Fillers can reverse age related changes in the skin, fat pads and bone by adding volume and contour. They can be used to change volume and proportions in certain areas to achieve an aesthetic goal and they can be used to increase skin quality. Dr. Fisher prefers to take a whole-face approach in treatment planning often combining fillers with other treatments such as botulinum toxin and lasers to achieve the best results possible. Dr. Fisher carries several lines of filler and will work with you to determine which products are best to ensure the most natural result possible.
Areas treated: Face, neck, decolletage, inner arms, hands, knees, buttocks, cellulite and acne scars.
Treatment time: 30-45 minutes depending on the area treated.
Downtime: Minimal. There may be swelling, bruising or mild pain for 1-2 days.
Results: Immediate with full results in 2 weeks for Hyaluronic acid filler and up to 6 months for Radiesse.
Hyaluronic Acid Filler (Juvederm® Restylane®, Stylage®)
These are the most commonly used type of fillers because of their low allergic potential, availability of a reversing agent and wide selection of products available. Hyaluronic acid (HA) is a naturally occurring sugar which is present in our skin and is degraded over time. HA fillers last between 6-18 months depending on the product and area injected before they are broken down like our natural HA. They can also be dissolved with hyaluronidase if need be. The procedure can be done with minimal downtime, and although there are immediate results, it takes 2 weeks for filler to completely settle in the tissues.
Restylane Skin Boosters
These are unique hyaluronic acid fillers that are used to hydrate the skin and treat fine lines and wrinkles to achieve an overall improved smoothness and radiance. They last 6 months and when used repeatedly can increase elasticity (tightness) and reduce roughness of the skin. Restylane Skin boosters can improve the appearance of fine lines on the face and hands.
Radiesse is not a HA filler. It is made with calcium hydroxylapatite (CaHA) which is a biostimulatory agent. It has low allergic potential and is fully biodegradable. It stimulates the body’s own collagen and elastin to produce skin that is firmer and tighter. It is more rigid than HA filler so can be beneficial when trying to provide more structure along the jawline and chin. It can be used in the hands to increase volume and on other body areas to reduce stretch marks and improve skin quality (neck, decolletage, knees, inner arms, buttocks, cellulite, acne scars). Although there are immediate results in some areas with Radiesse, biostimulation takes several months so full results may not be evident for 3-6 months. Repeat treatments result in substantial improvement in reducing the signs of aging. Results last 12-18 months.
Before and after 2 treatments with Radiesse.
Before and after 1 treatment with Restylane Skin Booster.
Before and after treatment with 1 vial of Restylane Kysse.
Before and immediately after treatment with Radiesse.
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