Fillers are used on the face to add volume. The skin and structures of the face change as part of the normal aging process. For example, sagging of tissue occurs over time, which gives the appearance of flattened cheeks and deep nasolabial folds. Fillers can be used for numerous indications, such as to enhance the cheeks, fill in tear trough depressions near the eye, smooth nasolabial folds, and add fullness to the lips.
Fillers like Juvèderm® and Restylane® are made up of biocompatible hyaluronic acid. An advantage of these fillers is that they can be dissolved if the results are not ideal or if there is a complication. Radiesse® is a filler made from calcium hydroxyapatite, which is generally a thicker substance and cannot be dissolved. However, all these fillers will typically absorb over time.
Juvèderm®, Restylane®, and Radiesse® require repeat injections in order to maintain the results. However, continued use is thought to stimulate natural collagen in the skin.
Common side effects include bruising, swelling, and discomfort at the injection site.
Dr. Foulad typically uses a microcannula, instead of a needle, for filler injections. Unlike a needle, a microcannula has a blunt tip and is less likely to cut through blood vessels and nerves during the injections. This makes the procedure less painful and significantly reduces bruising and swelling. In addition, improved technique with a microcannula can decrease the chance injecting filler into blood vessels, and thus reduce the risk of more significant complications. Using a microcannula is an advanced technique, and requires extensive experience to achieve optimal results in many areas of the face.
Although the use of gentle technique with a microcannula significantly reduces pain, several options are also available to further improve comfort during filler treatment. Topical numbing creams and cold air from our cryo-chiller can be applied before the procedure. In addition, a numbing injection can be performed to make the treatment completely painless. The numbing injection itself is associated with very minimal pain. Most patients are surprised with how little discomfort is associated with our filler treatments.
Nasolabial Fold Filler
Softening the laugh lines
Filler treatment can be performed at the nasolabial folds in order to smooth the appearance of laugh lines. I typically use an advanced technique with a microcannula to break down the bands at the folds while injecting the filler, which further softens the laugh lines. Occasionally, a needle technique is used conservatively to help treat finer lines.
Since there is significant movement at the laugh lines during facial expression, it is ideal to use a filler that has elastic characteristics. Both the Juvèderm® and Restylane® filler families have excellent products for treating laugh lines. Depending on the thickness of your skin and the depth of your nasolabial folds, the most ideal product can be specifically selected for your case.
By using the proper filler and expert technique, the filler integrates well into your tissue and provides a very natural result.
Under Eye Filler
Improving the contour under the eyes
Filler treatment of the under eye region is excellent for creating a more refreshed and overall rejuvenated look. Such treatment directly creates an improved contour under the eyes, but can also lift the cheeks and soften the laugh lines.
After treatment, most patients describe happiness with decreased dark circles and improved application of makeup.
Considering the thin skin at the under eyes, it is imperative to have this procedure performed by an expert. Improper filler treatment at this region can lead to lumps and puffiness that persists for months. Using the correct type of filler and injecting the filler at the right depth is imperative to reduce the risk of chronic swelling, lumps, and the tyndall effect (bluish/dark hue to the skin), while achieving adequate volumization.
Dr. Foulad uses a microcannula for treating the delicate under eye region with filler. This significantly decreases swelling and nearly eliminates bruising in all patients.
Before & After
I used a microcannula to volumize this lovely patient’s tear troughs and to lift her cheeks. Her under eyes now appear more youthful and well-rested. In addition, the nasolabial folds also appear smoother after the under eye filler treatment.
Improving the volume and contour of the lips
Filler treatment of the lips can help add volume, enhance contour, and improve symmetry. I perform a comprehensive analysis for each individual patient to select the most ideal filler and to determine the ideal amounts of filler at the various regions of the lips. By creating individualized treatment plans, optimal results and a very natural appearance can be attained.
Before & After
This lovely patient desired to remove the notch at her upper lip and to add some volume to the upper and lower lips. I used a microcannula to meticulously apply varying amounts of filler along the lips in order to improve the contour and symmetry, while yielding a more volumized and hydrated appearance. She had very little swelling after the treatment and no bruising. She is ecstatic with how soft and natural her lips appear.
Improving the profile and contour of the nose
Filler treatment of the nose, also known as a non-surgical nose job or liquid rhinoplasty, is a lower-cost and lower-downtime alternative for those who may have otherwise considered surgical rhinoplasty. In the right candidates this treatment can improve asymmetry and irregularities along the bridge of the nose making it appear smoother and straighter, raise the bridge of the nose correcting an overly scooped appearance, help camouflage a dorsal hump on the profile view, and/or lift up a drooping nasal tip. The filler is injected at the tip and along the bridge of the nose in tiny amounts using a blunt tip microcannula making the procedure relatively pain-free and the entire process takes only 15-30 minutes time.
Injection to this area requires an advanced technique and should only ever be administered by extensively trained licensed medical professionals.
Before & After
This patient desired a non-surgical option to achieve minor contour refinement of her nose. By using a microcannula and meticulous technique, the risks associated with this treatment, including swelling and bruising, were significantly reduced. Moreover, she was very comfortable and had nearly no pain.
Sculpting a more defined jawline
Filler treatment of the jawline can help those looking for a more sculpted, defined chin and jawline attain just that without the added costs and downtime associated with surgery. This treatment can sharpen the jawline and build upon a small chin helping to restore lost definition in these areas. Proper placement of the filler in these areas can help subtlety lift up the jowls in those experiencing the first signs of facial sagging as well resulting in a more youthful appearance.