In recent years, great strides have been made towards a new era of non-invasive aesthetic medicine. Volume restoration has become an important focus for doctors and patients alike. But why is it so important? NYC double board certified facial plastic surgeon Dr. Richard W. Westreich often finds that fillers can extend the time before a facelift is required. Dr. Westreich delivers several types of facial fillers in NYC.
As we age, our bodies begin to reduce the production of the essential substances, such as collagen and hyaluronic acid that keep our skin resilient and supple. Fine lines gradually set in, the skin develops new creases and we begin to see the indisputable effects of time. However, one of the most noticeable and transformative consequences of aging is the loss of facial volume. In the cheek area, for example, age-related volume loss is due in part to the absorption of fat and bone, which together provide the skin with some necessary scaffolding. When the volume is diminished, the skin begins to sag and droop. In order to counteract falling skin, structure must be reintroduced. This is where volume restoration treatments come in.
Volume Restoration Options in New York
An injectable dermal filler is a non-invasive cosmetic procedure that can give the face an instant pick up. Restylane, Radiesse, and Juvederm are all products that can temporarily plump, smooth and rejuvenate the face. Dr. Westreich works with three main dermal fillers in his New York office:
It can be used effectively in many areas of the face such as nasolabial folds, lower eyelids, lips, and at the corners of the mouth. The active agent in Restylane is hyaluronic acid, a hydrating sugar compound that that the body produces naturally. When injected, Restylane can instantaneously smooth out deep creases and enhance volume in selected areas. Injectable hyaluronic acid is a safe, biocompatible compound that gets degraded gradually by the body over time. Results are immediate and may last 6-12 months. Restylane is intended for use on mid-to-deep dermal implantation, correcting moderate to severe facial wrinkles and folds. Restylane is also for lip augmentation in patients over the age of 21.
Like Restylane, Juvederm is a hyaluronic acid-based dermal filler that provides volume and fullness It is a good choice to enhance the lips for a fuller, poutier appearance. Juvederm products are a smooth consistency gel, compared to some hyaluronic gel products that have a granular consistency. Juvederm products contain the local anesthetic lidocaine which makes the injection more comfortable. Ultimately, Juvederm is great for volumizing the skin by way of correcting deeper folds and wrinkles.
Voluma is a product very similar to Juvederm but provides longer lasting corrections between 18-24 months. Since it has a high stiffness quotient, Voluma is best used for midface volumizing, as it provides a lift to the overlying tissues of the midface. Voluma should not be used superficially in the dermis or lips. Most patients who use Voluma also use another softer dermal filler, such as Juvederm or restylane, for comprehensive treatment.
Radiesse is a volumizing injectable compound that is made up of synthetically produced smooth calcium hydroxylapatite (CaHA) microspheres suspended in a sodium carboxymethylcellulose gel carrier. After a few months, the gel carrier begins to dissolve stimulating the production of your body’s own collagen, which keeps the volume restoration stable. Over time, the CaHa microspheres are also absorbed naturally by the body. Radiesse is different from other filler products and should only be used for augmentation of the midface and for smoothing out nasolabial (nose to lip) and marionette (lip to chin) lines. Other uses of Radiesse are possible but need to be discussed specifically at the time of your treatment with Dr. Westreich. Volume restoration is similar to other products, lasting 9-12 months typically.
Belotero is a facial filler designed to target the nasolabial folds, also known as smile lines—the lines that extend from either nostril to the corners of the mouth. Like other facial fillers, Belotero displays almost instant results with no downtime, allowing patients to emerge from their treatment with visible improvement in their smile lines.
Juvederm Volbella is a hyaluronic acid-based filler that is specifically designed for the lips. Under the care of a skilled injector, Volbella can be used to subtly add volume and contour to the lips, while also smoothing vertical smoker’s lines. Further, the texture of Volbella allows it to mimic the natural feel of your lips, giving you the confidence you deserve.
Volume Restoration - What to Expect
Although widely used, injectable volume restoration treatments require both an eye for detail and a skillful hand. If done improperly, the face may look artificially swollen or exaggerated. Dr. Westreich makes it his priority to achieve natural-looking results. He understands the benefits and limitations of the different dermal fillers. Before injecting a dermal filler, Dr. Westreich considers the overall condition of a patient’s skin and determines which product is most suitable.
A volume restoration is a straight-forward procedure. During the session, Dr. Westreich will inject a small amount of filler with a needle. A painless process, a single volume restoration treatment can be done during a lunch hour appointment. Because no incisions are made, no downtime is required. After treatment, patients can expect to experience some redness, swelling, and tenderness around the treated area. However, the irritation typically subsides within a day or two.
Although not permanent, Restylane, Radiesse, and Juvederm all can provide long-lasting results. If administered properly, these fillers can last up to a year.
If you are interested in volume restoration or facial fillers in New York City, schedule a consultation with Dr. Westreich. He will be able to recommend the most effective treatment for your skin.