Why is this face that I see every morning in the mirror suddenly looking droopier? It could not have happened overnight, but why does everything appear suddenly to be looking down, not up? If these questions are bothering you, you are not alone.
At the Esthetic Clinic, we believe that the subject of beauty is anything which resonates with personal meaning. Whether in a woman or a man, beauty has to be taken care of. Preserving beauty is as important as anything else that is done. Physical appearance can also deteriorate because of lack of care. An increasing number of consumers are opting for non-surgical techniques for preservation of beauty as these techniques have ‘reduced downtime’ – A consumer can literally see changes in days, without having to go through the pains of healing from surgery.
Filler treatments are not recovery treatments which can be performed over the lunch hour. The primary fillers we offer include Aquamid , Elevesse, Esthelis, Juvederm, Radiesse, Sculptra , Restylane, Fortelis and Mesolis. Dr. Shome would be happy to discuss with you what you can achieve with the use of fillers and which one would be best suited for your individual concerns.
Frequently asked questions about Dermal Filler Injections:
- What is a dermal filler?
Dermal filler is a material which is injected into or below the skin to add volume to the face.
- Why are dermal filler injections popular?
Dermal filler injections usually cause a consistent subtle improvement in facial appearance which can be seen immediately after the injection; yet with little or zero recovery period.
- Why do dermal fillers make people look younger?
As time passes, we lose volume in the face. Loss of volume results in the face getting deflated. Our face is like a round inflatable ball. When the ball is fully inflated, no wrinkles will be seen on the surface. If we let some air out of the ball, creases form on the surface. If more air is let out of the ball, it will no longer maintain a round shape. What a dermal filler does, is it essentially re-inflates the face.
- Who gives dermal filler injections at the Esthetic Clinic?
All injections at the Esthetic Clinic are given by Dr. Debraj Shome, our facial plastic surgeon who has been internationally trained. A Facial Plastic Surgeon who administers Botox ensures that clients have the best possible results. Besides, if Botox is unsuitable for a particular line or condition, Dr. Shome being a plastic surgeon, has other tools in his armamentarium to deal with those.
- What areas of the face are fillers used in the most?
Dermal fillers are most frequently used in the lips and the naso-labial folds (the fold between the mouth and cheek). More and more fillers are now being used to accomplish changes that earlier required surgery to place cheek or chin implants or face lift surgery. In these cases, the filler is injected below the cheeks or chin to add volume to the face.
- Do dermal filler injections and Botox injections do the same thing?
They both make you look younger and more rested, but do it in different ways and in different parts of the face. Botox decreases wrinkles which have been caused by contraction of muscles by bringing about relaxation of those muscles. It works best on the forehead, in the area just lateral to the eyelids (crow’s feet wrinkles) and between the eyebrows. Filler adds volume to the face and works best in the areas of the face which lie below the eyes.
- Can one receive Botox and dermal filler injections at the same time?
Yes. Botox and Dermal filler are often used simultaneously to treat different areas of the face producing a synergistic effect. Rarely do people have very deep wrinkles on the forehead and in the area between the brows, crow’s feet which do not resolve completely even when the muscle has been relaxed with Botox. In these situations filler can be used along with Botox to elevate the deep wrinkles.
- Can one receive dermal filler injections and have cosmetic surgery at the same time?
Yes, it can be done. In some cases dermal filler injections can postpone or even reduce the problems previously treated with cosmetic surgery. However some issues like sagging skin in the neck and excess skin in the upper eyelids can’t be improved with dermal filler. We often utilize dermal filler at the time of cosmetic surgery to improve the results of surgery.
- How do filler injections in the lips work?
Some young people simply like having full lips. Adding filler can give a person, more full lips. The appearance of the lips is altered by some aging changes in middle age. The upper lip gets elongated which allows a little of the red portion of the lip to roll under, resulting in decreased redness in the upper lip relative to the lower lip. There is also a loss of volume and elasticity in the skin. This allows vertical wrinkles to form in the upper and lower lips. Injecting filler into the lip can roll out the upper lip exposing more of the red part of the lip. Injecting filler on the edge of the red part of the lip and into the vertical wrinkles can reduce these wrinkles. These changes can be achieved without markedly increasing the size of the lips or giving one an artificial appearance. Juvederm is the most commonly used filler in the lips. These injections are typically repeated once every 4 months.
