DERMAL FILLERS  |  FACIAL FILLERS
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Are looking for a minimally-invasive aesthetic treatment that immediately reveals a more youthful you? Dermal fillers can effectively add volume in all the right places, bringing you closer in line with your aesthetic goals and helping you look more youthful and refreshed. Your aesthetic nurse injector will provide a full-face assessment that will help you gain a better understanding of how our faces age over time. Together, you will decide on customized treatment options that are right for you, helping you gain confidence in your appearance.

Non-Invasive, Quick Procedures, Immediate Results with Minimal Downtime, Last 6-18 months depending on the area treated and how patient’s body metabolizes the products.

Common treatment areas: Lips, Cheeks, Temples, Chin, Jawline, Dark circles under the eyes, Recessed scars, Deep smile lines, Fine lines and deeper folds, Hands and more.

Facial fillers are a fast and easy nonsurgical way to combat volume loss and other signs of aging without prolonged downtime. Because not all wrinkles or facial concerns are treated equally, we carry a variety of dermal fillers to give you the best results possible.

Dermal fillers are gel-like formulas that work by adding volume to the skin while also stimulating the body’s natural production of collagen and each type of dermal filler has a unique formula. . Hyaluronic Acid (HA) fillers are the mainstay of treatments at Avissa Skin. HA is a natural occurring molecule in the skin which provides hydration. It is also found in joints and acts as a lubricant. Hyaluronic acid is extremely hydrophilic (water loving) and can absorb 100x its weight in water. Gradually, the HA is biodegraded by the body. The longevity of the filler is dependent on the location placed, the filler used, and an individual’s metabolism.

RHA® Collection of designer fillers
Only available at select practices
Designed by TEOXANE Laboratories in Geneva, Switzerland, the RHA® Collection of hyaluronic acid fillers are the only FDA-approved hyaluronic acid fillers for dynamic wrinkles and folds. Like other HA dermal fillers, RHA® is made from hyaluronic acid—but RHA® is different, because it’s made differently. RHA® uses a gentle manufacturing process. This process helps preserve the natural structure of the HA, helping it mimic the natural HA found in your skin. RHA® is the latest advancement in HA filler technology, purposely designed to perform in the most dynamic areas of the face without looking stiff or unnatural. There are three formulations in the RHA® Collection, and your provider will help you determine which one is best for your treatment plan.

Restylane® Collection of fillers
The Restylane® line smooths away facial wrinkles and folds ( Restylane, Restylane Lyft, Restylane Refyne, Restylane Defyne ), provides subtle lip enhancement (Restylane Kysse, Restylane, Restylane Silk ), smooths the lines around the mouth ( Restylane Silk ), adds lift and volume to the cheeks ( Restylane Lyft ), and helps reverse the signs of volume loss in the back of the hands ( Restylane Lyft ).

JUVÉDERM® Collection of fillers
JUVÉDERM® is a collection of fillers to temporarily lift & contour cheeks ( Juvéderm® Voluma XC ), Chin ( Juvéderm® Voluma XC ), smooth lines ( Juvéderm® Vollure XC,  Juvéderm® XC ), or plump lips ( Juvéderm® Volbella XC,  Juvéderm® Ultra XC )

From Lip Augmentation to Liquid Facelift, Rejuvenate Your Appearance With Dermal Fillers

Dermal fillers are known for their anti-aging purposes because they can fill in lost facial volume while boosting natural collagen production. Patients seeking to refresh their look can opt for multiple dermal filler treatments, a comprehensive approach sometimes called a “liquid facelift”.

Lip Augmentation With Filler
Full lips are coveted as a sign of youth, but lips often lose volume as we age and some people have naturally thin lips. Dermal fillers are a popular way to add volume to the lips and can also smooth away fine lines near the lips and add definition to the cupid’s bow. Lip augmentation with dermal fillers is fully customizable so you can get a subtly enhanced pout or a more dramatic increase in fullness.

Cheek Enhancement With Fillers
As we age, some of the natural fat in our faces begins to diminish. This can cause a sagging or hollow-looking effect in the mid-face area. Dermal fillers can restore lost volume and can also be used to add definition to the cheekbones. Cheek enhancement with injectable fillers can give you a more youthful look with beautifully contoured cheekbones.

Tear Trough Treatment With Filler
Are you bothered by dark under eye circles that do not respond to over the counter eye creams? Your tear trough area may be the issue. The tear trough, or nasojugal groove, is the area that starts at the inner corner of your eye and extends toward the cheek. A deep tear trough can create a dark shadow and a separated look between the eye and the cheekbone, and this can cause you to look perpetually tired even when you’re not. By filling in the tear trough with dermal fillers, you can regain a refreshed, youthful, bright-eyed look.

