The collagen and elastin fibers under the skin on our face wear out as we age, causing wrinkles and creases to appear. Dermal fillers are a great way to restore a youthful look to the face. If you are considering dermal fillers as a way to rejuvenate your skin and give your face a vibrant, youthful appearance, take a look at some of the most frequently asked questions that our experienced doctors have already answered for you!
Q: Is Sculptra safe for someone with rosacea?
A: Sculptra is a dermal filler formulated with poly-L-lactic acid which is meant to stimulate collagen production and provide long-lasting volume from deep within the dermis. Rosacea is a condition which will not be affected by dermal fillers, so it should be safe to have Sculptra. If you are looking for a rosacea treatment, a laser or IPL may be the way to go. We recommend having an in-person consultation with a board-certified dermatologist to assess your skin and options.
Q: Does mixing lidocaine with Radiesse alter the results? What about deep vs threading techniques?
A: Results can vary, especially when it comes to provider technique. Ideally Radiesse should be placed both deep and slightly superficially for the most benefit. Fillers are difficult to get just right so its important to choose a VERY experienced provider for your treatment.
Q: I have a pudgy face, and I want to get a thinner and more youthful look. How can I do this?
A: Adding volume to the upper, outer cheeks will re contour the face and give it more of a heart shaped face (like in youth) and help the most with creating a youthful look naturally. Visit a skilled injector for a consultation to come up with the best solution in person.
Q: What can be done about a lump after Radiesse injection?
A: Radiesse can not be dissolved, so it is best to check with your treating provider for alternatives, such as cortisone injection.
Q: Can Radiesse be continually touched up, or do I have to wait until all the product is gone before getting another injection?
A: Most patients don’t want to wait until all the product has dissolved before adding more, so some patients will add addl. product as it disipates rather than wait so that you keep a continued correction in place at all times.
Q: Is it okay to combine Radiesse with another filler?
A: Often areas are treated with more than 1 type of filler at a time. Radiesse should be okay to layer with but make sure your treating provider knows what product had been injected previously.
Q: I would like something to either fill in my smile lines or lift them like I can with my hands. Also, is it true that we have limited stores of collagen?
A: Classically when one sees improvement from “lifting with their hands” it is because they have some mid-face volume loss. I would encourage you having a consultation with a board-certified dermatologist or plastic surgeon to assess this, as it is not allows a decrease in collagen turnover that accounts for the nasolabial fold one sees, but bony remodeling and fat loss that mid face volumization can address. Thermage and Ultherapy do help stimulate new collagen production (Thermage more superfically), Ultherapy (deep and superficial) to counteract some of the decrease in collagen turn over we see with age. There is a place for all of these tools, which is why it is important to be evaluated by someone who has a fundamental knowledge of the anatomy of the aging face who can choose the appropriate tool to personalize the treatment plan for the patient. Good luck.
Q: I like Radiesse for my cheeks. One doctor used a threading technique on me 3 months ago and I saw dramatic results with just one 1.5 cc syringe. Recently I had another 1.5cc syringe put in my cheeks using a deep injection method and the results are minimal. What is the better of the two techniques?
A: Most patients need a full syringe on each side of the face for a noticeable improvement. Placing Radiesse deeper is usually recommended, although placement will depend on a number of factors that your provider will discuss with you.
Q: I had Radiesse 4 hours ago and I have bumpy ridges on both cheeks with one far worse than the other. Is this normal?
A: Uneven swelling is normal, especially after a Radiesse treatment. Give it some time, and the swelling should subside.
Q: I had Radiesse injected in my hands. Tomorrow will be two weeks and I am swollen, more on my right hand. I am getting a little worried. I’ve had Juvederm injected on my face and never had any side effects. I understand Radiesse is thicker and the hands’ skin is very thin. Is it time to go back to the doctor who performed the procedure? Or should I wait a couple more days?
A: Mild swelling in the hands for a few weeks after a Radiesse injection is normal, but not excessive swelling. I would recommend making a call to your treating provider just to keep them informed.
Q: Since the Restylane works up to one year, can we get the treatment every year? Will it have any side effects?
A: It is recommended to undergo repeat Restylane treatments in order to maintain the most ideal results. Restylane can last for a year or more depending on the area being treated. Regular touch-ups can be done as needed. Our experience has demonstrated that additional treatments usually lead to enhanced and prolonged results since Restylane also promotes your own production of collagen and elastic fibers. Typical side effects associated with Restylane are temporary swelling, numbness or redness around the injection site, however, these are minimal. It is always best to undergo Restylane treatments from a board-certified dermatologist who is an expert injector.
Q: I’m going on vacation. I’m getting Restylane under my eyes six days before I leave. Will I have any swelling on my vacation?
A: Every patient is different when it comes to the healing time after an under eye dermal filler treatment. The most typical side effects from a Restylane treatment include temporary swelling, numbness or redness around the injection site. Some patients can experience swelling for a few days and very rarely for up to one week, so it might be better to err on the side of caution and wait until after your vacation to undergo Restylane injections. The minimal side effects will go away on their own, but there is no 100% guarantee the swelling will clear up completely within the six-day time frame.
Q: Immediately after my Juvederm treatment for my nasolabial lines, it looked great. However, the next day, I was swollen and red. What’s going on?
A: It’s difficult to pinpoint a cause without an in-person evaluation. If you are experiencing an abnormal reaction, we recommend contacting your dermatologist. If you are having an allergic reaction, you may need to have the product dissolved.
Q: I had Juvederm in my lips and now one side is fuller than the other. Is this swelling or a result of uneven product?
A: It’s generally recommended to wait for at least two weeks for swelling to subside completely. If after two weeks the lips are still uneven, consult your dermatologist. You may need more filler to even it out.
