II. Indications
- Lip enhancement
-
Facial Wrinkles and folds in lower two thirds of face
- Nosolabial folds (old FDA approved use)
- Oral commissures
- Marionette lines (long vertical lines around the chin)
III. Mechanism
- Injectable substances that increase soft-tissue volume for 3-24 months
IV. Dosing
- Injection of 1-2 ml into Dermis
- One treatment per 3 to 24 months (depending on filler injected)
V. Preparations
- Collagen Filler (original filler introduced in the 1980s)
- Cosmoplast (Allergan Inc) lasts 3-4 months
- Hyaluronic Acid Filler
- Restylane and Perlane (Medicis Aesthetics) each last 6-9 months
- Juvederm (Allergan Inc) lasts 9-12 months
- Calcium Hydroxylapatite Filler
- Radiesse (Bioform Medical Inc) lasts 12-18 months
- Poly-L-lactic Acid Filler
- Sculptra (Dermik Lab) lasts 12-24 months
VI. Advantages
- Results are immediate
VII. Disadvantages
- Swelling and Bruising after the procedure
- Very operator dependent with the best outcomes with the most experienced clinicians