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What are Fillers?
Soft tissue fillers are instant volume replacement solutions for the aging face or serve as enhancement for areas such as the lips or under eyes. Historically, the concept of volume replacement originated with the injection of collagen and silicone to replace lost volume. As skin sags, volume replacement in the area where the skin has fallen can mask the effects of gravity. Fillers can be used to rebuild a full cheek mound, soften deep folds, fill out the hollowness below the eyes and even plump the lips.
How much do They Cost?
According to RealSelf, the average cost of fillers is $1025 with a range of $75 to $3100. The prices of fillers can vary greatly by where you are, expertise of the provider, and brand of filler injected. Typically filler is charged by the syringe and the amount you need will vary based upon injector choice and needs.
Who can Inject Them?
Though laws vary by state, there are no regulations that only particular specialties or professions can inject fillers. You can find nurses, nurse practitioners, physician assistants, dentists and even pharmacists that will inject fillers. Any physician, regardless of specialty, can inject fillers.
Getting an evaluation with an appropriately board certified physician who understands anatomy, and more importantly understands treatment options is what I recommend. Ask your injector how they manage complications and make sure that they are appropriately covered by malpractice insurance. Technically, anyone who takes a weekend course can perform injections: do your homework.
Where can you use fillers?
Fillers are most commonly used for lip linjections (lip fillers), under eye fillers and cheek fillers. Different areas require varying expertise and downtime. Fillers can be used to lift, smooth and fill any part of your face.
Are They Safe?
I want my patients to understand that there are risks involved with the injection of fillers. I have published landmark research into the subject and take the utmost care in ensuring each of my patients are well informed and safe prior to injection. Common complications include bruising, swelling and pain; however skin necrosis and blindness are rare but possible complications.
What are the different types of Filler?
The most popular brands of HA fillers in the United States are Restalyne and Juvederm. Each of these companies have their own product line where each has varying thickness that allows placement at different depths and for different purposes. Under Juvederm there is Vollure, Volbella, Voluma, Ultra and Ultra Plus whereas with Restalyne there is Silk, Plain, Refyne, Defyne and Lyft. Other commonly used fillers include Revance Versa and Belotero.
The average filler lasts for about 1 year.
Do fillers hurt?
Most fillers come with pre-mixed lidocaine. The use of topical numbing medication and/or a regional anesthetic injection can be used to make the procedure more comfortable. I have found that discussing and planning for the discomfort prior to injection is the most valuable tool in managing pain.
Watch this video to learn about some secrets about choosing the right filler: