Dermal fillers have become a mainstay in the arsenal of aesthetic procedures offered to our patients. Currently, there is a large array of fillers available on the market. A thorough understanding of each filler, as well as the underlying facial anatomy, is vital and necessary to provide patients with safe and optimal aesthetic outcomes. Dermal fillers can be used to fill in static and deep wrinkles that Botox and other neuromodulators cannot completely smooth over. In addition, dermal fillers are a great option for adding volume to hollowed cheeks, tear troughs, or temples, or enhancing the natural projection of lips or chins. Dermal fillers can also be used for hand rejuvenation and to improve the appearance of scars.
Dermal fillers can be classified into three categories: temporary, semi-permanent, and permanent. Temporary fillers consist of hyaluronic acid (HA) and include products such as Juvederm, Restylane and Belotero; semipermanent fillers consist of poly-L-lactic acid (PLLA, or Sculpta) or calcium hydroxylapatite (CaHA, or Radiesse), and permanent fillers include polymethyl methacrylate microspheres (PMMA, or Artefill) and highly purified silicone. Selection of the appropriate filler depends on a variety of factors including indication, user skill, patient preference, cost, potential adverse outcomes, and desired cosmetic result. Having completed rigorous training in cosmetic dermatology, and served regularly as an instructor for several facial anatomy courses, Dr. Gharavi is a leading expert injector of dermal fillers. He tailors all treatments individually to provide patients with the most natural results and with minimal downtime.
A list of the common dermal fillers offered in our practice are:
- Restylane®
- Restylane SilkTM
- Restylane KysseTM
- Restylane DefyneTM
- Restylane RefyneTM
- Restylane LyftTM
- Juvederm® Ultra
- Juvederm® Ultra Plus
- Juvederrm Volbella®
- Juverderm VollureTM
- Juvederm Voluma®
- Belotero Balance®
- Radiesse®
The images shown below are actual results, adapted from the manufacturer, however, individual results may vary
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