Overview of Cosmetic Dermal Fillers
With the growing popularity of cosmetic dermal injection fillers, the list of options is growing at equal pace. Too many choices, or a lack of information, may be overwhelming for those considering treatment options.
At Celibre, our menu of injection products is based upon meeting a high standard of safety, duration, and expectations for treatment outcomes.
To simplify the choices, we use either softer gel-like products referred to as hyaluronic acid dermal fillers and Radiesse, which is a calcium hydroxyl apatite product. These products do not require allergy testing inasmuch as they are synthetic versions of natural substances found within our own bodies.
For the hyaluronic acid fillers (HA), we are pleased with the consistent performance and long track records of Restylane, Juvederm, and Perlane. These products are exceptional for volumizing any part of the face and provide a nice, natural appearance when combined with skilled techniques. Most patients prefer Juvederm and Restylane in the mouth area because the minimal swelling and easy molding of the product.
Because Perlane has larger sized particles, this more viscous gel works well for areas that would benefit from high volumizing such as the hollows of the cheeks, filling of the temples (temporal hollows), and hands. Perlane has a duration of approximately nine months compared to the other HA fillers of 4-6 months. It is because of this increased potential for volumizing that Perlane is not always the best option contingent on the area being treated. For example, we do not use Perlane in the lines and wrinkles between the eyebrows inasmuch as it is safer to use a less viscous product in this area. The same concerns would be factored when treating a mouth area wherein Perlane may lead to an unnatural appearance or lead to more swelling. For those that find that their bodies tend to metabolize or degrade Juvederm or Restylane too quickly (less than 4 to 6 months), then Perlane may be a better option with a conservative approach.
Besides the HA fillers mentioned above, we also use Radiesse. This product utilizes small calcium micro- spheres to work as a scaffold for lifting, shaping, and volumizing. This scaffold also encourages the body to deposit collagen on this framework for excellent treatment outcomes. In our practice, Radiesse has been a favored product for cheek and mid-face shaping. Because the product is different than the HA fillers, the duration is expected to be 9 to 12 months. Radiesse also has a larger volume of product in each syringe at 1.5cc compared to the standard 0.8cc of Juvederm or 1.0 cc of Perlane and Restylane. This difference also lends to a higher product price but an overall better investment for many depending on their treatment goals.
Despite the supreme benefits one may achieve with Radiesse, it is not always appropriate or safe for all areas due to the viscous nature and the need to have the product placed deeper than HA fillers. For example, an experienced and skilled injector would not use Radiesse in the tear trough areas (hollow areas under the eyes), wrinkles between the eyebrows, or in the mouth area. There are many reported cases of nodules (lumps) forming in the mouth when Radiesse has been used. – a practice even discouraged by the manufacturer. Also, for fine lines that are more superficial, Radiesse would not be a good option, and the HA fillers would be a better choice.
There are many more factors that an experienced injector considers when evaluating one’s goals and budget. At Celibre, we utilize techniques and products that help us shape the face to create a better version of one‘s self – not a different version.. With this in mind, the correct product must always be partnered with the correct technique. We believe patients should be very much involved in this process for a mutually shared goal.
Contact us today to schedule a FREE Dermal Filler Injection treatment consultation!