There has been an explosion in the field of dermal fillers” over the last 10 years. Up to the last decade, there had been mere flirtations with the idea of injecting substances into the face to improve appearance. The first attempt was with liquid silicone in the 1970’s and 80’s. This was an absolute disaster. It caused tremendous scarring, and was far too unpredictable to use in a safe fashion. Next, the concept of injectable collagen was introduced. The original prototypes for this had very poor results, and ultimately, it was abandoned.
In the late 1990’s, a number of pharmaceutical companies began to heavily research the field of dermal fillers. This lead to the development of injectable hyaluronic acid. Hyaluronic acid is a substance found naturally in skin and connective tissue. It is safe to both produce and to inject. This was the true breakthrough in injectable dermal fillers. Now, you had a substance that was safe to inject that produced consistent results!
Today, there are a number of knockoffs, but the two primary hyaluronic acid fillers are Restylane, Juvederm, Versa, and Belotero. Restylane is made by Galderma Aesthetics, Juvederm is made by Allergan, Versa is made by Prollenium, and Belotero is made by Merz Aesthetics. Let’s look at the benefits of each
Restylane, Juvederm, and Versa are not a permanent filler. Neither is Radiesse, or Belotero. This may seem like a bad thing, but believe me, it is not. Consider for a moment what happens over time if you inject something permanent into an aging face. It will look great for anywhere from 2-5 years. However, as you age, all of the skin around the permanent filler will lengthen, while the permanent filler remains static. THIS WILL LOOK HORRIBLE. Don’t believe me?
Picture #1 is Joan in her late 50’s. At this point, she had a fantastic surgical facelift, as well as upper and lower blepharoplasty. She looks terrific. In picture #2, she has had a redo facelift with outstanding results. She looks young, vibrant, and overall very natural. As well, she has retained her facial animation. She looks great!! This is what I would consider an appropriate result following facelift surgery. Her neck contour is excellent. She has nice vibrancy to her skin, and her face shows charactery and beauty.
Now look at picture #3. Her face has lost significant amounts of its normal contour. Her cheekbones (zygomas) have become so prominent with a permanent filler that it makes her cheeks look sunken. Why did this happen? Because she got a permanent filler, and her skin elongated around it as she continued her normal aging process.
Now for the final picture, #4. The damage is irrevocable. Here, you see the angled depression in both cheeks now throws a HUGE shadow!! Her face has no wrinkles, but it also has no normalcy of structure either. She looks wrinkle-free artificial instead of youthful and natural. Once you get a permanent filler, if you have a problem, your have only two options after it starts to look bad:
At Ocean Drive Plastic Surgery in Vero Beach, Dr. Alan Durkin, Dr. Jimmy Chim and their team of providers deliver incredible results tailored to your needs in a relaxing and uplifting atmosphere. Learn more about the Ocean Drive difference by scheduling your one-on-one diagnostic consultation with Dr. Durkin or Dr. Chim today.
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