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.
Hyaluronic acid is a natural component of the skin's connective tissue. Due to its safety and efficacy, hyaluronic acid has become the most common filler used in aesthetic medicine. Hyaluronic acid injections can soften fine lines and creases and restore fullness to your skin. Several hyaluronic acid products are available. They are designed with different-sized particles for different wrinkle depths. Brands include:
- Restylane. Injections can soften moderate to severe facial wrinkles. Indications include correction of tear trough creases under the eyes, folds between your nose and mouth, fine lines throughout the face, and lip augmentation. Results usually last an average of six months.
- Juvederm. Injections can create fuller lips and treat the folds between your nose and mouth, small wrinkles directly above the lips, and wrinkles on the lower and upper face. Results usually last six months to one year.
Calcium hydroxylapatite (Radiesse) is used to treat deeper wrinkles and skin folds, contour the jaw line, and restore volume in and around the cheeks. Radiesse injections may last up to three years when used to fill wrinkles and up to one year when used for contouring.
Fat is removed from the lower abdomen or other areas through liposuction and then injected through small incisions into your cheek, temple, lips or forehead. The effects of fat transplantation may be permanent; however, achieving the desired results usually requires more than one session of injections, as well as overfilling the site to compensate for the body's reabsorption of the fat.
June 11, 2015
- Dermal fillers. U.S. Food and Drug Administration. http://www.fda.gov/medicaldevices/productsandmedicalprocedures/cosmeticdevices/wrinklefillers/default.htm. Accessed Jan. 13, 2015.
- Dermal fillers approved by the center for devices and radiological health. U.S. Food and Drug Administration. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/CosmeticDevices/WrinkleFillers/ucm227749.htm. Accessed Jan. 13, 2015.
- Hyaluronic acid (Restylane) directions for use. Scottsdale, Ariz.: Medicis Aesthetics Inc.; 2011. http://www.restylaneusa.com/assets/pdf/pi.medicis.us-printer_friendly-restylane.pdf. Accessed Jan. 13, 2015.
- Hyaluronic acid (Juvederm) directions for use. Santa Barbara, Calif.: Allergan; 2011. http://www.allergan.com/assets/pdf/juvederm_ultra_dfu.pdf. Accessed Jan. 13, 2015.
- Calcium hydroxylapatite (Radiesse) directions for use. Franksville, Wis.: Merz North America, Inc.; 2013. http://www.radiesse.com/wp-content/uploads/RADIESSE_Wrinkle_Filler_Instructions_for_Use.pdf. Accessed Jan. 13, 2015.
- Filling in wrinkles safely. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049349.htm. Accessed Jan. 13, 2015.
- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. Jan. 13, 2015.
- Eppley B, et al. Injectable soft-tissue fillers: Clinical overview. Plastic and Reconstructive Surgery. 2006;118:98e.
- Nguyen AT, et al. Cosmetic medicine: Facial resurfacing and injectables. Plastic and Reconstructive Surgery. 2012;129:142e.