Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours. Fillers are used to “fill in” lines, valleys, depressions, and hollows of the face or to add fullness to the lips, cheeks, and chin. The most popular dermal fillers Restylane® and Juvederm® are made from Hyaluronic acid. Hyaluronic acid is a naturally occurring substance within the skin that helps to give skin its volume and “plumpness.” These dermal filler products are made by Medicis Aesthetics and are FDA approved. As fillers have become more mainstream, today there are more options than ever to choose from. During your consultation at our Baltimore, Maryland area practice, board-certified plastic surgeon, Dr. Schuster can help determine which option is appropriate for you.
As with other cosmetic options, there are advantages and disadvantages to all types of treatments. You may refer to the chart below for more information about and comparisons between the most popular fillers, including Restylane® and Juvederm®
Fillers can be used alone or in combination with other surgical or non-surgical treatments, including fat grafting, facelift, eyelid surgery, brow lift, chemical peels, laser resurfacing, facial rejuvenation with IPL™, and more.
Fillers are performed in Dr. Schuster’s Baltimore, Maryland area office in a short, simple visit. A topical anesthetic cream is applied beforehand and occasionally a local anesthetic can be used for the treatment of the lips. Bruising and swelling is mild to moderate and can last from one day to one week.* Most patients are able to return to full activity without concern the following day, though some with more bruising prefer to take off a few days.* Patients should plan to apply ice to areas treated with Restylane® after their procedure. Make-up may be worn the next day, and patients are able to return to exercise the next day. The results are seen immediately, though they will continue to soften and improve over several weeks. Fillers usually last 6 to 12 months and can be tweaked or repeated as often as desired.
Fat grafting is an excellent way to help restore volume in the face. As we age, we lose volume and support, most commonly in the areas below the eyes, in the mid-cheek area, and in the groove between the upper lip and cheek, called the nasolabial groove. These areas can be filled again using your own fat. The fat is taken from another area of the body, specially prepared, and transferred to the facial areas in very small droplets. The facial tissues must then “grow into” the fat. If successful, the results will be permanent. If not, the fat will gradually dissolve away over about six months. Usually at least half the fat survives, providing for long-lasting improvement. Like fillers, fat grafting can be done safely in our Baltimore, Maryland area office and may be combined with many other procedures to enhance results.