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Injectables: Our Approach 

Fillers are recommended only after a complete facial evaluation by one of our surgeons, Drs. Harlan Pollock and Todd A. Pollock. These treatments are then applied when appropriate.

  • Treatments are carried out by our physicians, as we believe there is risk related to any procedure and we strive to minimize this risk. Further we believe the results are technique dependent, and, therefore, the procedure isn't delegated to an assistant.
  • Our selection of fillers is based on two factors: safety and effectiveness.

SYNTHETIC FILLERS
Fillers can be an effective temporizing measure to reduce wrinkles and fill depressions related to aging. All fillers we use in our office are FDA approved and have been shown to be safe.

  • HYALURONIC FILLERS:

    Hyaluronic acid is a polysaccaride (a type of sugar) that occurs naturally in the human body. Its most important function is to carry and bind water. Non-animal hyaluronic acid does not contain animal protein and does not require a skin test prior to use. It can be used to reduce fine wrinkles, deep folds and augmenting lip fullness. Treatments can result in temporary swelling, redness and tenderness.

    It depends on the individual agent and location of the injection. For example, fillers injected into the lips may be absorbed as early as 3 months.

Examples of Hyaluronic fillers are Restylane, Juvederm, and others. Our experience with Restylane has been extremely positive. It is a very effective filler for fine wrinkling around the mouth, as well as, the naso-labial folds and lips. Early patient satisfaction has been impressive - instant gratification is the major benefit! The major disadvantage of this product is the short duration of time.

RADIESSE® (More Info ») is a long-lasting synthetic filler material that is approved by the FDA as a soft tissue augmentation in two specific areas: the vocal cords and the bladder. Specific use for face wrinkles is pending, but its use "off label" is permitted. We are using this synthetic material to fill skin depressions and deep folds.

Radiesse® has immediately observable results, lasts 1-1.5 years and has very little risk of allergic reaction. It is calcium hydroxylapatite, a substance found in bone that is made into an injectable paste. When used in the lips, some lumpiness has been observed, therefore we are not using this material for lip augmentation. We are very impressed with the ease of administration and results with Radiesse. It is the best choice for the naso-labial folds.

  • FAT TRANSFER (grafting) AS A PERMANENT FILLER
Fat Transfer to the face adds volume where time has reduced the facial fat - a sign of aging. New technology has made fat grafts more effective - A potentially permanent filler.

Fillers add volume to areas of the face to enhance appearance. Aging changes in the face involve one of several aspects of the face. Loss of elasticity of the skin, downward migration of fat pads under the skin, and loss of volume of the face thru loss of fat.

Fillers can be used as a temporary fix for this loss of volume. However, a disadvantage of a synthetic filler is that it is temporary, requiring repeated expensive treatments.

Adding the patient’s own fat to augment deficient areas, can enhance beauty and reverse some of the signs of aging. The fat can be aspirated (suctioned) from one area, for example the abdomen, and injected into an another area, such as the face. Survival of fat grafts is technique dependent - but skillfully done fat transfers can be potentially permanent. Fat transfers can be done as a stand-alone procedure, and are often used in conjunction with facelifts and other cosmetic facial procedures. Fat transfer to the top of the hand is easy and is the only effective method of hand rejuventation.

Although the use of fat transfer from one area to another is not a new procedure, recent innovated techniques have significantly improved our results with fat grafting. We are employing Water Assisted Liposuction » to harvest fat for transfer. This is a gentle technique that protects and preserves the fat cells, in fact 90% of the fat cells are viable (living). Published studies have documented 70% graft take using this method of fat harvest and the results we are seeing are consistent with these studies.

As with any cosmetic procedure, the best way to determine the appropriateness of fat grafting is in a personal consultation with a Surgeon certified by the American Board of Plastic Surgery.

Filler Treatments for Anti Aging Skin Care: Youth in a Syringe?

Cosmetic Surgery: Promises and Pitfalls™

PROMISES

Injection of various materials into wrinkles can eliminate those wrinkles without plastic surgery. These treatments are offered in doctors' offices, beauty salons, day spas, and even house parties. Local and national marketing provide a huge demand for filler treatments.

Because of their effectiveness and ease of administration, these fillers are fast becoming one of the most popular cosmetic procedures.

PITFALLS

Many different materials have been tried through the years, with varying degrees of success. However, none has proven to be permanent. Some last only a few weeks or months and others have even had disastrous results.

  • Used appropriately fillers can improve signs of aging and delay the need for cosmetic surgery. If not used selectively and judiciously, results can be disappointing.
  • Though often marketed as an inexpensive alternative to cosmetic surgery the accumulative cost of repeated injections can be expensive.
Second opinions: As with any procedure, when considering fillers, a second opinion is often helpful. Since, this is a non-surgical procedure and can be done by any physician. A surgeon certified by the American Board of Plastic Surgery may advise this treatment, but can also provide surgical care when indicated.

Other Injectables: BOTOX, DYSPORT, ETC. Page »

Facial Rejuvenation Page »

Botox Promises and Pitfalls Information »

More Promises and Pitfalls Information »

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