If you’re considering dermal fillers, such as Juvederm®, as a form of non-invasive cosmetic procedure to treat and remove wrinkles, we can help. You’re not alone when it comes to having frustrations with facial wrinkles. We see and help countless number of patients in the Denver, CO area who have the same concerns.
The skin has an underlying supporting structure that is made of cells (fibroblasts), a supportive lattice-work made of a protein called collagen, and viscous filling material called the ground substance.
Together these three components of fibroplasts, collagen, and ground substance are called connective tissue. Connective tissue is present throughout the body. The proportion of collagen in connective tissue in skin cells and as tissue over muscles and bones, for example, will depend on its function and purpose in its supporting role.
The ground substance is made of mucopolysaccharides, glucosaminoglycans, and proteoglycans. Hyaluronic acid is one of the main mucopolysaccharides for filling the space between the cells and collagen fibers. It is mostly a long chain of sugar molecules. And every day the body replenishes and resorbs about one third of its hyaluronic acid.
During the aging process and sun exposure (UVB), the support of the collagen in the skin decreases and there is a decrease in the body’s ability to regenerate and remove the broken down byproducts resulting in a loss of skin tone, wrinkles and lines. Bovine (cattle) collagen was developed for injection into the skin to restore the support, giving skin a smoother look with fewer wrinkles. A skin test was required prior to any definitive treatment, however, because in a very small percentage of patients, allergic reactions can occur.
In 2006 the FDA approved the use of hyaluronic acid as a filling material for facial wrinkles. The product Juvederm® and the others contain cross-linking between portions of the molecule so that it lasts longer in the body.
For patients in the Denver, CO area, please contact our office to schedule a free cosmetic consultation with Dr. Randy Robinson. He sits down with you to discuss your cosmetic goals and a realistic patient care plan for you.
How Dermal Fillers Work
First, to begin treatment, all makeup needs to be removed. The skin is also be cleaned and numbed. Then, the dermal filler is injected with a small needle. You hardly feel any pain, maybe a ‘pinch.’ The area is overcorrected slightly, but not too much since the hyaluronic acid tends to draw in some of the body’s own water. The cost of the procedure is usually based on the amount used. Re-treatment can be done within two weeks but most of the time only one treatment is necessary.
The most common treatment areas are the folds from the side of the nose to the corners of the mouth and the creases in the upper lips. A fashionable use of fillers is to plump up the lips to create a more “sensual pout.” The key to making fuller lips is to follow the natural contours along the junction of the Cupid’s bow with the skin.
Most patients have the treatment and return to work the next day. A small percentage have some residual swelling or redness for 48 hours. Rarely do patients have bruising over the treatment area, but it is possible. These three conditions, however, can usually be hidden with makeup.
Some irregularity of skin contour in the form of small lumpiness or beading may occur for the first week or so, depending on the thickness of the skin. Gentle massaging may be necessary to blend the material into the surrounding skin. Longer lasting effects can sometimes be achieved with micro-fat transfer techniques instead.
The possible complications include:
- unequal proportions
- allergic reaction
Generally, risks are very low and patients have a very high satisfaction rate.
Contraindications (reasons not to have the procedure done) include people who have connective tissue disorders, such as scleroderma or rheumatoid arthritis. These patients may have increased allergic reactions or increased resorption of the material. Rapid resorption is not a complication per se, but would necessitate more frequent touch-ups to maintain the desired effect.
- Talk to your doctor about your health.
- Remove makeup.
- Clean your face.
- You can put on makeup after the procedure.
- You can drive home after the procedure.
- It’s best to stop using any tobacco products.
- Apply small bandage and direct pressure to stop any oozing.
- You can put on makeup once the oozing, if any, has stopped.
- Massage area to smooth any beading or asymmetry.
- Contact your doctor if you have itching, rash, bruising, prolonged swelling, prolonged pain not sedated by pain medicine.
- Apply sunscreen with minimum 20 SPF when outdoors.
Where to Seek Best Dermal Fillers Treatment in Denver
Look no further. You can call us at Robinson Cosmetic Surgery to schedule your free cosmetic facial procedure using safe, effective dermal fillers like Juvederm® with Dr. Randy Robinson.