Jawline / Chin Contouring With Filler
Many people are bothered by a “weak chin or jaw” or the appearance of jowls as they age. If you dream of a more defined jawline or a more structured chin, you may not realize that dermal fillers could be the answer. Adding the right filler to expertly contour the jawline can actually give the appearance of a slimmer, more proportionate, and more youthful face.

Hand Rejuvenation With Filler
As we get older, aging hands like the face are susceptible to volume loss and sun damage. Volume loss becomes associated with looking older as the veins and tendons on the back of the hand become more prominent. Dermal fillers can be used to effectively reverse the signs of aging by replacing the tissue that is lost due to aging. This is a quick procedure and you will leave your appointment with smooth and youthful hands after only 30 minutes. Once your hands are filled, you will no longer be able to see wrinkles, tendons or veins standing out! Each hand usually requires one syringe of filler. The treatment often lasts for a year or more, making the injections and the looks of your hands long lasting.

FOR HIM
The minimally-invasive nature of dermal filler injections, with fast treatments and no downtime make it a popular procedure among men with busy schedules who want to look and feel their best.

DIFFERENT TYPES OF FILLER

Dermal fillers are a great option for treating wrinkles and hollow areas associated with facial aging. Today, there are many different types of dermal fillers to choose from:

Hyaluronic acid (HA) based dermal fillers
The most popular class of dermal fillers is based on Hyaluronic acid (HA), a sugar found naturally in human skin. By binding water molecules, Hyaluronic acid based products add volume under the skin to smooth wrinkles and folds, plump lips, and remove scars. The effects of dermal fillers usually last between 6 and 18 months.

Poly-L-lactic Acid
Sculptra is made from poly-L-lactic and is used to correct shallow to deep nasolabial folds (i.e., smile lines), contour deficiencies, and other facial wrinkles. Sculptra works by both filling in lines and wrinkles and by stimulating the body to produce new collagen and underlying tissue, thereby creating a fuller, more youthful appearance.

Calcium-based Microspheres
Radiesse is a safe, FDA-approved dermal filler that restores a natural, youthful look. Used primarily to treat areas with obvious signs of facial aging, Radiesse rebuilds your skin’s foundation and restores your youthful look. Its unique contouring ability allows practitioners to treat large areas of the face in one procedure.

Kybella
Kybella is the first and only non-surgical treatment approved by the FDA for treating fullness under the chin (double chin). Kybella causes the rapid destruction and absorption of fat, leaving a firm jawline without the necessary recovery time of other treatments like liposuction or neck lift surgery.

DERMAL FILLER FAQs

How Long Will It Take Me To See Results After Dermal Filler Injections? After getting dermal filler injections, you will be able to immediately see some results, however, it will take about 48 hours to see the full effect. The results will  typically last from 6-18 months depending on the area being treated and body’s metabolic rate. After this period of time, you will need to receive fillers again to maintain your rejuvenated appearance. If you opt to stop getting injections at any time, your appearance will just revert to its original state.

How Long Will The Results From Dermal Fillers Last?
Dermal fillers fade very slowly and gradually, so for the vast majority of patients, results should last between 6 and 18 months. After approximately 6 to 18 months, the effects of the dermal filler gradually weaken, until your skin returns to its natural state. The specific amount of time dermal fillers last varies depending on the patient’s skin, the treatment area, one’s metabolic rate, and the type of product used.

As treatment with dermal fillers is temporary, they require touch-up injections for maintenance, and eventually repeat injections. At Avissa Skin, our experienced practitioners will determine the ideal time interval for your follow-up treatments, and develop the optimal injectable regimen to suit your needs. Alternatively, if you decide not to maintain your new appearance, the results will gradually disappear over time.

How Long Is The Recovery From Dermal Filler Injections?
After receiving your dermal injections, you might experience some mild redness, swelling, tenderness, bruising, or itching. These effects should clear up in less than 7 days (or 14 days for lips). Redness can be concealed using foundation or concealer. In general, most patients experience little or no downtime – which means you can return to work and continue with your usual daily activities.

How Much Do Dermal Filler Injections Cost?
The cost of dermal filler injections depends primarily on the amount of dermal filler injected, which in turn depends on the amount of product you require to achieve a significant result. At your consultation at Avissa Skin, your unique facial features will be assessed, your concerns will be taken into account, and a treatment plan will be developed. At this point, you will be told the exact amount of filler you will require.

