Dermal Fillers: Resculpting Faces, Lips and Noses
It is easy to see why Injectable fillers are so popular at
With the educated, and artful use of fillers so much is
possible: lines and crow’s feet disappear, lips plump up and become
youthful again, indentations and troughs created by time, movement and
the environment fade away. Modern fillers are more comfortable and
long lasting than ever before. Most do require touch-ups. Regrettably,
daily facial expressions, sun, free radicals, heredity, weight fluctuations
and hormonal changes all break down the support structure of your skin.
We Advocate the Educated Use of Fillers.
The success of fillers in facial rejuvenation is really more determined by
“the Indian than the Arrow.” Because of this, we encourage you to
transcend the medi-spas and seek out the most experienced hands.
Dr. Duffy is proficient in the use of an entire arsenal of fillers, each designed to address a specific type of wrinkle and location. Patients come
in asking for fillers by name and price point when in actuality, fillers
should be chosen like paints in an artist’s palette. Best to let the doctor
select what’s best for you. To learn more about specific fillers, we have
included basic descriptions and websites below.
Begin with a “Smart Evaluation.”
Careful observation of your face,
how it moves and ages is as important as good technique. The doctor
may watch you as you speak to see how your movements affect line
formation. He may palpate the wrinkle to feel for corrugations. Each face
ages differently with changes (gains and losses) in fat, collagen and
elastin. Fat generally resides in various compartments deep in the
middle face. Refilling these compartments artfully enhances the structure of and lends shape to the face. Poor technique can leave you looking overstuffed and shapeless. Maintaining the age-appropriate contours
and expressiveness is the key.
Lip Augmentation and Correcting Facial Anomalies
Dermal fillers give lips fuller contours but plumping up is rarely all that’s
needed. Attention must also be paid to perioral lines, the upper lip area
and nasial labial folds. The sophisticated approach resculpts the entire
lip area. As always, Dr. Duffy’s extensive clinical experience and skilled
injection technique will help you get your best result.
With time and trauma, the faces and noses can develop minor irregularities. Dr. Duffy can create better symmetry on nasal tips, to improve the
jawline, straighten the bridge of the nose, etc. all using fillers. In the
beauty press, this is often referred to as a “Liquid Lift” because it
achieves immediate results using liquid fillers, without plastic surgery.
Great Results May Call for a Combination of Therapies.
At each stage in life lines
appear. It may start with
some light crow’s feet or
under-eye crepinesss. At
middle age, perioral and
jawline creases appear.
Mature faces experience
volume loss in the cheek
area and hollows at the
Age-appropriate corrections will keep you looking healthy and lovely at
and depressions respond to fillers. Soft U-shaped wrinkles plump up
nicely with fillers. Rigid V-shaped lines will require the laser or other ablative methods. With patients over 30, Dr. Duffy will most likely suggest a
neuromodulator in combination with an injectable filler to stave off deepening of visible lines. At times, he may recommend laser or light procedures or Ulthera/Pelleve treatment to effect an overall tightening.
Learn More About Fillers
Here is some general information your may find useful about
some of the fillers we commonly use.
Juvederm (hyaluronic acid) is available in 2 different versions
currently. Regular Juvederm addresses finer, more superficial
lines of the central face. Juvederm Ultra Plus is thicker and
useful for deeper lines and wider areas. www.juvederm.com
Radiesse is an injectable filler made of calcium-based microspheres. Most often used for wrinkle reduction by replacing lost
volume. Can last up to 12 months. Radiesse comes mixed with
a numbing agent to make it very comfortable. Excellent for volumizing. www.radiesse.com
Restylane is a dermal filler delivered through an injectable
hyaluronic acid gel. Commonly used to plump up lips and perioral creases, Restylane lasts between 6 to 12 months. Not
made from animal parts, it does not require an allergy test prior
to treatment. www.RestylaneUSA.com
Artefil is made of PMMA microspheres that are not degraded,
or absorbed by the body and therefore can provide a long-lasting wrinkle correction. Introduced in 2007, it is specifically used
for corrections in nasial-labial folds. www.artefil.com
Sculptra Aesthetic is made from poly-L-lactic acid, a safe
biocompatible, biodegradable synthetic material that has been
used for decades. Sculptra is designed to work within the deep
dermis to replace lost collagen, correct sunken checks, deep
facial folds and volume loss. Provides gradual results that can
last up to two years. Works gradually in a series of treatments
— on average, three injection sessions over a few months —
for a subtle, more youthful looking appearance.