Facial fillers like Juvederm, Voluma, and Restylane have quickly become one of the most commonly performed medical procedures. Fillers are used to contour parts of your face and are now being used on virtually every aspect of the face. You should know some basic things about fillers before you get this treatment.
1. Most fillers are temporary. Find out which product is being used.
Temporary Fillers: The most commonly performed filler today is made of a molecule called hyaluronic acid. However, it is not an “acid.” It is a molecule that is already normally found in your skin and is a part of the skin structure. Basically,pharmaceutical companies figured out how to artificially make the same molecule you already have in your skin and put it in a syringe to fill parts of the face. Fillers like Juvederm, Restylane, Perlane, Voluma, and Boletero are in this category. These fillers are temporary. The amount of time they last depends on which of the products was injected and where it was injected. Also, some people digest these products and break them down more quickly than others. The beauty of these fillers is they can also be dissolved with an enzyme if you are not happy. There are other temporary fillers like Radiesse which is composed of a molecule that cannot be dissolved. It usually lasts a little longer than the other temporary fillers, and that is why some people prefer it for certain parts of the face.
Permanent fillers: These are being used less and less. Silicone is still being injected and is considered relatively safe. However, if there are problems with it, the problems are hard to solve. Silicone cannot be easily removed or dissolved. Once injected, its permanent. Also, you can have a delayed allergic reaction down the line. Be very careful with these. They can be risky
2. Fillers can be done in a natural way
Do things in a stepwise, conservative fashion. Many people fear that they will look fake or strange after fillers. People who get fillers done appropriately have no signs of having work done. They look better without giving signs of having a procedure done. You probably walk by tens of people every day who have had fillers and you would not even be able to tell.
3. Do your research on who is injecting you.
Fillers can be performed by Doctors, Nurses, and Physician’s Assistants. Find out their certification. You should do your research before deciding on who does the injection. Nurses and Physician’s Assistants must inject under the umbrella supervision of a Doctor. Different injectors have different training, backgrounds, and techniques. We advise you to choose someone who is qualified and at least credentialed appropriately. If you are getting injections in a place that does not resemble a medical institution of some sort, do more research before undergoing an injection. There are many sad and tragic stories about people injecting material that is not approved by the FDA .
4. Injecting nasolabial folds (laugh lines) is falling out of favor
Most experienced injectors who have a high level of understanding of facial features are not injecting laugh lines very much anymore. The cause of laugh lines is descent (falling) of the cheek. So to counteract this, we now have learned that filling the cheeks and side of the cheeks (zygoma) is the best way to naturally improve the folds. Otherwise, injecting the folds creates unnatural fullness that doesn’t look right.
5. Wait 7 to 10 days before judging results of a filler
Once you get the filler, don’t be quick to judge. Injected areas will always look bigger after the treatment because of swelling and bruising. Let the swelling and bruising come down, and don’t move too quickly to adjust things. You will most likely be happy.
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I had a Face and Neck Lift on December 3rd, 2014. Dr. Zoumalan does excellent work! He is very thorough in explaining the procedure, and has an excellent bedside manner. I am so happy with my result. I would highly recommend Dr. Zoumalan.
So when I met with Richard Zoumalan, I gave him a picture of me when I was 42, and I said, “That’s what I want. Is that possible?” And he said, “Yes!” He explained what he’d do, and how he would do it. I had surgery less than a month ago, and amazingly, I look almost exactly like me, only about 25 years younger.
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