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Fillers

What are fillers? And, what are the best facial fillers?

There are a number of fillers available on the market. Some fillers made of hyaluronic acid, a natural substance found in all living organisms. Other fillers are made of various other compounds, some natural, and synthetic products. The type of filler that is used determines the safety, efficacy as well as the beauty of the final product of your treatment.

As a result of aging, our cells gradually lose the ability to produce hyaluronic acid, collagen, fat, bone and other important ingredients in the rejuvenation process of the face! Therefore, we need to use medical grade products as fillers to fill in the areas of loss due to the aging process!

By adding the fillers, the skin’s natural hyaluronic acid levels and contours of the skin are restored, re-creating that youthful appearance.

The fillers listed here are considered safe and natural cosmetic dermal fillers that restore volume and fullness to the skin to correct facial wrinkles and folds. Dr.Kormeili specializes in natural correction using fillers, a combination of using the science and technology of products with the art of applying them at the correct anatomical location.

We look forward to discussing your concerns and meeting you in person. Make your appointment today!

It depends on the type of filler and what it is made of!

Dermal fillers revitalize and add volume to the skin, instantly diminishing the appearance of lines and hollows. Dermal filler injections can give a natural looking result if injected correctly and not overdone! Certain fillers such as Sculptra and Radiesse cause the stimulation of your own collagen in addition to the filling effect.

Not all fillers are safe! Synthetic fillers can cause permanent defects. If injected correctly fillers can be very safe with temporary side effects such as bruising, redness, swelling, pain, and itching. If injected accidently in a blood vessel they can stop the perfusion of blood causing necrosis or skin death in the area. This is an emergency and you need to contact the office immediately for reversal treatment. Treatments with fillers under the eyes has resulted in blindness and most of the time that has been with the injection of fat. This is very rare but noteworthy as it is very important to use the correct doctors for filler injections. As a last word of caution, there are “imitation fillers” that are packaged to mimic FDA approved fillers in the US but are actually made outside the US without quality assurance. The use of these is illegal but happens still as the cost is so much lower. Never choose your filler treatment based on price for it may be the most expensive mistake of your life.

Facial fillers have very few side effects when done correctly. Temporary side effects such as bruising, redness, swelling, pain, and itching resolve rather quickly. If injected accidently in a blood vessel they can stop the perfusion of blood causing necrosis or skin death in the area. This is an emergency and you need to contact the office immediately for reversal treatment. Treatments with fillers under the eyes has resulted in blindness and most of the time that has been with the injection of fat. This is very rare but noteworthy as it is very important to use the correct doctors for filler injections. As a last word of caution, there are “imitation fillers” that are packaged to mimic FDA approved fillers in the US but are actually made abroad. The use of these is illegal but happens still as the cost is so much lower. Never choose your filler treatment based on price for it may be the most expensive mistake of your life.

Deep nasolabial folds are generally the “sagging effect” from loss of volume in the cheek bones and jawline. If you only treat the folds you may create a heavy and “fake looking face.” Most fillers are safe for nasolabial folds and products such as Voluma or Restylane produce a great filling effect.

Some of the best Hyaluronic acid wrinkle fillers include:

  • Juvederm XC.
  • Restylane-Lyft.
  • Belotero Balance
  • Restylane Refyne.
  • Restylane Defyne.

Some of the best non-Hyaluronic acid wrinkle fillers include

  • Radiesse
  • Sculptra

Fillers cause deep hydration and water absorption within the skin. It may take up to 2 weeks to get a new equilibrium and for the fillers to settle. If you're unhappy with your results after this time, make a follow-up appointment for adjustments. Hyaluronic acid fillers are naturally broken down by the body. They can also be dissolved immediately upon request using hyaluronidase enzyme. It is also a great time to evaluate the area for any further need for additional fillers. It is best to start small and add slowly to minimize massive swelling and downtime.

Not all fillers are safe! Synthetic fillers can cause permanent complications. If injected correctly fillers can be very safe with temporary side effects such as bruising, redness, swelling, pain, and itching. If injected accidently in a blood vessel they can stop the perfusion of blood causing necrosis or skin death in the area. This is an emergency and you need to contact the office immediately for reversal treatment. Treatments with fillers under the eyes has resulted in blindness and most of the time that has been with the injection of fat. This is very rare but noteworthy as it is very important to use the correct doctors for filler injections. As a last word of caution, there are “imitation fillers” that are packaged to mimic FDA approved fillers in the US but are actually made abroad. The use of these is illegal but happens still as the cost is so much lower. Never choose your filler treatment based on price for it may be the most expensive mistake of your life.

Slight bruising, mild tenderness, or swelling are possible. It takes a few weeks for the fillers to integrate fully into your skin and blend perfectly. During this time you may feel a bit asymmetric. True asymmetry can always be corrected after the initial swelling resolves.

If injected accidently in a blood vessel they can stop the perfusion of blood causing necrosis or skin death in the area. This is an emergency and you need to contact the office immediately for reversal treatment.

