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Dermal Fillers

As the human face ages, the loss of volume can be striking, resulting in deep furrows and wrinkles. The human eye perceives these depressions in the skin due to the captured
light in the ‘valleys’ of the face. It is this retained light, in the form of linear shadows that leads us to estimate age accurately. To correct the problem, and render a patient looking more youthful, these deep areas must be addressed. Two routes to correction exist.

For years few options existed for correcting mid and lower face aging, other than invasive surgery. Facelifts and other surgical corrective measures pull the skin taut; much like a bed sheet that is bunched up is rendered flat by stretching from the edges. The other method to eliminate wrinkles is to fill in the valleys, taking away the low spots by filling them with a form of injectable filler. This simpler, office-based alternative offers less downtime, but with visible results. One of the earliest options, collagen, was a viable choice, but had the disadvantage of required testing to verify absence of allergic response.

However, recent advances in dermal filling technology are in the form of hyaluronic acid derivatives, which are well tolerated and require no advance testing. Restylane, Juvederm, Captique, and Perlane are brand-name fillers in the hyaluronic acid family.

Many new products are available, such as Radiesse, composed of microspheres of calcium hydroxyl appetite suspended in an aqueous gel carrier, or Sculptra, a poly-L-lactic acid substance requiring multiple treatments.

Restylane and other hyaluronic fillers, maintain their shape using the body’s own moisture. The hyaluronic acid in Restylane is hydrophilic or “water loving,” soaking up, and retaining water to impart a plumping effect under the skin. As hyaluronic acid gradually degrades, each molecule binds to more water and over time, the same volume can be maintained with less hyaluronic acid. This ability of hyaluronic acid to bind to water is what helps provide lasting results.

Lips and nasolabial folds are areas that respond well to treatment with injectables such as Restylane, but choosing the correct type of filler, the right amount of filler, and the timing of the procedure are choices that separate a great result from an average one. Suncoast Skin Solutions has all the options available, but will select the one that is most appropriate for you. One size fits all is not what we think you should expect, so we pledge to deliver unique solutions tailored for your needs! Consult Dr. Ewanowski for a personalized exam and evaluation.


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