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Dermal Fillers

How Can Dermal Fillers Enhance My Appearance?

While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:

  • Smooth out lines around nose and mouth (a.k.a. marionette lines, smile lines, and parentheses)


  • Enhance & restore volume to sunken cheeks or temples


  • Diminish vertical lip lines


  • Plump & enhance the lips


  • Smooth out a chin crease


  • Improve symmetry among facial features

What are Injectable Dermal Fillers?

Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours. More than 1 million men and women annually choose this popular facial rejuvenation treatment, which can be a cost-effective way to look younger without surgery or downtime. 


What are Fillers Made With?

These FDA-approved injections of hyaluronic acid fill deep lines and wrinkles to restore youthful volume, perfect for cheeks, lips, nasolabial folds, and more.


 

Hyaluronic Acid (HA)

Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. FDA-approved HA fillers include:


  • Belotero Balance
  • Revanesse Versa
  • The RHA collection: RHA 2, RHA 3, and RHA 4




Types of Dermal Filler

Radiesse® Volumizing Filler

Radiesse®is an injectable filler used to plump wrinkled or folded areas of the skin, most often on the face. As it works, Radiesse®stimulates the naturally occurring collagen beneath your skin. It works immediately, can last for up to two years, and is a highly sought-after choice for dermal filling. 



How It Works 

 Radiesse®is made of calcium hydroxyapatite (CaHA) gel microspheres that work immediately upon injection. CaHA is made up of ions of phosphate and calcium, which occur naturally in the human body.
The injectable gel initially does all the work of filling in the volume you want. As time goes on, though, the CaHA stimulates your naturally occurring collagen, allowing your skin to produce more of its own filler. The hydrogen, oxygen, and carbon in the gel help to create a structure that mimics connective tissue.


How Long It Lasts

Eventually, the CaHA absorbs back into your body, leaving your collagen in its place. Because of the science behind Radiesse treatment can last for well over a year - even up to two years for some people.

Belotero Balance

Belotero Balance is a hyaluronic acid (HA) injectable filler that completely integrates into the skin tissue and specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips. 


How It Works 

Belotero Balance penetrates deep into the sub-layers of your skin. It binds to the moisture there and fills and plumps in the wrinkles and folds that have developed in the region. It adapts to the unique contours of your face, so you don't have to worry about a “one-size-fits-all” treatment that won't work for you.


The unique chemical formulation of Belotero Balance ensures that it produces a smooth, flexible gel that blends into the natural structure of your skin. It can even fill in the most stubborn of wrinkles and creases.


How Long It Lasts

Results are immediate, and it lasts about six to twelve months. The gel is naturally broken down over time by your body and as this occurs, the wrinkles will slowly reappear. 

Sculptra Aesthetic

Sculptra cosmetic is used for the correction of shallow to deep nasolabial fold contour deficiencies and other facial wrinkles.​​ It is not injected into the lips or used around the eyes. 


How It Works

The active ingredient in Sculptra is poly-L-lactic acid (PLLA), a synthetic compound that encourages the formation of new collagen. For this reason, it takes several treatments, about four to six weeks apart, for results to become obvious. The number of treatments a person needs will depend on the extent of facial aging. 


How Long It Lasts

In a clinical study published in 2011, the effects of Sculptra lasted up to two years after the first treatment session was completed (an average of three injections).

The RHA collection

RHA Dermal Fillers are clear, colorless, injectable gels that can correct facial wrinkles and folds, such as nasolabial folds. RHA Dermal Fillers come in 3 different formulations: RHA 2, RHA 3, and RHA 4. 


How It Works 

RHA (resilient Hyaluronic acid) fillers are made to mimic the natural hyaluronic acid that hydrates your skin. The unique structure of the hyaluronic acid in RHA fillers makes this the first filler line that treats dynamic wrinkles and maintains natural facial movements.


RHA fillers work with our facial movements, unlike other injectable fillers, resulting in a more natural look.


How Long It Lasts 

 The average longevity of RHA fillers is about 15 months. As with other fillers, the duration depends on the area treated, sorter with areas with high movement, longer in static ones.  

Revanesse

Revanesse

 Hyaluronic acid (HA) is a naturally occurring sugar in the body that helps facilitate the skin’s ability to stay hydrated. Hyaluronic acid fillers are body-safe clear gels that, when injected beneath the skin, can help to fill in facial wrinkles, restore volume loss, and refine your facial features. 



 Revanesse® is one of the fastest-growing dermal fillers in the US for a reason. Our unique formulation, developed and manufactured in small batches with rigorous quality control in a state-of-the-art facility, is optimized for versatility to produce the results you want—your look, your way. Revanesse® dermal fillers are designed for minimal pain, swelling, and downtime. Available in the US, Canada, and the UK, our reputation among patients and providers grows by the day. The natural look and feel of our results have made Revanesse® the name on everyone’s lips. 


Pre & Post Treatment Instructions Before Your Treatment

Pre-treatment Consultation

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation.  During your consultation, we will evaluate your area(s) of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history before treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. 


It is very important to let us know if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising. 

One Week Prior To Treatment

  • Avoid blood thinning over-the-counter medications such as Aspirin, Motrin, Ibuprofen, and Aleve.


  • Avoid supplements, including St. John’s Wort, Ginkgo Biloba, primrose oil, garlic, ginseng, and Vitamin E.

Two Days Prior To Treatment

  • Avoid topical products such as Tretinoin (Retin-A), Retinol, Retinoids, Glycolic Acid, or any “anti-aging” products.


  • Avoid waxing, bleaching, tweezing, or using hair removal cream on the area to be treated.


  • Do start taking Arnica two days prior to the procedure. This is not required, but it will help to lessen bruising!

During Filler Treatment

 Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area before the treatment. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. 


Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment with a few exceptions.

After Your Treatment

  • You may experience redness, swelling or bruising immediately after your treatment which can last a few days to a week. We encourage our patients to ice the injected area to reduce these side effects, as long as you do not apply pressure to the treated area with the cold pack, as this may impact the results.


  • Avoid strenuous exercise for 24 hours.


  • Do not expose the area to intense heat.


  • Avoid pressure on the treated areas for the first few nights (i.e. sleep on back of possible)


  • Avoid alcohol for 24 hours.


  • Do not use AHA, Retinols/Vitamin C therapy or oil-based make-up for 24 hours.


  • Avoid facials, facial waxing, Glycolic or AHA peels, IPL or energy-based treatments, and microdermabrasion for two weeks after treatment.


Frequently Asked Questions

Frequently Asked Questions

Frequently Asked Questions

Please reach us at katherine@cosmeticwellnessintitute.com  if you cannot find an answer to your question.


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Frequently Asked Questions

Frequently Asked Questions

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