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Wrinkle Fillers

Injectable Wrinkle Fillers, do just that – they fill in creases and lines and depressions. There are primarily 3 brand names of Wrinkle Fillers — Restylane, Juvederm and Radiesse. For facial depressions, there is Sculptra.

Dr. Kridel talks about the differences between
these four Injectable Fillers in this video.

Restylane and Juvederm

Restylane and Juvederm are similar products and can be used interchangeably. They are technically known as Hyaluronic Acids and are used to fill in fine lines and facial creases and for lip augmentation.

Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth. Using a dermal filler like JUVÉDERM® XC or Restylane is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds.

With just one treatment in most patients, you’ll get smooth and natural-looking results that can last up to a year.

Can I see a patient being injected with a
Hyaluronic acid such as Restylane or Juvederm?

 

Juvederm Voluma XC

Juvederm_VolumaXC logo 4c

Voluma is an injectable gel and is the first and only filler that is FDA approved to instantly add lift to the cheek area in patients over the age of 21.

Because as we age we lose volume in our cheek area, Voluma can give you a subtle lift to help restore a more youthful contour to your face and therefore, your profile.  It is clinically proven to last up to two years.

Juvederm Voluma is the newest Hyaluronic Acid (ha) soft tissue filler to gain FDA approval. It has been available in Europe since 2005 and is used in over 70 countries worldwide. Juvederm Voluma is the newest filler in the family of Juvederm products, and is formulated with lidocaine for added comfort during treatment. This current form, with the added local anesthetic, is known as Juvederm Voluma XC, but is more commonly referred to as Voluma.

Juvederm “Voluma” XC is different than Juvederm XC because it works on a different area of the face — cheeks. There are three areas of the cheek it addresses; apex, apple and hollow. While Juvederm XC is an injectable that helps fill in moderate to severe wrinkles around the nose and mouth.

JUVÉDERM-VOLUMA™-XC

FREQUENTLY ASKED QUESTIONS ABOUT VOLUMA:

WHAT IS VOLUMA?

Juvederm Voluma XC is the newest HA (hyaluronic acid) soft tissue filler to gain FDA approval to instantly add lift to the cheek area in patients over the age of 21.  It is commonly referred to as Voluma.

HOW DO I KNOW IF VOLUMA IS RIGHT FOR ME?

To learn if Voluma is right for you, Dr. Kridel or Dr. Sturm will perform a thorough consultation.  They have extensive experience with the wide array of different fillers and wrinkle relaxers and will select the best treatment plan for your specific needs.

WHY DO PATIENTS CHOOSE DR. KRIDEL AND DR. STURM FOR THEIR VOLUMA TREATMENTS?

At Facial Plastic Surgery Associates Voluma treatments are performed by a physician. As top facial plastic surgeons in Houston, Dr. Kridel and Dr. Sturm are considered leading experts in facial fillers. They customize treatments for each patient, which may include a combination of different fillers and techniques in order to achieve the best outcomes.

WHO IS A CANDIDATE FOR JUVEDERM VOLUMA?

Virtually anyone 21 years or older with volume loss in their cheek area is a candidate for treatment with Voluma. Many patients in their 30s, 40s, and 50s may not be appropriate candidates for surgery, or are not ready for downtime associated with surgery and will benefit instead from Voluma treatment.

IS THERE ANY DOWNTIME AFTER VOLUMA TREATMENT?

There is no downtime after treatment, and patients may return to their normal activities.  However, we suggest that you avoid strenuous activities in the first 24 hrs after Voluma or other forms of injectable treatments.

HOW LONG DOES VOLUMA LAST?

Results are immediate and can last up to 2 years. The duration of filler correction depends on the facial area treated, the injection technique, and the rate that the patient ‘s tissues break down the filler. The majority of patients can resume their daily activities immediately after treatment. Some patients may experience slight swelling and bruising, but this typically improves rapidly.

WHAT ARE THE SIDE EFFECTS OF VOLUMA?

Side effects include are considered mild to moderate and can last two to four weeks.

The most common side effects are tenderness swellings firmness bumps bruising redness itching or discoloration at the entry site.

 WHAT IS A HYALURONIC ACID?

Voluma is made up of hyaluronic acid (ha), which is a naturally occurring substance that helps to bind water to cells. Its extensive cross-linking helps to provide lifting capacity, which makes it an excellent choice for restoring volume in the cheeks and midface.

Juvederm Voluma is unique in that the HA is cross-linked through a process called Vycross that helps provide good lifting capacity. This special cross-linking also helps to avoid degradation, making Voluma last longer.

HOW IS VOLUMA DIFFERENT FROM SCULPTRA?

Voluma is an injectable filler made from hyaluronic acid. Sculptra is not a filler.  It is made of Poly-L-Lactic Acid (PLLA), a synthetic biodegradable polymer that is both resorbable and bio-compatible. It works by stimulating the body to produce new collagen at the sites of injection, thereby replacing lost volume and contours to restore a fuller, more youthful appearance. Sculptra® does not give immediate results like the true fillers do. Since Sculptra® has to stimulate the body to create new collagen, this process takes time. Sculptra can last at least two or more years because it causes the body to stimulate its own collagen. Two to three sessions generally 4-6 weeks apart are usually needed to accomplish optimum volume.

 IS VOLUMA PART OF THE BRILLIANT DISTINCTIONS PROGRAM?

Voluma is made by the same company that manufactures Juvederm XC, Latisse and Botox— Allergan, Inc.  So, yes, this is part of the Brilliant Distinctions Program.

Radiesse:

Radiesse is known as a Calcium Hydroxyapatite. This is a thicker material than Restylane and Juvederm. This is not used for fine lines, rather Radiesse is used to fill in deep folds. These injections are popular for patients who are bothered by deeper lines near the corners of the mouth or “jowling” at the sides of the nose and mouth. In addition, we use Radiesse for volume replacement in the cheeks.

This tissue filler doesn’t have to be done repeatedly as it lasts up to one or more years in some people. For many, Radiesse ® helps delay the need for a face lift. It successfully softens folds around the sides of the mouth and lip lines. However, it should not be used to make lips fuller.

When Radiesse® is injected in your face, you may experience mild discomfort, but to ease the treatment, the physician will use a numbing medication.

Where do you use fillers like Radiesse?