Fillers, such as Restylane, Juvederm, Vollure, Volbella and Voluma, are safe, effective treatments for facial lines and wrinkles; facial contouring; and lip enhancement by restoring volume. The procedure is quick, the result is long-lasting, and there is no significant recovery time.

How are fillers administered?
Topical numbing cream is applied for 20-30 minutes, then the product is carefully injected into the skin using an ultra-fine needle. After the injections, there may be gently massaging of the skin to optimize contouring. To increase the comfort of the procedure, most fillers are mixed with lidocaine, a numbing agent, in addition to the topical numbing cream.

Is there any post-treatment care needed?
After the treatment, the area may be pink with tiny injection marks. Patients may have differing degrees of swelling depending on the site treated and the amount of products used. Bruising may occur. Bruises generally last few days to a week and vary in severity and duration between different treatment sessions. Patients with thin skin or tendency to bruise may use Arnica three days before and a week after injection. Patient may want to sleep on their back that night if possible. Make-up can be applied immediately as needed. If the area around the mouth is treated, dental work should be delayed 2-3 weeks to limit stretching of that area.

When will I see the results?
The results are immediate. However, it typically takes a few days to see the full improvement as any redness and swelling resolve.

How do I prepare for treatment?
Patients should avoid taking aspirin, NSAIDS (Ibuprofen, Advil, Motrin), St. John’s Wort, fish oil, flax seed and high doses of Vitamin E supplements for 10 days prior to and 1 day after treatment. This will help to minimize bruising. Patients who have a history of cold sores should inform the doctor of this history before injections around the mouth. Prophylactic anti-viral medication may be prescribed three days before and one week after the injection to avoid recurrence of the cold sores.

How long do fillers last?
Duration depends on the area treated and the type of filler. Restylane typically lasts 6-9 months. Juvederm and Volbella may last 12 months. Vollure lasts up to 18 months. Voluma can last 24 months. With each additional treatment, the length of the duration increases.