Volume loss is part of the aging process, in conjunction with gradual gravitational and bony changes, loss of skin elasticity, and collagen loss. A youthful face with its smooth, round contours, high cheekbones, and well-defined jaw, is heart-shaped, with the base at the top and peak below. Natural age-related changes lead to a reversal of the heart shape, with a narrower forehead and wider, heavier jawline.
Dermal fillers are gel-like substances that can be injected beneath the skin to sculpt the face to restore balance and youthful proportions by adding subtle volume to areas in which there has been loss. The goal of dermal fillers is to restore the heart shape to the face, leading to a softer and younger appearance.
There are numerous types of fillers with varied properties, and selection of the proper filler depends on the area(s) of concern. Passive fillers (Juvederm, Restylane) are made of hyaluronic acid and do not stimulate collagen production. Active fillers both replace and regenerate volume by encouraging collagen production.
Injection of the area around the eyes requires careful attention to detail and comfortable knowledge of the anatomy in order to achieve the optimal results and to minimize any risk of complication.
What concerns can be addressed with dermal fillers?
Fillers can rejuvenate the patient’s facial fullness by softening and improving the appearance of deep lines and wrinkles, filling in shallow contours, and smoothing out scars. They can also be used to add volume to thin lips or to address lip imbalance and asymmetry.
What takes place during injections?
The first step is an in-person consultation with Dr. Sohrab to discuss the area(s) of concern and goals of treatment before designing a unique treatment plan. Most treatments can be done the same day if desired.
Prior to treatment, a numbing cream is placed on the face to allow for a more comfortable experience. Many fillers also contain anesthetic or numbing agents mixed in the treatment itself. After the cream has taken effect, it is removed and the face is cleaned with an anti-bacterial or anti-septic solution. Occasionally, the treatment areas are measured and outlined with a skin marker. Dr. Sohrab often uses a cannula for injections in order to improve safety of the treatment and minimize pain and bruising. The injections typically take only minutes to complete. Most normal activities can be resumed right away and post-treatment instructions will be given.
How long do results last?
Most injectable fillers are not permanent and can last anywhere from 6 months to 2 years. In certain areas, such as the tear trough, they can last longer. Much of the longevity of the result depends on the product, treatment area and patient.
What side effects are associated with injectable fillers?
While fillers are generally safe with few side effects, some patients may experience inflammation, skin irritation, itching, redness, and/or tenderness as the treatment site(s). It is important to minimize manipulation of the treated areas as the filler materials can migrate to other parts of the face. Side effects typically resolve within several days after the procedure.
Dr. Mahsa Sohrab serves patients in Westchester County, NY and Greenwich, CT. Call today for your consultation at 914-505-6359 or complete a consultation request.