Aside from fat grafting, there are a variety of less permanent injectable fillers available today. As we age, our faces begin to show the effects of gravity, exposure to the sun, and years of facial muscle movement, such as smiling and squinting. The underlying tissues that keep our skin looking youthful begin to break down, often leaving laugh lines, smile lines or facial creases over the areas where this muscle movement occurs.
Injectable fillers can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Among the most popular are:
Restylane®- a cosmetic dermal filler made of hyaluronic acid, a natural substance that already exists in the human body. It is very effective for filling in the nasolabial folds, also known as "marionette" lines and for plumping lips. Resylane lasts twice as long as collagen, so treatments are typically scheduled twice a year.
Juvederm® - Recently FDA approved, Juvederm is also a cosmetic dermal filler made of hyaluronic acid. It is optimal for mild, moderate, or severe nasolabial folds, marionette lines, and excellent for plumping the lips. Juvederm lasts at least as long as Restylane.
Perlane® - FDA approved on 5/2/07, this is the latest in our armamentarium against aging. Perlane is a cosmetic dermal filler made of hyaluronic acid, and so it does not require allergy testing. It is very effective for moderate to severe nasolabial folds and marionette lines.
Radiesse® - This filler, formerly known as Radiance, is composed of calcium hydroxyapatite, which is a natural mineral in the body. It is indicated for deep nasolabial folds, acne scars, marionette lines, as well as restoring volume in and around the cheeks and jawline. Radiesse lasts 1 to 2 years.
These injectable fillers restore volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). After your treatment, you might have some swelling, redness, pain, bruising, and tenderness. This will normally last less than seven days. Although rare, red or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause another outbreak.
If you are pregnant, breastfeeding, or under 18, you should not use these products.
Typical applications of these fillers include:
- Lip augmentation and/or enhancement
- Reducing the appearance of lines around the mouth
- Modifying nasolabial folds (under the nose) and eye trough deformities
- Facial contouring of the cheeks and mouth