Dr. Wallin: | Dr. Downs:



Call (336) 716-4000 Today!

One of the most popular forms of treatment for reducing the appearance of fine lines and wrinkles to create smoother, younger skin is injections. During this in-office procedure, the physician uses fine needles to insert a filler into the skin to add volume, replace collagen and/or stimulate natural collagen and new skin cell growth. A variety of different types of fillers are available. Discuss the advantages and disadvantages of fillers for your personal goals. The physician will account for the area being treated and the depth of the problem residing in the layers of skin.

Our office offers a full spectrum of fillers to individualize your treatment to your needs. 

Juvederm    Restylane    Radiesse    Sculptra    Fat Fillers

Types of Fillers
New discoveries continue to surface for different types of fillers. The most commonly used categories and products are summarized below.

Hyaluronic Acid is a naturally occurring substance in the body that helps cushion and lubricate the skin and today is one of the most commonly injected filler products. Products in this category - including Restylane® and Juvederm® and Sculptra® - plump and smooth the skin. These products generally last between 9 and 12 months. 

Calcium Hydroxylapatite is a newer substance derived from human bones and teeth. It is made into an injectable paste that is frequently used to fill lips and larger wrinkles and folds. RADIESSE® is the most recognized product in this category. Because it is a human substance, there is no rejection and results may last between 2 and 5 years.

Fat is another natural human substance used as a filler and injected into skin to fill out wrinkles. However, fat injections are slightly more invasive since both a donor and treatment site are involved. However, fat injections are still conducted on an outpatient basis with either a topical or light local anesthetic. Using a needle, the physician removes fat from another part of the body, most commonly the abdomen or buttocks. The fat is cleaned and prepared and then injected into the desired site on the face. Patient may experience some swelling or bruising following the procedure, which dissipates in days. In some cases, the injected fat may not settle evenly, which could cause some lumpiness.