One of the main factors that contributes to an aging face is fat deflation (loss) from the face. This is especially prominent along areas of deep ligamentous attachments.
Think of this analogy: Imagine a balloon full of air (similar to a young person with a full face). When you let the air out of the balloon, the balloon sags with wrinkles and folds. The same thing happens with the face. As one ages, there is fat loss which contributes to a saggy fallen face with wrinkles and skin folds.
What Is Filler Treatment?
As an oculoplastic surgeon, Dr. Taban has expertise in treating signs of aging on the face and around the eyes. He utilizes the most advanced techniques to provide patients with optimal filler injection results. During your consultation with Dr. Taban in Beverly Hills or Santa Barbara, he will examine your face and determine if hyaluronic acid fillers, like Restylane, Perlane, Belotero, and Juvderm, or volumizers, like Radiesse and Sculptra, are best for you.
Above, a patient before and 1 month after Restyalne injections to correct lower eyelid hollows
Injectables are designed to subtly reduce these signs of aging by restoring lost volume. The use of injectable facial fillers is one of the fastest growing areas in the field of cosmetic surgery. Many advances have been made in the last 5 years that have led to safer, more predictable and longer lasting fillers.
FDA approved injectable fillers include Collagen, Hyaluronic Acid Gel Fillers (Restylane, Juvederm, Belotero, Perlane), Radiesse, and Sculptra. For those wishing to avoid the injection of any foreign material, fat transfer, the harvesting and reinjection of your own fat, may be an option.
Filler Treatment Uses
Injectable fillers can help the patient achieve a more youthful looking appearance. During your consultation with Dr. Taban, he will explain to you the details of the treatment that will best accomplish your goals. Fillers are generally used to add volume to the following areas:
- Nasolabial folds (laugh lines)
- Around the mouth (marionette lines)
- Lip border definition (lipstick lines)
- Lip enhancement
- Corners of the mouth
- Sunken cheeks
- Under eye circles, tear troughs
- Facial symmetry
To better understand your options for filler treatment, contact Dr. Taban today to schedule your initial consultation.
Recovery Time After Filler Treatment
Filler injections are performed using topical or local anesthesia, with no downtime. Bruising is possible in certain cases, and swelling may be present as well. After receiving filler treatment from Dr. Taban, board certified ocular plastic surgeon, patients are free to continue on with their day with little to no discomfort and return to their normal life activities.
These were the first FDA approved fillers. They had the disadvantage of requiring a skin test prior to injection with a one month wait prior to treatment. As new injectables were approved by the FDA, these declined in popularity.
Hyaluronic Acid Gel Fillers (Restylane, Belotero, Juvederm, Perlane)
Hyaluronic acid is a naturally occurring carbohydrate which occurs in skin. It is a clear gel with a thick consistency. Since skin testing is not required, injections may be done on the same day as the initial consultation. Manufacturers have manipulated particle size (thickness) and cross-linked molecules to offer both normal and longer duration products. Restylane® has been used safely and effectively in the United States since 1996. Elvess and Prevelle Silk are newer hyaluronic acid gel fillers that also contain a local anesthetic (Lidocaine) that reduces discomfort during injection. Hyaluronic acid gel fillers last around a year, although their effects can last much longer since the tissue around the fillers “mold”. Hyaluronic acid gels fillers are ideal for the eyelids, brows, temples, and lips.
Radiesse is an injectablefiller made up of calcium deposits. It has a tougher consistency than hyaluronic acid gels and lasts up to years. It is best used for the midface and lower face area.
Sculptra® Aesthetic (injectable poly-L-lactic acid) is a new type of facial injectable made from poly-L-lactic acid, which helps to replace lost collagen. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades. It helps correct shallow to deep facial wrinkles, and folds that appear with aging. It is usually injected over 2 sessions. Collagen buildup is gradual, over weeks to months, lasting years. It is best used for midface area.
Belotero is an HA dermal filler, made of the same volumizing and moisturizing component of your skin. It subtly adds volume and a more youthful appearance, making it the natural choice for fine lines. It is specifically designed to integrate into your tissue leaving even results without disrupting the natural contours of your face. It can be used around the eyes, mouth, or for any fine facial lines.
Juvéderm Voluma XC, commonly called Voluma, is a filler ideal for the mid-region of the face. Unlike other hyaluronic acid gel filters, the results from Voluma can last for up to two years, significantly longer than any other HA filler. In addition, Voluma is the first and only injectable designed for deep injection within the cheek area, providing patients with smooth, wrinkle-free skin around the mouth and nose.
Dr. Taban has published numerous articles and medical texts, including this article on the usage of injectable fillers for filling hollows around the eyes. Read Dr. Taban's article: Use of Hyaluronic Acid Gel for Upper Eyelid Filling and Contouring.
Before and After Filler Injection Pictures
See more pictures of Dr. Taban's patients before and after filler injection treatments in the Photo Gallery.
Contact Dr. Taban
If you are interested in filler injections, please schedule a consultation with Dr. Taban today to learn about the different treatment options that may be best for you. Dr. Mehryar (Ray) Taban is a board certified ocular plastic surgeon with offices in Beverly Hills and Santa Barbara who specializes in facial cosmetic plastic surgery and the use of fillers.
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