Juvederm

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…)

Fillers: How Long Do they Really Last?

I had my first filler injection in the the late 1990’s and have tried every filler on the market except Bellafill, a permanent filler.

There are more FDA approved fillers on the market today and more are awaiting approval.  The documented  length of time a Filler lasts is based on the results from the manufacturer’s clinical trials. Millions of dollars are spent on marketing campaigns and provider training courses.

Consumers should be aware that these results are guidelines only. 

The results that you get from any filler injection and how long it will last for you may differ than the documented results seen in the clinical trials. If you think that your filler will last 9 months and it only lasts for 6 months, don’t blame your injector. It’s not the product or the injector’s fault, it is the way your body metabolizes the filler and where it has been placed in your face. Lip filler is not going to last as long as filler under your eyes.

As a plastic surgery and aesthetic coach, I hear all too often from my clients that they are disappointed with their Dermatologist or Plastic Surgeon after getting for example, Voluma because it did not last 2 years as advertised. This is an average only. As the product is on the market longer the documented results may change.

Here is a realistic guideline to keep in mind when you budget for fillers.

  • All HA fillers are temporary. They will last between 6-9 months.
  • Fine line fillers Restylane Silk and Belotero may only last 6 months. In some cases less.
  • Voluma, a deeper filler may last UP TO 2 years. However, you will probably need more filler at 9 -12 months to give it a boost
  • Juvederm may last 9 months depending on placement
  • Restylane Lyft which is the same as Perlane lasts UP to 18 months. Realistic expectation 9-12 months

Non- HA Fillers

  • Radiesse lasts 9- 12 months. Realistic expectations- 9 months. Radiesse hand injections may last 9 months with a boost
  • Sculptra can last up to 25 months after the last treatment. You may need a touch-up in 12- 18 months
  • Bellafill is a permenant filler

If you have any questions or comments, I’d love to hear from you.

Remember: You Only Have One Face and One Body, Choose Wisely!

-Michele Garber

Tips for Getting Ready for that Special Occasion!

The time is approaching and you have a special event coming up. You’ve bought your dress, shoes, accessories, scheduled your hair and make-up.

You want to look your best.

Maybe you’ve been thinking about having a facial, a chemical peel, a little Botox, dermal fillers, Laser or IPL treatments. Since you want to look your best, you need to plan a schedule for these treatments allowing yourself the proper time for healing or any adjustments.  Don’t want until the week before your event.

Here are some factors to keep in mind when you book your appointments.

  1. Schedule a series of facials at least 4-6 weeks in advance. If you have sensitive skin you could break out. The goal is for glowing, healthy skin before the big day.
  2. If you plan to change skincare products, start 6-8 weeks before the event. Any change in products could cause your skin to react
  3.  If you are using Retin-A products. Stop one week before the event, so you are not red or peeling.
  4. Schedule any chemical peels at least 4 weeks before the event. You want your skin to glow-  not be red, flaky or peeling.
  5.  If you are planning on having any Botox or fillers- take arnica pre-injection and post to minimize bruising
  6.  Botox should be scheduled at least 2 weeks before the event. You may bruise, it takes 3-7 days to kick in and you may need to tweak the area.
  7. Lip fillers- at least 4 weeks in advance. You may be swollen for 7 days and you really will not see the final effect for two weeks. Juvederm swells more than Resytlane, but Juvederm tends to last longer in the lip area.
  8. Eye Hollows- at least two months in advance. You could have severe bruising in this area and puffiness. I would not take any chances. Two- three months of healing should be enough.
  9. Dermal Fillers – Two to three weeks in advance. You may bruise, and have swelling. Plus if you need any adjustments you will have time. This includes, Juvederm, Restylane, and Radiesse.
  10.  If you choose to use fillers such as Sculptra, you will need to start several months in advance, as this filler requires more injections and time to see results.
  11.  Looking to rid of brown spots with IPL? Chances you will need to have several treatments, Start as early as six months in advance, this advice is the same for any type of laser treatment, even vein therapy.

Always consult a board certified plastic surgeon or dermatologist. Safety First.

For more information on Safety Visit http://www.niptuckcoach.com


 

POPULAR TRENDS : PLASTIC SURGERY

What will be the most popular trends in 2012?

With new shows like Bridalplasty and media coverage on Mommy Makeovers.  I  predict that there will be an increase in Liposuction, Tummy Tucks, Breast Augmentation; all trending younger.  The 30- something and 40- something group is already trying Botox, Dsyport and  Xeomin and using fillers especially for lip plumping.

For nonsurgial facial rejuvenation HA Fillers, such as JuvedermPerlane, Resytane will continue to be popular. Since HA fillers are temporary, consider them a great alternative to permanent fillers. If you don’t like the look, you can always have it dissolved with a product called Hyaluronidase, which is safe to use.

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