San Diego county dermatologist explains dermal fillers
Volume and wrinkle reductionAs we age, we lose facial volume. Natural fat pads are resorbed and bone shrinks. The body produces less collagen and elastin, the fibrous proteins that keep skin thick and taut. Gravity pulls the soft tissue downward. This combination reverses the triangle of youth, making the face wider at the mouth and chin. Dermal fillers are injected to replace lost volume. They provide substructure and lift, to restore youthful contours.
Fillers are used to treat volume loss. As we age unfortunately we lose volume in our face and fillers are one of the best ways to replace that volume that we have lost.
What are fillers used for?
Fillers are most commonly used to treat the volume loss in the face; however, they can also be used to treat the volume loss in the back of the hands, the neck, and the chest.
Who is the ideal candidate for fillers?
Anyone looking to have a more youthful appearance and a fewer deep creases in their skin is an excellent candidate for fillers. Unfortunately, volume loss starts as early as our twenties. In order to address this volume loss, using filers a little bit at a time creates the most natural results leaving volume loss unchecked for many many years, results in much older skin and an aged appearance.
What is the best filler?
There are multiple different fillers on the market. It is my job as an expert dermatologist to guide you through the different filler choices and choose a filler that most suits your aesthetic goals; the most common fillers on the market are hyaluronic acids. These are great because they are natural substances in the skin, that supports the dermis and really help to combat volume loss additionally they stimulate your body to make its own collagen, so you get an even more volume boost than you would have had you not had any injections.
How long does a filler last?
The longevity of each filer is different. This depends on:
a. the location where the filler is used and
b. the properties of the filler
Overall most fillers last about 6-12 months, although some like Voluma and Sculptra last up to 2 years.
What happens during treatment?
There is little to no preparation for your treatment with fillers. When you arrive at the Skin & Vein Institute, you will be brought back to our numbing room, where you will numb and relax for about 45 minutes. After that you will be treated with the filler(s) which is virtually painless, and ice will be applied to your skin after.
What are the side effects?
There are very few side effects associated with filler treatment. The most common side effects include bruising and swelling. Bruising happens because of the injections and can be treated the next day with a laser so that your bruise resolves in about 24-48 hours. It is important that you call us if you experience a bruise, so we can get you on the schedule to treat it most effectively. Swelling can be avoided by applying ice afterward while you are relaxing at home and enjoying your evening
How long does swelling last?
For those patients who experience swelling, it can last between 1 and 3 days and typically resolves on its own.
What if the filler is not satisfactory?
If you are unsatisfied with your filler treatment, hyaluronic acid fillers can be removed with a substance that is injected, called hyaluronidase, which restores your appearance back to its original look.
Are fillers safe and effective?
Fillers are both safe and effective. Fillers are the best modality at treating volume loss of the face, neck, chest, and backs of hands. If you have deep wrinkles and sagging skin, fillers are the best choice for you to restore more youthful appearances so that you look stunning, always.
Dermal Fillers at Skin & Vein Institute
After a dermal filler is placed you have a 50% chance of having some swelling afterward.
How long will the swelling last after the dermal filler injection?
The swelling lasts a couple of days and things will settle out in about a month's time. As it takes about a month for a filler to penetrate and integrate with your skin.
What are the benefits of dermal filler treatment?
With the Dermal Filler injection, the goal is to replace the volume that you have lost and made you look youthful. In a natural way and not look done or unnatural.
Is there an ideal age for Dermal Filler Injection?
If you're looking to a dermal filler to combat signs of aging, your mid-30s are after a good time to start to maintain your youthful appearance.
Why should I start the Dermal Filler Treatment at a young age?
Starting at a younger age prevents wrinkles from forming and allows you to age more gracefully.
It also prevents the need for more invasive procedures in the future.
Have you seen changes in your mother’s or father’s face that you’re starting to see in your own? We sat down with a mother and daughter, and a father and son, to ask them questions about the facial changes they see.
Daughter and Mother – Erin and Lou
Father and Son – Jack and Alex
All 4 have been treated with different products in the Juvéderm collection of fillers.
Their treatment plans have been customized to their individual needs.
Let’s see what they can tell us about facial changes that happen over time.
What do you think caused the changes in your face?
Erin and Lou - I think some of the changes I have seen in my face are genetics, you know I saw changes in my mom’s face that I started seeing in my own so! (laughs)
Jack and Alex - I spend a lot of time in the sun so I know that contributed to some of the wrinkles I see.
I have always assumed it is just a part of aging you get older you get lines and wrinkles and it is just a part of the deal.
Over time your face changes in many ways. This is part of the normal aging process, but genetics and environmental factors, like sun exposure, can also play a role.
What was the first change you saw in your face?
Jack and Alex - I am not a terribly vain person but over time the lines around here get deeper.
Yeah, I take after my dad and started to get them too. My doctor treated me with Juvéderm XC to smear the appearance of these lines.
Erin and Lou - I have always admired my mom’s beautiful full cheeks but as she got older she lost some of that fullness – no offense mom! Yeah, I know – none taken!
