The aging process generally causes a loss of volume as the underlying collagen, hyaluronic acid, and elastin fibers begin to deteriorate and fat stores in the face decrease. This most commonly occurs around the eyes, mouth, cheeks, jaw line, Soft tissue fillers have the unique ability to fill and contour these changes. The result is a smoother, more youthful appearance with minimal “downtime” and maximum safety. There are various fillers available and each one brings subtle, distinctive benefits. Soft tissue fillers are generally considered safe. As patient safety and comfort are our primary concern, we carefully research and investigate new fillers and technologies until we are confident that they are appropriate to offer to our patients. The most commonly observed side effects are temporary redness and swelling or bruising at the injection site which typically resolve in less than seven days.

CosmoDerm & CosmoPlast
CosmoDerm and CosmoPlast are the only commercially available dermal fillers made from human collagen. No skin test is required because this is fashioned from human cells rather than an animal source. They are injected just below the surface of the skin to fill in folds, superficial lines and wrinkles, and can be used to define the border of the lips. The duration is approximately 3-4 months.

Restylane, a clear non-animal source, hyaluronic acid gel, has become one of the most popular filling agents approved by the FDA for cosmetic uses. No pre-treatment testing is required since it is of extremely low allergenicity. The most common areas to be treated are the nasolabial folds (creases from the nose to mouth), the nasomental creases (corners of the mouth) and around the lips, as well as cheek and chin contours. Topical anesthetic is generally used to minimize the discomfort of the procedure. The duration of Restylane appears to be approximately 6 months or longer, in most cases, making it an easy improvement to maintain.

Like Restylane, Perlane is composed of hyaluronic acid, a natural substance that already exists in the body. The primary difference between Restylane and Perlane is that the hyaluronic acid gel particles in Perlane are larger than those found in Restylane, thereby making Perlane an excellent treatment for deeper folds and wrinkles. Allergy testing is not necessary. Injected with an ultra fine needle, Perlane can add volume and plump the skin. This can restore facial contour and smooth away those moderate to severe facial wrinkles and folds. Perlane’s three-dimensional water-loving gel particles attract and bind with water molecules helping to maintain volume as they degrade, maintaining volume augmentation for at least six months or longer. Perlane gradually disappears from the body without a trace.

Juvederm is a smooth consistency gel made of cross-linked hyaluronic acid that bolsters skin elasticity, providing a smooth and supple appearance. Allergy testing is not necessary. Approved by the FDA in 2006, Juvederm dermal filler has a smooth and malleable consistency which helps to instantly restore your skin’s volume and smooth away wrinkles and folds. The transparent gel is injected to provide a smooth, natural look and feel. In the majority of patients, a single treatment of Juvederm delivers sustained results for up to 6 months or longer after which the biocompatible compound is naturally absorbed into the body.

Sculptra, a synthetic injectable material known as “poly-L-lactic acid” is a volumizer used to replace lost facial fat, giving the face a more youthful appearance. It is injected into the area of fat loss to provide a gradual increase in skin thickness. Maximum results may take up to 8 weeks to be fully achieved. Sculptra stimulates collagen production and the results last up to two years after several treatments.

Radiesse is an injectable compound of calcium hydroxylapatite, a natural component of bone. Radiesse is an excellent filler for nasolabial folds, marionette lines, oral commissurae, and deep wrinkles and is considered a semipermanent filler which holds promise for long-term soft tissue augmentation.