Are Dermal Filler Injections Painful?
Most patients only experience mild discomfort. As the needles used for dermal fillers are very fine, the amount of pain experienced by patients is minimal and the procedure does not require anesthesia. It should also be noted that many of the dermal filler products available today contain Lidocaine, a local anesthetic, to minimize your discomfort. Topical numbing creams can be used to further minimize discomfort when injecting sensitive areas.

Are Dermal Fillers Reversible?
Fortunately, there is the option of completely reversing the results you obtain from Hyaluronic-Acid based fillers if you are not happy with the results. A solution called Hyaluronidase is simply injected into the treatment site which effectively dissolves the filler within approximately 24 hours.

At What Age Should I Start Getting Dermal Filler Injections?
The age at which you start using dermal fillers depends entirely on the type of issue you’d like to address. While severe wrinkles and folds typically become evident well into middle age, fine lines appear much earlier. Moreover, there are a number of issues which dermal fillers are very effective at addressing, that are not always related to aging, such as a sunken appearance, thin lips, and wide jawbone. In general, however, dermal filler products should not be used in individuals under 18 years of age.

Are Dermal Filler Injections Safe?
Dermal fillers are approved by the FDA, and have an excellent safety track record. Additionally, the dermal fillers used at Avissa Skin in Ann Arbor are all Hyaluronic Acid-based, which is a substance that naturally occurs in our bodies, and has been used for over 20 years for arthritis treatment, wound repair, and eye surgery.

Possible Complications
Dermal fillers are very similar in composition to the Hyaluronic Acid that naturally exists in your body, as such it is very unlikely to induce an allergic reaction. To reduce the risk of complications and ensure your safety, your practitioner will review your medical history, including allergies and medications, at your initial consultation to determine whether you are an appropriate candidate for fillers.

The most common complications associated with fillers include receiving results other than you had intended, tiny lumps or irregularities under the skin, and prolonged redness. After receiving dermal filler injections, patients prone to cold sores may develop an outbreak. Those with HSV-1 should therefore be treated with a course of antiviral medication prior to the procedure. More serious complications such as infection and tissue necrosis are exceedingly rare.

MYTHs ABOUT DERMAL FILLERS

Myth #1 – Botox and fillers are the same thing.
Contrary to popular belief, Botox is not a filler. Botox causes the muscles to relax so the appearance of fine lines and wrinkles decreases whereas dermal fillers actually add volume to your face to fill out those extra folds of skin. Though both Botox and dermal fillers serve similar purposes, the treatments reach the desired results through distinct physical alterations.

Myth #2 – Everyone will notice I’ve gotten fillers.
This is a fear for many individuals because they have witnessed how the media torments celebrities and other public figures based on their personal choices about cosmetic procedures. Although you may be worried that you will look drastically different or fake after receiving dermal fillers; however, there could be nothing further from the truth. Dermal fillers, when administered by a certified and experienced professional, provide natural-looking results that still deliver the plumping you desire.

Myth #3 – Fillers are extremely painful.
We understand many people have a particularly acute fear of needles, but there is nothing to be afraid of when it comes to fillers.  Most providers apply topical anesthetic before the treatment which helps to minimize significantly any discomfort.  Many fillers are mixed with lidocaine to ease any discomfort that the initial injection might cause.

Myth #4 – You can’t undo a cosmetic treatment.
This might be the case in many other cosmetic treatments but dermal fillers have a lot more flexibility. If you decide to use the naturally-derived hyaluronic acid as your dermal filler, then this can be reversed almost instantaneously. By injecting hyaluronidase, HA filler can be automatically reversed because it breaks down the hyaluronic acid under your skin quickly. Most dermal fillers are temporary, lasting sometimes as little as three months, so you are not making a lifelong commitment by trying them out.

Fascinating Facts on Fillers
#1 – Fillers can stimulate collagen growth so over time so you may require less injections later on than when you first started.

#2 – The effects of most fillers are temporary, some of them being reabsorbed into the body after three months. If you seek a more permanent solution, there are a few types of fillers that can last several years.

#3 – It need not only be used for facial rejuvenation. It can be used to smooth wrinkles and hide veins in the hands. Many practitioners even suggest fillers to support droopy earlobes.

#4 – Side effects and complications are extremely rare with dermal fillers.

#5 – It would take quite a lot to over-do it when you are working with a qualified professional; you won’t get anywhere near looking overdone unless you opt for too many syringes of fillers all in one session.

