Treatment: Fillers

What are Fillers?

There are a variety of fillers that are available for use in restoring the loss in volume due to aging, the reduction or elimination of lines and the enhancement of facial features such as the chin. We use several types of fillers. Those consisting of hyaluronic acid which is a product occuring naturally in the skin. These re-volumize the area treated and they may also induce some degree of stimulation of collagen production in the area treated. We also use Sculptra™ and Radiesse™ that depend on the significant production by the fibroblasts in your skin of new collagen. Fillers are most commonly used in the face and hands.

The overall result is the reduction or elimination of lines and folds and a restoration of more youthful contours as the hollowed areas are refilled. See the section on Soft Lift™ which uses fillers to provide amazing results in obtaining an immediate youthful fresh look that will take years off your appearance.

Dr. Rosenthal is a physician that has been especially trained in the process of using fillers. Many of your clients remark on her attention to detail, her artistic 'eye' in regaining a youthful look, her experience and overall skill.

What's involved with Fillers?

At your free consultation we will examine your skin and facial structure to determine whether fillers will be beneficial to enhancing your appearance. We may recommend other treatments in conjunction with fillers. At the time of the consultation we will discuss with you your treatment goals and provide you with an estimate of the cost of the treatments.

We use non-permanent facial fillers composed of cross-linked hyaluronic acid - Restylane^®, Juvederm^® and Teosyal^®. The cross-linking ensures prolonged stability of the filler. By holding water, the gel hydrates and gives volume to the skin. In time, the hyaluronic gel particles are slowly absorbed and replaced by water. When totally absorbed, the gel disappears-unnoticed by the body.

Juvederm^® Voluma^® is the latest product produced by Allergan (also the maker of BOTOX). Voluma^® is used for optimal lift and re-shaping can last up to 18 months.

Frequently Asked Questions

How long does a treatment take?

On average, each treatment takes about 45 minutes.

Are Filler treatments painful?

Previously the Injection of fillers required the use of either a topical numbing cream or injection of a local anaesthetic to make the procedure more comfortable. Now the filler is pre-mixed with anaesthetic (freezing) to ensure that the procedure is comfortable. Filler is injected, using a tiny needle, into each target area.

The side effects can include localized temporary bruising and swelling, both of which can be reduced by the use of cooling before and after treatment. Prior to the procedure, Dr. Rosenthal will discuss the process and side effects. At that time you may ask any questions that you may have.

How long do Filler treatments last?

Studies have shown that hyaluronic acid fillers can last 9 – 12 months. They tend to last longer when they are injected deeper into the skin to restore volume. In these situations, although a small “top up” may be needed after one year but the treatment can be very durable- lasting several years. For lip rejuvenation and enhancement and in the treatment of areas subject to considerable movement of muscles the effect lasts for a shorter period but can be enhanced by combining the filler with a BOTOX treatment.

Sculptra^® can last more than 2 years, and Radiesse^® can last over 1 year.

What will I look like immediately after treatment?

You will be able to immediately appreciate the effect of the filler. There may be mild redness and minor bruising but this should quickly resolve.

When will I see results?

Results are instantaneous.

Are Filler treatments safe?

Hyaluronic acid (HA) is made in the laboratory by a bacterial fermentation process. It is highly purified material and hence allergic reactions rarely occur. Pre-testing is not required. As HA represents a durable form of a natural constituent of the skin and other parts of our body, it is very well tolerated and readily incorporated into the surrounding tissues. HA can provide a very natural smooth appearance to the skin. Radiesse^® has been used medically for many years and is extremely safe and biocompatible.

Are there any side effects?

Mild bruising which can be minimized through the use of cooling before and after the procedure. There can be transient redness, swelling, itching or discomfort and with lip injections the swelling can last for longer periods. If you have suffered from cold sores, antiviral medication will be provided to prevent cold sores from breaking out in the treatment area. The use of fillers should be deferred if your skin is actively infected, or if you are pregnant or breast feeding.