What are injectable fillers?
Currently, there are several substances available to improve the appearance of folds and wrinkles. They can also successfully increase lip size and fill in facial defects. Current fillers include Restylane, Collagen, Hylaform, Sculptra, and Radiance. Discuss with your physician which is the best choice for you.
Do the injections hurt?
Numbing cream can be used to anesthetize the area before the treatment begins. We use the smallest needle size possible to strive for your comfort.
Are there any contraindications to injections?
Any history of allergies to the ingredients is the main contraindication.
Will I bruise?
Anytime an injection is performed, bruising may occur. To decrease the chance of developing a bruise, avoid Vitamin E, aspirin, ibuprofen and naprosyn which can thin the blood making bruising more likely.
I seem to have a depression in the tear trough area and would like to fill it instead of undergoing surgery, which scares me. Will Restylane really work for these problems?
Restylane is an excellent option. The wonderful thing about trying Restylane in this area is the effect will last for 6 months so it gives you just enough time to “try out” the effect. Also, Restylane is reversible and can be dissolved if for some reason you do not like the result. You should choose an experienced physician however. This is a delicate area & you want someone who really understands the anatomy. Best of luck!
I know it doesn't last as long, but is chin augmentation using Radiesse or Restylane less effective or not as natural as a surgical implant?
Both Radiesse and Restylane are great options for augmenting the chin temporarily. Many of my patients have been extremely pleased with the result. You could also consider Sculptra which can give you customized augmentation for up to two years. Just pick an experienced physician, as not everyone may be familiar with the technique. Good luck!
I have very sensitive and fair skin, and I would like to get rid of the vertical lines around my mouth permanently with a wrinkle treatment that has few side effects. What do you recommend?
You have several options to help improve those vertical lines above your lip. Botox is a possibility because it will help relax the muscle responsible for pursing your lips. However, you may notice when you try to drink from a straw or whistle, that you are not able to move the same way! You can also try filling the lip lines. This should only be done with a hyaluronic acid filler like Restylane or Juvederm.
Thicker fillers are not appropriate in the lip or for superficial lines. A third approach is try to skin resurfacing. Several lasers can improve the area with or without downtime. These include fractional CO2, erbium, or the Affirm by Cynosure. Being fair actually makes you a good candidate for laser procedures. And to keep from making those lines worse, wear sunscreen and avoid drinking from straws!