Your own fat plays a huge part in soft tissue augmentation. Firstly, the advantages of using your own fat include no rejection issues, lower cost of material, and the possibility of permanent results. Additionally, because of body fat, you have plenty of material to use. For this reason, Dr. Martin recommends fat when grafting the entire face. However, disadvantages include longer post-operative swelling and the need for a harvesting procedure.
To harvest fat, liposuction techniques come into play. If you plan on having liposuction you should consider adding a fat grafting procedure. First, fat is removed from the body. Next, the fat goes through a cleaning process. Following that, a fat injection goes into your body with a special needle. Harvested fat cells graft into their new location. On average, 10-50% of the cells re-absorb over the next 3-6 months. Finally, the remaining fat lasts many years. At that point, you see permanent results.
Earlier known as Radiance, Radiesse consists of calcium hydroxylapatite microspheres suspended in a polysaccharide gel. The chemical make up compares to our teeth and bones. Additionally, the ingredient features in many reconstructive surgeries. Radiesse has two different syringe sizes: 1.3 cc’s and 0.3 cc’s. Radiesse is FDA-approved for medical use and for cosmetic applications. A common injection site includes the nasolabial folds. So what happens when we place hydroxyapatite in soft tissues? The ingredient re-absorbs into the body and replaces your own collagen. This creates a long-last augmentation.
Results typically last 6 -12 months, though some experience permanent results. Advantages of Radiesse include moderate cost per application, long-lasting results, and the ability to augment deeper wrinkles. Disadvantages include the possibility of lumping which presents a challenge to correct. When choosing a plastic surgeon to inject Radiesse, make sure he possesses the knowledge and experience necessary to achieve outstanding results with minimal complications. Dr. Martin has 5 years of experience using Radiesse. Currently, the newest use of Radiesse includes hand rejuvenation. For more information go to the Bioform website.
Approved by the FDA for cosmetic use, Restylane occurs naturally in the body as a non-animal hyaluronic acid. It has a jelly-like consistency and comes packaged in a 0.4 cc or 1.0 cc syringe. To start, Restylane is injected directly into the dermis (middle layer of skin). However, injections can go deeper. Advantages include no need for sensitivity testing (like collagen), minimal to no downtime, and a low rate of complications. Disadvantages include some chance of lumping and less ability to augment a deeper wrinkle. Restylane lasts 6-12 months on average so repeated injections will be necessary.For more information go to the Restylane website.
One of the newest soft tissue fillers to be FDA approved, Sculptra is a poly-l-lactic acid polymer similar to a substance already used in absorbable suture material. Sculptra is injected by needle into the dermis to achieve augmentation in the face. Advantages include minimal contour abnormalities and longer-lasting results. Disadvantages are higher cost and the need for retreatment. For more detailed information log onto the Dermik website.
FDA approved to last up to one year, Juvederm is a smooth consistency gel made of non-animal hyaluronic acid. Consisting of a high concentration of cross-linked hyaluronic acid, Juvederm offers a safe and effective non-surgical option for smoothing facial wrinkles and folds including “laugh lines,” “smile lines” or “parentheses” (nasolabial folds), or “marionette lines” (oral commissures). A typical Juvederm treatment only takes 15 minutes, has minimal downtime, and requires no anesthesia. Results are immediate and one can expect some transient swelling. Visit Juvéderm’s website for more information.