Facial fillers are also known as dermal fillers. They are intended to cause hydration and filling of the skin and hollows. Botox on the other hand is a protein that stops the communication between the nerve and the muscle, causing relaxation of wrinkles caused by muscle movement. Both are injected. Dermal fillers and Botox can be paired together to treat both the loss of volume as well as deep dynamic wrinkles to create very natural results.

Topical anesthetics is applied to the skin before the procedure. Additionally, there is lidocaine in the filler as it is being injected for further numbing. Ice also helps minimize discomfort. If prepped correctly for dermal fillers, they can be practically painless and very comfortable.

Not all fillers are created equally. Most of the problems with fillers in the long term is with the synthetic ones such as Silocone because they can cause granulomas, bumps or deformity. Natural fillers made of hyaluronic acid (Restylane, Juvederm, Belotero), calcium (Radiesse) or PLLA (Sculptra) are rather safe in decades of use in the US and worldwide.

Fillers are made of different products, ranging from hyaluronic, to calcium, and PLLA which are considered more natural fillers. Because they are made of naturally occurring products, they get metabolized by your skin. Synthetic materials such as Silicone last indefinitely in the skin because there are no enzymes to digest them. The thicker hyaluronic acid fillers such as Restylane Lyft and Voluma last around 1 year whereas lighter fillers such as Belotero may last around 6 months. Radiesse can last 1-2 years and stimulate your own collagen to create rejuvenation. PLLA filler (Sculptra) is actually quick to dissolve and its purpose is to stimulate the growth of your own collagen which can last years as well.

Do not stare in the mirror looking for asymmetry until all the swelling as subsided! Products that may irritate the skin such as Tretinoin (Retin-A), Retinol, Retinoids, Glycolic Acid, or any “Anti-Aging” products may be best avoided. Avoid dental work for 1-2 months after. Be careful of any dirty make up or products coming in contact with your skin.

Some in fact do! Radiesse can last 1-2 years and stimulate your own collagen to create rejuvenation. PLLA filler (Sculptra) has the sole purpose of stimulating the growth of your own collagen which can last years as well.

Radiesse can last 1-2 years and stimulate your own collagen to create rejuvenation. PLLA filler (Sculptra) is actually quick to dissolve and its purpose is to stimulate the growth of your own collagen which can last years as well. Fillers in general work by improving skin volume and hydration, hence reducing or eliminating wrinkles, and raising scar depressions. They can be used to contour the face such as cheeks, jawline, chin and lips by replacing depleted volume in those areas!

All fillers have an instant filling effect seen immedinately. Sculptra however does lose its filling effect because it is more of a biostimulator. Its purpose is to stimulate your own collagen growth a few months after the treatment. Radiesse results last 1-2 years and stimulate your own collagen to create rejuvenation. It may take up to 2 weeks following injection to see the end results and swelling can occur.

Yes. Many of our patients visit us from out of town and receive various treatments on the same day including dermal fillers, Botox and lasers. The key is not to exert yourself so much that would put you at risk for bruising.

Radiesse can last 1-2 years and stimulate your own collagen to create rejuvenation. PLLA filler (Sculptra) has the sole purpose of stimulating the growth of your own collagen which can last years as well. The thicker hyaluronic acid fillers such as Restylane Lyft and Voluma last around 1 year whereas lighter fillers such as Belotero may last around 6 months.

Facial fillers are also known as dermal fillers. They are intended to cause hydration and filling of the skin. Depending on their consistency they can last anywhere from 6 months to several years. Botox on the other hand is a protein that stops the communication between the nerve and the muscle, causing relaxation of wrinkles caused by muscle movement. When you first start with Botox, you may need 3-4 injection sessions per year and that decreases with time requiring sometimes 2 treatments only. Dermal fillers and Botox can be paired together to treat both the loss of volume as well as deep dynamic wrinkles to create very natural results.

To minimize the chance of bruising, avoid all blood thinners such as fish oils, NSAIDS (Aspirin, Ibuprofen, Aleve, etc), ginkgo biloba, ginseng, flax oil, cod liver oil, and alcohol. You may wish to start oral Arnica tablets up to 4 days prior to your filler treatment to minimize the chance of bruising.

Creating facial symmetry with dermal fillers is an art and it is possible. Symmetry is an essential key to aesthetics. Most people are not fully symmetrical and efforts can be made to create more harmony between the two sides of the face in a natural way!

Nope! In fact some help with getting skin tightening and rejuvenation. Both Sculptra and Radiesse help with long term rejuvenation beyond the period of the material being inside the skin. Radiesse can last 1-2 years and stimulate your own collagen to create rejuvenation. PLLA filler (Sculptra) is actually quick to dissolve and its purpose is to stimulate the growth of your own collagen which can last years as well.

 

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What our patients are saying:

I had rosacea that caused redness and broken vessels on my face. Dr. Kormeili addressed all of my concerns and set about fixing the redness. I was super excited after my first laser treatment as the improvement was immediately noticeable. The second laser treatment made me look and feel amazing…
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