Naturally You Med Spa
What Are Fillers?
We use the term “Fillers” to describe the different types of injectables approved for adding volume to the face to help you achieve a full healthy look. The filler is injected into areas where volume has been lost (such as the apples of the cheeks or the backs of the hands), or where more volume is desired (under the eyes, in the lips). If you’ve lost volume, you want to give the volume back where you lost it. When applied by a skilled practitioner, filler can restore or enhance natural beauty with the utmost subtlety.
In the early days, fillers would be comprised of fat or collagen. Today, there are three main families of fillers which are safer, last longer, and have more predictable results. The ones we use in our practice are:
Hyaluronic Acid (HA) Fillers: Juvéderm® products
The most common type of filler used today, non-permanent HA fillers are incredibly versatile.
Depending on how the HA is engineered and processed, the end result is a gel that can be soft or
firm, flexible or structural, and of shorter or longer duration in the skin. These characteristics are
important depending on the area of use: eyes, lips, jawline, temples, or the lower third of the face.
The concentrated and engineered particles, and the configuration of HA chains, create a product that can be firmer (great for deeper filling) or more elastic (a good choice for areas of strong movement). Your practitioner may use a combination of different HA fillers, contingent on the anatomy of your face and the goals of your treatment.
Poly-L-Lactic Acid (PLLA) Fillers: Sculptra® Aesthetic
For the longest lasting results, dermatologists turn to semipermanent PLLA fillers. Similarly to CaHA gels, PLLAs use the body’s natural healing powers to improve volume. Once injected, PLLAs help to stimulate collagen production, reinforcing the skin’s inner structure and adding a natural lift. For best results, multiple treatments are required. It may take several weeks for maximum results to become visible, but those results do last several years.
How Do Fillers Work?
More than any other aesthetic skill, fillers require the hand of an artist to achieve the best results. Our skilled injectors know to never to use an injectable to fill a defect—we use it to treat the cause of the defect, resulting in a lifted and rejuvenated look. When applied improperly, fillers can create a face that looks puffy or unnatural.That’s what’s fun about what I do. It’s about the patient who looks in the mirror after and says, that’s what I have been missing.
Rather than trying to turn back the clock with fillers alone, we consider the addition of injectables as one part of a three-dimensional approach to looking younger: You can look natural with layering of fillers and combining that with other techniques, such as toxin and either microneedling or chemical peels, without having surgery.
What to Expect After Fillers
How Long is the Procedure?
The entire procedure, from assessment through injection, should last 30-45 minutes to an hour.
Will the Results Be Noticeable?
All fillers should have some immediate results, which will improve over time. The final results for HA fillers are achieved after about a week, and should last from 6 months to 18 months, depending on the product. The more firm the HA concentration, the longer it tends to last, so injections to the upper cheeks may often last longer than injections to the lips. The best results for CaHA fillers are achieved after two weeks, and can last up to 18 months. PLLA fillers will require a few months of regular touch-ups, with final results lasting 1-2 years.
What is the Recovery Time for Filler Treatments?
Although we may use topical anesthetics (and numbing agents are often part of the fillers’ formulation), you may expect some bruising, swelling, and tenderness after your injections. If your practitioner has given you a PLLA filler, you’ll be asked to perform some specific aftercare:
- For the first 5 days after treatment, you will be asked to massage the treated areas for 5 minutes
- You should avoid UV and sun exposure until swelling and redness disappear
- You may need to schedule a follow-up appointment with your practitioner for a touch-up
How Many Treatments Will I Need?
Injectables like fillers and toxins are seen as nonpermanent maintenance treatments. We recommend patients return every 6 months to a year, depending on your practitioner’s advice. In the case of PLLA injections, your practitioner will recommend a course of initial injections to receive maximum results. These should last over the first few months so the natural collagen benefits can be fully realized. Once the touch-ups are complete, the practitioner will recommend you return for treatment in roughly 1-2 years.
- Eye Rejuvenation
- Folds/Movement Lines
- Hand Rejuvenation
- Lip Rejuvenation
- Volume Loss
- Wrinkles and Fine Lines