Changes may be different for everyone, but they often include deepening parentheses lines and wrinkles around the nose and mouth. What may be less obvious is age-related volume loss in the midrace.
What are the signs of age-related mid-face volume loss?
Jack and Alex - I think one sign of volume loss is the loss of fullness in the cheeks, definitely, over the years I noticed my dad’s cheeks getting a little fatter and the skin is starting to sag.
Over time, the cheeks flatten and the skin may begin to sag. This is caused by a natural loss of volume in the cheek area.
Jack and Alex - But I have to say since my treatment with Juvéderm, Voluma XC I think I look about 5 years younger.
Can your lips lose volume over time?
Erin and Lou - Yeah, your lips can definitely lose volume and thin over time, my mom can attest to that! Yes, I can.
Over time your lips may lose volume and thin. In addition, many people seek out lip augmentation because they have naturally thin lips and simply desire more fullness.
Erin and Lou - After my treatment with Juvéderm Ultra XC, my lips are fuller. See –
I on the other hand have always had more like thin lips so I wanted them to be fuller like my mom’s used to be so I was also treated with Juvéderm Ultra XC.
What is hyaluronic acid (HA)?
Jack and Alex - What do I think hyaluronic acid is? I have no idea.
Hyaluronic acid (HA) is a natural substance in the skin that delivers nutrients, helps the skin retain moisture, and softens and adds volume. Each product in the JUVEDERM collection of fillers is made from a modified form of HA.
What are you enjoying most about your results with the products you were treated within the Juvéderm collection of fillers?
Erin and Lou - What I am enjoying most about the Juvéderm treatments in the mirror!
Jack and Alex - After my treatment with Juvéderm XC, the lines around here are less noticeable. I admit I was skeptical at first but I am really happy with the results. My treatment with Juvéderm Voluma XC has helped give my cheeks fullness and has taken a few years off my appearance.
The results are subtle but definitely noticeable, so the lines on my mouth are a lot smoother.
Erin and Lou - Adding volume to my cheeks, with Juvéderm Voluma XC gave me a contour and a subtle lift that I am very happy with. I also love the natural look of my lips.
Well, I am just thrilled about the Juvéderm XC adding fullness to my lifts and I can’t stop buying this!
What would you say to someone considering treatment with products in the Juvéderm Collection of fillers?
Erin and Lou - It is a must, I could not be happier with my results!
Jack and Alex - If you are considering treatment with the Juvéderm collection of fillers I would certainly encourage you to do it. I am the last person you would expect to get something like this done, but I am happy with the results.
Erin and Lou - The results are long-lasting but still temporary so I am planning to go back for repeat treatments once the results begin to wear off. Maybe we will go together! I- that was just what I was going to say to you, you read my mind. Girl’s trip!
I just wish I would have done this sooner. I am still going to use my lotions and serums but the changes in your face go beyond the surface of the skin. The products in the Juvéderm collection of fillers add volume to temporarily address what is happening beneath the surface.
You inherit more than your eye and your hair color from your parents. The facial changes that you see in their faces over time might be a good indicator of the changes you see in your own face one day so talk to your aesthetic specialist when you see the signs that treatment might be right for you.
Now let’s hear from YOU. Do you have questions about the changes you are seeing in your own face? Ask your aesthetic specialist how the products in the Juvéderm collecting of fillers can help you achieve your desired aesthetic goals. Visit Juvederm.com to learn more. Everyone will notice, No one will know.
Special thanks to Elizabeth K. Hale MD, Julie K. Karen, MD, CompleteSkinMD, New York City.
Juvéderm Collection of fillers:
Juvéderm XC, Juvéderm Ultra XC and Juvéderm Voluma XC important safety information
Juvéderm XC injectable gel is for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasal-labial folds. Juvéderm Ultra XC is for injection into the lips and perioral area for lip augmentation in adults over 21.
Juvéderm Voluma XC injectable gel is for deep injection in the cheek area to correct age-related volume loss over in adults over 21
Important safety information
Are there any reasons why I should not receive any Juvéderm injectable gel formulation?
Do not use these products if you have a history of multiple severe allergies or severe allergic reactions (anaphylaxis), or if you are allergic to lidocaine or the Gram-positive bacterial proteins used in these products.
What precautions should my doctor advise me about?
1. Tell your doctor if you are pregnant or breastfeeding. The safety of these products for use during pregnancy or while breastfeeding has not been studied. The safety of Juvéderm XC and Juvéderm Ultra XC injectable gets in patients under 18 years, and the safety of Juvéderm Voluma XC in patients under 35 years or over 65 years has not been studied.
2. The safety and effectiveness of Juvéderm xc for areas other than facial wrinkles and folds, and Juvéderm Ultra XC for an area other than the lumps and perioral areas for lip augmentation or facial wrinkles and folds, have not been established in clinical studies.
3. The safety and effectiveness of Juvéderm Voluma XC in areas other than the cheek area have not been established in clinical studies products may result in additional scars or changes in pigmentation.
