Dermal Fillers

As our skin ages, the dermis gradually loses its major constituents: collagen, elastin, and hyaluronic acid. Collagen acts as the major support protein for our skin; elastin allows our skin to stay firm and resist wrinkles; hyaluronic acid helps trap water and add volume and shape to our skin.

Dermal fillers are being used more and more to help reverse the changes associated with aging. Dermal fillers are being used to reduce or eliminate wrinkles, raise scar depressions, enhance lips and replace soft tissue volume loss.

Several classes of dermal fillers are marketed in the United States today. They include: collagen based fillers (i.e. Zyplast and Cosmoderm), hyaluronic acid based fillers (i.e. Restylane and Juvéderm), and calcium hydroxyl apatite fillers such as Radiesse. Moreover, promising dermal fillers are in development that will offer superior capabilities in the future.

Injection of fillers usually requires the use of either a topical numbing cream or a local injection of numbing medication. Then, using a small needle, the dermal filler is injected into each wrinkle or scar that requires treatment. Some mild burning and stinging is normal and quickly resolves.

The results can last from three months to two years, depending on the filler being used and patients’ individual physical breakdown of material. Restylane tends to last a bit longer with effects lasting from six months to one year. Juvéderm can last up to eight months. Radiesse can provide results that last greater than three years.

Side effects are uncommon but can include ulceration, reactivation of herpes infection, bacterial infection, localized bruising and granuloma formation. Orange Dermatology & Laser Center has only experienced localized bruising in our time doing Restylane, Juvéderm and Radiesse.

Ulceration is rare and occurs when the filler is injected into a blood vessel, cutting off the blood supply to the overlying skin. Bacterial infections are rare and may be treated with antibiotics. Localized bruising is temporary and may be reduced by applying ice before and after injection. Granuloma formation is a rare complication that may require steroid injections, or surgical extraction of the granuloma.

Orange Dermatology & Laser Center has been administering dermal fillers for the past 15 years. Drs. Applebaum, Liem, Dangaran and Jung initially started with collagen fillers and since then have tested the variety of fillers available for the best outcome for their patients. Orange Dermatology & Laser Center offers hyaluronic acid based fillers, Restylane and Juvéderm, and the calcium hydroxyl apatite filler, Radiesse.