Dermal Fillers & Injectables Los Angeles

Dermal Fillers & Injectables Los Angeles

With the ever-increasing number of injectables on the market, patients can get confused about the differences between the different brand names. While they may not agree on the way to best do it, injectables all have the same goal — to reduce the appearance of wrinkles, creases, and folds; to replace areas that have lost volume, such as the cheeks; and to plump or fill out the lips.

To make it simple, you can really break injectables into two categories, neuromodulators and dermal fillers.

What is a neuromodulator?

The word neuromodulator is a fancy word for muscle tamer. This category has one of the world’s most famous brand names, Botox. Neuromodulators are made with the botulinum toxin, the same bacteria that cause botulism. Decades ago in Los Angeles, scientists found that when used in very minute amounts, the botulinum toxin can temporarily cause a muscle to stop contracting. And since certain muscle contractions cause wrinkles — think crow’s feet and lines between your eyebrows — why not use the botulinum toxin to stop those contractions? Botox was born and approved for the treatment of wrinkles in 2002, and the rest is cosmetic industry history. Botox, Xeomin, and Dysport are all neuromodulators.

What is a dermal filler?

Dermal fillers are true to their name; they fill the wrinkle or crease, or add volume, from beneath. When injected beneath a wrinkle, dermal fillers plump that area, pushing the skin upward and removing the wrinkle, depression, or fold.

What are the different types of dermal fillers?

You can break dermal fillers into two primary groups: synthetic and natural. Naturally derived fillers are the most popular fillers worldwide with brands such as Juvéderm and Restylane. Most are based in a naturally occurring substance known as hyaluronic acid. In the body hyaluronic acid is tasked with plumping, hydrating, and firming the skin. It does this by binding with water molecules under the skin surface.

At L.A. Vein Center in Los Angeles, we offer three formulations of Juvéderm and Belotero Balance to address different areas of the face. Juvéderm’s formulations last from one to two years, while Belotero lasts from six months to one year. Synthetic fillers are made from different materials with the goal of adding structure under the skin for support. Some of them also trigger the body to produce more collagen in the injection area.

Also at L.A. Vein Center in Los Angeles we offer the synthetic filler Radiesse, which is composed of calcium hydroxylapatite microspheres suspended in a water-based gel. The calcium microspheres and gel instantly provide plumping of the wrinkle or crease, plus results continue to improve as the body builds more collagen in the area. Radiesse results last a year and sometimes longer. Other fillers are deemed “semi-permanent” and have longer life spans.

What are the risks with dermal fillers?

Risks with all injectables come down to basically two things: allergic reactions and migration or lumping. Because hyaluronic acid occurs naturally in the human body, allergic reactions are rare. Synthetic fillers can be more prone to allergic reactions in the patient.

Otherwise, the real risk with dermal fillers is injection into the wrong location. This can allow the filler to migrate to an unwanted area where it can be seen; or the filler can form a lump, which can also be seen where it pushes up the skin. This is an advantage of hyaluronic acid fillers because their effects can be reversed with a simple injection of an enzyme in case the filler has moved. In any case, these risks are rare, and are usually the result of an inexperienced injector. That’s why it’s paramount to trust only an experienced injector such as Dr. Lee and the team at our Los Angeles clinic with any injectables.


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