Dermal Fillers

Many changes occur in our appearance as we age, which is most often noticeable in the appearance of our skin. Changes in our skins matrix involves the natural displacement and loss of subcutaneous fat and in the face, which leads to a hollow appearance and the formation of wrinkles. As fat is depleted and skin begins to thin, imperfections on the skins surface arise including smile lines, crow’s feet, thinner lips and other signs of aging more apparent.

Another issue you might notice when you look in the mirror is skin that has lost its youthful elasticity and firmness. This change can be caused by a depletion of collagen and elastin, these are the two essential proteins that support the healthy skin matrix during our youth and young adult years. Over time, our bodies produce less of both collagen and elastin, so the skins dermal matrix loses the support needed to maintain youthfully supple skin and exacerbated the loss of facial volume, resulting in the formation of fine lines and wrinkles around the face.


Dermal fillers is one of the most requested anti-aging treatments, due to their ease of use and their ability to create a variety of improvements. Dermal fillers help to smooth facial lines and replenish the appearance of lost volume and fullness in the face. Fillers can also correct imperfections that aren’t necessarily associated with aging, including facial asymmetries or enhancements to natural features. Dermal fillers are often used in conjunction with surgeries or on their own to correct nagging imperfections that you may notice when you look in the mirror.


Dermal fillers are a good option for men and women looking camouflage imperfections without incisions, surgery or downtime. Most fillers contain synthetic ingredients, including hyaluronic acid, mimicking natural ingredients in the body, so the risk of irritation or an allergic reaction are extremely low. They are not derived from animals.

Dermal fillers are not the best choice for individuals with significant aging symptoms, however there are other options that may better suit your needs depending on the severity of aging symptoms. Dermal filler products are not effective in reversing severe skin laxity – only surgical procedures can deliver desired results in these instances. However, dermal fillers can be used in conjunction with facial surgery to enhance the benefits and overall outcome.


Dermal fillers offer a variety of benefits to the right patients. With about 1 hour of treatment time, dermal fillers can be used to accomplish the following enhancements:

  • Add volume to the lips
  • Fill in shallow contours
  • Soften facial creases and wrinkles
  • Elevate recessed scars
  • Correct minor asymmetries
  • Reverse hollowing in the midface
  • Minimize early jowl formation on the jawline
  • The goal of dermal fillers is to produce a natural, aesthetically-pleasing correction to the face that refreshes your appearance and reduces imperfections that may make you feel self-conscious. Depending on the filler used and the areas treated, you can expect to enjoy your enhancements for many months-years before another session is required.

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With many products and formulations to choose from, you can rest assured there will be a dermal filler appropriate for you. Some of the options we provide include:


The Juvederm family of fillers features a line of hyaluronic acid fillers with a smooth consistency that can address different concerns. Hyaluronic acid is a substance in the body that supports the dermal structure and keeps skin hydrated. The “XC” listed after the name of each product below refers to an anesthetic in the formula that increases the comfort level of the patient during the procedure.


The first formula created for the Juvederm family continues to be a popular option for smoothing away wrinkles around the nose and mouth. It is frequently used to treat parentheses lines that appear in the corners of the mouth and nasolabial folds that extend from the mouth to the chin, additionally Juvederm XC can add subtle volume to lips.


Juvederm Vollure XC contains innovative crosslinking technology that utilizes different molecular weights of hyaluronic acid particles. Known as Vycross technology, the different weights serve to produce a slightly different consistency that tends to work better for some patients. Additionally, the results from Vollure tend to last a bit longer overall.


Volume loss, due to collagen depletion in the midface (cheeks), can also make you look older than you feel and attribute to subtle sagging in the lower face. Voluma is a thicker formulation that fills out and adds volume the midface to eliminate hollowing and redefine cheekbones, for a more youthful facial profile. It is also the only filler in the Juvederm line that offers results for up to two years at a time.


The midface is not the only area that loses fullness over time. The lips can also begin to thin and vertical lips lines can become more prominent after repeated movement of muscles surrounding the mouth, making you look perpetually angry or worried. Volbella is another formula that uses Vycross technology to add subtle volume to the lips and reduce the appearance of vertical lip lines.


Restylane also features an extensive line of products containing hyaluronic acid. There are subtle differences between the Restylane and Juvederm formulations, Dr. Hall Jr., Dr. Wrye and our nurse injectors will advise you as to which product they believe will work best for you. Restylane also uses anesthetic in the formula to increase the comfort level of the patient during the procedure. The Restylane group of dermal fillers includes the following:


Restylane is an excellent choice for smoothing away wrinkles and creases around the nose, under eye and mouth. The solution is often recommended for parentheses lines, nasolabial folds, tear trough and marionette lines that run from the mouth to the chin, what many health care professionals call “marionette lines”.


Restylane Silk is designed explicitly to give volume to the lips. The formulation is silky smooth, providing a natural boost to your lips fullness. Restylane Silk also works to smooth away the vertical lip lines that appear above the upper lip.


Restylane Lyft is an excellent option for those who wish to add subtle lift and volume to the midface (cheeks). Restylane Lyft was formerly known as “Perlane-L” and offers the same natural fullness. The product is also FDA approved for treatment of the backs of the hands, to minimize the appearance of protruding veins.


Restylane Refyne features revolutionary XpresHAn technology that creates a smooth formulation that produces the most natural results. This product works on wrinkles around the nose and mouth without compromising your ability to make normal facial expressions. Refyne also provides long-lasting effects for many patients that can extend up to 12 months.


Restylane Defyne offers a similar makeup to Refyne, except the molecular links are more tightly bound to allow for treatment of deeper or more significant facial lines. Like Refyne, the product is primarily used on creases around the nose and mouth, and results can last up to one year or even longer for some patients.


Sculptra is also a different type of filler in terms of what it contains and how it improves your appearance. This filler is crafted of poly-L-lactic acid, a substance that has been used in a variety of medical devices for decades. When injected into the dermal structure, the bodies absorption of the product prompts the body to produce more collagen. In the months following treatment, the additional collagen will go to work reversing signs of aging like nasolabial folds, chin wrinkles and marionette lines. The result of a Sculptra treatment, which consists of several different sessions, can last for two years or longer.


Dermal fillers usually take just a few minutes and up to an hour to complete, with results that can last for many months in most cases. You can also schedule regular treatment sessions to ensure your effects last consistently. Fillers are an ideal treatment for men and women that want to refresh or enhance their appearance without incisions, invasive surgery, anesthesia or a recovery process. To find out which dermal filler is the right fit for you, Hall & Wrye Plastic Surgeons & Medical Spa at 775-284-8296.

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