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Fillers

 

Maiden Lane Medical – Dermatologists located in New York, NY

As we age, our skin loses its youthful fullness. Fillers help to restore lost fullness to the face, lips, and hands. At Maiden Lane Medical in New York, NY, we offer services for Fillers.

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Also called soft-tissue fillers, dermal fillers, soft-tissue augmentation

Fillers are popular for several reasons. Patients like that they can return to everyday activities immediately after getting most fillers. They like the immediate results that many types of fillers deliver. Patients also like that they can get this treatment during an office visit. Some fillers require a few office visits, but in the case of most fillers, a repeat visit is required to better contour the areas. After the initial injection, the areas can be swollen and inflamed for several days. After this period the areas can be re-assessed and treated again.
Uses: With a number of fillers now available, dermatologists can diminish signs of aging that appear on the face, lips, and hands. Wrinkle fillers can also be used as “volumizers,” plumping and lifting cheeks, chins, jawlines, and temples; filling out thin lips, and plumping sagging hands.
Fillers can effectively: Restore fullness to cheeks, hollow areas under the eyes, and deep creases. They can also increase the fullness of the hands and diminish the appearance of veins and tendons by adding the lost padding from age and weight loss.

  • Diminish scars.
  • Erase fine lines.
  • Plump lips.
  • Lift the brow or a downturned mouth.
  • Rejuvenate hands (Radiesse® and Restylane® Lift with Lidocaine)

 

Types of Fillers:

Hyaluronic Acid Wrinkle Fillers:

The most popular category of wrinkle fillers is hyaluronic acid. Each type works in a slightly different way with varying results.Side effects are rare but can include redness, swelling, and bruising at the injection site. The filler may also show up under the skin as tiny bumps. This is a problem that often improves over time. How long the results last varies from several months to over a year or two. Some research shows that repeated injections may help stimulate the body’s own natural production of collagen. That will help reduce the number of lines and wrinkles. There is also some evidence that less filler is needed over time to achieve the same look.

Hyaluronic acid wrinkle fillers include:  

Belotero Balance
HylaForm
Juvederm Voluma XC
Juvederm XC
Juvederm Ultra XC
Juvederm Volbella XC
Prevelle Silk
Restylane
Restylane-L
Restylane-Lift
Restylane Silk
Restylane Refyne
Restylane Defyne
Synthetic Wrinkle Fillers

This smaller category of wrinkle fillers includes lab-made substances that are not related to anything found naturally in the skin.

All the fillers in this group have similar side effects, such as redness, swelling, or bruising at the site of the injection. Other side effects include nodules or bumps under the skin that can be seen and felt and that, in rare instances, may require surgery to remove.The benefits include a longer-lasting effect. And at least one filler offers semi-permanent filling of lines and creases. Remember, products with longer-lasting effects are more likely to cause side effects. And when not used correctly, synthetic wrinkle fillers may cause disfigurement.

Synthetic wrinkle fillers include:

  • Bellafill
  • Radiesse
  • Sculptra
  • Silicone

Autologous Wrinkle Fillers

Fat is the most commonly used substance in this category. Your own fat is surgically removed from your thighs, buttocks, or stomach, treated, then injected. You will need to have two procedures (one to remove the fat and one to inject it). Both procedures can be done in one visit. Additional fat purification steps done in the lab can be costly and time-consuming. Results can be semi-permanent, although you may need a series of injections done over time.Platelet-rich plasma injections (PRP) (“vampire lift”) are another type of autologous wrinkle filler/volumizer. Blood is drawn from the arm, treated, then injected into the face. The effects can last 12 to 18 months. Risks are similar to other wrinkle fillers, including bruising, redness, and swelling at the site of the injection. Because the fillers come from your body, these injections do not require FDA approval.

DOWNSIDE AND RISKS :

The treatment is fast and easy. But all wrinkle fillers have a downside, including the risk of allergic reaction and the formation of tiny bumps under the skin. In some cases, those bumps may be permanent. And sometimes, a bluish skin discoloration known as the Tyndall effect happens. The color change can last for several months, but there are treatments available. In very rare cases, skin cells may die if the wrinkle fillers are not used properly. There have also been a few reported cases of blindness and nerve paralysis. Typically, the wrinkle fillers that last longer are the ones more likely to cause side effects. Not every wrinkle-filler is right for every type of wrinkle. The least risks and best results come from using the right one correctly. That’s why you should only have fillers injected by a board-certified dermatologist or plastic surgeon with ongoing, special training.

Insurance coverage: Insurance does not cover treatment that reduces signs of aging.

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