Dermal Fillers

Loss of collagen and facial fat are part of the natural aging process, which usually begins in someone’s 30s. At this point, the skin’s natural supports begin to diminish, producing a gradual loss of definition in the cheeks, eyes, temples, lips, jawline, and forehead. As the skin ages, it begins to lose its youthful elasticity, and this results in the emergence of wrinkles and sagging of the skin. There is a hallowing around the eye sockets along with sunken temples, flattened cheeks, and loose skin around the jawline, better known as jowls. Fine lines appear on the lips and around the nose. Nasolabial folds form around the corners of the nose and mouth and oral commissures develop just beneath the corner of the mouth. The skin appears drier, thinner, and less pliable and vibrant. At Kessel Dermatology, servicing the Hamilton Square, Trenton, and Mercer County areas in New Jersey, we offer a variety of treatments aimed at restoring facial volume and a youthful appearance

What are dermal Fillers?

Dermal fillers are injectable gels that are designed to:

• Revolumize areas of volume loss
• Augment lips
• Recontour cheeks and jawline
• Diminish the look of fine lines around the mouth
• Improve the look of folds and marionette lines

What areas can be treated?

• Lips
• Cheeks
• Chin
• Jawline
• Temple hollows
• Nasolabial folds
• Marionette lines
• Smoker's lines around the mouth
• Hands
• Neck
• Volume loss sides of face

What are dermal fillers made of?

There are several different main ingredients for dermal fillers. By far the most common is Hyaluronic Acid. The formulation of the specific filler will determine the density, firmness, viscosity and how much water the filler will absorb in order to plump. 

How long do dermal fillers last?

The duration varies from product to product and area of the face. Some fillers will last as long as two years. But that doesn't mean the area treated will look perfect the entire time. Those particular fillers will gradual begin to break down after the first year, with some product still remaining at the two year mark. 

Areas like the lips and right around the mouth tend to break down faster. Usually around one year. 

Am I a candidate for fillers?

Most fillers contain Lidocaine, so if you are allergic to Lidocaine, then you would not be a candidate. 

While not a contraindication, patients with autoimmune conditions need to get clearance from their rheumatologist. Sometimes those patients may be prone to inflammatory type reactions post treatment if their autoimmune condition is not well controlled. 

What are some of the risks of dermal fillers?

Common side effects:

• Bruising
• Swelling
• Tenderness in the areas treated
• Palpable product
• Small lumps (not that common) 

Extremely rare but serious complications  are vascular:

• Blood flow compromised to the skin
• Filler in a blood vessel traveling to the eyes or brain

Can fillers be dissolved?

Yes! With proper technique and the advancement of filler formulation, palpable lumps are not that common. But in the event one should surface, they can be easily dissolved.

Here at Kessel Dermatology, our aesthetic medicine expert, Savy Guthrie MPAS, PA-C frequently does corrective work on patients that are unhappy with their filler from other practices. 

Facial Contouring  Solutions

• Restylane®
• Juvederm® Volbella
• Juvederm® Voluma XC
• Juvederm® Vollure
• Juvederm® Ultra
• Juvederm® Volux
• RHA 3
• Radiesse
• Belotero® Balance
• RHA® Redensity

Schedule an appointment with one of our experts today to discuss which products might be right for you.

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