As we age, our faces begin to show the effects of volume loss, increased skin laxity, gravity, sun damage, and years of facial muscle movement. The underlying tissues that keep our skin looking youthful and plump begin to deteriorate—often leaving frown lines, crow’s feet wrinkles, nasolabial folds, thin lips, radial lip lines, marionette lines, perimental hollows, a pre-jowl sulcus, as well as other lines. Facial volume loss is primarily seen as a result of fat atrophy and bony resorption. Skin laxity results from the breakdown of collagen and elastin and the loss of other essential skin components such as hyaluronic acid. The restoration of fullness and the improvement of these lines and wrinkles can often be achieved nonsurgically with injectable fillers (often called soft tissue fillers or dermal fillers).
Soft Tissue Augmentation with Injectable Fillers
Injectable fillers can soften facial lines and creases, enhance the lip margin, plump thin lips, restore cheek fullness, improve the tear trough and other aging contours of the face, and smooth the appearance of some depressed scars. Soft tissue fillers can produce a marked improvement in facial fullness and a more youthful appearance. The results are immediate with essentially no down time. The most popular injectable fillers are based upon natural substances derived from the human body; some are synthetic forms of these substances (Juvéderm® Ultra, Juvéderm® Ultra Plus, Voluma®, Perlane®, Restylane®, Restylane Silk®, and Radiesse®), and others contain synthetic, bio-compatible compounds (Sculptra®). The differences in fillers vary not only in their composition but also in their preferred application and the duration of their results.
Soft-tissue fillers, such as collagen, hyaluronic acid, synthetic calcium hydroxylapatite,and poly-L-lactic acid, can soften facial lines and creases to restore a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers can enhance the lip margin, add a fuller more sensuous look to the lips, improve cheek fullness and cheekbone definition, and fill aging contours of the face. According to The American Society for Aesthetic Plastic Surgery (ASAPS), 2,121,044 injectable filler treatments were performed in the US in 2013. 1,872,172 of these used a hyaluronic acid product. The number of filler treatments is up dramatically over the previous year, and soft tissue fillers continued to be the second most popular non-surgical cosmetic procedure. Injectable fillers may be used in conjunction with other procedures such as BOTOX® Cosmetic or DYSPORT®, Fraxel® or Pearl® Fractional laser resurfacing, FotoFacial rejuvenation, laser genesis, skin tightening, chemical peels, or aesthetic surgical procedures.
Facial rejuvenation is very individualized. Effective and safe use of BOTOX and soft tissue fillers requires a physician with specialized training and a thorough understanding of facial anatomy; an experienced physician will recommend appropriate treatment with BOTOX and the proper filler(s). It is important to discuss your expectations with a board-certified plastic surgeon that has experience with many types of non-surgical facial procedures. Your doctor will help you select a treatment option based on your goals, your anatomy, and your lifestyle. At Cosmetic & Plastic Surgery Specialists our physicians perform all the BOTOX and soft tissue filler injections, ensuring that your treatment is the very best.
If you would like to schedule a consult to discuss which soft tissue filler is right for you please call our office at 414-443-0033.