Dermal fillers are considered a minimally invasive cosmetic procedures. They can be performed in a medical office setting without the use of sedation/ pain medication on an outpatient basis.
Dermal fillers are structurally similar to collagen and as such act by adding volume to certain areas on the face. In the hands of an experienced practitioner, dermal fillers are injected to either decrease the appearance/depth of wrinkles or increase the size of certain facial structures.
There are many types and brands of filler available.
Bellafill® is an FDA approved dermal filler for the correction of facial wrinkles known as nasolabial folds or smile lines. It is a unique, injectable collagen filler with microspheres that can instantly smooth facial wrinkles for beautiful, natural-looking results that last.
Bellafill® replaces lost volume in the skin below the wrinkle for results that are immediate and lasting. The injectable gel is comprised of 80% purified collagen and 20% PMMA (polymethylmethacrylate) microspheres (add Lemperle reference).
Treatment with Bellafill® is very similar to treatment with conventional injectable fillers. The main difference is that Bellafill® requires a skin test in the United States to identify those patients who may have an allergy to bovine collagen or lidocaine. Lidocaine is provided to minimize discomfort during injection.
First Appointment: Your skin test. A small amount of purified bovine collagen gel is injected in the forearm to ensure you have no adverse reactions to bovine collagen and/or lidocaine.
Second appointment: Four weeks later, if there have been no adverse reactions to the initial test, you are ready for treatment. Upon injection, you will usually see immediate improvement to lines and wrinkles. The amount of Bellafill® required will depend on the severity of the lines/wrinkles being addressed.
Third appointment: A follow-up is suggested at 4-6 weeks. This also allows you to decide if you would like to further enhance or correct the area.
RADIESSE is a wrinkle filler used to plump the skin. RADIESSE is injected through a small needle and placed under the skin. Immediately, this filler works to add volume under the skin and over time, the benefits of RADIESSE continue by naturally stimulating your body’s own natural collagen. The natural results have been shown to last a year or more in many patients, making the treatment results both immediate and long lasting.
RADIESSE is comprised of Calcium Hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier. Once injected, it provides immediate volume and correction but continues to work by stimulating the body to produce its own natural collagen.
Over time, the gel is absorbed and the body metabolizes the CaHA microspheres leaving behind only your own natural collagen.
BELOTERO BALANCE® is a hyaluronic acid (HA) injectable filler that completely integrates into the skin tissue. While some fillers are designed to rebuild facial volume and structure, BELOTERO BALANCE specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips. Treatment areas include nasolabial folds, vertical lip lines, corner lines, smile lines, and chin wrinkles.
JUVÉDERM® XC is a non-surgical filler used to instantly smooth out the lines along the sides of your nose and mouth. It can provide natural-looking results for up to a year with optimal treatment. JUVÉDERM® XC is made from a modified form of hyaluronic acid (HA), manufactured using proprietary HYLACROSS™ technology.
JUVÉDERM® XC non-surgical filler is approved for injection into the mid to deep dermis (below the outer layer of skin) as well as in the lips.
JUVÉDERM® XC has been studied and proven safe and effective for all skin types.
JUVÉDERM VOLUMA® XC injectable gel, also a hyaluronic acid filler, is for deep injection in the cheek area to correct age-related volume loss in adults over the age of 21. This gives you an instant lift with natural looking results that can last up to two years with optimal treatment.
Restylane adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane can also add fullness and definition to lips in patients over 21 years, providing natural-looking results with just one treatment.
Restylane works immediately by adding volume to smooth away wrinkles. A clear gel formulation of hyaluronic acid, Restylane is specifically formulated to act like your body’s own hyaluronic acid, and eventually breaks down naturally.
Just like Restylane, Restylane Silk is a clear gel formulation of hyaluronic acid — a sugar that is naturally present in your skin.
Restylane Silk is designed specifically to provide natural-looking results in the lips and the area surrounding the mouth. That’s why it’s made of smaller, smoother particles than those used in other Restylane products.
Restylane Silk’s unique particle gel formula, along with an ultrafine needle designed for improved accuracy, helps give you softer, more precise results — just what you need for a natural-looking smile.
In your consultation with Dr. Shanthala, she will discuss your specific needs and determine which filler(s) may be right for you.
I don’t usually write reviews but I just had to now. About 8 months ago, I got a facial filler done at a doctors office like I usually do a couple of times a year. This time though, something went terribly wrong. I’m not sure the what the medical term is for what happened to me, but it seems that the filler was injected into a blood vessel. What followed was horrible. Immediately, the left side of my face went numb and I developed a terrible infection that caused a horrible lesion, and my face to swell and look deformed. I temporarily lost my eye sight in my left eye and was in a lot of pain. I was scared and confused and seeked some answers or even help from the doctor that performed the treatment. To make a long story short, I called the office 5 times before the doctor called me back, only to tell me that I’ll be fine and to take some Advil. After 8 months, I still have numbness in my face and a scar from the lesion. I finally decided to consult Dr, Shanathala and get her opinion on whether I would ever be able to do anything to my face again. Call me crazy after what I went through, but at the end of the day, I am still a woman and aging concerns me like all of us. From the moment I walked in to her office, I felt the warmth and calm that she put out. She explained to me what happened to me and let me decide if I wanted to take things slow. I wanted her to do a little filler again, so after 45 minutes of her explaining everything to me, she did, even though I was terrified, and I was thrilled with the results, and I got the courage to do things to my face again with her help. Thank you Dr. Shanthala, For being a human being, for showing compassion, for being a professional, for listening, for being amazing at your job, for loving what you do, and loving your patients,for not cutting corners, for being patient and all around for being a beautiful person. Thank you
Dr. Shanthala is also a certified in using Dermasculpt Cannulas for filler injections. The cannula is a soft, tiny alternative to using a needle, allowing the provider to inject filler with practically no pain or bruising for the patient. It also allows a single point of entry of an area for wider coverage and less sticks.
