Injections and Fillers
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Injectables are one of the most popular forms of treatment for reducing the appearance of fine lines and wrinkles and developing a smoother, younger skin appearance.
During an in-office procedure, the physician uses fine needles to insert product into the skin to achieve your goals, such as: add volume, replace collagen and/or stimulate natural collagen and new skin cell growth, smooth fine lines and wrinkles and maintain a youthful appearance. A host of different types of fillers are available, as well as Botox®. You will need to talk to your doctor about the advantages and disadvantages of each for your desired results in the area being treated.
Botulinum Toxins are derived from the bacteria that causes botulism. These products work by immobilizing the muscles that cause lines and wrinkles. Type A products include Botox® and Dysport®. They require injections 2 to 4 times a year. Type B products, such as Myobloc®, tend to be longer lasting. Some people are naturally resistant to botulinum toxins and cannot use these products.
Types of Fillers
New discoveries continue to surface for different types of fillers. The most commonly used categories and products are summarized below.
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. Radiance® 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.
Hyaluronic Acid is a naturally occurring part of substance of the body that helps cushion and lubricate the skin. Products in this category - including Restylane®, Hylaform® and Sculptra® - plump and smooth the skin. They generally last between 3 and 12 months.
Fat is a 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.