Nonsurgical Aesthetics

What Are Cosmetic Injectable Fillers?

Injectable filler procedures involve the injection an artificial substance into the face in order to fill out the skin for an aesthetic enhance- ment. There are many different products available for such procedures, each with different indications and durations for the improvement they create. Some of the more common fillers today include hyaluronic acid based fillers like Juvederm, Restylane, Perlane, and the new long-lasting filler Voluma. Injectable fillers can restore a more youthful appearance by filling in a variety of lines and wrinkles such as laugh lines, smile lines, crow’s feet, and other facial creases. They may also be used to add fullness to the lips, cheeks and other facial features, and to improve acne scars and other skin imperfections.

Aventura Plastic Surgery is pleased to announce that it has partnered with Allergan (the makers of Botox, Juvederm, and Voluma) to bring you their Brilliant Distinctions Points Program. With Brilliant Distinctions you earn redeemable points for Botox and Juvederm treatments. And, best of all, it’s totally FREE!
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Who Are Dermal Fillers For?

Injectable fillers are appropriate for anyone seeking improvement for depressions, wrinkles, asymmetries, acne and other imperfections. Miami plastic surgeon Dr. Galitz performs injectable treatments in his office at Aventura Plastic Surgery of Aventura, Florida. The treatment takes just ten minutes to complete and involves the administration of a topical anesthetic followed by precise injection of the filler.

The Recovery After

The recovery after injectable filler treatment is immediate. Some minor discomfort, swelling, bruising or redness may result, but these side effects fade quickly. Patients are generally able to return to work the very same day and resume exercise and other strenuous activities the following day. With most injectables, the results are temporary, thus repeat treatments are needed to maintain the improvement. Complications are generally rare but may include the risk of poor placement. Because of this, it is important to have an experienced physician perform your injectable filler treatment.

Juvederm XC

Juvederm XC and Juvederm Ultra Plus XC are excellent fillers to restore volume in the deep and mid-dermal layers of the skin. They can last from 9 to 12 months and are extremely well tolerated in all patients.  The difference  between Juvederm XC and Juvederm Ultra Plus XC lies in the thickness and depth of application. As a result, our office keeps both on hand to administer as indicated by the patient’s particular needs and aesthetic goals.  To determine which is appropriate, Dr. Galitz will give a close evaluation of your skin and listen closely to your aesthetic. Both of these fillers contain Xylocaine (Novacaine) to lessen the discomfort of the injection.

The most commonly reported side effects for Juvederm were temporary injection-site redness, swelling, pain/tenderness, firmness, lumps/bumps, bruising, discoloration, and itching. All were reported as mild or moderate in severity and lasted just seven days.

Voluma

This relatively new and exciting filler is excellent for augmentation and enhancement of the midface and cheek areas.  It is a thicker filler than Juvederm and can last up to two years.  Voluma is placed directly against the cheek bone (malar) structures for best results.  It is also an excellent enhancement to facelift surgery.

The most common side effect for Voluma were temporary injection-site redness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. All were reported predominantly of moderate severity and had a duration of two to four weeks.

Botox

Botox is a medicine that is strategically injected into the muscles of the faces and used to temporarily improve lines and wrinkles (particularly crow’s feet and frown lines). Botox acts quickly, and you should see results almost immediately. However, this product can have serious side effects that can be life threatening. Therefore, it must be administered by an experienced physician.

Potential side effects could include problems with swallowing, speaking, or breathing, or a spreading of the toxin effect into other areas near the injection site which could lead to facial muscle weakness, double or blurred vision, drooping eyelids, hoarseness or change/loss of voice, difficulty speaking, loss of bladder control, etc. For that reason, it is wise not to operate a motor vehicle or other dangerous machinery if you believe you are suffering any side effects.

In rare occasions, serious allergic reactions have been reported. Symptoms of allergy include itching, rash, welts, asthma symptoms, dizziness, or feeling faint. If you experience any of these conditions, contact the doctor at once. You should not use Botox if you know you are allergic to any of its ingredients, have had an allergic reaction to other botulinium toxin products, or have a skin infection or compromised immune system.

Restylane®

Restylane® restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). After your treatment, you might have some swelling, redness, pain, bruising and tenderness. This will normally last less than seven days. Although rare, red or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause another outbreak. In rare circumstances, the doctor may inject into a blood vessel, which can damage the skin. To avoid bruising and bleeding, you should not use Restylane® if you have recently used drugs that thin your blood or prevent clotting. If you are pregnant, breastfeeding, or under 18 years, you should not use Restylane®.

Restylane® should not be used by people with previous bad allergies, particularly to certain microorganisms known as gram-positive bacteria; by people with previous bad allergies to drugs that have required in-hospital treatment; or by people with bleeding disorders. Restylane® should not be injected anywhere except the skin or just under the skin.

Patients should not be limited to 6.0 mL per treatment. The safety or effectiveness of Restylane® for the treatment of anatomic regions other than nasolabial folds has not been established in controlled clinical studies.

The use of Restylane® at the site of skin sores, pimples, rashes, hives, cysts or infection should be postponed until healing is complete. Use of Restylane® in these instances could delay healing or make your skin problems worse.

Restylane® is available only through a licensed practitioner. Complete product and safety information is available at www.RestylaneUSA.com.

Perlane®

Perlane®  restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). After your treatment, you might have some swelling, redness, pain, bruising and tenderness. This will normally last less than seven days. Although rare, red or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause another outbreak. In rare circumstances, the doctor may inject into a blood vessel, which can damage the skin. To avoid bruising and bleeding, you should not use Perlane® if you have recently used drugs that thin your blood or prevent clotting. If you are pregnant, breastfeeding or under 18 years, you should not use Perlane®.

Perlane® should not be used by people with previous bad allergies, particularly to certain microorganisms known as gram-positive bacteria; by people with previous bad allergies to drugs that have required in-hospital treatment; or by people with bleeding disorders. Perlane® should not be injected anywhere except the skin or just under the skin.

Patients should be limited to 6.0mL per treatment. The safety or effectiveness of Perlane® for the treatment of anatomic regions other than nasolabial folds has not been established in controlled clinical studies.

The use of Perlane® at the site of skin sores, pimples, rashes, hives, cysts or infection should be postponed until healing is complete. Use of Perlane® in these instances could delay healing or make your skin problems worse.