- How do filler injections work in the lower eyelids?
Some of the aging changes in the lower eyelid are caused by separation of the cheek fat from the lower eyelid fat. This leaves a valley or depression at the intersection of the lower eyelid with the cheek. Many people know this as a dark circle. Adding filler to this valley or depression can cause resolution of the dark circle. Juvederm is the most commonly used filler in the lower eyelids. These injections are typically repeated once every one and a half years.
- Do filler injections in the lower eyelid work equally well in all patients?
No. It works better if the skin is thicker or pigmented. In lightly pigmented female patients, the skin tends to be translucent making the filler to be visible below the skin. We have found this technique to work better in patients of pigment and in men, as male patients tend to have thicker skin in the lower eyelid. This is only a concern for the lower eyelids since this skin is thinner than the skin on rest of the face.
- What fillers are used at The Esthetic Clinic?
Juvederm and Restylane are currently the most popular fillers. We use many other fillers on a less frequent basis including: Esthelis, Radiesse, Sculptra, Collagen and Aquamid.
- What is Juvederm?
Juvederm is a cross-linked hyaluronic acid. Hyaluronic acid is found naturally in the skin and it attracts water increasing the plumpness or fullness of the skin. As our age advances, we lose hyaluronic acid from the skin which results in loss of fullness and subsequent deflation. Injecting Juvederm can increase the fullness and inflate the skin. The fact that hyaluronic acid is found naturally in the skin is responsible for the low incidence of allergic reaction to Juvederm.
- What is Radiesse?
Radiesse is a calcium based microsphere suspended in a gel. It is a long acting filler that is best used for injections deep into the skin. It is most commonly used to add volume below the naso-labial folds. It should not be injected superficially into the skin and is not used by us to treat lips. It can be used very effectively to add volume over the cheeks and even along the jaw line in those who have generalized loss of volume in the face. Radiesse injections are repeated aproximately once every six months.
- Is it necessary to perform skin testing prior to Juvederm or Radiesse injections?
No, it is not. An allergic reaction to Juvederm and Radiesse is so rare that skin testing is not recommended even by the manufacturers.
- What filler is best for me?
This depends on the patient and the problem which is being treated. For instance, we do not typically recommend the use of Radiesse in the lips because it can lead to the lips feeling lumpy. If you are not sure about the use of filler, but would like to try it out, you may want to try Juvederm because if you do not like the appearance it can largely be reversed with an injection of a second medication. The answer to this question is best achieved with a formal consultation with Dr. Shome.
- What needs to be done to prepare for filler injections?
Very little needs to done as preparation. Some medications such as vitamin E, Motrin, gingko, aspirin and glucosamine thin the blood and promote bruising with filler injections. If these have been prescribed by a doctor or are being used to treat a specific medical problem such as cardiac disease, then you should continue to take the medication.
- Do filler injections hurt?
Most patients report little pain. Firstly, the smallest needle possible is used. We offer a numbing cream to reduce the sensation of the skin. Earlier, Radiesse injections were quite uncomfortable but we are now able to mix Radiesse with a small amount of medication which numbs as the medication is injected. We also have a special machine (Zimmer) that blows very cold air on the region to be treated in order to make the treatment as painless as possible.
- What is recovery like for filler injections?
One of the greatest aspect of filler injections is that it requires very little or no recovery. Most patients treated with filler get no or little bruising. An exception to this is the lower eyelids, where patients will often notice some bruising. The face develops a few small bumps from swelling near the injection sites. These usually go down in about one hour. Patients often apply a cold compress over the treated portions of the face to decrease the swelling. There may be some areas that feel, but do not look lumpy. This typically gets resolved in a week or less.