Facial Fillers & Injectables
Dermal fillers or dermal injectables are indicated for the correction of facial lines, wrinkles, and folds to restore volume and fullness to the skin, providing a more youthful appearance. Each dermal filler has its own properties and characteristics as well as optimal performance profile and longevity.
Dr. Short has been a Faculty Member and National Trainer for Botox® National Medical Education, Radiesse™ Medical Education Development, Evolence® and a participant in post-approval FDA studies with Juvederm™ and Prevelle Silk™. Dr. Short has also been a speaker for “Shaping the Face of Aesthetics Medicine with Advanced Techniques” and teaching courses around the United States.
It is important to know that not all injctable dermal fillers are created equal, and each dermal filler needs to be individualized for each patient. A treatment plan and procedure will be customized to your specifc needs. Dr. Short will decide which procedure is right for you based on an evaluation of your facial wrinkles, folds, and contours.
HYALURONIC ACID DERMAL FILLERS
Juvéderm Ultra/ Ultra Plus™
Juvéderm™ is a smooth consistency gel made of hyaluronic acid—a naturally occurring substance in your skin that helps to add volume and hydration. Juvéderm™ injectable gel under the skin to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth) and lip augmentation. Juvéderm™ is more highly cross-linked, using hylacross™ technology, for a longer lasting and softer feeling product. There are two formulations: Ultra and Ultra Plus, the Ultra is more versatility in contouring and volumizing facial wrinkles, folds, and lips and Ultra Plus is more highly cross-linked for correction of deeper folds and wrinkles. Juvéderm™ may cause mild swelling and bruising related to the injection site and persist only for a few days.Most patients tolerate the procedure well, but if you are concerned, a topical anesthetic cream and or an anesthetic block can be applied for your comfort. The effects of Juvéderm™ typically will last 12 months. The cost is $425.00 (Ultra) and $525.00 (Ultra Plus) for one syringe (1.0 cc).
Restylane® is a hyaluronic acid gel injectable filler for correction of moderate facial wrinkles and lines and lip augmentation. Restylane® is a safe, natural cosmetic dermal filler that restores the youthful appearance by plumping moderate to severe facial wrinkles and folds such as the nasalabial folds and the furrows at the corners of the mouth immediately. Restylane® is a non-animal based material, a natural sugar found in the body, and does not require a skin test. Restylane® may cause mild swelling at the injection site accompanied by slight redness and bruising. This will usually resolve in a few days. Most patients tolerate the procedure well, but if you are concerned, a topical anesthetic cream and or an anesthetic block can be applied for your comfort. The effects of Restylane® typically will last 4-6 months. The cost is $500.00 for one syringe (1.0 cc).
Perlane® is part of the Restylane® family of products. Perlane® is an injectable filler made from hyaluronic acid to correct moderate folds and wrinkles, as well as lip augmentation. Perlane® is different from Restylane® because it has larger particles for deeper injection to provide more fullness, especially for deeper folds and wrinkles. Perlane® provides volume at a deeper layer, results are immediate, minimial downtime, excellant safety profile, and is made from a product naturally found in the body. Perlane® may cause mild swelling at the injection site accompanied by bruising and redness.This really ususally resolve in a few days. Ice is recommended as well. You may have topical anesthetic cream with or without a dental block for your comfort prior to the injection. The effects of Perlane® will last 8-12 months. The cost is $600.00 for one syringe (1.0 cc)
NON-HYALURONIC ACID DERMAL FILLERS
Radiesse™ is a smooth cream made from calcium microspheres suspended in a wateer based gel carrier that is commonly used for correction of moderate to severe facial wrinkles and folds. These microspheres have a long history of safe use in ears, vocal cords, dental, and orthopedic applications. This calcium is identical to the composition to the mineral portion of teeth and bone. Radiesse™ will give you immediate fullness and volume and is used more for “structural volume.” Radiesse™ will provide more fullness compared to other dermal fillers. Radiesse™ is widely used to areas such as the nasolabial folds, perioral folds, tear trough depressions, cheek fullness, brows, and prejowl depressions. Radiesse™ will cause swelling and bruising at the injection site, but will resolve after 2-5 days depending on the amount injected. Radiesse™ is mixed with lidocaine (a numbing agent) to decrease the pain and increase the vicosity of the product. Radiesse™ is also the only dermal filler that stimulates collagen formation.
This is our most popular injectable dermal filler and the most recommended by Dr. Short for “ultimate fullness.” This is the premier product used for the “liquid facelift.” Loss of volume in the face is a sign of aging and weight loss and Radiesse™ will restore this. Radiesse™ will last 1-2 years. The cost of Radiesse™ is $800.00 for the first syringe (1.5 cc) and as low as $400.00 for subsequent syringes (1.5 cc) on the same day.
Bellafill® is the first and only FDA approved permanent filler for the correction of wrinkles and folds specifically for the smile lines, nasolabial folds, and perioral wrinkles. This product is not recommended for lip augmentation, yet. Bellafill® contains round, smooth particles known as PMMA (precision-filtered microspheres) in a collagen gel matrix, along with lidocaine, a numbing agent. First, Bellafill® corrects the wrinkle immediately. Then the microspheres remain to provide permanent support your skin needs to correct the wrinkle. Artefill® provides a long-lasting, permanent correction. Bellafill® uses dual action mechanism to visibly correct the wrinkle and provide the soft, supportive foundation your skin needs. You will experience just a few days of swelling and redness to the injection site. A collagen skin test is required prior to the injection. Typically, repeated injections are needed to achieve the optimal result. Bellafill® is $800.00 for a 0.8 cc syringe.