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Benefits of Revolumizing Skin with Fillers – Cheat Sheet by Dr. Saluja

In Melbourne, FL

Restylane (Lyft, Kysse, Refyne, Defyne) & Juvederm (Ultra, Ultra Plus, Volbella, Vollure)

What it is: Hyaluronic Acid, a substance found naturally in the connective tissues of the body. Kysse, Defyne and Refyne are “flexible” hyaluronic acid fillers designed especially for areas with movement. Silk and Volbella have features suitable for fine lines. Vollure is ideal for subtle improvement of the entire perioral/lower face area. 

Injection areas: Nasolabial folds, folds extending down from corners of lips (Marionette’s), lip volume, lip wrinkles, horizontal forehead lines, cheeks (Lyft), and under eye circles. Generally, 1 syringe is needed per area.

Immediate results: Yes.

Results last: 6-12 months

Considerations: Swelling, lumps/bumps, redness, tenderness, or bruising may be evident for up to 7 days. With subsequent treatment, results seem to get longer lasting, In other words, these fillers may actually stave off future lines and wrinkles by stimulating collagen. 

All Hyaluronic acid (Restylane or Juvederm family)  fillers are reversible with Vitrase or Hylenex tiny injections within a few days if there is an undesired effect (The need for Vitrase or Hylenex is extremely rare).

Voluma

What it is: Uniquely prepared Vycross technology Hyaluronic Acid, a substance found naturally in the connective tissues of the body. Volbella and Vollure also have Vycross technology – looks more natural and may last longer.

Injection areas: All three areas of the cheek – the apex, the apple, the hollow. Also, Voluma can be done along the jawline for lifting or chin for projection.

Immediate results: Yes.

Results last: 9-18 months. Closer to 2 years if 4-6 syringes used. Closer to 1 year if 2-3 syringes used.

Considerations: Swelling, lumps/bumps, redness, tenderness, or bruising may be evident for up to 7 days. With subsequent treatment, results seem to get longer lasting, In other words, Voluma may actually stave off future aging by creating a subtle lift and stimulating collagen.

Sculptra

What it is: Synthetic poly-L-lactic acid

Injection areas: Sculptra is a foundation filler that provides structural support. It is appropriate for any sunken parts of the face—hollow cheeks, temples, jaw or cheek “lift.”. Overall re-volumization of face. Also, consider younger patients who may have early signs of skin/fat/bone facial aging and want to be proactive.

Immediate results: No. Requires multiple treatments spaced 6 weeks apart. Results in 12 weeks.

Results last: After full treatment can last up to 2 years.  We usually recommend 1 vial of Sculptra per decade of life as an initial treatment series. Then, we usually recommend patients come back for 1 vial per year (or 2 vials every 1-2 years) due to ongoing aging.

Considerations: This is the filler that is massaged, not the others. Facial massage for 5 minutes 5 times a day for 5 days is advised for best results. Sculptra creates “collagen scaffolding.” Sculptra is a true collagen stimulator! Best in women under 65 yo. Swelling, lumps/bumps, redness, tenderness, or bruising may be evident for up to 7 days. Rarely, bumps can last longer.

Bellafill

What it is: Tiny, polymethylmethacrylate (PMMA) microspheres suspended within a base of smooth collagen gel

Injected areas: Acne scars, nasolabial folds, smile lines, temples, lateral cheeks

Immediate results: Yes, with usual touch up required at one month as the Bellafill collagen carrier gel is absorbed and the PMMA spheres remain and stimulate your own collagen. 

Results last: 5 years or more!

Considerations: This is a long lasting, non-reversible filler. Side effects that are possible with any filler are possible with Bellafill. An allergy test is done 4 weeks prior to treatment due to Bellafill’s long lasting nature and collagen gel component.

Radiesse

What it is: Synthetic microcrystal form of material found in bones and teeth called calcium hydroxyapatite

Injection areas: Nasolabial folds, frown lines, marionette lines, and cheeks.

Immediate results: Radiesse provides immediate results, yes.

Results last: 4-12 months

Considerations: Swelling, lumps/bumps, redness, tenderness, or bruising may be evident for up to 7 days. With subsequent treatment, results seem to get longer lasting, In other words, these fillers may actually stave off future lines and wrinkles by stimulating collagen.

Kybella

What it is: Deoxycholic acid, a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath your skin, Kybella™ causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.

Injection areas: Chin profile and jaw contour

Immediate results: No. Requires 2-4 treatments spaced 8 weeks apart.  Some people require up to 6 treatments.  

Results last: Long lasting or permanent. It causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.  

Considerations: The most common side effects include swelling, bruising, pain, temporary numbness, redness, and areas of hardness in the treatment area, but subsides with each treatment. Kybella is purchased in small, medium, and large packages and commitment to the entire series of treatments is key.

Renuva

Renuva is “off the shelf fat” donated fat stem cells that can be injected in the office to face, breast, body, and, less commonly, can be used as a filler (not in lips or tear troughs) in face

Volumes are typically 1-3 cc so think small areas for body.

Examples include: Renuva can fix liposuction contour irregularities, cellulite irregularities, implant rippling in thin patients.

You can read more on our website under “fat grafting”.

Liquid Lifts and Consults.

The Dr. Saluja Signature Liquid Lift customized experience is really about supporting, lifting, and beautifying the face with fillers and Botox/Dysport in an artistic way where Dr. S applies her skills & experience and uses her tools for your optimal benefit. The liquid lift gives the most flexibility to get your best result. It also has savings and value. Patients travel from Brevard County as far as Cocoa Beach & Melbourne Beach, and from Vero Beach, Orlando, Jacksonville, Palm Beach, and Sarasota within Florida – as well as from states around the country for this! A consult prior to the liquid lift is advised.

 

 

 

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