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Dermal Fillers

JuvedermOver one million people annually have dermal filler treatments, which are among the most common non-surgical cosmetic treatments in the United States. The latest generation of fillers is safer and effective. Dermal fillers are used most commonly to contour the face. At DuPage Ophthalmology, all treatment and planning is performed by Board Certified surgeons.

At each treatment visit, the doctor will ask you what areas you wish to have treated and discuss any questions with you. After a plan has been made, you will discuss payment options and purchase the treatment. Then the physician will perform the treatment in the exam room.

Common facial areas treated with dermal fillers include:

  • Nasolabial folds
  • Marionette lines
  • Tear trough
  • Cheek (for augmentation)
  • Pre-jowl sulcus or depression
  • Depressed facial scars
  • Lips (for enhancement)
  • Nose
  • Persistent facial lines after Botox injections

Dermal filler can also be given for hand rejuvenation by filling in spaces between the tendons and bones in the back of the hands. Hand rejuvenation restores the aging hand to a more youthful look.

There are a variety of dermal fillers on the market. The dermal fillers used at DuPage ophthalmology are Juvederm Ultra XC and Juvederm Ultra Plus XC. The former is for superficial wrinkles and the latter for deeper facial lines. They are consisted of hyaluronic acid, which is a natural substance found in our skin. With age, hyaluronic acid is depleted in certain areas of the body, which can be replenished naturally with both Juvederm products. Both of these products also contain an anesthetic, which lessens the discomfort associated with injection.

After receiving dermal fillers, there will be mild swelling and bruising, which may persist up to ten days. Application of cold compresses may be helpful in alleviating swelling. The effect of dermal fillers usually lasts from six to twelve months. Individual results may vary. To maintain the cosmetic results, injections of dermal filler are given periodically as needed.

Frequently Asked Questions about Dermal Fillers

Why are they popular?

The treatments are fairly painless with minimal downtime and provide instant improvement in many areas of the face. Furthermore, since there is no permanent alteration, there is almost no risk of lasting problems. It is an excellent alternative to facial cosmetic surgery.

What do dermal fillers do?

Dermal fillers are injectable gels that temporarily add volume to facial tissue and restore a smoother appearance to the face.

What areas are treated using dermal fillers?

Nasolabial Folds

These are the creases running from the bottom of your nose to the corners of your mouth. The most common use of dermal fillers is to soften these folds and improve their appearance.

Lower face Dermal fillers can help to reduce the loss of volume that leads to lines and hollows from our lips to our chin.

Lips

As we age, the lips lose volume and the border becomes indistinct. Dermal fillers are an excellent way to enhance the lips both in definition as well as volume. Older patients often have fine lip lines, which can be greatly reduced.

Cheeks

Dermal fillers can enhance and rebuild your cheeks.

Ask your doctor about other areas that can be treated with dermal fillers.

What are dermal fillers?

While there are many dermal fillers that have been used over the years, at DuPage Ophthalmology, we only use dermal fillers made of hyaluronic acid (HA). Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair. All of us have hyaluronic acid in our skin. By using only natural substances, there is a very low chance of an allergic reaction.

How are they used in treatment?

The doctor uses a fine needle to temporarily fill in the treatment area and smooth moderate to severe facial wrinkles and folds as well as add substance to other areas. They add volume to the skin and may give the appearance of a smoother surface.

Is treatment painful?

Injections may cause some discomfort during and after the treatment. We take every measure to increase your comfort. The skin is cleaned and an anesthetic cream is applied to the areas to be treated. The fillers are injected by using a fine needle to reduce discomfort. We only use fillers that have numbing medicine mixed in with the gel to further decrease pain. Finally, if you desire, the doctor can numb (anesthetize) the treatment area, like in dental treatments, to further minimize discomfort. In general, most patients find that the there is very little pain and that ice compresses are all that is needed.

How long does treatment usually take?

The injection process takes only about 15 minutes. You'll also need to allow time to consult with your doctor prior to treatment.

Does the correction last forever?

No. Correction is temporary and is approved by the FDA to last one year. The body normally breaks down hyaluronic acid, so the filler will eventually disappear. Each person is different; some people metabolize the substance faster than others. Areas that move more tend to also make the treatment last for a shorter period of time. Therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.

What are the possible side effects?

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection.

Can people with different skin tones/colors be treated?

Yes. In fact, we only use FDA-approved fillers that have been proven to be safe and effective in persons of color. Studies have shown no increased risk of pigment changes or scarring in patients of color.

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