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Injectable Fillers by Dr. AndersonOver the last few decades, cosmetic surgery and anti-aging treatments have been getting more effective and less invasive, which is great news for patients everywhere. Minimally-invasive procedures make cosmetic treatments safe, effective, and accessible. For many people, a busy lifestyle, finances, or fear of surgery limit the options available for anti-aging, making these new, gentle treatments a great choice for people unwilling or unable to consider a more invasive option. Injectables like Botox® or Dysport®, and dermal fillers such as Juvederm® and Restylane® offer great results without the need for surgery or a lengthy procedure. Because these treatment are injectable, there is no downtime associated with each treatment, and the results can be significant, though temporary.

Injectables include the botulinum toxin injections, such as the wildly popular Botox®, and the newer Dysport® and Xeomin®. These products are used to temporarily ease “dynamic” wrinkles—deep lines and furrows caused by repetitive facial movements such as smiling, laughing, and frowning. The most popular areas to be treated with injectables are the “elevens” between the eyebrows, horizontal forehead wrinkles, and “crows' feet” at the corners of the eyes. Injectables work by partially limiting the movement of facial muscles, which ease wrinkles temporarily.

Dermal fillers are a second type of injectable treatment. Dermal fillers can be made out of many different substances, but the most common type of fillers are those made of hyaluronic acid, a substance found naturally in the skin. Fillers like Juvederm® and Restylane® were originally used to fill in deep folds and “static” wrinkles, caused by volume loss in the face. Today, their uses have expanded, and they can be used not only to fill in wrinkles, but to improve volume and contour in the face. Fillers are commonly used for subtle augmentation and filling in areas like the nasolabial folds, running from the nose to the corners of the mouth, or “marionette” lines that run from the mouth down to the chin. Fillers provide natural-looking, temporary results.

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Injectables Consultation

Consultations are an important part of any cosmetic treatment, even non-invasive procedures like injectables with toxins or dermal fillers. Our Atlanta, Georgia cosmetic surgeons will meet with you and discuss your goals for treatment, assess your facial aging, and recommend a product that will suit your needs. There are many different formulas to consider, but our experts will guide you through the process and help you pick the right product for you. Your consultation is an ideal opportunity to get to know our team and ask any questions you may have about your treatment.

Injectables Candidates

One of the best aspects of injectable treatments is how accessible they are for a wide variety of patients. There are very few candidacy requirements for fillers and botulinum toxin injections, as the products are safe, temporary, and relatively inexpensive. These procedures are a great way to try out anti-aging treatments and see what kind of results you can achieve with just a simple injection. Candidates should be healthy adults who would like to reduce the appearance of wrinkles or restore subtle volume to the face.

Injectables Procedure

Since no surgery is involved, the procedure for administering dermal fillers or injectables is easy, quick, and straightforward. Once the plastic surgeon has discussed the treatment plan with the patient, a topical anesthetic is used to numb the area to be treated. The product is then carefully injected using a fine needle, with the surgeon taking care to preserve a natural appearance for the patient. The entire process takes about 30 minutes, and discomfort should be minimal.

Treatments last anywhere from 3-4 months for botulinum toxin injections, and 6 months to 2 or more years for dermal fillers, depending on the formula. Once the results begin to fade, treatments may be repeated to sustain anti-aging effects.

Injectables Recovery

Because the treatments are non-invasive, there is no downtime associated with injectables or dermal fillers. Patients may experience some tenderness, redness, swelling, and bruising at the injection site, but this is temporary, and should fade within a few days. Some patients are able to complete their treatments on their lunch hour and return to work immediately, with no ill effects. Injectables take a few days for results to become apparent, while dermal fillers should start working right away.

 Video FAQs:

Injectables FAQs

Are dermal filler injections good for acne scars?

Acne scars can be very embarrassing and are, unfortunately, often quite difficult to treat. However, in some cases dermal fillers can be used to help improve the appearance of acne scars and make them less obvious. Acne scarring usually consists of pits or indents, and fillers can be an effective way to add volume to the indented scars and provide temporary improvement.

Are there any potential side effects from injectable treatments?

Common side effects are very mild, and may include swelling, bruising, and redness at the injection site. Other side effects can occur, but these are very rare. Complications can include:

  • Headache
  • Allergic reactions
  • Drooping eyelids (injectables)
  • Bumps/irregularities
  • Poor aesthetic outcome

Serious complications are very rare but can include tissue damage if a filler injection flows into a blood vessel. If patients are displeased with the aesthetic results of the procedure, the treatment is only temporary. Some fillers can even be reversed with an injection that breaks down hyaluronic acid.

How long will each treatment take?

Sessions are brief when performed by a skilled cosmetic surgeon, and patients should be in and out of our Atlanta, Georgia office within 30 minutes or so.

Is it possible to be allergic to the injections?

Early dermal fillers often used ingredients derived from bovine sources, which were more likely to result in allergic reactions. Today, allergic reactions, though possible, are very unlikely from injectables and dermal fillers. During your consultation, your surgeon will go over your allergies and health history to help minimize the chances of allergic reaction and to choose the right product for you.

Are dermal fillers used for lip augmentation?

Lip augmentation is a very popular procedure. Dermal fillers are the most common method for filling out the lips and improving lip contour. Fillers are ideal for this treatment, as they are quick and convenient, while producing results with a very natural look and feel.

How safe are injectable fillers?

Many people are concerned about the concept of botulinum toxin injections, as the formula makes use of bacteria related to botulism. However, both injectable toxins and dermal fillers are extremely safe, with a long history of consistent results. Serious complications are extremely rare and normal side effects are minimal. Botox® has been used for over 30 years and dermal fillers have been popular for over a decade, both with an excellent track record for safety.

Can fillers treat hollows under the eyes?

One major symptom of aging is facial volume loss, which can make the face appear hollow and gaunt. One area that is often affected is under the eyes, or the “tear troughs”. Many people have issues with chronic undereye bags. Eyelid surgery is a common method for treating these hollows, but dermal fillers can also provide temporary improvement and smooth out the area for a refreshed, youthful appearance.

Are there any permanent injectables or fillers?

While there is no such thing as a permanent filler, some formulas do stimulate collagen production and offer results that last years. Sculptra® is the most popular long-lasting filler, but it is not appropriate for all potential treatment sites nor for all patients interested in dermal fillers.

Which filler/injectable should I choose?

The best treatment for you will depend on many different factors, including the type of wrinkling or volume loss you are experiencing, your expectations for the results, and your health history. Only you and your cosmetic surgeon can determine which product is right for you and your needs.