4. Tell your doctor if you are planning other laser treatments or a chemical peel, as there is a possible risk of inflammation at the treatment site if these procedures are performed after treatment.
5. Patients who experience skin injury near the site of injection with these products may be at a higher risk of side effects
6. Tell your doctor if you are on immunosuppressive therapy used to decrease the body’s immune response, as the use of these products may result in an increased risk of infection.
7. Tell your doctor if you are using medications that can prolong bleeding such as aspirin, ibuprofen, or other blood thinners as this may result in increased bruising or bleeding at the injection site.
8. Minimize strenuous exercise, exposure to extensive sun or heat, and alcoholic beverages within the first 24 hours following treatment.
What are the possible side effects?
The most common side effects include tenderness, swelling firmness, lumps, bumps, bruising, pain, redness, discoloration, and itching. With Juvéderm XC and Juvéderm Ultra XC injectable gels, most side effects are mild or moderate and last 14 days or less. For Juvéderm Voluma XC, side effects are moderate(uncomfortable) and last 2 to 4 weeks.
One of the risks with using this product is unintentional injection into a blood vessel and while rare the complications can be serious and may be permanent. These complications which have been reported for facial injections can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring.
As with all skin injection procedures, there is a risk of infection.
To report a side effect with Juvéderm XC, Juvéderm Ultra XC or Juvéderm Voluma XC, please call Allergen Product Surveillance at 1800 624 4261
For more information please see JUvederm.com or call Allergen Medical Information at 1800 433 8871 – available by prescription only.
Dr. Amir Moradi – Board-certified facial, plastic, and reconstructive surgeon
“Patients feel as though their face looks youthful and they want their hands to also match that. You have to keep in mind that the hands are probably the second most visible parts of our body”
And now there is one new treatment that could help turn back the hands of times.
“Radiesse for the hands provides an immediate volume at the same time it reduces the appearance of the veins and tendons of the hands. Radiesse is the first and only FDA approved product for the treatment of the volume loss in the hands.”
To learn more visit Radiesse.com
Radiesse important safety information:
Radiesse is a dermal filler that is used to correct volume loss in the back of the hands. You should not use Radiesse if you have an allergy to any component of the product, if you have a history of severe allergies, if you have a bleeding disorder or if you are pregnant or breastfeeding.
If Radiesse is injected into a blood vessel, serious complications can result including stroke, vision abnormalities, blindness temporary scabs, and permanent scars. The most common adverse events include bruising, redness, swelling, pain, itching, nodules or bumps/lumps, difficulty performing activities, loss of sensation, and other local side effects. Serious adverse events seen with Radiesse include tissue damage, allergic reaction, swelling, and infection.
For full Radiesse safety information, please visit www.Radiesse.com or call Merz Aesthetics Customer Service at 866 862 1211. Radiesse is available by prescription only.
Fillers are controlled medical solutions, available only by injection from a doctor. The best, safest outcomes are achieved with FDA-approved products administered by a qualified physician. Dr. Lloyd has the training and experience to design a customized treatment plan, with a combination of fillers:
- Hyaluronic acid(HA) – The Juvéderm family, Restylane products, and Belotero are HA fillers. HA provides immediate results, and stimulates skin to create new collagen. These fillers can be used almost anywhere – temples, cheeks, tear troughs, jawline, lips, and nasolabial folds.
- Calcium hydroxyapatite – This substance is found in bone, making it the filler of choice to rebuild underlying structure. Radiesse is ideal for temples, cheeks, and jawline. It also produces immediate results in the backs of hands, lifting skin to cover exposed veins and tendons.
- Poly-L-lactic acid – Sculptra generates outstanding results in 6 to 12 months, with a series of sessions. This filler forms a framework within tissue, for the body to produce its own natural collagen. It can be administered wherever there is facial volume loss, and for reduction of wrinkles at the center of the chest.
Browse this website to learn more about dermal fillers. Then call Skin & Vein Institute to schedule a consultation with Dr. Lloyd. The numbers are (760) 642-6674 (new patients) and (760) 452-2080 (existing patients).
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Meet Dr. Amanda LloydDR. AMANDA LLOYD HAS BEEN SERVING HER PATIENTS MORE THAN 15 YEARS.
Board-Certified Dermatologist Dr. Amanda Lloyd has expertise ranging from cosmetic to cancerous. After completing her Bachelor’s degree, Medical Degree and Dermatology residency, she established the Skin & Vein Institute in Encinitas, CA. She is an authority on cosmetic dermatology and injectables, laser therapies, venous disease treatments and skin cancer surgery with cosmetic reconstruction. Additional training with Mohs Surgery and cosmetic dermatology fellowship, many published articles and textbook chapters have enhanced her profile.
Dr. Lloyd’s well-rounded approach to skin care, health, and appearance and membership in many dermatology associations have gained her respect among peers. She regularly lectures her peers at the dermatologic national meetings.
She has earned her patients trust as a dermatology authority who wants to make them look their best so they Look Stunning, Always.Meet the Doctor