Fillers (e.g. JUVÉDERM®, Restylane®)
When you’re young, your face is plump and firm with taut, smooth skin. As you mature, your face begins to lose its firmness, causing furrows, folds, and wrinkles. Cosmetic fillers can revitalize your appearance by adding volume to your facial structure, allowing your skin to lie smoothly over plump, youthful features. At Kaiser Permanente Cosmetic Services, we have physicians who specialize in injectable fillers. Your doctor can give you a consultation to determine if you’re a good candidate for this treatment.
Injectable implants, or fillers, have been used for many decades. There are many types of fillers, including collagen and synthetic fillers. Most fillers are injected below the skin’s surface to add volume and stimulate the skin’s natural collagen growth, visibly reducing wrinkles and lines, enhancing cheeks, plumping lips, and lifting and smoothing scar depressions. Treatments are done on an outpatient basis. A local anesthetic may be necessary for some procedures. The results can last from three months to years, depending on the type of filler used. You and your doctor can determine which filler best meets your needs during your consultation.
Radiance® and Radiesse® are new advancements in injectable filler technology. Made from calcium, Radiance and Radiesse® are hypoallergenic, so no skin testing is required. Radiance® and Radiesse® stimulate your body’s natural collagen to grow around the injected material. Because Radiance® and Radiesse® are made from a mineral found in human bones, they are generally eventually safely absorbed by the body. Treatments tend to be more painful than with other injectables, and may require a local anesthetic. Bruising may occur after the initial treatment. You may want to have a touch-up treatment a month after your first treatment to balance the symmetry of the original procedure. Radiance® and Radiesse® are recommended for lifting deep lines, enhancing the cheeks and chin, and plumping the lips. Visible results from treatment may last more than a year.
Restylane is purified hyaluronic acid and offers a very soft natural look to the skin. They are both considered to be dramatic fillers for restoring volume and fullness to skin and lips. Restylane produces visible results that usually last longer than those from collagen. A skin test is not needed.
JUVÉDERM® Injectable Gel is the newest injectable dermal filler we offer at Kaiser Permanente Cosmetic Services. JUVÉDERM® is a smooth consistency gel made of a higher concentration of cross-linked hyaluronic acid. JUVÉDERM® is highly effective in offering volume and hydration to the skin and lips. It is recommended for smoothing away deep wrinkles and smile lines. Visible results from treatments may last longer then other injectable fillers.
Artefill® is FDA approved for the correction of smile lines (e.g. nasolabial folds). It will not be absorbed into the skin, which means that results can last longer than some hylaronic acid or collagen fillers. It is made of polymethacrylate (a commonly used artificial implant material), purified bovine collagen gel and lidocaine, an anesthetic. Results have been reported to last up to 5 years. However, the length of correction will vary by individual experience. A skin test is required 4 weeks prior to treatment to check for allergies to bovine collagen.
Sculptra® Aesthetic is an injectable filler made of polylactic acid and is highly effective for restoring facial volume. Sculptra® Aesthetic stimulates collagen growth to create facial contours and plump sunken or gaunt-looking features. Sculptra® Aesthetic requires injections into deeper tissues over many months. Your treatments will be administered on a monthly basis so your doctor can monitor how much Sculptra® Aesthetic stimulates your personal collagen production. The visible results of Sculptra® Aesthetic injections may last for years.
I'm interested! What's my next step?
To determine if you’re a good candidate for cosmetic fillers or to learn more about the procedure, click the link below for the Kaiser Permanente Cosmetic Services center nearest you.