to be injected. If the lips are to be injected, a numbing cream is first placed, and then several small dental anesthetic injections are given to totally numb the lips and related areas for a truly painless procedure.