Fillers

As we age, our skin loses elasticity and volume because the skin is producing less collagen and elastin, which help to provide a supple and wrinkle-free face. Each filler is uniquely formulated to produce a certain texture, density, and injection depth, and with Dr. Day’s expertise, she is able to advise the best filler for your needs. They vary in chemical composition, longevity, and size, which means that certain fillers work better for certain areas of concern. Dr. Day has been noted as a master injector by Allergan. She works patients to ensure she is addressing their concerns and that each patient is completely pleased with their treatment.

Aside from differing in chemical composition, fillers also differ in longevity, ranging from 6 months to 2 years or more. Most fillers are temporary; lasting from 6 months to 1 year. Synthetic fillers offer longer-lasting effects; at least one offers semi-permanent filling. Dr. Day is also able to dissolve certain fillers, ensuring that you achieve optimal results.

Fillers are also designed with varying particle sizes and molecular weight to deliver different results. For example: Juvederm Ultra XC and Juvederm Ultra Plus XC are dense and cross-linked, which produces a strong volumizing effect. Restylane Lyft has larger particles for adding structure to the cheekbones, while Restylane Silk has smaller particles for addressing thinning on the lips.


What is hyaluronic acid?

Most fillers are made of hyaluronic acid, which is a naturally occurring compound found in the human body. Because it is already produced in the body, it reduces the possibility of the substance being rejected by the immune system. Once injected into the skin, it can deliver nutrients, hydrate and plump the skin by holding in water, act as a cushioning agent, and replenish the skin’s natural production of hyaluronic acid, which diminishes as you age. Research also suggests that hyaluronic acid injections may stimulate the body to produce more of its own collagen, leading to a sustained look of youth.

Types of hyaluronic acid filler:

  • Juvederm Ultra XC
  • Juvederm Ultra Plus XC
  • Juvederm Voluma
  • Juvederm Vollure
  • Juvederm Volbella
  • Restylane-L
  • Restylane Lyft
  • Restylane Defyne
  • Restylane Refyne
  • Restylane Silk
  • Belotero Balance
  • Belotero Intense

What is poly-L-lactic acid?

Polylactic acid is a safe, FDA-approved synthetic substance that has been used for more than 40 years for dissolvable stitches. Fillers made from poly-L-lactic acid are classified as stimulators because they encourage your body to produce new collagen and underlying tissue. Your own collagen fills in the lost volume and elevates the sagging skin! Unlike other fillers, results gradually appear over a period of a few months and can last 2 years or more. Sculptra uses poly-L-lactic acid to achieve its results.


What is calcium hydroxylapatite?

Calcium hydroxylapatite is a mineral-like compound found naturally in human bones. Fillers that are biosynthetically designed with this ingredient produce an immediate result. They also offer longer-lasting benefits than hyaluronic acid fillers because the body forms collagen around the calcium hydroxylapatite microspheres. Radiesse uses calcium hydroxylapatite to achieve its results.


What is lidocaine?

Lidocaine is a local anesthetic that reduces the immediate feeling of pain and produces numbness. Most fillers contain lidocaine to help ease the discomfort during and after treatment.


What should I know before my treatment?

Before receiving a filler injection, you should stop taking Advil, Aspirin, Motrin, ibuprofen, fish oil supplements, and other blood thinners for two weeks prior to injection if possible. There is a minimal risk of bruising associated with injections, and blood thinners can make a bruise last longer. If you are taking any blood thinners, please inform Dr. Day during your appointment. Additionally, you should not have any dental work for one day prior or one month post filler injection. Patients are also advised not to receive any vaccinations one month prior to the appointment as well as one month after the injection. We do not recommend any injectable treatments prior to a special event. Schedule a consultation with Dr. Day to hear her treatment plan catered to you specifically!


What should I expect at my appointment?

After you receive your treatment from Dr. Day, you can expect minimal recovery and downtime. As with any injection, there is a possibility of bruising and swelling, but ask about our bruise reducing products such as Arnika Forte and Alastin INhance Post-Injection Serum! You can expect rapid improvement in the treatment areas and can return to your everyday activities almost immediately after. Results may vary and some patients may need more than one treatment, or a combination of treatments to achieve optimal smoothing results.

    JUVEDERM ULTRA XC: Juvederm Ultra XC is a dermal filler that uses hyaluronic acid, a protein compound found naturally in the body. Juvederm Ultra XC provides volume to the treated area and helps with reducing the appearance of fine lines. The Juvederm includes 0.3% lidocaine to minimize any discomfort  during treatment. Dr. Day’s expertise leaves patients extremely satisfied with the fuller, yet natural look that Juvederm can provide!

