Popular Dermal Fillers
Restylane is an FDA approved dermal filler that can be used to treat fine lines, wrinkles, and depressions in the skin. Restylane has hyaluronic acid that is identical to Perlane and Restylane Touch. These three hyaluronic acid treatments contain differing particle sizes of Hyaluroic acid which gives each of them a slightly different quality. Larger hyaluronic acid particles are appropriate for deep lines and wrinkles while smaller particles work well for finer wrinkles on the face. There are officially five products in the Restylane family including Restylane, Restylane-L, Perlane, Perlane-L, and Restylane Sub-Q.
Each of these products has something different to offer. Your doctor will help choose the one that’s right for you. For example, Restylane can be used to increase volume in the cheeks and augment the lips. Perlane on the other hand, can be used to restore volume to the chin and jawline as well as the cheeks while filling in deep wrinkles like the nasolabial creases. Perlane has larger particle sizes than Restylane and so it works well when injected deeply into the skin to restore more severe creases and wrinkles. Restylane-L and Perlane-L are not appropriate for lip augmentation but can help treat fairly severe wrinkles or increase volume in the skin.
Restylane Sub-Q has the largest particle size of all the hyaluronic acids in the Restylane family. It is a new development used to add to the cheeks or create more definition in the chin or jaw. The product can increase volume in the cheeks to give them a more youthful appearance. Though Restylane Sub-Q shows a lot of promise, it is currently not FDA approved. Restylane typically lasts for at least 6 months. Talk to your doctor about using Restylane if you’re under 21 years, especially if you plan to have your lips enhanced with the product.
Hylaform shares some similarities with Restylane. This product is also composed of hyaluronic acid from an avian source and functions as a soft tissue filler for the nasolabial folds, glabella, marionette lines, and lips. The thicker version of Hylaform, called Hylaform Plus, has a shorter lifespan that Restylane, lasting only about 6 months, versus the 6 to 8 months common to Restylane patients. Hylaform is harvested from rooster combs.
Captique has been replaced by Prevelle Silk. It looked and behaved similarly to Hylaform, but it had an entirely different life cycle. It was produced rather than harvested and thus included no animal proteins. As such, it was considered by many doctors to be superior to Hylaform. Captique was theoretically less likely to cause allergy problems in susceptible patients while offering them the same benefits as Hylaform. The range of effects possible with Captique are nearly identical to those of Hylaform and the product lasted almost the same amount of time as Hylaform as well.
Juvederm is the newest hyaluronic acid product on the market. It is a smooth gel with a great deal of cross-linking that causes it to create fewer nodules than other similar products. There are four different types of Juvederm: Juvederm Ultra, Juvederm Ultra Plus, Juvederm Ultra XC, and Juvederm Ultra Plus XC. It is used to treat fine lines and wrinkles as well as to enhance and augment the lips.
Juvederm has been demonstrated as a particularly promising treatment of choice for the lips and the areas surrounding the lips. Juvederm Ultra Plus has been used to address wrinkles above the upper lips, oral comissures, nasolabial creases, and marionette lines.
Juvederm is versatile and volumizing. The gel is associated with superior results over other dermal fillers while standing up to the test of time. Juvederm lasts up to one year. Some patients report redness, swelling, and some bruising, which is common with all dermal filler treatments. These side effects lessen within a few days of the treatment.
Sculptra is a unique collagen stimulator that is made up of the same materials that have been used to create absorbable sutures. It is a polymerized lactic acid that causes the body to produce more collagen and as such functions differently than dermal fillers. It is particularly popular among HIV patients who lose volume in their cheeks. Sculptra helps HIV patients who are experiencing facial wasting to restore volume to the hollows in their cheeks.
Sculptra is packaged as a powder but is then reconstituted and can be injected into the skin. The body accepts it as bio-compatible and over time it degrades without issue. It does not activate the immune system, however, once the material is injected the body naturally begins the process of trying to develop additional collagen, which helps to fill in the deep cheek hollows. The effects can last from 18 to 24 months.
Sculptra is also appropriate for people who are trying to reverse the signs of aging. It has also been successfully used to augment areas of the face like the chin or the jaw. The product is able to create additional volume, but by stimulating the body to produce the necessary materials to make that happen. It must be injected several times to achieve the desired effect, but then the results tend to last for up to 2 years. For maintenance, patients can go in to their doctors to have touch-ups performed.
Radiesse is an FDA approved calcium hydroxyl apatite material composed of phosphate and calcium. The calcium hydroxyl apatite is suspected in a glycerin gel. It is particularly useful in applications such as craniofacial surgery involving bone repair, however it has also been used to address nasolabial folds, and marionette lines as well. Doctors use it in situations involving prosthetic implants. Calcium hydroxyl apatite occurs naturally in human bones and as such, does not provoke an allergic response. It is also radiopaque in radiological imaging.
Radiesse has some advantages over other dermal fillers in that the product can produce desirable results in just one treatment session. Many doctors particularly prefer to use Radiesse on men or on wrinkles that are exceptionally deep. The product can be used to enhance the chin or the cheeks and patients often report that the results of treatment last for about one year to 14 months.
Prevelle is the second generation of Captique, an FDA approved hyaluronic acid filler that also contains lidocaine, a pain killer. Though Captique is no longer in use, Prevelle is an excellent alternative. It is used to address issues arising from the middle to deep dermal layers. Deep facial wrinkles can be corrected using Prevelle. Prevelle achieves excellent effects by utilizing cross-linking technology that help to enhance its durability, though it is not as long lasting as Juvederm. It can be used in conjunction with a botulinum treatment such as Botox or Dysport to treat lines in the glabella or above the upper lip.
Artefill is an FDA approved dermal filler that contains tiny pieces of plexiglass, chemically known as polymethylmethacrylate microspheres. These microsphere come in a suspension of bovine collagen. The human body is able to degrade the bovine collagen within about 3 months, leaving behind the microspheres which remain permanently.
Artefill is recommended primarily for deeper wrinkles like the nasolabial folds or glabellar lines, though it has also been used for acne scarring and lip enhancement. Lip enhancement procedures using Artefill have sometimes been associated with bumpiness that is unfortunately permanent. Bumps can be surgically removed, but patients should consider alternative treatments and talk to their doctor about the pros and cons of Artefill for lip augmentation.