Dermal Fillers NJ

The advantage of dermal fillers over fat grafting is that these products are available in a syringe ready for injection and are fairly reliable in their effectiveness. They are used in many areas of the face, even though they are usually FDA approved for the folds between the corner of the mouth and the sides of the nostrils, which we call the nasolabial folds. So please understand that using them in all the other areas of the face is considered an off-label use.

Restylane, Juvederm, Radiesse

The fillers I like to use are Restylane®, Juvéderm® Ultra Plus and Radiesse®. There are other fillers on the market, but they are usually similar in characteristics to the above products. Restylane and Juvéderm are both hyaluronic acids, a substance that occurs naturally in the body. There are various degrees in cross linking that makes one substance last longer. There are also other characteristics that make one stay in the precise place where you put it (Restylane) and the other to diffuse a little (Juvéderm). Experience is required to use the appropriate product for each area to get good results and avoid complications.

Radiesse NJ

Radiesse is a hydroxyapatite, suspended in a gel that will absorb. As the gel absorbs, the particles of hydroxyapatite will stimulate collagen formation and create volume. This product is good for use where volume is needed.

In general, the longevity is dependent on the product, but is also dependent on where it is used. The less mobile an area is, the longer the product lasts. For example, Restylane could last for two years or more in the tear trough, but only six months in the lips, where there is a lot of motion. It also depends on the patient. In some patients, I have used Restylane for lip augmentation and I didn’t have to redo it for more than two years. In others, it lasts less than six months. Patients break down these products at different rates, and the only way to find out is to try.