You Don’t Have to Be a Genius to Understand Fillers…
But it Helps!
What are injectable fillers?
Currently, there are several substances available to improve the appearance of folds and wrinkles. They can also successfully increase lip size and fill in facial contours. Common fillers include Restylane, Collagen, Hylaform, Hylaform Plus, Belotero, Perlane, Sculptra, JUVÉDERM® Injectable Gel and Radiesse. Each has different characteristics, including thickness/body, longevity, and versatility.
Thicker, heavier fillers last longer and fill more effectively, but must be placed deeper in the skin to prevent lumpiness. Best used for: Nasolabial folds, marionette lines, sunken cheeks.
Thinner, finer fillers don’t last as long or lift deep folds as well, but can safely be used to fill lips and more superficial lines. Best used for: Lip lines, lip augmentation, tear troughs.
Hyaluronic acid gel fillers are the most forgiving, least likely to form lumps or bumps, and can be dissolved with a hyaluronidase injection if necessary.
Do the injections hurt?
Numbing cream can be used to anesthetize the area before the treatment begins, and is often all that is necessary for comfort. For lip injections, Dr. Nayak usually recommends numbing with two tiny lidocaine injections – a “dental block”. These blocks make for painless lip injections.
Will I bruise?
Anytime an injection is performed, bruising may occur. Dr. Nayak will try to minimize this bruising by using atraumatic cannula techniques to inject, holding pressure, and providing anti-bruising enzyme capsules. If you bruise, our staff will attempt to cover your bruise with makeup immediately after the injection, and you may continue to do so at home. Most bruises resolve within a week. To decrease the chance of developing a bruise, please avoid blood thinners such as Vitamin E, aspirin, ibuprofen (Motrin/Advil) and naprosyn (Alleve) for 10 days prior to your treatment.
Are there any contraindications to injections?
Any history of allergies to the filler ingredients is the main contraindication. Patients on coumadin or other prescription blood thinners are also at much higher risk of dramatic bruising.
Are fillers the same as Botox Cosmetic?
Botox and Dysport are not fillers – they work by relaxing muscles that create unattractive wrinkles in areas where fillers are not safe or effective. Best used for: Frown lines, worry lines, crow’s feet. They can also often create a temporary “chemical browlift” effect and end sweaty palms or armpits.