Injectable Skin & Soft Tissue Fillers
For the filling of skin and minor soft tissue irregularities, various filler substances are recommended. As this is a rapidly expanding field, new products are being introduced on an ongoing basis. Currently, a variety of specialized products that resemble collagen in form and function— one’s own fat, creamy calcium hydroxyapatite, hyaluronic acid gel, and poly-L-lactic acid gel products are utilized and injected under the skin to help restore a smoother texture by plumping up creases and other sunken areas of the face.
Juvederm Ultra XC
and Juvederm XC Ultra Plus:
All Juvederm products are hydraulic acid (HA) dermal fillers and are injected into the dermis. Each type of Juvederm adds volume and smoothes out wrinkles by replenishing natural HA that has been lost. Juvederm products are created using a process called Hylacross®, which makes it smoother and increases the predictability of results. There are differences between Juvederm Ultra Plus and Juvederm Ultra including the fact the Ultra Plus is a more highly cross-linked formula than Ultra, (providing a little more stability and viscosity) thus giving it an enhanced filling ability, is more stable, thicker and absorbs water to a greater degree. This also makes the Ultra formula a little more appropriate for finer lines, thinner areas, and shallower injections. Juvederm Ultra Plus on average lasts a little bit longer than the Ultra version. Typically Juvederm Ultra Plus results will last around one year, whereas Juvederm Ultra results last about 9 months to a year. Juvederm products are used in the nasolabial folds and marionette lines below the corner of the mouth.
Juvederm Voluma XC:
Juvederm Voluma® XC is the first and only FDA-approved injectable gel to instantly add volume to your cheek area to correct age-related volume loss in adults over the age of 21. The clear gel has a very high cohesive consistency and is made with proprietary Vycross™technology, giving it strength, and contains lidocaine to help improve comfort during treatment. Small amounts distributed on and near the bone results in visible improvement immediately. It can give you contour and a subtle lift for up to two years with optimal treatment.
Pending FDA approval, Juvederm® Volbella® with Lidocaine from Allergan is an injectable gel implant intended for the treatment of any fine lines and medium-sized skin depressions due to conditions such as premature aging. It can also be used for enhancement and pouting of the lips and is intended to be used via superficial or mid- dermis injection or lips mucosa injection by an authorized medical practitioner. The presence of lidocaine in the Volbella mixture is meant to reduce the patient’s pain during treatment.
Belotero Balance® injectable gel is a prescription injection that is used to temporarily smooth out and fill in moderate-to-severe nasolabial folds as well as other moderate-to-severe etched-in lines and wrinkles around your lips and mouth and is particularly useful in minimizing finer crinkles around the mouth and cheeks.
Radiesse is comprised of Calcium Hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier. Once injected, it provides immediate volume and correction but continues to work by stimulating the body to produce its own natural collagen. Over time, the gel is absorbed and the body metabolizes the CaHA microspheres leaving behind only your own natural collagen. It is clinically proven to last a year or more in many patients and is FDA approved to mix with lidocaine, an anesthetic, to significantly reduce injection-related pain.
The Restylane family of products can be used to add 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, the nasolabial folds. Each is a clear gel formulation of hyaluronic acid that is specifically formulated to act like your body’s own naturally produced hyaluronic acid, helping to instantly, visibly reduce moderate deficiencies of volume in folds and creases of the face.
Restylane Silk has recently been approved for release in the United States and is the first and only FDA-approved product specifically designed for subtle lip enhancement and the smoothing of wrinkles and lines around the mouth in patients over 21 years of age. Restylane Silk is a clear gel formulation of hyaluronic acid — a sugar that is naturally present in your skin. Like other areas of the face, the lips and skin surrounding the mouth show signs of aging. This often results in lip thinning, lost shape and an increase in vertical lines above the lip. It is designed specifically to provide natural-looking results in these areas. That’s why it’s made of smaller, smoother particles than those used in other Restylane products.
Sculptra® Aesthetic (injectable poly-L-lactic acid) is intended for use in people with healthy immune systems as one time treatment regimen of up to 4 injection sessions that are scheduled about 3 weeks apart for correction of shallow to deep nasolabial fold contour deficiencies and other facial wrinkles.
Bellafill® is indicated for the correction of nasolabial folds as it is a smooth, collagen-based filler with PMMA (polymethyl-methacrylate) microspheres which re-creates the firm structure of smoother-looking skin by supporting production of your body’s own collagen. It also helps minimize the appearance of moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years. There are three types of pitted acne scars—icepick, rolling and boxcar. Bellafill® is indicated to treat rolling scars. A Bellafill® injection immediately adds volume below pitted acne scars to lift to the level of the surrounding skin for a smoother appearance.