As we age, a combination of factors can result in the loss of our youthful look. Understanding this concept is an important first step in realizing why injectable fillers have become such a useful tool in medical aesthetics.
Facial shape, aging, genetics and certain life style choices such as smoking, prolonged sun exposure, excessive exercise and exposure to pollution all play a role on how one will age. Together, these factors result in diminished collagen, hyaluronic acid and fat production, decreased skin elasticity, decreased natural skin oiliness, reduced skin moisture retention and suppleness. As we continue to age, the bony skeleton shrinks resulting in less support for the overlying soft tissue and muscles. The end results can be dramatic and include depressed temples, sunken eyes, droopier eyebrows, deeper tear trough, flatter cheeks, deep lines along the sides of the nose (laugh lines), thinner lips and a heavier jaw line. These changes make us look older, tired, and angry even if we are not. The process of volume loss can start as early as 30 years old and although some individuals are blessed with better genetics than others, eventually all of us will experience these changes.
Injectable fillers work by replacing lost volume to achieve a natural youthful appearance. There are a variety of different fillers on the market. Dr. Hooper and Dr. Jackson are expert injectors frequently attending meetings and training courses and will help you decide which filler or combination of fillers is best for you.
Hyaluronic Acid Fillers:
Hyaluronic acid is a basic element in connective skin tissue. It has a hydrophilic quality, meaning it has the ability to draw and hold water. Unfortunately, hyaluronic acid in the skin, like collagen, diminishes as we age. Hyaluronic acid fillers replace lost volume to give you a natural youthful appearance. Hyaluronic acid fillers are characterized by softness and can be used in any facial area without giving a harsh look. Also, Hyaluronic acid fillers are a great beginner filler for someone who has never had injectable filler before because they are completely reversable by injecting hyaluronidase enzyme. Dr. Hooper and Dr. Jackson will help you decide which hyaluronic acid filler is right for you.
Hyaluronic Acid Filler products include:
- Juvederm Voluma XC
- Juvederm Vollure XC
- Juvederm XC Ultra and Ultra Plus
- Restylane Lyft
- Restylane Refyne
- Restylane Defyne
Radiesse is composed of tiny microspheres, made of calcium hydroxylapatite, in a gel carrier. It provides a scaffolding into which your body’s own collagen can grow. Calcium hydroxylapatite is a natural constituent of bone so you will not need allergy testing. The tiny spheres are injected into the skin within a gel suspension. This gel dissipates as your body’s own collagen laces around the spheres, creating a long-lasting correction and smoothing. Radiesse is used to add volume to nasolabial folds, temples, marionette lines, deep hollows and is commonly used for facial reshaping. It is not recommended for lip augmentation. Radiesse can last a year or more.
Sculptra Aesthetic is composed of Poly-L Lactic Acid(PLLA), an FDA-approved, biocompatible, biodegradable material. Sculptra is not a wrinkle filler, but a bio activator or “volumizer”. It works by stimulating the body to produce new collagen at the sites of injection, thereby replacing lost volume and contours to restore a fuller, more youthful appearance. Sculptra does not give results immediately. There is a time factor involved since the true volume effect is created by your own collagen, not the product itself. This collagen replenishment takes place over a period of several months. Patients usually receive 2-4 injection sessions over a period of months to accomplish optimum re-volumization. Results can last for two years or longer. Common areas of treatment are smiles lines, cheekbones, marionette lines, jaw line, and temple hollows.
Before & After Photos
Juvederm Ultra & Ultra Plus:
For more information on injectable fillers, visit:
- Injectable Fillers Pre-Procedure Instructions
- Injectable Fillers Post-Procedure Instructions
- Injectable Filler Consent
- Radiesse Consent
- Sculptra Consent
- Juvederm Brochure