Although dermal fillers and Botox are counterparts, they are not substitutes for each other. Botox relaxes muscle movement and most often softens recently formed "dynamic" wrinkles.
Over the years, however, the face loses its subcutaneous fat and the skin stretches, causing characteristic facial expressions to first "etch" and then "chisel" facial features into stationary lines and depressions. Exposure to the sun, scars, lifestyle and hereditary factors play a part as well. Dermal fillers, when injected into these areas, add volume to firmly established "age" lines and wrinkles most commonly found around the nose, mouth and chin.
Dermal fillers will plump up your lips, soften hard creases and restore smoothness and volume to shallow contours. They require no recovery time, the results are immediate and they last for several months - sometimes as much as two years - without touch-up treatments!
Regenesis uses several popular and effective injectable dermal products, each some believe, better suited for specific indications in the face. Dermal fillers differ in longevity and have varying degrees of chemical make-up. For instance, soft fillers are most common for the lips while sturdier fillers are more desirable for enhancing the cheekbones.Juvéderm Therapy®, Juvéderm Ultra®, & Ultra Plus®
Made from a colorless gel called hyaluronic acid, which is created naturally in the body, Juvéderm's sponge-like absorbency stores water underneath the skin, giving the face a fuller, youthful appearance. Many patients prefer Juvéderm fillers for the lower face and lips.
Juvéderm Ultra is a slightly thicker solution for smoothing away fine lines, while Juvéderm® Ultra Plus is a thicker gel used to fill deeper furrows in the skin. Both options last for up to one year with a single treatment.
Made with microspheres of calcium hydroxylapatite suspended in a water-based gel, Radiesse instantly restores volume to wrinkled skin because it is naturally absorbed over time, leaving the body's own collagen in place. Radiesse injections usually last more than a year
Made from a synthetic substance known as poly-l-lactic acid that stimulates the body's production of collagen, Sculptra is safely absorbed into the body over time and is the same material used in the manufacture of dissolvable stitches.
For people who prefer to be more discreet, Sculptra offers a slower, more subtle approach to erasing age lines. Injected over a period of a few months with results occurring over time, Sculptra will last up to two years.
Similar to Juvéderm, Restylane uses hyaluronic acid to add volume to the skin and reduce wrinkles and folds. Because some patients prefer one product over another for different parts of the face, many patients prefer Restylane for the tear trough and cheeks; however, it has been so effective in lip enhancement procedures that patients as young as 21 use it to plump up thin lips. The body absorbs Restylane injections naturally over time, but we recommend follow up treatments between 6 and 9 months to ensure results lasting up to 18 months.
In the family of Juvederm and Restylane hyaluronic gel products, Perlane is designed to amplify skin tone and is proven effective in reducing wrinkles, folds, and smile lines, as well as enhancing the fullness of the lips. Perlane, however, is a thicker gel, injected deeper into the skin providing a sturdier option for clients with thicker skin, or wrinkles that originate deeper within the face. The results last between six to nine months.
Some customers prefer Belotero Balance, a hyaluronic-acid-based dermal filler with slightly different characteristics from other products. Regenesis will recommend dermal Belotero Balance injections to temporarily smooth out and fill in moderate to severe nasolabial folds and facial wrinkles.
Facial Fat Transfer
For those people who maintain a healthy diet, low weight, and enjoy plenty of energy, they often experience a global loss of subcutaneous facial fat. The results are skeletonized features. The adequate restoration using dermal fillers is cost-prohibitive. The better alternative is facial fat transfer.
In a brief office visit, Dr. Lee will use syringe micro-lipo-extraction under infiltration anesthesia to remove 60 to 120 ccs of fat from another site on the body like the abdomen, hips or thighs. This fat transfer, reused as a filler, will reestablish a soft, youthful facial appearance that often lasts several years, with occasional touchups to prevent continued deflation over time.
Dermal Fillers Will Not Replace a Face Lift
Non-surgical rejuvenation treatments will not resolve all signs of advanced aging such as severe skin laxity, necessitating a facelift, brow lift or eye lift. However, appropriate use of volume enhancers such as fillers, facial fat transfer, Botulinum toxin, laser resurfacing and skin tightening may delay it by many years and help patients look younger and better. Dr. Lee has a working knowledge of many local plastic surgeons and may recommend the one he feels is right for you if the time comes.
Dermal fillers have not shown to be as effective on people who smoke.
Dr. Lee will advise you on your options based on what you wish to accomplish. Call him for a consultation appointment so you can be on your way to feeling better and looking better today!