Many products are now available which can be used to restore the fullness of faces. Aging leads to loss of fullness in the face. This usually due to a loss of cheek fullness, the appearance of sagging lower cheeks and lips (nasolabial folds), the thinning of lips and the appearance of hollows in the temples. Reversing these signs is known as facial rejuvenation.
While facelifts, and forehead lifts can get rid of loose skin by tightening tissues, these don’t restore fullness of face. That is where facial fillers come in. While many fillers are available for this task, some work better than others. Dr Rai presently offers the following fillers at his Dallas, Texas office:
Restylane is a made of Hyaluronic acid. Hyaluronic acid is a normal component of the human body so it does not cause allergic reactions and is FDA approved. Restylane comes as a gel like filler, which is injected into the deep part of the skin. It restores fullness by providing volume at the place of the injection. Restylane treatments are given after numbing the area being treated.
Some redness and swelling occurs at the site of injection. Patients are asked to keep cold packs at the injection site for two to four hours to reduce swelling. Restylane is useful in the following areas of the face:
- NASOLABIAL FOLDS: Nasolabial folds are areas surrounding the nose and lips. With the aging process, this area develops sagging and a lack of fullness which Restylane restores Generally one to two syringes of Restylane are needed for each nasolabial fold.
- LIPS: With advancing age, lips become thin and limp. They loose their fullness and plumpness, which Restylane restores. This has beneficial effects on the whole mouth. Restylane also reduces lines around the mouth.
The beneficial effect of Restylane is evident for four to six months after the initial treatment. Then it gradually goes away. Dr Rai recommends getting touchup treatments as soon as the beneficial effect starts to diminish, thereby retaining it perpetually.
While Restylane is used for nasolabial folds and lips, Sculptra is used to build fullness to the entire cheeks, nasolabial folds and temples. Chemically, it is poly–lactic acid. Sculptra comes as a powdery material, which is reconstituted prior to each injection. After the injection, the fluid gets absorbed, but poly–lactic acid crystals remain the in deep dermis. This stimulates dermal growth and causes thickness in the dermal layer. A series of injections, given two to four weeks apart is needed to achieve the desired correction.
This correction is reported to last 12-18 months. At that time, a touchup treatment will be necessary.
Captique is a non-animal stabilized Hyaluronic acid filler available from Inamed. It is FDA approved for face treatments.
HYLAFORM AND HYLAFORM PLUS
These are animal based Hyaluronic acid fillers that can be used just like Restylane and Captique.
COSMODERM AND COSMOPLAST
These are collagen-based fillers that are available to treat nasolabial folds, lips and other areas of the face.
Radiesse is made from CAHA micro spheres suspended in aqueous gel. It is also used to treat facial deformities as a filler.
COLLAGEN, ZYDERM, ZYPLAST
These are facial fillers which are now obsolete.
AUTOGENOUS FAT GRAFTS
A patient’s own fat can be extracted and then injected into face, lips, and nasolabial folds to restore facial fullness.
There are many more facial fillers in varying development stages. As, and when they become available, we shall upgrade this website to keep you informed.
ePTFE is short for Expanded Polytetrafluoroethylene. These are permanent facial implants that are available in varying thickness and shapes. They are used to permanently fill nasolabial folds and lips. They can be removed if the patient so chooses.
Read about Juvederm® XC.
Confusion resulting from the wide array of facial fillers available today is made worse by media claims and rumors as to their benefits and drawbacks. During your consultation with Dr Rai, he will go over your needs and expectations and he will help you choose the best filler to meet these needs.
If you are looking to have a facial rejuvenation procedure in the Dallas, Texas area, please call or email plastic surgeon, Dr. Rai today to schedule a consultation.
Read Dr. Rai’s blogs about Facial Fillers here.