A natural consequence of aging is a loss of volume in the face. This is due to changes in the underlying bone structure, as well as thinning of the skin and connective tissue. Many people wish to achieve a more youthful look without invasive surgical procedures such as a facelift or implants. Fillers such as Restylane-L® and Juvéderm® can help accomplish this with a simple office treatment.
Many different types of fillers are available. Collagen was one of the original fillers used, although other fillers are now more popular due to improved longevity and safety. Hyaluronic acid fillers such as Restylane-L®, Restylane Silk®, Perlane®, and Juvéderm® are among the most commonly used.
Hyaluronic acid is a naturally occurring component of the skin. These products are made of a clear gel formulation of hyaluronic acid, which is eventually broken down naturally. They can be used to add volume and fullness to the skin to correct facial wrinkles and folds, such as the nasolabial folds, marionette lines, and vertical lip lines, and to provide fullness to the lips or cheeks depending on which product is used. Results are seen immediately and can last 6 to 12 months.
Learn more about Dr. Spiers, her education, and her experience. As a practicing dermatologist and clinical associate professor, she values education to ensure her patients receive the treatments that will best benefit them.
During the pretreatment consultation, the goals for treatment are discussed along with the expectations of the procedure, as well as potential risks. Patients are asked to stop taking any nonessential aspirin or anti-inflammatories, such as ibuprofen, fish oil, and Vitamin E, at least one week before the procedure, as these can thin the blood and result in increased risk of bruising. The area to be treated needs to be free of blemishes due to acne or cold sores. A topical numbing cream is applied for 20 to 30 minutes to facilitate comfort during the procedure. The area is cleansed thoroughly. Dr. Elizabeth Spiers carefully injects the area of concern. Massage of the treated area may be used to smooth distribution of the gel, and ice is applied. Treatment is generally well tolerated. The effects are visible immediately. Some bruising and swelling may occur in the days after treatment. Since hyaluronic acid is naturally occurring, it is safely absorbed into the body over time, causing the treated areas to gradually revert to their pre-treatment appearance. Periodic touchups help maintain results.
If you have any questions for Dr. Spiers or would like to learn more about dermal fillers please call (215) 230-4592.