DERMAL FILLERS AND VOLUMIZERS

INDICATIONS

Smoothing or filling fine lines to deep folds, plumping lips, adding volume to the face that is lost by gravity and aging. Improvement in the appearance of traumatic and acne scarring. Restoration of a more youthful facial contour.

SCULPTRA®

Collagen is a key structural component that keeps skin youthful looking and smooth. As you age, your body's collagen production decreases, and you may begin to see wrinkles. Sculptra® Aesthetic works to correct shallow to deep facial wrinkles and folds, as it replaces lost collagen, which can help provide a refined, more youthful looking appearance.

Sculptra® Aesthetic works to replace lost collagen in a series of treatments. On average, three injection sessions are needed over a period of a few months. The number of injection sessions and the number of injections per session vary from person to person.

Within the deep dermis, your skin's structure is reinforced as Sculptra® Aesthetic helps to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow to deep facial wrinkles and folds that have been depleted over time. Sculptra® Aesthetic is different because it gradually and subtly corrects these facial wrinkles and restores lost facial volume producing a more youthful contour. After several Sculptra® Aesthetic treatments, we have seen the volumizing effects last up to 2 years.

HYALURONIC ACID FILLERS (HA)

RESTYLANE®

Restylane® is one of the first natural non-animal based hyaluronic acid filler substances. Hyaluronic acid is a natural building block material that exists in human skin to provide volume and fullness. Restylane® is used to fill moderate to severe facial wrinkles and folds such the crease that forms from the nose to the corner of the mouth (nasolabial fold). Because it is a naturally occurring substance, no prior skin test is required to see if you are allergic. Restylane® has been safely used by Dermatologists and Plastic Surgeons worldwide since 1996. Restylane® generally lasts about 6 to 9 months. It is injected in tiny amounts through an ultra fine needle. We use the Ouchless Needle™ for immediate freezing of the skin prior to needle injection. Restylane® now comes pre-mixed with Lidocaine® numbing medicine making the post injection discomfort better. For injection into the lips, we will first block the feeling in the lips with a local numbing injection prior to placing the Restylane®. Avoidance of aspirin, non- steroidal anti-inflammatories like Motrin®, Advil® and Aleve®, can minimize bruising. There is usually minimal swelling and bruising lasting several days at the most and easily concealable with make-up.

PERLANE®

Perlane® is of a similar material to Restylane®. Its difference lies in the size of the hyaluronic acid particles. In Perlane®, the particles are of a larger size. The increased size allows for deeper placement of the material and fill of deeper folds like the nasolabial folds or back of the hands. It also may last a little longer than Restylane®. It is primarily used for lips and deep nasolabial folds.

JUVEDERM® THE NEXT GENERATION DERMAL FILLER

Juvederm® is also a hyaluronic acid filler. It differs form the Restylane® family of fillers in that the injectable gel is produced by a Hylacross® technology, which creates a more stable and resistant gel to degradation by the body. Juvederm® is of a smoother consistency than Restylane® and creates a natural look and feel that lasts longer than Restylane® with persistence up to a year. As one of the top injectors in the nation, Dr. Salzman was chosen by Allergan inc. to be among the first physicians in the US to introduce this exiting new filler.

Juvederm® comes as Ultra and Ultra Plus size of particles and is used in similar locations that we would use Restylane® and Perlane®.
Click here to use the Juvederm® Treatment Visualizer

ARTEFILL® PERMANENT WRINKLE CORRECTION

Artefill® contains microscopic spheres of polymethyl-methacrylate, a glass like substance commonly used in medicine in a carrier of bovine (cow source) collagen matrix. The collagen allows for the body to anchor the tiny spheres and produce its own collagen. As the bovine collagen is absorbed, it is replaced by human collagen. The combination of your own collagen and these tiny beads that cannot be absorbed makes for a permanent correction of the wrinkle. Because Bovine collagen is used as a carrier for the microspheres, a skin test is needed prior to the placement of Artefill® to make sure you don't have an allergy to cow source protein. Depending on the degree of correction needed, some patients may need more than one treatment to build layers of Artefill® for optimal correction.

COMBINATION TREATMENT: BOTOX® AND FILLERS

The combination of Botox® and fillers are often done to complement one and other. The Botox® will lessen the underlying muscle effect that creates the crease or wrinkle. Sometimes, despite inactivity of the muscle making or contributing to the wrinkle, the wrinkle may not completely disappear. It is then necessary to place a filler into the wrinkle to complete the correction. The lessening of the muscle effect by Botox® also may prolong the durability of the filler. With decreased muscle movement, there is less squeezing and mechanical compression of the filler allowing it to last longer. The two treatments can be done on the same day or staged such that the Botox® is placed first and allowed to work. In two weeks, we can then assess the need for additional treatment with a filler.

PREVELLE™ SILK

Prevelle Silk is a colorless HA gel with lidocaine® that is injected into facial skin to reduce mild to moderate facial lines, folds, and wrinkles. No allergy test is required, and it was the first hyaluronic acid dermal filler to contain lidocaine® for added patient comfort. Prevelle™ Silk is softer and thinner than other dermal fillers, which allows it to deliver fabulous results filling the vertical lip lines, and tear troughs where the overlying skin is thinner. Prevelle™ Silk also has more water already attached to its sugar base particles and,therefore, will swell less than other HA fillers. Results last 2 to 4 months, and treatments are fast and virtually pain free.

RECUPERATION AND HEALING

The procedure is done in the Skin Spa by Salzman. It has minimal or no downtime associated with it. You can resume your normal activities immediately. There may be mild swelling and reddening at the injection site. These typically dissipate within 1-2 days after the injection. Most small areas of bruising can be covered with makeup.

OTHER OPTIONS

Additional procedures that may enhance the result of your wrinkle filler are Botox, Eyelid Lift, Ageless MiniFacelift, Facelift, ProFractional Laser, Exilis™ and SkinTyte™ Laser.