In addition to an increased awareness of neuromodulators like Botox, there is another major category of injectables called “fillers” that have become mainstream. They address wrinkles and other cosmetic issues related to volume loss. Fillers, such as Juvederm and Restylane, use hyaluronic acid to restore volume, but even within these popular fillers, there are a lot of options for different uses. We will talk about these fillers and some others in this blog.

What is Hyaluronic Acid?

The hyaluronic acid in these injectables is made from a safe bacteria protein. It is a modified, safe form of the hyaluronic acid that naturally forms in the skin. It attracts and bonds to water, creating a plumping effect within the injected area. It has the highest safety profile of all the injectables and contains no DNA from animals or humans. It is unlikely to induce an inflammatory or allergic reaction because it is similar to the natural hyaluronic acid created by the body.

What is the difference between Juvederm and Restylane?

Both are FDA approved HA fillers for smoothing the nasolabial fold (from the outer crease of the nostril down to the outer corners of the mouth) and are used “off label” effectively to restore volume in other areas. They both have an excellent safety and efficacy track record.

The main difference is the consistency. Juvederm is smooth and Restylane is granulated. They both come in a variety of thicknesses to accomplish effective revolumizing of different facial areas. Depending on how your body metabolizes hyaluronic acid, Juvederm will probably last a little longer, but this is not the case for everyone. Clinical trials demonstrate different kinds of Juvederm lasting from 1 to 2 years and Restylane lasting from 6 to 18 months. Both are excellent products, but may be better for different applications.

I would spend more time concerned with choosing an expert injector who is very familiar with correct and effective application of these products (such as who we have on staff) and let them make the recommendations. However, just so you can be familiar with all your options, here is a list of the different kinds of Juvederm and Restylane, along with their best applications.

Juvederm

• Juvederm Ultra XC adds natural feeling and looking fullness to thin lips.
• Juvederm Volbella XC plumps the lips subtly and smoothes the appearance of fine lip lines.
• Juvederm Vollure XCtreats moderate to severe facial wrinkles around the mouth and nose, such as mouth corner lines, marionette, and parenthesis folds.
• Juvederm Voluma XC is the longest lasting option for restoring youthful volume to cheeks and midface.

 Restylane

• Restylane Defyne smoothes out the deeper facial creases and wrinkles, while still allowing for movement in areas that need it, such as the nasolabial folds and marionette lines.
• Restylane Refyne offers the flexibility needed to maintain natural movement while filling in mild to moderate nasolabial folds and marionette lines.
• Restylane Lyft is FDA approved for restoring volume to the cheeks and midface area. It contains a numbing agent to reduce treatment discomfort.
• Restylane Silk is administered using an ultrafine needle to enhance accuracy for adding volume to the lips.

These are excellent fillers that can accomplish beautiful, rejuvenating results. Next week we will cover the remaining to injectables that are safe, effective and available at our office. Schedule your consultation today at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Using fillers to rejuvenate the lips, cheeks and creases around the mouth.is common.  These are very prominent and important areas for a youthful appearance, but fillers for more subtle places can make a big difference in your face, too. A little filler in some of the inconspicuous places, such as the ear earlobes, temples and chin can make a slight subtle change that can improve  your overall appearance.  Here are three of those areas:

Earlobes
Earlobes are definitely not the first body part that comes to mind when thinking of ways to restore  youthfulness, but the earlobes show signs of aging just like the face and neck. Gravity and many years of wearing heavier earrings are the main aggravators of earlobe aging. It is important not to forget these little pieces of cartilage when getting treatments for your face. Thin, droopy, and even wrinkly earlobes look out of place when the face is smooth, full, and firm.

Fortunately earlobe support can be added with the plumping achieved by injectable fillers such as Restylane, Juvederm, Perlane or Radiesse. This Fillers can also help a stretched out earring hole appear smaller. Botox can smooth out wrinkles and Sculptra corrects volume loss gradually but steadily. So, with immediate results and no recovery time, you can enjoy your earrings and this subtle youthful enhancement right away.

Temples
The area outside of each eye between the top of the cheekbone and the brow bone is the region called the temple. The hollowing of the temples due to volume loss can contribute to a tired, weary appearance. This is definitely one of those areas where a filler makes a subtle yet significant difference in highlighting the eyes and eliminating shadows for a rejuvenated face. Radiesse, Juvederm, Perlane and Restylane can all be options depending on the your face and desired results.

Chin
A well defined chin helps shape the face. It adds balance to the other facial features, and helps define the jawline and neck. A chin augmentation with injectable fillers is an excellent way to optimize the tightened, contour that the chin adds to the face. It can also correct an underprojected chin that you were born with or volume loss caused by normal aging.

We can restore a youthful appearance to the face and …while people notice an improvement… but can’t put their finger on what was done. If you’ve had other treatments and still feel like you dot have that look – that you need a little something more, come in for a consultation so we can decide if one of these subtle changes can make that difference for you… visit www.DAVinciplasticsurgery.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon