Dermal Fillers

It’s important to realize that wrinkles themselves are invisible to the human eye. What you see is the shadow created by the uneven contours of the skin caused by the underlying wrinkle. The key to a youthful face is to minimize these shadows and to smooth transitions on the face.

The cosmetic estheticians at Sculpted MD are experts in non-surgical facial aesthetics. We use dermal fillers in combination with other treatments to improve facial proportions, correct age-related volume loss, soften facial lines and wrinkles. The goal is to improve facial harmony, providing a more youthful and energized appearance to the face.

Understanding Your Filler Options

There are many fillers to choose from, and sometimes it can be difficult to determine which filler is right for you. Here are a few tips to point you in the right direction. Don’t worry, though, because our cosmetic estheticians will evaluate each patient in person, determine their specific cosmetic concerns, provide a list of recommendations, and create a customized cosmetic treatment plan. Sculpted MD offers all of the latest FDA-approved dermal fillers and is always adding newer fillers to our clinic as they are approved.

Juvéderm Fillers – These fillers are the most popular hyaluronic acid-based fillers. They are ideal for treating a range of aesthetic concerns including lines, folds, and volume loss. The Juvéderm family of fillers includes Juvéderm Ultra/ Ultra Plus, Juvéderm Voluma, and Juvéderm Volbella.
Restylane Family of Fillers – Similar to Juvederm, Restylane soften lines and wrinkles. This is our go-to-filler for the under eye volume loss, tear troughs, and dark circles. There are a variety of Restylane fillers such as Restylane Silk, Lyft, Defyne, Refyne and Kysse, each designed with their own unique purpose.
Belotero – Silky consistency for superficial lines and under eye dark circles and volume loss.
Radiesse – Tiny beads of calcium hydroxylapatite provide immediate volume, and stimulate on-going production of fresh collagen. Also works great for rejuvenating your hands!

What Areas On The Face Are Fillers Used To Treat?

Our cosmetic estheticians are experts in facial aesthetics. We use advanced injection techniques based on years of training and experience and may inject areas on the face not typically injected by the amateur or untrained injector. Here is a list of areas we may address with fillers:

Lips and perioral lines (lipstick lines, upper lip lines) – add volume to lips, hydrate lips, soften lines
Corners of mouth – reverse the downturn of the corners of the mouth seen with aging
Marionette lines – Soften the shadows below the corners of the mouth
Nasolabial folds – fill in smile lines
Cheeks/Midface – restore volume to the cheeks, lift the face, and emphasize the cheek bones
Jawline – sharpen the jawline and minimize the appearance of the jowls
Prejowl – treat the area of volume loss just in front of the jowl but to the side of the chin
Temples – treat the scalloped appearance of the upper face due to volume loss in this area
Undereyes – improve dark circles caused by volume loss and prominent tear troughs
Frown lines – used in combination with Botox
Forehead lines – for deep lines on the forehead which Botox itself cannot completely treat
Neck lines – filler in “necklace lines” on the neck
Hands – treat volume loss in the hands caused by aging; reduce appearance of veins and tendons in the hands

How Long Do The Results From Fillers Last?

Of course, it is important to remember that every patient’s body is different and every patient can respond differently to the fillers based on such factors as diet, exercise, baseline metabolism, sun exposure, and smoking. In general, Sculpted MD recommends maintenance treatments so that the results never completely return to baseline.

We also recommend that all patients start an at-home skincare regimen to maintain their results. This regimen usually includes a combination of antioxidants, sunscreen, moisturizers, and retinol.

General guidelines for filler longevity based on our experience using these products for our patients is as follows:

Restylane Silk – 4-6 months
Restylane Refyne, Restylane Defyne – 9-12 months
Restylane – 9-12 months
Restylane Lyft – 9-12 months
Restylane Kysse – Up to 12 months
Juvederm Ultra, Juvederm UltraPlus – 9-12 months
Juvederm Voluma – 9-15 months
Juvederm Volbella – 6-12 months
Radiesse – 9-12 months

A filler may last a longer or shorter duration on different parts of the face. For example, the lips tend to have lots of movement and so filler breaks down faster. The under eyes, cheeks, and temples have less movement and so filler injected in these parts of the face usually lasts longer.

The times listed above may differ from what the individual manufacturers (Allergan, Galderma, Merz) have on their own websites or literature. The times listed above are what we believe to be accurate based on our own experience with our patients with fillers.

Dermal Fillers

Understanding Your Filler Options

What Areas On The Face Are Fillers Used To Treat?

How Long Do The Results From Fillers Last?

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