I love my lips. Recently Dr. Shanthala used Restylane Silk to enhance my lips. And it was virtually painless. First, Dr. Shanthala injects local anesthetic near the corners of your mouth. No complaints there! Then, using a cannula to inject the product, she places the Restylane Silk in the lips. A cannula has a blunt tip – no sharp needle – again, no complaints here! Actually a very pleasant experience. My lips are soft and smooth with just the right fullness. No trout pout here! Dr. Shanthala’s technique is driven by her professionalism and skill. The perfect combination to get excellent results. I love my lips. Disclaimer: I am a Registered Nurse who works with Shanthala at ShanthalaMD MedSpa. I have seen the results of the procedures that she has performed on her patients. The results are incredible! Shanthala is a highly trained Physician who specializes is non invasive esthetic procedures. Her office is warm and inviting and has state of the art equipment. She offers the newest FDA cleared treatments and excellent skins care products. Knowing what I do about the ‘esthetic world’ and all the options available I would not have anyone but Dr. Shanthala treat me. This is how I honestly feel looking from the inside out. I recommend ShanthalaMD MedSpa and Dr. Shanthala Shivajanjappa, Medical Director, with no reservations. Hope to see you there.
If you’re looking for fillers such as Juvederm and Bellafill performed by a physician in and around Peabody and Boston, request a consultation online, or contact us at (978) 854-5035 to schedule your appointment.
JUVÉDERM VOLUMA® XC injectable gel is indicated for deep (subcutaneous and/or supraperiosteal) injection for cheek augmentation to correct age-related volume deficit in the mid-face in adults over the age of 21. IMPORTANT SAFETY INFORMATION
JUVÉDERM VOLUMA® XC is contraindicated for patients with severe allergies, manifested by a history of anaphylaxis or history or presence of multiple severe allergies, and a history of allergies to gram-positive bacterial proteins or lidocaine. WARNINGS
JUVÉDERM VOLUMA® XC injectable gel must not be injected into blood vessels and should not be used in vascular-rich areas. Use in these areas, such as glabella and nose, has resulted in cases of vascular embolization, occlusion of the vessels, ischemia or infarction, or blindness. Symptoms of vessel occlusion and embolization include pain that is disproportionate to the procedure or remote to the injection site, immediate blanching extending beyond the injected area, and color changes that reflect ischemic tissue such as a dusky or reticular appearance
Product use at specific sites in which an active inflammatory process (skin eruptions such as cysts, pimples, rashes, or hives) or infection is present should be deferred until the underlying process has been controlled PRECAUTIONS
The safety and effectiveness for the treatment of anatomic regions other than the mid-face have not been established
As with all transcutaneous procedures, dermal filler implantation carries a risk of infection. Follow standard precautions associated with injectable materials
The safety for use during pregnancy, in breastfeeding females, and in patients with very thin skin in the mid-face region has not been established
The safety for use in patients under 35 years or over 65 years has not been established
The safety in patients with known susceptibility to keloid formation, hypertrophic scarring, and pigmentation disorders has not been studied JUVÉDERM VOLUMA® XC injectable gel should be used with caution in patients on immunosuppressive therapy
Patients who are using products that can prolong bleeding (such as aspirin, nonsteroidal anti-inflammatory drugs, and warfarin) may experience increased bruising or bleeding at treatment sites
Patients who experience skin injury near the site of JUVÉDERM VOLUMA® XC implantation may be at a higher risk for adverse events
Patients may experience late onset nodules with use of dermal fillers including JUVÉDERM VOLUMA® XC
Patients should be limited to 20 mL of JUVÉDERM VOLUMA® XC per 60 kg (130 lbs) body mass per year. The safety of injecting greater amounts has not been established
JUVÉDERM VOLUMA® XC should only be used by physicians who have appropriate experience and who are knowledgeable about facial anatomy and theproduct for use in deep (subcutaneous and/or supraperiosteal) injection for cheek augmentation ADVERSE EVENTS
Side effects in > 5% of subjects were temporary injection-site tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. They were predominantly moderate in severity, with a duration of 2 to 4 weeks.
To report an adverse reaction, please call Allergan Product Surveillance at 1-877-345-5372.
For more information, please see the About Safety page at www.juvederm.com or call the Allergan Medical Information line at 1-800-433-8871.
JUVÉDERM VOLUMA® XC injectable gel is available by prescription only.