Fillers are crystal clear injectable gels that are used to fill non-dynamic wrinkles of the face. These are the wrinkles that are present even when you are not smiling or animating. The most commonly used fillers are hyaluronic acids with various products from the JUVÉDERM® and Restylane® families. These are FDA-approved, purified, naturally occurring polysaccharides, that are found in all living cells. Hyaluronic acid is one of the main components of the dermis connective tissue matrix. By injecting these gels into the dermis, wrinkles can actually be smoothed out. Areas that are particularly well-suited to these treatments include the lines and folds along the face and mouth. Crow’s feet and frown lines that persist even after BOTOX® Cosmetic treatment may also be good indications for these fillers.
In addition to dermal fillers, fat or other tissue that is harvested from your own body may also be used to create volume. The ideal choice of filler will depend on your particular needs and Dr. Rothfield’s assessment of you.
Fillers can also be used for lip augmentation to add volume to thin lips, to create better definition to the borders of the lips, or to fill in some of the vertical lines along the lip that develop with age.
Treatment involves several injections with a tiny needle. These injections are not relegated to a nurse or assistant, but are all done by Dr. Rothfield himself to assure the most consistent results. Cool compresses are often applied to the areas being injected just prior to the injection to limit discomfort. When the lips are injected, a local anesthetic may be injected to minimize patient discomfort. After treatment there may be some itching, redness, swelling, or tenderness that is normal and temporary. Swelling of the lips can last up to a week. The results of these injections are instantaneous and can last up to twelve months depending upon which fillers are being used.