    JUVEDERM ULTRA XC vs. JUVEDERM ULTRA PLUS XC: Juvederm Ultra XC vs Juvederm Ultra Plus XC, what is the difference? Both compounds are able to provide volume and reduce the appearance of fine lines and wrinkles. Juvederm Ultra Plus XC includes a more dense form of hyaluronic acid substance and is also the most cross-linked version of the product. With the increased amount of cross-linkages, Juvederm Ultra Plus XC has a greater volumizing effect, especially around the cheeks, lips, and very deep nasolabial folds. Schedule an appointment today to see which filler Dr. Day recommends for you!

    JUVEDERM VOLUMA: Juvederm Voluma is an excellent choice for patients who wish to address volume loss, especially in their cheeks. Juvederm Voluma is able to help lift and contour, while also addressing volume loss! Juvederm Voluma is formulated with a numbing agent, lidocaine, so that patients will experience minimal discomfort during the injection process. Juvederm Voluma is a hyaluronic acid gel filler, and is thicker and more firm than other types of fillers. Additionally, the patented Vycross technology helps to prevent degradation of the product after injection. These two distinctions allow for the filler to last up to two years! Juvederm Voluma provides patients with a youthful profile and smoother contour.

    JUVEDERM VOLLURE: Juvederm Vollure is an aesthetic dermal filler that uses hyaluronic acid as well as Vycross technology. The Vycross technology includes combining high and low molecular weight to create a better cross-linking of the hyaluronic chains in the substance. With Dr. Day’s exceptional skill, she is able to improve the look of lines and wrinkles, especially the “parentheses” lines around the nose and mouth.

    JUVEDERM VOLBELLA: Juvederm Volbella includes hyaluronic acid with Vycross technology to provide patients with a lasting effect. Juvederm Volbella is frequently used to increase the volume in the lips and perioral region. Volbella can be used to enhance the size and shape of lips as well as provide a smoother and more symmetrical appearance. Juvederm Volbella can enhance a patient’s natural look and leave them looking youthful and beautiful.

    RESTYLANE: Restylane is a hyaluronic acid dermal filler that provides patients with a fuller, more youthful and radiant look. Restylane has been shown to last approximately six months and can be used to help with the signs of aging by replenishing volume loss and treating moderate to severe facial folds and wrinkles.

    RESTYLANE LYFT: Restylane or Restylane Lyft, which is best for you? While both Restylane and Restylane Lyft can replenish volume loss, the products differ in viscosity and the ability of the product to lift and provide volume. When having a consultation with Dr. Day, she will be able to suggest which filler would best fit your needs and provide you with a radiant and youthful look!

    RESTYLANE DEFYNE vs RESTYLANE REFYNE: Which one will best meet your needs? Both Restylane Defyne and Refyne are hyaluronic acid dermal fillers that are able to provide patients with more lift and volume. When having a consultation with Dr. Day, she will be able to recommend which filler would provide the best results for you. Restylane Defyne can be used to treat moderate to severe smile lines, with results lasting up to 12 months while Restylane Refyne can be used to treat moderate lines and wrinkles. Defyne is often used along the jawline, to create a more visible distinction. Schedule an appointment today to see which treatment option Dr. Day thinks is best for you!

    SCULPTRA: Aging can leave the skin with less volume and elasticity because of a decreased production in collagen. The loss of collagen combined with skin damage can result in fine lines and wrinkles. Sculptra includes poly-L-lactic acid and a biocompatible, biodegradable aqueous gel to stimulate collagen growth. The collagen is then able to fill in the depressed lines and can provide volume to many parts of the face, including the areas around the eyes and lips, throughout the cheeks and neck, folds around the chin, hollow areas under the eyes, and the temples. Unlike some other fillers, the results achieved with Sculptra can last up to two years, as it stimulates the body to generate its own collagen. If you are ready to reverse the signs of aging and decrease your fine lines and wrinkles, Sculptra might be the option for you! Schedule to make an appointment to meet with Dr. Day to discuss which treatment she advises.

    RADIESSE: Radiesse is an FDA approved injectable filler that is designed to help with the correction of facial lines and wrinkles, such as nasolabial folds. This filler includes calcium hydroxylapatite, which is a mineral-like compound found naturally in human bones. This filler offers longer-lasting benefits than hyaluronic acid fillers because the body forms collagen around the calcium hydroxylapatite microspheres. The microspheres provide almost immediate volume and lift to the treated area, while the collagen build up means enhanced results over time. 

    BELOTERO: Belotero is a hyaluronic acid injectable filler that can be integrated into the skin tissue to correct etched-in fine lines and rebuild facial volume and structure. The lower density of Belotero helps it blend into the natural structure of the skin, producing seamless volume.