Facial aging is associated with a gradual thinning of the skin and loss of elasticity over time accompanied by diminishment of dermal collagen, hyaluronic acid (HA), and elastin. The aging process from intrinsic factors (genetics, dry skin, etc) and extrinsic factors (environmental, sun damage, etc) results in fine lines and wrinkles. Habitual contraction with facial expression also contributes to formation of wrinkles in the upper and lower face.
In the lower face, volume loss and laxity are more evident and dermal fillers are most commonly used in this region. Lines and wrinkles are typically visible when the face is at rest. Facial volume loss results from resorption of facial bones, degradation of subcutaneous tissue and sagging of fat pads. Facial contours change with age from high cheeks and a small chin to a bottom-heavy appearance with flattened cheeks and prominent jowls.
Most dermal fillers are HYALURONIC ACID-BASED (HA) fillers. HA is a naturally occurring sugar molecule that provides structural support and nutrients. Through its hydrophilic capacity (water-loving), it adds volume and fullness to the skin. HA products are clear, colourless gels. HA fillers vary in formulation, concentration, and degree of cross-linkage which affects their duration of action and post-procedure risks of swelling. Some HAs are formulated with lidocaine (a numbing agent) to increase patient comfort throughout the procedure.
Dermal fillers come pre-packaged in syringes of usually 1 ml volume. Some companies manufacture half syringes that are ideal for touch ups on the lips or fine lines in smaller areas; and greater than 1 ml for areas that require more volume like the cheeks. Your injector will select the product that is right for you.
Effects are immediate. Multiple syringes of filler and/or sessions may be necessary to achieve desired results. It is best to judge results after 2-4 weeks when swelling, bruising, and filler have settled down.
HA fillers lasts between 3 months up to 12 months depending on filler type and your body's metabolism. Radiesse can last between 12-18months (only specific areas).
Although rare, side effects and complications can occur.
Side effects injection-related not limited to:
Complications not limited to:
Total volume vary person to person. It will be determined at your consultation how many syringes you will need approximately. Volume restoration is not exact science, so re-evaluation for a touch up may be necessary after 4 weeks.
Price will be determined at your consultation.
Avoid blood thinning products ~1 week prior: aspirin (if safe to), Advil, Motrin, Aleve, vitamin E, St. John's wort, gingko, evening primrose oil, garlic, ginseng, Omega-3 supplements, alcohol. Consult with your family physician if any of these area safe to hold.
Come to your appointment with a clean face. No makeup.
Schedule your appointment when you do not have important meetings.
Feel free to contact us via email or phone with any additional questions you may have. You may schedule a consultation appointment prior to proceeding with the procedure.