Cosmetic Dermal Fillers
Injectable cosmetic fillers are beneficial in two main ways. First, they can lift up areas in the skin which form lines, folds, wrinkles, or scars. Some of these wrinkles are formed due to atrophy and degeneration of the skin with age. Other folds may simply be an anatomical feature of one’s face. Either way, these fillers elevate the skin into a smoother contour.
Common areas that fillers may improve appearance include the nasolabial folds (between the nose and mouth), parentheses lines around the mouth, hollows under the eyes, and marionette lines. Many patients choose to use dermal fillers rather than have facial cosmetic surgery in San Francisco.
Safest and Most Effective Cosmetic Fillers
Dr. Kim offers a selection of what he believes are the most effective and safest of the currently available cosmetic fillers at his San Francisco office. All the fillers offered eventually become absorbed by the body, which means their effect is temporary. Although this may seem less than ideal for those wishing a permanent result, this characteristic actually has clear advantages.
First, the face continues to age and to change even after administration of the filler. The location and amount needed to improve an area will therefore change over time, requiring progressive modification of the technique of filler placement for each person in each location. Permanent cosmetic filler, therefore, might start to look unnatural and out of place over time as the tissue around it changes.
The other important point is that there are multiple reports of complications related to permanent fillers. Chronic infection, skin granulomas, scarring, etc have been reported with the use of these products at a rate much higher than the absorbable fillers. Dr. Kim believes that permanent fillers can lead to permanent problems, and for this reason does not offer them in his practice.
With so many cosmetic filler products in the market, you may be confused about which is the best choice for your needs. Dr. Kim and his staff can help you select the best choice for your anatomy and your goals.
Restylane™, Perlane, Juvederm, Voluma
Restylane, Perlane, Juvederm, and Voluma are safe and effective cosmetic fillers with immediate and long-lasting results. These fillers are used for enhancing lips, facial wrinkles, folds, and replacing lost facial volume. The hyaluronic acid (HA) in these fillers is almost identical to that naturally found in the body. The result is instantaneous and produces a long-lasting, natural enhancement that is gentle and safe for your skin.
Treatments take approximately 30 minutes. Recovery time is minimal and most patients return to normal activities immediately. Duration of these HA fillers usually lasts six to twelve months.
The characteristics of the HA fillers differ from brand to brand. Restylane is the currently the most prevalent cosmetic filler in the world and represents a standard by which most other fillers are compared. In Dr. David W. Kim’s practice in San Francisco, Restylane is used for superficial to medium depth lines and folds.
Juvederm is a similar product, with a slightly smoother quality. This allows Juvederm to disperse more within the tissue, a feature that gives it advantages in some areas.
Perlane is a larger particle version of Restylane which is designed for application into deeper areas. Dr. Kim uses Perlane for deeper folds or regional volume enhancement.
Areas that can be improved with HA fillers:
- lines between the eyebrows
- worry lines
- pebbly chin
- lines around the mouth
- lip sculpting and enhancement
- receding lips
- lip lines / smoker’s lines
- sagging cheek bones
- tear trough
- dark circles under eyes
- smile creases
- marionette lines (jowls)
- thinning backs of hands
Restylane before & after
Try the JUVÉDERM® 3D Visualizer
Dr. Kim’s Approach To Injectable Cosmetic Fillers
More is not always better – Over-treatment will lead to a flat appearance (Botox) or unnatural puffiness (fillers). A gradual approach is more likely to result in favorable results. Dr. Kim strongly believes in the concept that more treatments can always be done, but excessive treatment is not easily undone.
Addition of volume – Aging leads not only to sagging tissue but also deflation and volume loss. That is why adding volume is important in order to achieve full rejuvenation. Surgical lifting procedures are therefore much more likely to result in excellent outcomes if enhanced with replacement of lost volume.
Avoid permanent fillers – Although there are a number of permanent injectable fillers available on the market, Dr. Kim believes these materials lead to a higher risk of complications, such as skin injury, inflammation, or permanent lumpiness.
The cosmetic fillers he uses at his San Francisco office are long-lasting but do eventually become re-absorbed by the body. Although this means that re-treatments are necessary in order to maintain improvements, Dr. Kim views this as a positive. Specifically, he believes that since the face changes over time, the ideal location and amount of injection of filler material to attain a favorable result changes as well.
Customizing injections to match a changing face is only possible with non-permanent fillers.
Dr. Kim and his staff are proud to offer liquid face lift to his patients who wish to achieve a rejuvenated facial appearance without undergoing invasive surgical procedures such as facelift, brow lift or blepharoplasty. Liquid facelifts involve the use of various injectable dermal fillers, usually in combination with Botox or Dysport, to provide a comprehensive, minimally invasive facial treatment tailored to meet the individual needs of each patient.
In performing liquid facelift, Dr. Kim and his aesthetic nurse specialist utilize the full spectrum of injectables at his disposal, including Botox, Dysport, Juvederm, Restylane and Sculptra. Our staff relies on many years of experience to choose the correct mixture of these highly effective products to meet the aesthetic needs and desires of their patients.
With liquid face lift, patients are provided with a gentle lift of individual facial features, reduction wrinkles, creases and folds, and restoration natural facial contours. As a result, our patients leave the office looking more rested and energetic. Results can range from subtle to dramatic and can lead to many compliments from unsuspecting family, friends, and associates who are unaware that the patient has received treatment.
Liquid face lift can be performed in Dr. Kim’s office with the use of topical numbing creams. The procedure takes about an hour, and the patient can return to most everyday activities almost immediately. If you are considering this treatment in our office, please stop the use of any blood thinning medications (ex. Advil, Ibuprophen, Fish Oils and Vitamin E – Tylenol is fine) two weeks prior to your appointment.
Cosmetic Dermal Fillers are administered by our Injections and Laser Specialist, Lisa Leung, RN, MS, NP.