Dermal Fillers (Hyaluronic Acid)
What Are Dermal Fillers?
Facial sinking is one of the most common challenges people face as they mature.
We all “sink, sag and wrinkle” giving us a more mature appearance over time.
Sinking happens very slowly, like a “slow leak in a tire”, but eventually becomes noticeable. Patients often report they appear mad, sad or even ill in photographs and/or hear commentary from friends and family. Good self-esteem can ultimately be effected and can have a negative impact on personal relationships as well as professionally.
Many options have come and gone over the years such as silicone injections, fat injections and invasive surgical procedures. Unfortunately, none of them prevailed due a high risk of complications and poor aesthetic results.
Today, soft tissue augmentation has become the treatment of choice for facial sinking or deflation. It is a minimally invasive option to reflate sunken tissue naturally using dermal Hyaluronic Acid Fillers.
Dermal Filler Treatment
After a thorough consultation with Dr. Remington and his nurses, a personalized treatment plan will be formulated based on your specific needs or concerns. At times, you will be asked to bring a photo of yourself when younger (eg. Wedding/Graduation Photo in 20’s) prior to your initial treatment appointment. This helps us identify areas of deflation and also helps preserve your own natural attributes. It is never our goal to make you look “different or done” but more to RESTORE a more refreshed, natural look.
Treatment with hyaluronic acid filler involves injection with small needles placed strategically under the skin where the sinking has occurred. In some locations, we also use a subcision technique by using a cannula, where we can fan out and manipulate under the surface of the skin decreasing the need for multiple injection sites. This process is also very effective in breaking down scar tissue and other fibers which are contributing to the volume loss, scarring and appearance of wrinkling.
With the aid of high potency topical anesthetic creams and distraction techniques, most patients can tolerate the procedure very well, with noticeable results often visible immediately afterwards. Although there is always a potential risk of bruising, many patients are able return to work the same day with only a small areas of bruising, which can be covered with makeup immediately afterwards. To prevent excessive bruising, we ask that you refrain from blood thinning medications such as Aspirin or Ibuprofen, green tea or ginko supplements for a minimum of 2 weeks before your procedure.
Hyaluronic Acid Fillers not only reflate tissue, but also energize collagen giving more natural volume to sunken areas. Over time, patients often require less filler as collagen has been re-established to create a natural, fresh appearance once again.
Hyaluronic Acid Fillers are widely accepted as they mimic what already occurs naturally throughout our bodies and therefore, they require no allergy testing. There are numerous types of fillers on the market today with the main difference being the molecular size of the product. Although the chemical make-up is very similar, we will frequently use larger molecule products for deep injections where we are attempting to replace lost volume and create a stronger foundation to the skin, and smaller molecule products in areas such as the tear trough region, acne scars or fine wrinkles around the mouth where we need a finer more precise result. Our office will create a personalized treatment plan, selecting the most appropriate fillers to address your specific needs.
Hyaluronic acid fillers will naturally be absorbed through your body’s own natural process over a period of 9-12 months. However, in some areas where the filler literally stretches and changes the shape of the underlying tissue, such as nose reshaping and acne scars; the results may last much longer.