Dermal fillers are clear jelly-like substances that are used for facial contouring of the lips, cheeks, jaw, as well as other areas. Juvederm, Restylane, and Revanese are some well-known brands of dermal fillers that are made up of hyaluronic acid. In the skin, hyaluronic acid is a naturally occurring carbohydrate that holds large amounts of water molecules, which helps the skin to retain its moisturize and fullness. The level of hyaluronic acid regularly breaks down and regenerates. As we age, this cycle slows down, and along with the loss of collagen causes skin to lose its volume. This can result in the appearance of lines, creases, thinning of the lips, and flattening or hollowing of the face that used to appear plump.
After receiving a consult to determine which type of filler is right for you, our nurse injector, Jaclyn will typically apply a topical numbing solution. She will go over what to expect during the treatment and answer any questions. Once numb, she will clean the area being treated with an antiseptic solution and often draw on the face with special non-permanent marker to identify anatomical structures. All of our filler comes pre-mixed with an injectable numbing medication to help give the most comfortable injections. It's not uncommon to feel a slight pinch as the needle is inserted. Depending on the area, a series of these injections is required to deliver the product. The amount used is different for every person and is determined by watching the area fill and stopping when the desired outcome is achieved. It's not uncommon to hear an audible popping sound or feel pressure as the product is being delivered.
Swelling and bruising should be expected. Applying ice immediately after can help decrease the swelling. It's not uncommon to have bruising and swelling for up to 2 weeks following the procedure, and this is why we suggest planning all procedures at least 2 weeks before any big event.
The temples, under eyes, cheeks, lips, chin, and jawline are the most commonly treated areas. The amount of dermal filler used is different for every person and depends on the amount of volume that's been lost. An estimate of the amount of product needed (and cost) can be determined at the consultation.