#6 – A common (but flexible) rule for fillers is one syringe per decade. Get three syringes at thirty years old, four at forty years old, and so on and so forth when you have a treatment session per year.  The syringes can be spread across various areas (including off-label ones) such as lips, smile lines (nasolabial folds), cheek depressions (cheek hollows and malar volume loss), jowls (marionette lines), and temples (for hollowing).

WHAT TO EXPECT

Preparing for facial filler
Truth be told, there isn’t a whole lot of necessary preparation for facial filler. However, it’s key to note that some bruising (at the injection site) and possible swelling may occur. Therefore, it is wise to schedule your appointment at least two weeks before an important event.

To help prevent bruising, avoid blood-thinning medications, including pain relievers and supplements like fish oil for a week prior to your appointment. (Also, smokers have an increased likelihood of bruising.) You may wish to take the holistic supplement Arnica Montana several days leading up to your procedure, as this helps to minimize the chances of bruising, as well.

Here’s what you can expect during your dermal filler appointment:

Assessing your condition
During your consultation, our cosmetic injector specialist will carefully evaluate your skin condition and facial appearance. This will include your skin tone, as well as the features of your face that would look better augmented. Such areas will be marked appropriately to serve as guide during the actual treatment later on.

During your treatment
During your treatment, you will be made comfortable, and a topical numbing cream will be applied. The numbing cream will be removed after an appropriate amount of time, and your aesthetic nurse injector will cleanse and prepare your skin for treatment. You will feel a pinch upon initial injection and will feel some pressure as the product is delivered. Many of the dermal filler products have a numbing agent in them, so you will continue to feel less of the treatment as it goes on. Most patients find the treatment very tolerable. Your aesthetic nurse injector may manipulate the product as needed.

Going through recovery
Once the necessary filler has been administered, your skin is cleansed again to remove any markings. While you may feel some discomfort, swelling, or tenderness in the area, ice packs and pain medications usually do the trick.

Dermal fillers are a no downtime procedure. After treatment, you’ll be able to leave our offices immediately. You’ll be able to drive yourself home. Many patients actually head right back to work. Redness, tenderness, and swelling can occur, but typically are minor and fade over the course of a few days. Makeup can be applied to cover any redness you may experience. It is important that you do not push or press on the treated areas. It is important that you do not disturb the areas where the product has been placed.

Note that the dermal filler treatments are dosed in syringes, and each area of the face differs in how much product is needed to achieve full correction. No two people will have the same dosing. It is more helpful to think of dermal fillers in terms of results, versus actual syringes used. Volumize treatments do take time to reach efficacy/settle in, typically 3 – 4 weeks. Typical duration of dermal fillers is anywhere from 6-18 months, depending on the product used. While it would seem logical to request only the longest lasting dermal filler product, not all dermal fillers are suited for the same areas. Your aesthetic nurse injector will determine which product will give you your best outcome.

CONTRAINDICATIONS

You may not be a good candidate if you are pregnant or breast feeding, have an allergy to any of the dermal filler ingredients, have an active infection in the area to be treated, or have an allergy to lidocaine. Your aesthetic nurse injector will thoroughly review your health history and contraindications with you prior to treatment.

PRE TREATMENT CARE

Schedule your dermal filler appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Results from the dermal filler injections will take approximately 2-14 days to appear and will soften over time.

You should NOT schedule any invasive procedures for 2 weeks before or after treatment. These can include but are not limited to dental work, including dental cleaning, any lesion excisions/biopsies, surgery of any kind, internal device placement, tattoos or permanent makeup.

To help prevent bruising, avoid blood-thinning medications, including pain relievers and supplements like fish oil for a week prior to your appointment. (Also, smokers have an increased likelihood of bruising.) You may wish to take the holistic supplement Arnica Montana several days leading up to your procedure, as this helps to minimize the chances of bruising, as well.

POST TREATMENT CARE

Cold compresses or ice packs may be used after the treatment to reduce swelling and decrease soreness. AVOID excessive touching or massaging the treated areas for 6 hours after the injections. AVOID alcohol, caffeine, Niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates, spicy food and smoking for 24-28 hours after your treatment. AVOID submerging head under water for a full 24 hours after your treatment; this includes pools, beaches, hot tubs, etc. In the first 24 hours following treatment, limit exposure to sunlight or UV lamps. The best thing to do is to avoid makeup. But if you must apply it, wait till the bleeding has completely stopped and the swelling has subsided.

Do you want to find out if Dermal Fillers are the right aesthetic treatment for you? Contact Avissa Skin clinic today for more information on the best Dermal Filler Treatment Ann Arbor, Michigan has to offer, for information on other cosmetic procedures, or to schedule a consultation. We look forward to hearing from you!

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