Fillers

Dermal Fillers

Filler injections are used to smooth out wrinkles on the face.  The newest and safest filler is Hyaluronic Acid (H.A). It is injected not only to fill lines (e.g., Laugh lines and Marionette lines),  but to volumize and to reestablish the youthful contour. The aging process begins due to the loss of padding beneath the skin (e.g., diminishing of baby fat). In addition, elasticity and fullness are also compromised due to diminution in new collagen formation. The loss of padding and volume varies with the individual.  A dermal filler, when used correctly, raises up the skin in the area of the injection.

Certain areas of the face evidence the loss of contour most dramatically:

• Front of the cheek
• Malar prominence
• Center of the cheek
• Temple Area
• Tear Trough
• Lower face (below and lateral to the mouth)
• Upper and lower lips-enhance and augment
• Jawline

As padding diminishes, the skin in these areas flattens or sinks and the face begins to sag and wrinkle.  Genetics, age and body weight are all factors in determining the extent of treatment required. It is very important that the product used is safe and biodegradable, and that its effect if deemed necessary is reversible. With the right filler as a tool and a clear model in mind, I am able to work as an artist to volumize the face and restore its youthful contour. Some rejuvenation is obvious after the first treatment, and so is the gratification it brings.

Dermal Fillers include:

• Hyaluronic acid (Restylane, Juvederm, Captique). The hyaluronic acid draws fluid to the treated area.
• CosmoDerm, CosmoPlast (which consist of human collagen but made in a lab)
• Human collagen (this is actually made from human tissue, called Cymetra).
• Bovine collagen or more commonly known as Zyplast and Zyderm.  These products require an allergy test at least four weeks prior to treatment.
• Artefill (which is made from microscopic plastic particles and bovine collagen)
• Radiesse (made from calcium hydroxylapatite)
• Sculptra (a man made polymer)

Dermal Filler Treatments

Dr. Gillum first numbs the area selected for treatment with a local anesthetic (ice may be used as well).  A needle is then used to inject the filler substance beneath the skin.  Total time spent for the treatment should be no longer than fifteen minutes.  It’s quick and relatively painless.