What are Dermal Fillers?
Juvederm Ultra/Ultra Plus, Juvederm Voluma/Volbella/Vollure, and Restylane L/Lyft/Silk, and Restylane Refyne/Defyne are injectable products made of hyaluronic acid chains by diﬀerent manufacturers. Hyaluronic acid is a molecule that binds water and is normally found in the deeper layers of the skin. These ﬁllers do not contain any animal products. Hyaluronic acids have been used in this country for medical treatments in the eye and joints for many years and have been used for cosmetic purposes in the U.S., Europe, and Canada for over a decade with an excellent safety proﬁle. The thicker variants of these products, Juvederm Voluma/Juvederm Ultra Plus, and Restylane Lyft are generally used for deeper folds and cheek volume and is injected more deeply. The newer ﬁllers Juvederm Volbella and Restylane Refyne are used for ﬁner lines and is injected higher up in the skin.
When will I see results?*
Results are generally noted immediately, although mild swelling, bruising and redness generally can take at least 48 hours to resolve. Maximum results may take 1-2 weeks to fully appreciate. Makeup may be applied the day after treatment. If more correction is desired, additional treatments can be performed at least 1 week after an earlier visit leading to further improvement.
How long will the results last?*
Beneﬁts initially last about 6 to 12 months for most hyaluronic acid ﬁllers, though Voluma studies demonstrated most patients maintained results at 2 years. Voluma is commonly used for cheek and midface volume (and is slightly more expensive than the other ﬁllers). Longevity will vary depending on the area treated and the individual patient. Lip enhancement may resolve more quickly because of the mobility of the area.
Do the injections hurt?
The recent introduction of ﬁllers containing lidocaine anesthetic has made the procedure more comfortable. Numbing cream may be applied before the appointment or by the medical staff in the oﬃce to improve the experience. We use ice packs which help with discomfort as well as swelling. We may also use of the cannula technique to minimize discomfort in the cheek, marionette (chin) area and lips.
Are there risks to the procedure?
Transient bruising at injection sites can occur, particularly if you have had recent aspirin or ibuprofen (Advil). Puﬃness, tenderness and/or redness may result for 1-4 days, and rarely longer. Small areas of ﬁrmness may be palpable, and rarely visible, but blend in with time. If necessary, any visible bumps from the ﬁller can be removed using a tiny injection of a medication that dissolves the ﬁller (hyaluronidase). Very rarely, prolonged swelling, redness, itching, ﬁrmness or bluish bumps may last weeks or longer. Other rare side eﬀects include dizziness, headache, rash, visual disturbances, infection, or reactivation of cold sores. Extremely rare side eﬀects include compression/occlusion of blood vessels leading to the formation of a scab which can result in a scar. Exceedingly rarely this can lead to blindness or stroke.
Who should not be treated with Hyaluronic Acid Fillers?
You should not be treated if: You are pregnant or nursing, you have multiple severe allergies or history of anaphylaxis, you are taking a blood thinner such as Coumadin (Warfarin) or high dose aspirin, you have a bleeding disorder or if you have had a previous allergic or severe swelling reaction with hyaluronic acid ﬁllers.
Take the First Step – Request A Consultation
Please fill out the form on this page to request a consultation and one of our knowledgeable medical staff members at Krauss Dermatology will reach out to you promptly. You can also call our Wellesley, MA office directly to schedule – (781) 416-3500.
Krauss Dermatology serves the greater Boston area.
*Individual Results May Vary*