Key Things to Know about Dermal Fillers

Dermal Fillers - Avon, CT

Dermal fillers have become a very popular way to restore a more youthful appearance, plump lips and smooth wrinkles.
Learn about injectable dermal fillers and see how they can help you look your best.

1. What are fillers made of?

Most dermal fillers are made of hyaluronic acid, which is naturally found in our skin.

Others are made of Calcium Hydroxylapatite, Polymethylmethacrylate (PMMA) and poly-L- lactic acid (PLLA).

Hyaluronic acid dermal fillers are a gel that is injected into the skin. Hyaluronic acid is a naturally occurring substance that helps keep the skin plump and hydrated by attracting water.

When we are young, our skin has enough hyaluronic acid to store the required amount of moisture and keep our skin fresh. As we age, the amount of hyaluronic acid naturally decreases—making us appear older.

Volume loss contributes to many visible signs of aging. Dermal fillers can replace the lost volume, restoring a more youthful face and enhancing facial features.

There are other types of fillers but Hyaluronic Acid Fillers are the most popular because of their high safety profile.

2. How are Botox/ Dysport different from fillers?

Botox and Dysport are neuromodulators that prevent the muscles from moving, thereby relaxing wrinkles. Fillers restore the lost volume and smooth the wrinkles.

Fillers and neuromodulators work well together to help balance the face, creating a well rested and balanced face.

3. How long do fillers last?

This depends on the area treated, the filler and the patient. In general, hyaluronic fillers last 6-18 months. To maintain optimal results, touch ups are periodically necessary for optimal results.

4. When should people start getting treatments?

Fillers can refine, define and restore. In younger patients, optimizing features like lip and chin augmentation, improving jawline definition and under eye circles are very popular.

Older patients require a more comprehensive approach, with special attention to restoring volume loss, creating a refreshed look without creating a weird look. Facial balancing and pan facial treatments have optimal results. They can be staged and done over time.

Sunken cheeks and temples, lines around the mouth and nose, above lip lines and more can all be treated.

An aesthetic injector needs to have both an excellent aesthetic sensibility and technical knowledge to create natural results. Good work is subtle and elegant.

Dermal fillers, neuromodulators, lasers, good skincare, along with exercise and a good diet, are a great way to flatten the aging curve.

5. Who is not a candidate for dermal fillers?

  • Pregnant and breast feeding women are not candidates for fillers.
  • People with a history of cold sores should be pretreated with antivirals before getting lip fillers.
  • Fillers should be avoided for at least 2 weeks before & after any dental work, vaccines, and tattoos. This helps reduce the risk of infection, swelling and nodules.
  • People who are having an active skin, sinus or dental infection should avoid fillers until they are well.
  • People with a history of autoimmune disease are at a higher risk of complications and need to discuss this with their injector.
  • People with severe allergies and anaphylaxis need to discuss this with their injector.

Tear Trough Fillers – What To Expect With Under Eye Filler

Tear Troughs

Many people come to get treatment to their under eye area because they have dark circles under their eyes and they look tired, no matter how much sleep they get or what expensive skin creams they use.

There are multiple reasons to have dark areas under the eyes. The eyelid skin is the thinnest in the body and very delicate.

Many people have prominent veins that show through the skin, giving it a bluish, purplish tint. This can be addressed by laser to the veins. Others have skin laxity, fat pooching out and the eye bags create a shadow under them. This is best treated with skin resurfacing treatments and surgery. The tiny vessels by the eyes leak and hemosiderin can get deposited around the eyes,
creating pigmentation. This can be improved with microneedling, lasers and certain eye creams to maintain the results. Some people have loss of volume due to aging and genetic predisposition, which reveals the tear trough ligament and reveals a concavity.

As you see, tear troughs are a very complex area to treat and it’s very important to choose a
specialist who can correctly diagnose the cause of the under eye circles and treat them
appropriately.

Dr. Shternfeld is a Board Certified Ophthalmologist and specializes in under eye fillers. Many patients come from out of state to have a consultation and treatment.

Tear trough fillers are very safe and effective, when performed on the proper candidates. Often, cheek and temple fillers are also necessary to help restore volume around the eye. The goal for tear troughs is always to support the surrounding areas and place the minimum amount of filler needed into the tear trough itself because there is very little space in the tear trough. Also, it is an area prone to swelling and hyaluronic fillers attract water. As a consequence, sometimes the area swells too much and tear trough fillers have to be reversed with an enzyme called
Hyaluronidase. It can also develop a bluish tinge, called the Tyndall effect, because the filler is too superficial.

Price of fillers varies from $850 to several thousand, depending on the treatment required.

Choosing the correct filler, amount of filler and correct technique are very important factors to creating best long term outcomes. Fillers can last for many years and people often come to see Dr. Shternfeld to correct fillers placed elsewhere, some years ago. Many factors contribute to good outcomes.