What fillers are available at Hass Plastic Surgery & MediSpa and how are they used?
There are several types of FDA approved fillers on the market that work well on the deeper facial folds, facial hollowness or the peri-oral lip area. They are the hyaluronic acid products and collagen stimulators of Voluma, Juvederm®, Restylane®, Restylane Silk and Lyft as well as Belotero and Sculptra® Aesthetic.
Hyaluronic acid is found naturally in our bodies and therefore these products do not require a pre-skin test to determine if a patient might have a reaction. In addition, these products are now formulated with lidocaine to numb the area as the injections are performed. Many patients will also prepare with topical numbing cream prior to their initial injections to enhance their comfort level for these short in-office procedures. We use all of the FDA-approved hyaluronic acid containing fillers. Each filler has unique properties that our injectors take into consideration when developing personalized treatment plans for our patients.
Typically most patients find their results can last anywhere from 5 - 15 months before they are ready for more. This may vary with the product used and the patient. After the treatment our patient should expect some bruising, swelling and redness which can last up to two weeks after their injections.
The collagen stimulating prodcuts including Sculptra, Radiesse® and Bellafill® are also on the market however, in our practice we mainly favor Sculptra®. These products are all designed to stimulate the thickening of the subdermal layers to create more volume. Sculptra is used to fill areas of diffuse volume loss such as the temples or hollows of the cheeks. Radiesse and Bellafill contain microspheres of calcium and polymer beads respectively. We use Radiesse in specific circumstances. We do not believe that polymer microspheres should be injected into the soft tissues and thus we do not use that product.
The results from Sculptra injections take several weeks to months to develop (they are not immediate) and have been shown to last for up to 2 years after the first treatment session. Volumizing the face with Sculptra is typically done in seveal sessions spaced several months apart. Sculptra would not be recommended if you had any allergy to dissolvable suture or if you have a history of keloid scar formation.
What are my numbing options when getting fillers?
After Dr. Andrea or Dr. Brian Hass have examined you to determine the best options for your injectable procedures and your cosmetic goals, the staff at Hass Plastic Surgery & MediSpa will apply a thick layer of numbing cream on your skin 20 minutes prior to the procedure. Many fillers do contain lidocaine in their makeup so the numbing cream just adds additional comfort for the patient to tolerate the injections.
What are my risks?
The most common side effects are mild-to-moderate bruising and swelling. Many patients will experience immediate redness and swelling and in some cases this may last up to two weeks, but rarely three weeks. Make-up may be applied a few hours after treatment. Initially the treated area may feel slightly lumpy or look lumpy if you tighten the skin in those areas,however this should not be obvious with normal facial movements. We do ask that you allow two weeks for the treatment to settle before concerning yourself with the final results. It has been very rare to hear of any reports of allergic reactions, however if patients experience any reaction they should call our office.
How can I best prepare for a treatment?
We suggest our patients avoid aspirin, all vitamins, fish-oils and non-steroidal anti-inflammatory products for at least 10 -14 days prior to their treatment. Due to the blood thinning properties of those products, bruising can be enhanced if they are not stopped. We also suggest you avoid using retin-A or glycolic products for several days prior to injections. Avoid direct sun and extreme heat for several days following your injections, and if you are prone to cold sores, you may want to consider pre-treating with Valtrex prior to your treatment. Please advise our staff when making your appointment if you have had cold sores in the past. Finally, make sure you allow for some bruising when you plan your appointment. In other words, look at your social calendars so you can allow for healing time before any important events!