Facial fillers are substances that temporarily soften wrinkles when injected into your skin. How long the effect lasts depends on the type of wrinkle filler used.

Injection of a facial filler is an outpatient cosmetic surgery procedure that temporarily softens wrinkles. The procedure may be done under local anesthesia and takes up to an hour. You may have mild discomfort, bruising and swelling for up to a week. After the swelling goes down, you may need a touch-up injection for best results.

Mayo Clinic specialists provide these facial fillers:

Hyaluronic acid

Hyaluronic acid injections can soften fine lines and creases and restore fullness to your skin. Before an injection, your doctor will advise you to avoid aspirin, nonsteroidal anti-inflammatory medications, herbal supplements or high doses of vitamin E. These products may increase bleeding or bruising at the injection site. Several hyaluronic acid products are available, including:

  • Restylane injections can soften moderate to severe facial wrinkles, such as the folds between your nose and mouth. Results usually last at least six months.
  • Juvederm has a higher concentration of hyaluronic acid. Juvederm is used to create fuller lips, and to treat the folds between your nose and mouth, small wrinkles directly above the lips, and wrinkles on the lower and upper face. The results usually last six months to one year.

Radiesse

Radiesse is used to treat deeper wrinkles, contour the jaw line and correct facial imbalance (asymmetry) or facial dips. Radiesse injections may last up to three years when used to fill wrinkles and up to one year when used for contouring.

Fat transplantation

Fat is removed from the lower abdomen or other areas through liposuction and then injected through small incisions into your cheek, temple or forehead. The effects of fat transplantation may be temporary. Achieving the desired results usually requires more than one session of injections, as well as over-filling the site to compensate for the body's reabsorption of the fat. Bruising usually diminishes within three weeks.

As with any operation, injecting facial filler for wrinkles has risks, including:

  • Allergic reaction at the injection site or throughout the body
  • Infection
  • Bleeding
  • Irregularities in the surface, contours and firmness of the skin
  • Experience. Each year, Mayo Clinic cosmetic surgery specialists perform thousands of facial filler procedures for wrinkles.
  • Expertise. At Mayo Clinic, facial fillers are done only by board-certified doctors or physician assistants trained in cosmetic surgery. If the need arises, you have access to all of Mayo's experts, facilities and technology.
  • Time for you. Your Mayo Clinic specialist will take time to discuss options and answer your questions about facial fillers.
  • Efficient care. At Mayo Clinic, your appointments are coordinated, so you usually can complete your treatment in a few days.

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Specialists in dermatology, plastic surgery and ENT (otorhinolaryngology) at Mayo Clinic in Arizona treat wrinkles with facial fillers.

For appointments or more information, call the Central Appointment Office at 800-446-2279 (toll-free) 8 a.m. to 5 p.m. Mountain Standard Time, Monday through Friday or complete an online appointment request form.

Specialists in plastic surgery at Mayo Clinic in Florida treat wrinkles with facial fillers.

For appointments or more information, call the Central Appointment Office at 904-953-0853 8 a.m. to 5 p.m. Eastern time, Monday through Friday or complete an online appointment request form.

Specialists in dermatology, facial plastic surgery (ENT) and plastic surgery at Mayo Clinic in Minnesota treat wrinkles with facial fillers.

For appointments or more information, call the Central Appointment Office at 507-538-3270 7 a.m. to 6 p.m. Central time, Monday through Friday or complete an online appointment request form.

May 05, 2014