What do you call those wrinkles around the mouth and nose? Laugh lines? Smile lines? Regardless of the positive spin we give them, most folks would rather do without them. Thankfully, board-certified plastic surgeon Dr. David Bogue has an answer for you – injectable fillers. To schedule a consultation to learn more about this type of non-invasive treatment, please call our experienced staff at 561-886-1000.
What areas can be treated with dermal fillers?
Dermal fillers only work on static wrinkles and lines, along with areas that have lost volume, on the mid to lower face. Fillers are not used on the upper third of the face, where BOTOX® erases crow’s feet, frown lines, and forehead lines.
These are the issues Dr. Bogue treats with our dermal fillers:
Nasolabial folds (smile lines) — Running from the nose down to the corners of the mouth.
Marionette lines — Running from the corners of the mouth downward.
Barcode lines — Vertical lines above the upper lip.
Parentheses lines — Framing the sides of the mouth, like parentheses.
Sunken cheeks — Flattened and sunken cheeks.
Lip augmentation — Adding volume and definition to the lips.
Under-eye hollows — Tear troughs and areas under the eyes.
Injectable Filler Options
Dr. Bogue offers the following fillers:
You may not think about your lips with facial aging, but our lips thin as we get older, losing the same support as our skin. Other women have never been happy with the fullness of their lips. Juvéderm® Ultra provides or returns fullness and fills the vertical wrinkles that form on our lips. Like Ultra, Juvéderm® Ultra Plus adds volume to the lips and areas around the mouth. Ultra Plus is composed of bigger molecules than Ultra, making it thicker and a little longer lasting. Ultra Plus is better for severe wrinkles and folds and for extra lip volume enhancement.
Dr. Bogue may call it “age-related mid-face volume loss.” You call it sagging cheeks. Over time, as you lose the collagen to support your skin and as your underlying muscles weaken, your cheeks flatten. Juvéderm® Voluma is designed to add volume beneath the skin’s surface to lift and contour the cheek area. Plump cheeks are a tenet of a younger look.
Restylane® was the original dermal filler, first approved by the FDA in 2006. Restylane® (and all dermal fillers) works on what are known as “static” wrinkles. These are the wrinkles formed by sun damage, declining collagen production with age, personal habits such as smoking, and such. Static wrinkles show themselves at all times. These are nasolabial folds (lines from the nose down to the mouth), marionette lines (running from the corner of the mouth downward), parentheses lines (framing the sides of the mouth), lip lines, and others.
Fat transfers are an alternative to dermal fillers. In these treatments, Dr. Bogue takes fat from an unwanted area, such as the thighs, purifies it, and then injects it into areas of the face that have lost volume. This is a permanent treatment. Some of the fat won’t permanently “take,” but the 60 to 70 percent that does will be there for good. Due to the variability of how much fat takes, fat transfers may require an additional session to fill in some areas.
The name-brand fillers are administered in a matter of minutes. Fat transfers are more involved. Fat is suctioned from one area of the body and transferred to the area of need. The results are permanent as the fat lives in the new location. Fat transfer can also be used to enhance the results of breast reconstruction by smoothing out contour irregularities.
The Injectable Filler Treatments
The fillers at Dr. Bogue's practice treat some of the most common facial flaws, including:
- Fine lines and wrinkles
- Deflated or thin lips
- Hollow cheeks
- Previous facial scars
The goal of volume enhancement, particularly in the lips, is facial harmony. Care is always taken to avoid the "injected" or "inflated" look. To improve fullness in the upper cheek, Dr. Bogue offers Juvederm® Voluma – the only FDA-approved filler for mid-face rejuvenation. Fat transfer is a great option for permanent correction, but often we advise on temporary fillers first to make sure you are comfortable with the look.
Although these facial changes often go hand-in-hand with aging, men and women in their early 20s and in their 30s are also consumers of these cosmetic treatments. Many young patients have flocked to injectable fillers because they provide a way to stave off the effects of aging or as a way to enhance the appearance of their lips.
Appointments to administer injectables are completed quickly. Some people even schedule the appointment during their lunch hour. Redness is normal at the injection site, but it should dissipate quickly. Bruising is possible as well, although most of our patients do not experience significant bruising from injectables
Injectable Fillers Cost
Pricing for injectable fillers is based on the product and the number of syringes. Our pricing is as follows:
- Restylane® – $700/syringe
- Juvederm® Ultra – $700/syringe
- Juvederm® Ultra Plus – $900/syringe
- Juvederm® Voluma – $800/syringe
All of the above fillers come with a free touch-up at one week. Fat transfers vary in price based upon how much fat is necessary and the number of areas to be treated.
How soon after my session will I see my results with dermal fillers?
These are instant results. Dr. Bogue only uses the hyaluronic acid fillers listed above. They all work in the same way. Once the filler is injected into the lips, under a crease, or into an area of volume loss, the hyaluronic acid instantly binds with nearby water molecules hydrating, firming, and plumping the skin. This happens immediately.
Is there anything I can do to maintain or prolong my results with dermal fillers?
There isn’t anything that can be done on your part. Over time, the body eventually breaks down and absorbs the hyaluronic acid in these dermal fillers. This happens more quickly in areas with lots of movement. For instance, injecting Ultra or Ultra Plus into the lips doesn’t provide results for the same duration as Voluma in the cheeks. This is because our lips are moving almost all the time, whereas our cheeks don’t move much. Nothing you can do changes this.
Are there risks involved with dermal filler injections?
The typical after-effects with these products are slight redness and swelling at your injection sites. This passes in just a few hours. Occasionally, lumps can form, but hyaluronic acid fillers have an interesting characteristic that can address that occasional problem. If a lump develops, or if you don’t like the look of the area where Restylane® or Juvéderm® was injected, the hyaluronic acid can be instantly neutralized by the injection of an enzyme called hyaluronidase. This enzyme instantly breaks down the hyaluronic acid in these fillers.
Are there risks with fat transfer to the face?
These procedures are refreshingly straightforward. Dr. Bogue simply removes the fat from areas you do not want it, and then injects it back into areas where you want fat returned. Because of that, they are very low risk. Remember, this is your own fat that is being used, so there aren’t any possible reactions. We purify the fat harvested to make it mainly just the fat cells when injected back into your face.
The only real risk, per se, is that not all of the transferred fat “takes.” The fat cells need to acquire a blood supply once injected across the facial areas. Dr. Bogue over-injects the areas to allow for this, but there is some variability.
How often will I need dermal filler injections?
These results aren’t permanent. The rule is that the location of the injections directly impacts the duration of your results. For instance, an area that involves lots of movement, such as around the mouth, will break down the filler faster than an area such as the cheeks that doesn’t move much. For that reason, our dermal fillers provide results from 6 months up to 18 months.
Fat transfers, in contrast, are permanent treatments.
Call Dr. Bogue For Injectable Fillers In Boca Raton, FL!
To find out if injectable fillers are right for your cosmetic goals, please call the practice of board-certified plastic surgeon Dr. David Bogue at 561-886-1000 or by using the contact form on this page. Dr. Bogue is proud to serve Fort Lauderdale, West Palm Beach, Boca Raton and all of the surrounding areas.