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Facial fillers are also an enormously popular alternative in non-surgical facial rejuvenation. They are sometimes employed alone, but can also be an adjunct to Botox®. They work by safely restoring lost volume under the skin thereby effacing wrinkles and emptiness from aging, most commonly at the lips and creases around the mouth. Recent advances in technology have resulted in far more long- lasting and natural improvements than ever before.

How can facial fillers help me?

Commonly used facial fillers include hyaluronic acid, a naturally occurring substance already present in your skin (brands include Restylane®, Perlane®, Juvederm®, HylaForm ®), collagen, and synthetic microspheres ( Radiesse® ). Hyaluronic acid typically lasts six to twelve months and can be used by your physician to improve lip shape and/or size, creases around the mouth, frown lines between the eyebrows, facial scars and depressions, and dark circles below the eyes.

How are facial fillers administered?

Your physician will review your specific concerns and medical history and advise you about the best uses for facial fillers in your situation. Fillers are injected with a tiny needle directly into the area of concern, sometimes with ice, anesthetic cream, or anesthetic block injections to minimize discomfort. Effects are visible immediately, but mild local swelling occurs rapidly and lasts for about 24 hours. Bruising infrequently occurs and fades naturally. Improvements in facial appearance last six to twelve months with hyaluronic acid; shorter with collagen, and longer with synthetic microspheres.

What are the risks?

Bruising can occur with any injection. Infection is extremely uncommon. Botox® can rarely induce weakness in a nearby muscle, causing asymmetry, or a droopy eyelid or lip. To minimize this risk, your physician will recommend that you avoid touching the injected areas for several hours so that the Botox® will bind to the intended muscles only. Facial fillers can also cause asymmetry, and rarely, a local sensitivity reaction.

Who should perform these treatments?

You should look for medical practices experienced with these treatments, and highly knowledgeable with the anatomy and physiology of the face. Dentists have the ideal credentials and specialize exactly in this area.