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Dermal Fillers

As we age, structures in the face mature as well. Volume loss is the major culprit in these changes. The fat in our face, the muscles, even the bones lose volume as time marches on. The tissues of the face also lose elasticity. This can result in sagging, wrinkling, and contour changes. Contrary to popular belief, gravity is not thought to be a major contributor in this process. However, it can make the appearance of these changes worse. Lifestyle choices like smoking and weight loss can contribute to this process as well. Thankfully, dermal fillers are one of the tools we can use to counteract the effects of this process.

Common signs of age-related volume loss include:

  • Sagging skin, especially around the cheeks and jowls
  • Hollowing around the eyes
  • Thinning of the lips & wrinkles around the mouth (rhytides)
  • More prominent nasolabial folds, jowls & marionette lines
  • An increased presence of wrinkles overall

What are dermal fillers?

Dermal fillers are a soft, gel-like substance that can be injected underneath the skin to provide rejuvenation by addressing that volume loss and structural changes that have occurred. The active ingredients may vary depending on the product line. However, the mechanism is the same: to provide and replenish volume loss to target areas. Dermal fillers can be directed to specific areas of need to address volume loss, such as in the cheeks, tear troughs, lips, around the mouth, and more.

What are the benefits of Dermal Fillers?

  • Restores volume loss
  • Enhances shallow contours
  • Smoothes texture
  • Softens facial creases
  • Decreases the appearance of fine lines & wrinkles
  • Provides a fuller, more youthful appearance

What are Dermal Fillers made of?

One of the most common active ingredients in dermal fillers is hyaluronic acid (present in the Restylane® product line). Hyaluronic acid (HA) is a naturally occurring substance found in the skin. It plays an important role in maintaining hydration and volume. Other active ingredients include calcium hydroxylapatite (used in Radiesse®), which is a mineral-like compound found naturally in bones. Poly-L-lactic acid is a filler that stimulates the body’s production of collagen (Sculptra®). Each of these filler types has their advantages depending on the target tissue and the desired timeline.

How long do Dermal Fillers last?

The duration of these fillers depends on their composition and the metabolism of the individual. Hyaluronic acid based fillers are gradually absorbed over time. HA fillers last for about 6 to 12 months. Calcium hydroxylapetite based fillers have an extended longevity of 12 to 18 months. Poly-L-lactic acid fillers takes 4-6 weeks for collagen production, with effects that can last 2 to 5 years.

Schedule an appointment with Dr. Schuering to discuss what dermal fillers are right for you.


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