Dermal Fillers

Allergan, Galderma, Merz, and Suneva Dermal Fillers are all available at Hot Spring Surgery and Vein Clinic

We stock all the different Dermal Fillers to address our patient’s needs. We are constantly evaluating the newest offerings available to us and training on the newest techniques of dermal injection.

Dermal fillers are made of various natural and synthetic materials that have been developed over the years for injection into the skin. Several dermal fillers are available for use. Each is used a little differently to obtain the optimum volume creation in different areas. Most dermal fillers being used today are composed of a polymerized & cross linked naturally occurring material called hyaluronic acid. The hyaluronic acid based dermal fillers are now the 2nd commonest aesthetic procedure in the U.S. with just under 1.7 million treatments in 2014. More people than ever are having this treatment because it works! It is not as expensive as a face lift, provides three dimensional correction, and it doesn’t involve any surgery.

As the use of these products has grown, so has the choice of different filler substances. Since the late 1990s, some manufacturers have been claiming that their products last longer than older fillers, and even that their effects can be permanent. The injector can provide up to date information and recommendations on the most effective fillers.

If you are considering a dermal filler procedure, the following information will give you a basic understanding of what’s involved. It can’t answer all your questions, since a lot depends on the individual patient and the practitioner. We always offer free consultations to evaluate your goals and make recommendations before treatment.

How Do Dermal Fillers Work?

As the skin ages, it gradually loses some of its collagen and fat. These are the materials that prevent the skin from becoming saggy. Thus, as we age, our skin can become thinner and more wrinkled and lined. Dermal fillers help to restore skin to a more youthful appearance. It is injected into the skin where it needs to be plumped up and made to look firmer.

Fillers come in different thicknesses, and in general, the thicker the product, the deeper it is injected into the dermis (deep layer of the skin) to help plump out fine to deep lines and wrinkles.

How do I choose what filler to use?

Depending on your particular need, your injector will recommend the specific product that they believe will best achieve the results you want. This may be one specific filler or a combination for multiple areas of applications. This “recipe” is customized and reviewed before treatment.

How long does treatment take?

Treatment from start to finish generally takes 45 min to an hour. First, preparation for treatment generally consists of reviewing the desired results, mapping the plan and reviewing it with the patient. Documentation is done and the area is prepared generally with a topical numbing agent. Once numbing has occurred a series of injections are done. After injection ice or a cooling agent is applied to reduce swelling of the affected area. After treatment the patient is asked to limit exercise for the remainder of the day and sleep with head elevated that evening. These along with any other specific instructions are reviewed at time of treatment.

When will I notice the results?

Results of dermal fillers occur immediately but also some swelling may occur so the initial result or that after a few hours may be differ. This will subside after a day or two. Next, the body will naturally produce more collagen in the area which will improve the results as it interlaces with the product. The body will gradually begin to breakdown the dermal filler and results will begin to diminish. At that point, the patient generally should consider an additional injection before the results completely disappear. Addition of more filler before loss of all correction provides a layering effect. This is the most effective maintenance technique for increasing the longevity of the product over time.

How long do the results last?

Your age, the severity of loss, the specific product attributes, and the volume of treatment all contribute to the longevity of results. Sometimes there is a plan to layer fillers over time to develop a more natural and longer lasting result. In general, temporary dermal filler last from 6-24 months. Thinner fillers used to address fine lines on the surface generally do not last as long and many of the newer fillers are claiming to last up to 2 years. The results are truly individual but longevity is known to increase with each injection.