Dermal Fillers

Do the appearance of your “smile lines” make you frown? Do the bags under your eyes make you look tired and older than you are? Is your lipstick bleeding through the border of your lips? If so, you may be a good candidate for facial fillers. If your cheeks appear to be deflating and look flat, you may truly appreciate the ability of facial fillers to restore a more youthful and rounder contour to your face. Dermal and subdermal fillers, “facial fillers”, are one of the most exciting areas of minimally invasive, non-surgical, facial rejuvenation available today. Fullness or roundness of facial features is associated with a youthful appearance. As we age, we gradually lose the round contour of our facial features. While fat tends to accumulate in areas where we don’t want it, like our bellies and thighs, we tend to lose fat volume in our faces. The results of dermal fillers can be amazing and quite gratifying. The advent of readily available, biocompatible and diverse dermal fillers has transformed the facial rejuvenation experience.

Dermal fillers

Performed in an office-based setting, facial fillers are simple, quick, comfortable and convenient.

In an attempt to restore facial symmetry and volume, dermal fillers have become a first line treatment in correcting or restoring aging facial characteristics. In some cases dermal fillers can be used quite successfully as an alternative to invasive surgical procedures. In other cases, dermal fillers are used as adjunctive treatment with surgical procedures.

FAQs About Dermal Fillers

What are dermal and subdermal fillers?

Dermal and subdermal fillers are substances of various compositions that are placed into the dermal layer of the skin or subdermal (fat or muscle) layers. All fillers, no matter the location of placement are used for aesthetic volume rejuvenation. Because of the relative ease of use and impressive aesthetic outcomes, fillers are exceedingly popular. Due to the high demand for facial fillers, a wide variety of FDA approved injectable substances have been introduced into the cosmetic treatment arena.

How do fillers work?

Are fillers safe?

What are the most commonly used types of dermal fillers?

Hyaluronic Acids

Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth. HA is involved with tissue repair, joint lubrication and cartilage resilience.

Juvederm XC

Juvederm XC is a smooth gel filler used to instantly smooth or soften wrinkles around your mouth and nose. Juvederm is a non-animal product. The risk of allergy is remote. Juvederm can be used under the eyes to mask lower eyelid bags or in the cheeks to achieve a more youthful appearance. Juvederm XC is infused with lidocaine, an anesthetic, to improve comfort during treatment. Juvederm also works well in the lips. Juvederm is relatively long lasting. The amount of time that Juvederm lasts depends on variables including the amount used and location of placement. Juvederm in the lips or facial folds will last about six months, while Juvederm under the eyes typically lasts well over a year.

Restylane /Perlane

Restylane is also a HA smooth gel filler that is designed to smooth wrinkles, plump lips and shape facial contours. It is used anywhere on the face for volume enhancement. It lasts at least 6 months. Perlane is identical to Restylane except the gel particles are larger. It works as a very good subdermal filling substance to correct nasolabial folds or for cheek enhancement. Perlane will last 9-12 months. Restylane and Perlane are also available with lidocaine infused into the gel in order to diminish discomfort during the treatment.

Radiesse

With Radiesse subdermal wrinkle filler, you welcome back your own natural collagen to smooth out the signs of aging. Radiesse wrinkle filler’s formulation stimulates collagenesis – the production of new collagen – which results in increased volume for natural looking wrinkle correction that may last a year or more in many patients.
Radiesse wrinkle filler consists of smooth calcium hydroxylapatite (CaHA) microspheres that are suspended in a water-based gel carrier. Over time, as the patient’s own soft tissue replaces the gel carrier, the newly formed collagen provides the desired long-term effect. Radiesse has proven to be an excellent choice for correcting nasolabial folds or other midface deficiencies. In Dr. Mitchell’s practice, Radiesse is never used around the eyes or in the lips. Radiesse is best used in areas of the face with thicker overlying skin.
Artefill

Artefill was FDA approved for use in the United States in 2007. This dermal filler is considered permanent. It is composed of nonresorbable polymethylmethacrylate (PMMA) microspheres, suspended in a water-based carrier gel. Artefill also contains bovine collagen and lidocaine. Because of the bovine collagen, skin testing must be performed prior to treatment. Artefill works well in the nasolabial folds or cheek region. Because of its permanence, Artefill is typically injected in a series of treatments until the desired outcome is achieved.

How much filler do you need?

How long does the treatment take to complete?

How long do the fillers last?

What are the side effects of facial fillers?

What are post-injection activity limitations?

Why Choose Dr. Mitchell to perform your Facial Filler?

See these before and after images to get an idea of the success other patients have found with Dr. Mitchell and his team.

Before

After

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Testimonials

What People are Saying

Dr. Mitchell's patients love him and his team and are always incredibly happy with their results!

“ A skilled personable artist with integrity. I had Radiesse done on a few occassions with Dr. Mitchell with great results. He will recommend what he thinks will help the patient most rather than steer them to spending more money. I highly recommend Dr. Mitchell for cosmetic procedures.“

“ Excellent doctor! Had Blepharoplasty done and he did an amazing job!! Perfect work. He is also very kind and takes his time to listen to your needs. He is also very affordable. His staff is professional and fun as well! Love this place!!“

“Recently had liposuction done by Dr. Mitchell on a problem area in my mid section and I couldn't be more happy. The staff was great and the results are amazing. I have tried for years to get rid of the belly fat with long hours in the gym and diets, with very little success. I highly recommend Dr. M!“