Dermal Fillers

Did you know that many visible signs of aging can be traced back to volume loss? As facial tissues thin out, lines become etched around the nose, mouth and cheeks. Dermal fillers replace lost volume to help smooth wrinkles, diminish the appearance of dark circles under the eyes, turn up the corners of your mouth, undo the impression of unhappiness and restore a more youthful appearance. 

Lip Enhancement fillers can restore volume and fullness in deflated and dehydrated lips turning "up" the corners of your mouth.

The results are immediate and natural; resulting in the WOW effect. Friends and family will comment on how well rested you look or inquire if you have changed your hair, often, without ever knowing what was done, as it truly "looks natural".

Give your skin a lift, without surgery and very little downtime. Schedule a dermal filler consultation today.

Radiesse®, Juvéderm®, Belotero®, Restylane®

As we age, our skin inevitably loses its youthful appearance as the production of natural dermal volumisers such as hyaluronic acid (HA) diminish, leaving lines and wrinkles where our skin once was plump, youthful, and radiant. Today, the signs and symptoms of the natural ageing process can be reduced by replacing lost volume. While dermal fillers are casually known as "wrinkle fillers," they can do so much more! 

How Can Dermal fillers Enhance My Appearance?

* Smooth out lines around the nose and mouth (a.k.a. marionette lines, smile lines and parentheses)

*Enhance and restore volume to cheeks, reduce the appearance of dark circles and sunken eyes

* Diminish vertical lip lines

*Plump and enhance lips

*Smooth out chin creases

*Improve symmetry among facial features. (e.g., define chin & jawline, non-surgical rhinoplasty or nose job)

What are Fillers Made With?

There are a variety of FDA approved filler products that cosmetic dermatologists use. A note for your safety, always make sure you are receiving FDA approved, brand name fillers, which are available ONLY through licensed physician's.

  • Hyaluronic Acid (HA): Hyaluronic Acid is a naturally occuring substance that is already found in your skin. it helps keep skin plump and hydrated. HA filler are typicallly soft and gel-like. The results are temoorary, lasting 6-12 months, before the body gradually and naturally absorbs it. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. Hyaluronic acid fillers tend to be the most temporary option and therefore are often recommended for first time filler patients. Lip injections and areas around the mouth tend to wear out faster than those around the nasolabial folds. FDA approved HA fillers include: Juvéderm, Restylane & Belotero. 
  • Calcium Hydroxylapatite (CoHA): Calcium hydroxylapatite is also a natually occurring substance found primarily in our bones. When used in a fillerm the calcium particles are nearly microscopic and suspended in a smooth gel. The consistency of a CaHA filler is typically thicker than that of a HA filler and lasts longer as well. Calcium hydroxylapatite is also reported to help stimulate natural collagen production. FDA approved CaHA fillers include Radiesse. 

Which Filler Do  I Need?

With so many dermal filler products on the market, it can be difficult to know which option is best for you without an experienced cosmetic dermatologist's guidance. Each product is uniquely formulated to have a certain texture, density and injection depth which means that certain fillers work better for certain areas of concern. Dr. Robinson will determine what product is best for you, the following diagram illustrates in general where board certified dermatologists tend to apply certain products:

What to Expect During Treatment

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will discuss your concerns, goals and medical history with Dr. Robinson.  While the risks associated with dermal fillers are minimal, you will need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions or medications can jeopardize your safety or results.  For instance, you need to tell you doctor if you have been taking NSAID's (e.g., aspirin, ibuprofen, naproxen) or blood thinner, as these may increase the likelihood of bruising.

You may be given a topical anesthetic to numb the area prior to injection. although many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment.  Your doctor will then inject a precise amount of filler strategically beneath the skin.

Depending on the product and the areas treated, you should be able to notice subtle, natural looking results immediately. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to yo ur normal activities right after treatment

How Long Do The Results Last?

How long the effects of dermal filler will last depends on the product, the area treated and the patient. To maintain your results, Dr. Robinson will simply repeat treatment, adjusting the amount and techniques as necessary to ensure optimal results.

Combining Botox and Filler - SWEET!

Botox and dermal fillers are very different types of injectables, however they complement each other quite nicely. When used together you can address multiple areas of the face simultaneously. Botox is typically used around the eyes and forehead, whereas dermal fillers are generally used on the middle and lower areas of the face. Using Botox and dermal fillers together can also prolong the results of treatment.