Q: Is it safe to have Ultherapy a year after Voluma injections?
A: It is safe to have Ultherapy a year after having a filler treatment, but you should be sure to let your dermatologist know that you have had a filler treatment and what kind.
Q: Can I do a fat transfer on my lips?
A: While fat transfers can be used to plump the lips, synthetic dermal fillers are more popular because they are a simpler procedure with instant results and no downtime. Fat transfer does provide benefits such as being long-lasting and having no risk of allergic reaction, but the procedure is much lengthier and more complicated and there is a risk that the lips would become uneven.
Q: Can dermal fillers be used to correct an asymmetrical upper lip?
A: Well-placed lip injections can help to even the appearance of asymmetrical upper lips. Hyaluronic acid fillers such as Juvederm or Restylane can give volume without appearing overdone. It is important to see an expert dermatologist with experience in dermal filler treatments in order to get the best results.
Q: Is it safe to use Ultherapy after dermal fillers?
A: Generally it is better to have an Ultherapy treatment before dermal fillers. If you have had dermal fillers done and want to have Ultherapy afterward, it is recommended to wait some time. Your doctor will advise you on the best course of action.
Q: Will dermal fillers work for deep set eyes?
A: If there is true volume loss in the space between the malar fat pad and the lower lid fat pad, then dermal fillers may work.
Q: Will washing or massaging my face cause a filler to move from its place?
A: After having a dermal filler treatment, gentle washing will not dislodge the filler from its place.
Q: What is the best filler for the under eye tear trough area?
A: There are a few good filler options for the tear trough area, such as Belotero and Juvederm. Make sure you visit an experienced, highly qualified provider to ensure safe and effective filler treatment for the sensitive under eye region, and they will be able to determine which filler is best for you.
Q: Can Juvederm form lumps after treatment?
A: Juvederm lumps may form right after treatment, but massaging the area gently can help prevent this.
Q: How expensive is Radiesse and/or Voluma and what is the difference between the two?
A: Prices will vary depending on your treatment areas and desired outcome. Radiesse lasts approximately 9 months to 1 year and Voluma can last up to 2 years. Both are great products and your doctor will be able to determine which is best for you.
Q: Juvederm has disappeared completely after just three weeks? What should I do?
A: You may have just needed more Juvederm than was injected. Follow up with your treating provider and look at your before photos for a good comparison.
Q: Can Botox be mixed with Sculptra injections?
A: Botox and Sculptra injections can be performed on the same day, but in separate syringes.
Q: Are there different types of fillers?
A: Here at Cosmetic Laser Dermatology in San Diego, we offer many different types of dermal fillers to suit your needs, including hyaluronic acid based Juvederm and Restylane, as well as the collagen stimulators, Radiesse and Sculptra. During our initial consultation, we can decide which filler is best for you and develop a treatment plan based on your unique needs.
Q: How are fillers different from Botox?
A: Dermal fillers add volume to the face, whereas Botox relaxes the muscles underneath the wrinkles to reduce their appearance. For instance, dermal fillers are great for plumping thin lips and adding volume back to nasolabial folds (marionette lines), while Botox may be a good option for relaxing frown lines.
Q: Are dermal fillers safe?
A: When done by expert board-certified dermatologists, fillers are not only safe but effective. Be sure to discuss any concerns with your doctor during your consultation.
Q: How long do dermal filler results last?
A: Depending on the type of filler used, your results will last anywhere from several months to a couple of years. The results of Juvederm, Restylane, Perlane, and Radiesse tend to last about 9 months, while Sculptra and Fat Grafting can last 2-3 years.
Q: What is the average recovery time after a dermal filler procedure?
A: There is no recovery time! Dermal fillers are non-invasive procedures that allow you to get back to your normal routine almost immediately. Some people may notice slight redness or mild discomfort at the injection sight, though this will diminish over the course of the next few days.
Q: Can I get a dermal filler and Botox treatment at the same time?
A: Absolutely. Although dermal fillers and Botox correct wrinkles in different ways, they are perfectly safe to use together when performed by an experienced dermatologist. In fact, many people feel they see optimal results when they do get Botox and dermal filler treatments at the same time. Discuss this option with your doctor during your consultation.
Q: What is the cost of a dermal filler treatment?
A: Since each person’s needs vary and because there are several different types of dermal fillers, the cost will depend on the type of treatment you and the doctor decide is best for you. If you call our office today to schedule your consultation, we’ll be able to give you a better idea of pricing.
Q: Which filler is best for treating under eye circles?
A: Juvederm is often a great option for treating deep under eye circles. Our doctors use a very fine needle to inject Juvederm into the desired area, immediately filling in deep under eye pockets and creating a more youthful look. Because each patient is different, though, our doctors will work with you to decide which dermal filler will best meet your needs. For small imperfections and wrinkles near the tear trough, filler Belotero may be ideal for you due to its ability to be carefully and accurately positioned.
Q: Which filler is best for plumping thin lips?
A: While several dermal fillers can be used to plump lips, Restylane & Juvederm are commonly used for this purpose. Discuss your desires with the doctor during your consultation, and he/she will develop a completely custom treatment for your unique needs.
Q: Is there a risk of allergic reaction with dermal fillers?
A: As with any treatment, allergic reactions are possible. However, fat grafting is a treatment option that is completely non-allergenic because the filler comes from your own body. If you are concerned about allergic reactions with dermal fillers, discuss the possible reactions and the option of fat grafting with the doctor during your consultation.
Schedule Your Consultation With A Board Certified Dermatologist in San Diego Today
Please contact Cosmetic Laser Dermatology at (858) 365-3621 for more information on dermal fillers and to schedule a consultation. We are located in the UTC area of San Diego, minutes from La Jolla, Del Mar, and Downtown San Diego.
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