Dermal Fillers

Full Natural Volume

Why Our Skin Deteriorates

The supple and resilient skin we enjoy in our youth is largely due to hyaluronic acid, a naturally occurring sugar that maintains moisture in our skin and helps build collagen to provide elasticity. As we age our body produces less hyaluronic acid and therefore less collagen. Genetics and other factors such as stress, sun exposure, smoking, and hormonal changes can accelerate this aging process. Facial volume decreases resulting in a thinning of the skin and a loss of firmness, plumpness and elasticity. Over time the effects of this volume depletion in the upper face may cause sunken temples, hollow or flattened cheeks, and pronounced nasolabial folds. Aging in the lower face can create sagging jowls, thinning of the lips, marionette lines, and vertical lines around the mouth.

How do fillers restore volume and reverse signs of an aging face?

Facial fillers are a non-surgical treatment made from hyaluronic acid (Restylane, Emmervel, etc.) injected below surface of the skin. Volume is restored, facial contours sculpted and facial features softened. Elasticity is gained from increased collagen production. With no surgical downtime, you can get back to work or play right away. In most cases, patients do not feel a significant amount of discomfort, but we provide you with a topical or local anesthetic to numb the area if needed. In most applications, a small top-up after about 6-7 months will extend the effect much longer.

Where would you like to turn up the volume?

Lips: If you want plump, more sensuous lips, our aesthetic nurses specialize in natural-looking lip filler injections for a soft, balanced, artistic result which can give a visual lift to the whole face. 
Cheeks: Adding volume to the cheeks is a safe and effective way to create the appearance of more prominent cheek bones, or create a younger looking cheek appearance.
Facial Folds: Fillers are a safe and effective way to fill in folds between the nose and mouth (nasolabial folds) and between the corner of the mouth and the jaw (marionette lines).
Other areas:  We can use fillers to restore lost volume: tear-troughs (eliminate hollow eyes), temple, jaw, and chin.

Did you Know?

Dermal fillers are not just for anti-aging, here are some other ways they can help you:

  • Non-surgical rhinoplasty: Filler is injected into the tip or bridge of the nose to define nasal features, and improve symmetry
  • Skin hydration: Injecting fillers into the skin increases hydration resulting in a healthy and youthful appearance
  • Scars: Small amounts of filler injected into recessed scars give the skin a smoother texture and more perfect complexion

Frequently Asked Questions

Filler is an injectable gel made from hyaluronic acid (HA). Hyaluronic acid is a sugar present in every tissue of the body, and helps deliver nutrients to and carry toxins from cells such as those found in cartilage. Hyaluronic acid also encourages water retention in other bodily tissues. It is found in large concentrations in the fluid-filled space between cells, keeping collagen and elastin moist and promoting a youthful appearance.

After your Restylane treatment you might have some swelling, bruising, redness, pain, itching, disclouration and tenderness, which typically last a few days to a week. Additionally temporary lumps and bumps may occur in some patients.

Rare and unexpected side effects include the development of nodules, tissue necrosis or abscess, firmness, acne formation, granuloma formation at the injection site, or localized allergic reactions, blindness due to vascular occlusion.

Anyone who is pregnant, breastfeeding, or under 18 years of age should not use Restylane. Those with a known hypersensitivity to the product components, a past history of autoimmune disease or receiving immunosuppressive therapy should not be treated. Restylane should be used cautiously by those with inflammatory skin conditions, a tendency to develop hypertrophic scarring, or are currently undergoing laser therapy, chemical peels and microdermabrasion. Please contact us with any questions about your suitability for injections with Restylane®

You may experience some level of discomfort from the injections, however Restylane products are formulated with an anesthetic (lidocaine) to decrease discomfort. Additional topical and injectable anesthesia may be used appropriately as needed.

The Restylane line of products are all available without lidocaine for those patients with a known allergy to Lidocaine.

The longevity of treatment results varies and is affected by factors such as genetics, smoking, stress, sun exposure and pollution. Typically single treatments last from 6-10 months depending on the specific filler used and area injected.

A further advantage of Restylane is that the treatment is reversible. If you don’t like the results, you can return to your pre-filler appearance. HA fillers are biodegradable, meaning the gel breaks down over time and disappears, unnoticed, from your body.

To avoid or minimize bruising alcohol and blood thinning medications (ASA, Advil, Ibuprofen, Vit E, St. John’s wort, white willow bark, omega fatty acids) should be avoided for at least 7 days prior to your treatment unless prescribed by your physician. If you suffer from Herpes Simplex (cold sores) and plan on having treatment to your lips or immediate mouth area you are advised to take antiviral medication prescribed by your doctor to avoid/minimize an outbreak.

Daily exercise should be completed before your treatment.

After your restylane treatment avoid touching the treated area for 6 hours and prepare to sleep on your back for 2 nights (for cheek injections). Heat producing activities such as sunbathing and sunlamps should be avoided to decrease risk of increased bruising.  Schedule any heat producing laser treatments at least 14 days after your treatment to avoid decreasing the effectiveness of your Restylane results.

Vigorous physical activity may be resumed 48 hours after your treatment.