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Dermal filler therapy has been widely accepted by patients in North America, much more so than cosmetic dentistry. You don’t need to believe me — just ask any esthetic patient if they have heard of dermal fillers injections. Ask patients if they have ever had Botox or dermal fillers and you will quickly find that these are immensely popular esthetic therapies.Procedure Videos
Simply put, a dermal filler injection is a material injected underneath the skin in the nasolabial folds, marionette lines, cheeks, and oral commissures, which plump up these areas and smooth out the wrinkles. Lip augmentation is also done with dermal fillers. Traditionally, plastic surgeon and dermatologist offices provide these services. Today these services can be provided by MDs, dentists, nurses and medical estheticians who work in a medical / dental office or medspa.
Generally, when you look at the world of esthetic injectable treatment, botulinum toxin (Botox Cosmetic) is generally for the top half of the face, and dermal fillers are for the bottom half. The main areas where dermal fillers are used in the lips, cheeks, nasolabial folds, the oral commissures, and marionette lines. These are the areas that frame the teeth and mouth, and are certainly within the realm of dentistry and dental treatment. Dermal fillers are gently placed in these areas through an extraoral injection right under these folds and creases to plump them up. By the way, these are exactly the same areas that you routinely inject. The only difference is that you typically inject these areas intraorally when you deliver local anesthesia.
What was really interesting to me during my dermal filler training courses is that the nurses and MDs that I trained with had absolutely no problem giving the extraoral injections for face fillers, but were a bit squeamish about delivering local dental anesthesia and giving intraoral injections. The dentists that I trained with were exactly opposite and were very comfortable with the intraoral injections, but were initially a little unsure of themselves on the extraoral injections. For more information, or to see if we could help you, please contact us at (919) 578-8593.
Depending on the dermal filler used, the effects can last anywhere from six months until forever. There are temporary dermal fillers and permanent dermal fillers. Typically, most health-care professionals shy away from permanent face fillers because if the filler is placed in an improper position, its permanence becomes a huge issue and liability. Most dermal fillers placed are temporary and dissolve in six to 18 months.
There are a few types of dermal fillers on the market. Bovine and human collagen have been used in the past but require pre-testing by the patient and are not very popular anymore. Hyaluronic acid like Juvederm, Restylane, and Revanesse cosmetic fillers are today’s most popular and widely considered best dermal fillers. Hyaluronic acid is a naturally occurring substance in the body that is lost with aging. Hyaluronic acid dermal fillers add volume to the facial structures, are very hydrophilic, and look very natural. Hyaluronic acid fillers typically last six to 12 months and can also be used for lip augmentation, which is a big advantage.
Calcium hydroxylapatite is a naturally occurring substance in the body that is used in a popular dermal filler called Radiesse. Radiesse is a thick, viscous material that typically lasts longer than hyaluronic acid fillers because it takes longer for the calcium hydroxylapatite material to break down. In addition, as the calcium hydroxylapatite breaks down, the body naturally replaces it with collagen, which keeps the area free of wrinkles longer.
The choice of dermal filler material is very important depending on the areas that are being injected and corrected.
They can elevate sunken scars; reinflate hands; brighten cavernous under-eyes; and sharpen jawlines that have gone soft. The doctors we spoke to universally use brawny structural fillers (Radiesse, Juvéderm Ultra, Restylane Lyft) in the hands and jawline. For the transparent under-eye area, injecting a fine layer of a more fluid HA — one that doesn't swell or cast a bluish glow (something known as the Tyndall effect) — can lift the skin up and away from underlying vessels, obscuring discoloration and hollows
For acne scars, there’s currently only one filler technically FDA-approved for the job: Bellafill. Because it’s acrylic based, it has more lifting power for correcting depressed scars.
As we age, our skin loses its youthful fullness. Fillers help to restore lost fullness to the face, lips, and hands.
Fillers are popular for several reasons. Patients like that they can return to everyday activities immediately after getting most fillers. They like the immediate results that many types of fillers deliver. Patients also like that they can get this treatment during an office visit. Some fillers require a few office visits.
Uses: With a number of fillers now available, dermatologists can diminish signs of aging that appear on the face, lips, and hands. Fillers can effectively:
In order to gain an optimal response from exosome therapy, we recommend the following:
Most patients can return to their everyday activities after leaving the office.
To reduce any redness and swelling from the injections, your dermatologist may recommend icing the area for 15 to 20 minutes before you leave.
Before you leave the office, you should be able to apply makeup.
This varies with the filler. Most fillers do not cause downtime. Be sure to ask your dermatologist whether you will have downtime.
This also varies with the filler. Most fillers fill the skin, so they produce immediate — or close to immediate — results. A filler also can stimulate your body to produce collagen, but this takes time.
Most fillers offer temporary results and require repeat treatments to maintain the results.
Temporary fillers offer one key advantage. These can be injected as needed to replace lost fullness. This is advantageous because no matter what we do, our skin continues to age.