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Wrinkle Correction
and
Soft Tissue Fillers
(Restylane®, Perlane®, Juvēderm,
Radiesse®, Fat)
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As we age, our skin loosens and becomes thinner. But worse yet, the cumulative impact on each of our progressively thinning skins of gravity and a variable
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| exposure to sun radiation, stress, smoking, questionable dietary habits and millions of facial contractions (smiles, frowns, chewing, grimacing, squinting and winking) - all combine to produce a great variety of facial loss of volume, depressions, lines and wrinkles. While we cannot stop aging, we can stop engaging in certain “pruning” activities and habits which damage and greatly age our skin.
Next, to repair this damage we need to restore lost volume to the volume deficient areas.
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Most skin wrinkles may be smoothed and corrected by the replacement of the lost volume under the wrinkle or depression. This is commonly done by the injection of soft tissue filler in the skin under the depression, lifting it and thereby, greatly smoothing and effacing the wrinkle.
Soft tissue fillers are may be used in the a wide variety of skin areas. Although some fillers are better suited than others for each area.
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As you can see in the diagram on the right, fillers are commonly used in filling facial wrinkles or folds (nasolabial, smoker’s lines, puppet lines, crow’s feet, forehead, neck, chin or base of nose lines), as well as in lip augmentation, in the rejuvenation of thinning hands, and in filling and lifting depressed scars (i.e. acne, or chicken pox).
Today’s wrinkle fillers can be classified as either Hyaluronic acid (HA) fillers or NON-Hyaluronic Acid fillers
Hyaluronic Acid (HA) Fillers
Hyaluronic acid wrinkle fillers have become the most popular fillers in the world. They have far surpassed Collagen, the former leader, in popularity and have practically made the use of Collagen obsolete.
Hyaluronic acid (HA) is a natural substance found throughout our body. It gives structure and volume to our skin, lubricates our joints and gives our eyes their shape. Our body's ability to produce hyaluronic acid diminishes with age. As a result, the levels and concentrations of hyaluronic acid concentrations decline with age throughout the human body causing undesirable deflated wrinkly changes in the skin. Returning HA to the skin restore its volume and appearance and makes the skin appear youthful again.
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| Areas where Wrinkle fillers are used |
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| The two most commonly used hyaluronic acid fillers in the world are:
1. Restylane®and Perlane®produced by Q-Med and distributed in the US by Medicis. (Please, click HERE to learn more about Restylane and Perlane and see what they can do for YOU)
and
2. Juvēderm – produced by Allergan (Please, click HERE to learn more about Juvēderm and see what it can do for YOU)
NON-Hyaluronic Acid (HA) Fillers 1. Fat Grafting - Your own fat can be borrowed from other areas of your body and used to smooth wrinkles, folds or depressions anywhere in your body such as wrinkles at the corners of the mouth ("puppet" lines or "drool grooves"), cheek/smile (nasolabial) lines or other skin depressions (i.e. acne scars) and to smooth and rejuvenate aging hands (where the tendons, veins and
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bones become too prominent). The injected fat fills the defect, lifts the depression and flattens the overlying wrinkles and folds.
Fat may be suctioned under local anesthesia from your lower abdomen, lateral or inner thighs or buttocks and placed in the skin under the fold or depression. The procedure may be done by itself or may be combined with liposuction of other areas of the body. Most patients return to work in 5-7 days and are able to assume more strenuous activities in 7-14 days.
2. Radiesse® is a long-lasting cosmetic skin filler used for the correction of moderate to severe facial wrinkles, depressions and folds such as nasolabial folds and for the long-lasting correction of facial fat loss (lipoatrophy) in people with human immunodeficiency virus (HIV). (Please, click HERE to learn more about Radiesse® and see what it could do for YOU)
The IDEAL Wrinkle Filler By their nature, plastic surgeons are curious and artistic individuals who are always looking for newer, better and safer ways to improve their patients’ lives. Plastic surgeons have always looked for THE ideal soft tissue filler; Such a filler would have to combine great ease of use, no downtime for the patient (walk-in, put in, walk-out), have immediate predictable and durable results and it would not be associated with any allergic reactions, infection, inflammation or disease. Unfortunately, no one single filler available today combines all of these desirable attributes but some have more of these desirable characteristics than others.
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“Doctor, have you heard about
THAT NEW WRINKLE FILLER?” The field of soft tissue augmentation is in constantly changing. We continuously see new fillers appear with great fanfare and mass media advertising only to see them slowly retreat to a more realistic position or to be taken off the market once their limitations become known to plastic surgeons. Through the years, many wrinkle fillers have been used and then abandoned (such as mineral oil, liquid wax (paraffin), Vaseline, liquid silicone, Kangaroo tendon, fibrin foam, Teflon paste and others). Some soft tissue fillers have been used in the USA but were not profitable and have been discontinued (Autolagen®, Isolagen®, Dermalogen® and Dermaplant®). Other fillers such as Aquamid® (Transparent hydrophilic polyacrylamide gel (HPG, or PAAG) with residual unpolymerized acrylamide from Danemark), Arteplast®(Plexiglas (PMMA) microspheres), Argiform® and Formacryl (a Russian produced filler containing polyacrylamide gel with unpolymerized acrylamide), Bioplastique® (vulcanized polydimethylsiloxane spheres),
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Evolution® (polyvinyl microspheres suspended in polyacrylamide gel), Fibrel®, Koken Atelocollagen® (Japanese monomolecular collagen), Dermalive and DermaDeep(mixture of 40% acrylic hydrogel, hydroxyethylmethacrylate (HEMA), ethylmethacrylate (EMA) suspended in 60% hyaluronic acid from France), Metacryl (polymethymethacrylate(PMMA) beads - used widely in Brazil and Mexico), OutLine® (hydrophilic polyacrylamide hydrogel implant), Plasmagel (made of human plasma), Restoplast®(German Collagen), Amazingel (PMMA microspheres made in Germany and China) and others, are either not commonly used or not FDA-approved in the USA.
For your safety, be smart and look beyond the glossy ads, testimonials and too-good-to-be-true before-and-after photos. You should know that the import and/or use of any non-FDA approved drug or wrinkle filler is illegal and may put you in danger. Any doctor who either imports, or uses such a is risking that person's well-being and is committing a Federal crime.
You may get more information about Soft Tissue Fillers at the website of the American Society of Plastic Surgeons (ASPS) .
Can Tissue Fillers answer your particular needs ?
If you would like to learn more about them and see what they can do for you, please, call (901) 752-1412 to schedule your consultation to arrange your consultation with either Dr. Aldea or Dr. Eby.
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This web site has been prepared to give you a basic understanding of this type of cosmetic procedure. If you want to learn more or have any further questions, please call us at (901) 752-1412 to arrange a consultation with one of our doctors. You will be under no obligation to undergo surgery by attending a consultation with either Dr. Aldea or Dr. Eby.
Please, call 752-1412 for your appointment today!
Cosmetic surgery is an investment in yourself.
An investment which could make a world of
difference in your outlook.
Peter A. Aldea, M.D. Patricia L. Eby, M.D.
Certified and Re-Certified by The American Board of Plastic Surgery
Members of the American Society of Plastic Surgeons
Fellows of The American College of Surgeons
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Cosmetic Surgery Specialists of Memphis, PLLC
6401 Poplar Avenue, Suite 360, Memphis, Tennessee 38119
Telephone (901) 752-1412
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