dermal fillers

What To Know Before You Get Fillers This Holiday Season

You’ve heard about new facial fillers such as Juvederm Volbella® or Restylane Refyne®. Your doctor or nurse injector has many fillers in their tool box. How do they know which ones to use?  What fillers are the longest lasting  and what  should you know about each facial filler. When you’re planning on getting fillers for your lips, smile lines, temples or cheek area its important to be well informed. 

The most common fillers are Hyaluronic acid HA is a natural substance found in your body. These fillers are easily dissolved with Hyaluronidase if you are overfilled, have complications or don’t like the way it looks. However, it’s important your injector knows how to use this product, as too much can dissolve your natural tissue, this is not permanent.

I’ve tried all the Hyaluronic acid  fillers on the market today. I’ve been injected by the most skilled plastic surgeons, dermatologists and nurse injectors.  I still experience swelling, bruising and have had fillers dissolved.  Recently, I tried newer fillers like  Juvederm Vollure ®,  Juvederm Volbella® as well as Restylane Refyne® and Restylane Defyne®. My body breaks down fillers rapidly, therefore some fillers have a shorter duration.  Due to different technologies and your body’s chemistry some fillers  may cause more swelling and bruising than other fillers. Expect swelling and bruising especially with lip and under the eye fillers.

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Filling Eye Hollows with Dermal Fillers: What Are The Risks?

Cosmetic injection in the spa salon
Deep hollows under your eyes can make you look tired and dull.  HA fillers can fill your hollows for a refreshed and more youthful look.

Filling eye hollows is a delicate business and there are risks. The biggest risk is bruising, lumps, overfilling and swelling. In some cases if not done properly it can actually make your lower eye area look worse.   Today there are more hyaluronic acid (HA) fillers in the aesthetic tool box and techniques for treating this delicate area have improved.

I’ve read many posts online about patients who have had fillers and are experiencing puffiness, lumps, bruising, swelling and a baggy look after the injections. Others have  good results. I’ve also experienced good and bad results.  Please choose your injector wisely. This is a very difficult area to treat.

Performing “tear trough” treatments to the hollow area under the eyes requires meticulous technique.  When done correctly the results are very satisfying.  The most important factor is to go to an injector who is has a lot of experience in this area.

Below are some guidelines to consider before you jump into filling your eye hollows (tear trough).

Parts of this post was originally written in 20o9 when I had my tear troughs treated for the first time.

A business colleague had her tear trough area filled by a local plastic surgeon in San Francisco, CA .  I was very impressed with her results and decided to fill my eye hollows, for a more youthful look.  At the time there were only two HA fillers on the market Juvederm and Restylane. Although both fillers were very similar Juvederm tends to create more puffiness in the eye area than Restylane, as it absorbs more water. My surgeon choose Juvederm which surprised me because Restylane was the preferred filler for this area. However, I trusted his judgement.

Afterwards I very bruised, swollen and lumpy. I waited patiently a couple of weeks hoping it would resolve. The bruising diminished but the puffiness persisted. I looked like I had been punched in the face and knew that OI needed a correction. Fortunately HA fillers can easily be dissolved with hyaluronidase. (more…)

The ABC’s of Getting Fillers For the First Time

You may be what I call  “virgin aesthetic patient” thinking about getting Fillers or Botox for the first time.

You’ve seen many holiday specials, read stories online and have friends who’ve indulged.

Here are some helpful tips to keep in mind:

Less is more when it comes to plumping up. Start gradually. You can always get more.

Only use a reversible filler in the Hyaluronic acid family. If you don’t like the look, it can be dissolved.

Numbing cream will numb the area to be injected so it won’t  hurt. If you are getting your lips plumped for the first time, ask for a dental block.

Don’t get injected before a big event, you may bruise.

Prepare by stopping all your supplements 10 days before your appointment. 

Buy Arnica sublingual tablets 12c and start taking it the night before and right after the injections.

You may be swollen and have red marks where the needle went into your skin. Ice! 

Wait 10 days for the filler to settle before you make a judgement. 

Bumps can be massaged out by your injector, if necessary.

Only go to a Board Certified Dermatologist,Plastic Surgeon or Trained Nurse Injector.

The New Lip Plumper for Softer, Sexier Lips

Just in time for Valentine’s Day.

Sexy, soft, plumper lips.
lip injection

What woman doesn’t want sexy, plump natural looking lips? Now there is a new  Hyaluronic Acid (HA) filler on the block, Restylane Silk, which is a softer version of Restylane and the first FDA approved HA filler specifically for the lips and pucker lines.  The nice thing about all HA fillers is that if you don’t like the results, you don’t have to live it. The filler can be quickly dissolved with Hyaluronidase, an enzyme that degrades HA.

“In the FDA trial of Restylane Silk, which involved 221 mostly female patients, 98 percent had visible improvement 14 days after injection, and 76 percent still had lip improvement at six months. Study participants were offered an optional second injection at two weeks, and some took advantage of it” Allure.com

My lips have never had much of a cupid shape.  I’ve aged my lips have lost volume and shape. In my quest for fuller, plumper lips I’ve tried Restylane, Juvederm and Perlane.  My experiences have included looking like a duck and getting an allergic  reaction to Perlane.  After these HA fillers my lips have  felt chapped and a little hard.  It’s been awhile since I have indulged in lip filler, so when  I heard about Resytlane Silk,  I was eager to try it to see how it compared to the other fillers.

I’ve always considered Lip rejuvenation an art, realizing that not all dermatologists or plastic surgeons are skillful at injecting lips. Therefore, physician injector selection is very important.

There were only a small number of medical practices across the country that were privileged to get a sampling of Restylane Silk in December 2014, before its official launch.  Restylane Silk is made up of smaller particles than Resytlane and the injection technique differs slightly from regular Resytlane.  According to Galderma, the manufacturer, Restylane Silk should be injected very slowly.

Dr.Victor Lacombe, a Board Certified Plastic Surgeon in Santa Rosa, California was one the first practices in Northern California to receive specialized training for Restylane Silk and had the product available. Dr. Lacombe, aside from being a skillful artist in facial plastic surgery, has an expertise in lip filler. I was excited to try Restylane Silk, and made my appointment with Dr. Lacombe at Artemedica in Santa Rosa. (more…)