Injectable Fillers

Injectable Fillers

Injectable dermal fillers are a family of prescribed medications used to restore volume, sculpt a variety of features, and improve the tone and texture of the skin of the face, neck, decolletage, and hands. Dermal fillers contain several different ingredients, work in a variety of ways, and have natural and differing characteristics. Dr. Fishman enjoys the variety of dermal fillers in her practice to tailor a specific plan for every patient.

Juvederm

Juvederm is a hyaluronic acid (HA) filler; Juvederm is a volumizing gel of the sugar substance hyaluronic acid. Because hyaluronic acid is a naturally occuring substance found within the skin, most hyaluronic acid injectable gels are well-tolerated and popular for aesthetic injectable treatments. The Juvederm family of fillers includes Juvederm Ultra (a soft gel), Juvederm Ultra Plus (a firmer sister of Juvederm Ultra, with greater lift and support), and Juvederm Voluma (a very firm and resistant gel great for volumizing cheeks and other structures). Juvederm is commonly combined with lidocaine (also called xylocaine), a numbing medication mixed with the injectable gel for patient comfort; the X in Juvederm Ultra XC and Juvederm Ultra Plus XC stands for xilocaine. Treatments results are usually apparent immediately after treatment (thought these may be affected by a variable degree of post-treatment swelling). Dr. Fishman commonly uses Juvederm injectable dermal filler for treatment of nasolabial folds (smile lines) and lips, and a few so-called “of-label” areas such as chins and fine etched-in lines throughout the face. She commonly injects Juvederm via a microcannula, a blunt-tipped delivery instrument associated with fewer bruising and other decreased risks compared to a needle.

Restylane

Restylane-L is a hyaluronic acid (HA) filler; in other words, Restylane is a volumizing gel of the sugar substance hyaluronic acid. Because hyaluronic acid is a naturally occurring substance found within the skin, most hyaluronic acid injectable gels are well-tolerated and popular for aesthetic injectable treatments. Restylane is commonly combined with lidocaine, a numbing medication mixed with the injectable gel for patient comfort; the L in Restylane-L stands for lidocaine. Treatments results are usually apparent immediately after treatment (thought these may be affected by a variable degree of post-treatment swelling). Dr. Fishman commonly uses Restylane injectable dermal filler for treatment of nasolabial folds (smile lines) and lips, and a few so-called “of-label” areas such as cheeks and under-eye depressions called tear troughs. She commonly injects Restylane via a microcannula, a blunt-tipped delivery instrument associated with fewer bruising and other decreased risks compared to a needle.

Restylane Lyft

Restylane Lyft is a hyaluronic acid (HA) filler; Restylane Lyft is a volumizing gel of the sugar substance hyaluronic acid. Because hyaluronic acid is a naturally occurring substance found within the skin, most hyaluronic acid injectable gels are well-tolerated and popular for aesthetic injectable treatments. Restylane Lyft is commonly combined with lidocaine, a numbing medication mixed with the injectable gel for patient comfort. Restylane Lyft is a firmer sister of Restylane-L, and has indications for the treatment of nasolabial folds (smile lines) and the backs of the hands. Treatments results are usually apparent immediately after treatment (thought these may be affected by a variable degree of post-treatment swelling). Dr. Fishman commonly uses Restylane Lyft injectable dermal filler for treatment of nasolabial folds (smile lines), and a few so-called “of-label” areas such as cheeks and chins. She commonly injects Restylane Lyft via a microcannula, a blunt-tipped delivery instrument associated with fewer bruising and other decreased risks compared to a needle.

Voluma

Voluma is a hyaluronic acid (HA) filler; Voluma is a volumizing gel of the sugar substance hyaluronic acid. Because hyaluronic acid is a naturally occurring substance found within the skin, most hyaluronic acid injectable gels are well-tolerated and popular for aesthetic injectable treatments. Voluma is part of the Juvederm family of fillers, and is commonly combined with lidocaine (also called xylocaine), a numbing medication mixed with the injectable gel for patient comfort. Treatments results are usually apparent immediately after treatment (thought these may be affected by a variable degree of post-treatment swelling). Dr. Fishman commonly uses Voluma injectable dermal filler for treatment of nasolabial folds (smile lines) and lips, and a few so-called “of-label” areas such as jawlines and chins. She commonly injects Voluma via a microcannula, a blunt-tipped delivery instrument associated with fewer bruising and other decreased risks compared to a needle.

Radiesse

Radiesse is a calcium hydroxyapatite filler; calcium hydroxyapatite is a substance normally found in bone tissue, and because of this, Radiesse tends to be very well tolerated by most patients. Radiesse is commonly mixed with lidocaine, a numbing medication, for patient comfort. Treatments results are usually apparent immediately after treatment (thought these may be affected by a variable degree of post-treatment swelling). Dr. Fishman commonly uses Radiesse injectable dermal filler for treatment of nasolabial folds (smile lines) and hands, and a few so-called “of-label” areas such as jawlines and chins. She commonly injects Radiesse via a microcannula, a blunt-tipped delivery instrument associated with fewer bruising and other decreased risks compared to a needle.

Sculptra

Sculptra is a poly-L-lactic acid (PLLA) biostimulatory filler; PLLA is a sugar substance that stimulates collagen formation in the areas treated with Sculptra. Sculptra is commonly mixed with lidocaine, a numbing medication, for patient comfort. Because Sculptra is a biostumulatory filler that adds volume by stimulating collagen, the results of treatment appear gradually over weeks to months. Sculptra is typically performed as a series of treatments, depending on amount of volume to be restored. Dr. Fishman commonly uses Sculptra for whole face rejuvenation, particularly in the smile lines, cheeks, jawlines, and temples. She commonly injects Sculptra via a microcannula, a blunt-tipped delivery instrument associated with fewer bruising and other decreased risks compared to a needle.

Bellafill

Bellafill is a dermal filler composed of polymethyl methacrylate (PMMA) microspheres suspended within a base of smooth collagen gel. Bellafill is a long-lasting filler that works to stimulate the collagen production of the treated areas, with an improvement up to 5 years after treatment. This filler has treatment effects that are both immediate and more gradual. Dr. Fishman commonly uses Belafill injectable dermal filler for treatment of nasolabial folds (smile lines) and acne scars, and a few so-called “of-label” areas such as jawlines and chins. She commonly injects Bellafill via a microcannula, a blunt-tipped delivery instrument associated with fewer bruising and other decreased risks compared to a needle.

DERMAL FILLERS

Facial volume loss often appears with age, and has related genetic and weight loss factors. Dermal fillers are a popular option in today’s aesthetic space to restore volume to facial contours, augment lips, camouflage tear troughs and under-eye bags, and plump overly thin hands. Dr. Fishman uses a variety of fillers to restore facial volume and highlight a variety of facial features; most US fillers are approved for the treatment of nasolabial folds (smile lines to the sides of the mouth), and are commonly used elsewhere in an off-label manner.