To reduce wrinkles and add volume to lips or other facial features without surgery, dermal fillers are just what the doctor ordered. While BOTOX® Cosmetic can only treat dynamic wrinkles such as frown lines or crow’s feet, dermal fillers can fill deep creases, plump lips and eliminate other signs of aging. There are a variety of fillers to choose from, such as JUVÉDERM®Injectable Gel, Restylane® and Sculptra®Aesthetic for Walnut Creek women and men who visit MSpa. Dr. Eric Mariotti and his nurse injector Liz Lee can help determine which filler is right for you.
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Benefits of Dermal Fillers
- They offer predictable results.
- No surgery is necessary.
- They produce results that look natural.
- No downtime is required.
- They can be performed quickly, right in Dr. Mariotti’s office.
- You will see immediate results
It’s important to discuss with Dr. Mariotti or Liz exactly what you can expect from each treatment. Together, you can prioritize which areas are most important to you and discuss how many treatments you may need and the estimated cost. One treatment may not fully correct every line on your face and, as the results of dermal fillers are not permanent, full correction requires continued treatments. Dr. Mariotti or Liz may recommend combining your filler treatments with BOTOX Cosmetic at our practice near Walnut Creek as part of a nonsurgical facelift. You can also maintain your results with a regular treatment plan at a great price through our MSpa Aesthetic Club.
JUVÉDERM® Injectable Gel
Made with hyaluronic acid, JUVÉDERM is a smooth-consistency gel that glides easily into the skin. Particularly suited for nasolabial folds (also referred to as “smile lines”), JUVÉDERM is the only FDA-approved filler to last up to 1 year and to be safe and effective for persons of color. JUVÉDERM is available in two solutions: JUVÉDERM Ultra and JUVÉDERM Ultra plus to correct deeper creases.
JUVÉDERM VOLUMA® XC
This hyaluronic acid filler is approved by the FDA to replenish volume in the cheeks that has diminished as a result of aging. VOLUMA XC is effective on all areas of the cheek and creates a natural-looking, youthful fullness that can last for up to 2 years. Formulated with lidocaine for a comfortable treatment experience, VOLUMA XC delivers a subtle lift on its own.
JUVÉDERM Vollure™ XC
JUVÉDERM Vollure™ XC softens moderate to severe parentheses lines and wrinkles by adding volume to the lines and wrinkles around your nose and mouth to produce subtle and long-lasting results for up to 18 months. It is a longer-lasting formulation of the original JUVÉDERM XC product.
Made from poly-L-lactic acid, Sculptra is approved by the FDA for the restoration and correction of facial fat loss. It is most often used to treat deep folds between the nose and mouth as well as creases and wrinkles around the mouth and chin. Through a series of injections over a period of a few months, it can help replace lost collagen by creating an environment beneath the skin that encourages the growth of new collagen. As a result, changes appear gradually and create natural-looking, long-lasting improvements that can last up to 2 years.
Restylane is the world’s best-selling dermal filler. It is a cosmetic dermal filler made of hyaluronic acid, a natural substance that already exists in the human body. Restylane maintains its shape using the body’s own moisture. As hyaluronic acid gradually degrades, each molecule binds to more water and, over time, the same volume can be maintained with less hyaluronic acid. This ability of hyaluronic acid to bind to water is what helps provide lasting results. Although slightly more expensive than collagen, Restylane can last anywhere from 2 to 4 times longer. Also, because Restylane contains no animal proteins, there is lower risk of allergic reactions.
If you’ve always had thin lips, or if they are losing volume as you get older, Restylane Silk injections can create fuller lips that look natural. Silk — like other Restylane products — is made using hyaluronic acid, but with a formulation specific to thinning lips and the fine lines that develop around the mouth. These “smile lines” are often one of the earliest signs of aging. The smaller, smoother particles in Silk differ from other Restylane fillers, which makes Silk ideal for the subtle addition of volume.
Volume loss in the midface area, especially the cheeks, can make you look older than you are by creating a hollow appearance. Where traditional hyaluronic acid-based fillers have fallen short in this area, Restylane Lyft can achieve the desired result. Its thicker formulation means a smaller amount of Restylane Lyft can get the same desired results as comparable products, making it a more affordable option. Patients may experience results lasting an average of 10 to 18 months.
BELOTERO BALANCE® injectable gel is a prescription injection that is used to temporarily smooth out and fill in moderate-to-severe nasolabial folds as well as other moderate-to-severe etched-in lines and wrinkles around your lips and mouth. BELOTERO integrates directly into the skin, helping to enhance the appearance of stubborn etched-in lines and wrinkles with minimal downtime.
This is the first and only filler that is FDA-approved to treat dynamic facial wrinkles and folds (those that move with your natural facial expressions). RHA fillers are called “resilient” because they are designed to smooth and contour even the most wrinkle-prone areas of your face.
The RHA Collection includes 3 different types of fillers, each one specially formulated to treat different areas of the face:
- RHA 2 is designed to treat surface lines and wrinkles including vertical lip lines, radial cheek lines (those that fan out from the mouth when you smile), glabellar lines (a.k.a. the “elevens”), and crow’s feet.
- RHA 3 works best for treating deep wrinkles and creases, such as nasolabial folds (the deep lines that run vertically between the nose and mouth) and the corners of the mouth. It can also be used to volumize the lips and midface, and smooth the cheeks.
- RHA 4 is designed to treat the deepest lines and folds, namely those along the lower face and jawline. It is also effective at contouring the cheeks to create the appearance of high cheekbones.
Our team of skincare experts can help you determine which filler is best for your aesthetic goals during a personal consultation. Here are a few of the advantages RHA fillers have over traditional HA fillers:
- While traditional HA fillers last between 6-12 months, RHA fillers work for up to 15 months.
- Unlike HA fillers, RHA fillers can more effectively treat both dynamic and static wrinkles—meaning they can temporarily correct virtually any and all facial lines and folds.
- Patients who received RHA fillers experienced less swelling than HA fillers.
Fillers are not one-size-fits-all products and it’s important to choose an injector with the expertise to know which fillers work best in certain areas of the face. Dr. Mariotti has years of experience with injectable treatments, including both fillers and BOTOX and patients trust him to recommend the treatments best-suited for specific cosmetic concerns.
During your consultation, Dr. Mariotti will work with you to develop a custom treatment plan that matches your goals.
Most patients tolerate the injections quite well. Many fillers are now formulated with lidocaine, a local anesthetic that helps minimize discomfort during treatments. We can also apply a local anesthetic cream to the treatment area to create a more comfortable experience. This is typical for lip injections, for example, because the lips are especially sensitive.
Yes. Most patients are quite satisfied after getting fillers, but occasionally the outcome is different than what a patient expected. In such a case, Dr. Mariotti injects an enzyme called hyaluronidase directly into the treatment area, which rapidly breaks down the hyaluronic acid filler used.
It’s important to note that hyaluronic acid-based fillers, such as JUVÉDERM, are the only ones with a reversal enzyme. RADIESSE and Sculptra have a different chemical composition, so they cannot be dissolved in the same manner.
Take the first step toward your dream look and contact us online or call our Concord office at 925-685-4533 to request a consultation.
*Information for education only, not meant as a guarantee of results. Your results may vary. Unless otherwise noted, images on this site are of models.