Dermal Fillers, Lip Injections
Newport Beach, Orange County / Los Angeles
With regard to Dermal fillers, there are a number of available products that are used to add volume, improve wrinkles and provide a more youthful look to the face. The hyaluronic acid products add volume naturally, as our skin is made up of collagen & hyaluronic acid.
Commonly Treated Areas for Dermal Fillers
- lips (commonly referred to as lip augmentation)
- naso-labial lines that extend from the nose to the corners of the mouth
- frown lines between the eyebrows
- marionette lines around the mouth
Types of Dermal Fillers
Dermal fillers come in a variety of brands:
Also, you can transfer your own fat! Please see our fat transfer section for more information and before and after photographs.
Dermal Fillers Information
Depending on the way the product is crosslinked, dermal fillers can be placed either superficial or deep to restore volume and smooth lines. In youth, the skin has a large amount of collagen & hyaluronic acid. As we age, and with exposure to the sun and the elements, we begin to loose hyaluronic acid which then reduces skin structure and volume, resulting in lines and wrinkles and a deflated look. Hyaluronic acid is a sugar that is found in all cells. Its ability to attract and bind water up to 100 times its volume is what provides a youthful appearance to the skin. With hyaluronic acid fillers, the lines and volume can be replaced.
Dermal Filler Duration
Depending on the product, and the amount of cross links of the filler, the product can last for anywhere from 4-12 months, with the product gradually dissipating. Most patients will choose to have a touch up after a few months to enhance the staying power of the filler.
Juvederm is a hyaluronic acid used as a dermal filler, meaning that it is used to restore volume to areas of the skin that have lost volume. Volume loss can occur on a dermal level from multiple factors. Some of these include the natural aging process, weight loss, stress and indentations on the skin from scaring. With scaring, Juvederm would be used to plump the tissues where ever the scarring is apparent on the skin. With volume loss from aging, weight loss and stress, the most common area that is treated with Juvederm are the vertical 'Smile Lines' (also referred to as the 'Parentheses Lines'). These lines that start at the outer aspect of the nostril and proceed down to the corners of the mouth.
Also treatable are the 'Marionette Lines' which run vertical and start just below the corner of the mouth. For peoples that complain of wrinkles above the lip area, Juvederm is injected to smooth the appearance of these wrinkles. Yet another common area for patients to have Juvederm placed is under the eye where some people might develop a fatty bag area or have a sunken appearance from volume loss. Juvederm can replenish the youthful volume and correct shadowing from fat bags.
Although Allergan produces different levels of Juvederm, Juvederm XC is by far the most popular used in our practice. Juvederm XC has a local anesthetic mixed within the product and numbs the patient as it is injected. In comparison to other products on the market, Juvederm has a high patient satisfaction rating and patients love that Juvederm XC can last for up to a year while many other products last for only 3-6 months.
While synthetic dermal fillers are extremely popular as there is an immediate result, there is another alternative that has it's own advantage. Sculptra is a dermal filler that acts to restore lost collagen over a period of time with several injections placed about a month apart from each other. The benefit to a product like Sculptra is that it encourages your body to produce its own collagen and help replace what was lost which now leave wrinkles or folds. A patient can also see a gradual correction to the area with results lasting up to two years, which is twice the length of results for the longest lasting synthetic dermal filler. A downside to a product like this, is that although a patient might see a correction immediately after their treatment, this affect will go away as the product is absorbed and a patient is left looking like they did prior to their injection of Sculptra. The magic of this product is what is happening under the skin that a patient cannot visually see. It begins to work deep under the skin and reinforces areas with collagen loss, volumizing and smoothing the area naturally for a more youthful look. Although Sculptra is more predominately requested for injection in certain areas of the face, because it stimulates the bodies natural collagen production, it can be injected anywhere that a patient feels collagen has been lost and they would benefit from collagen being restored. For anyone considering Sculptra, we advise visiting their website at:www.sculptraaesthetic.com or calling our office at either: 949.574.0574 or 310.375.9604
Newport Beach Dermal Fillers • Dr. Amy Bandy - Plastic Surgeon