Often at other offices, the filler is placed by a nurse or ancillary staff. At Utah Facial Surgical Arts, Dr. Urban places all of the filler personally. Just think of filler as paint and Dr. Urban as the artist. Obviously what makes a great result is not only the quality of the paint but more importantly who is the artist. Dr. Urban will take the time to help ensure you are comfortable and the desired outcome is achieved.
Good question. There are multiple fillers. Some fillers last longer than others. Some fillers have different consistencies which are more desirable in some areas less desirable in other areas. Dr. Urban will help you in selecting the appropriate filler for you based upon location and the desired longevity of the filler.
- Voluma (Stabilized Hyaluronic Acid)
- Juvederm Ultra Plus (Stabilized Hyaluronic Acid)
- Perlane (Stabilized Hyaluronic Acid)
- Radiesse (Hydroxyappetite)
- Sculptra (Polylactic acid)
- Silikon 1000 (silicone oil)
- Autogenous fat
Fillers are made of substances that are either similar to materials found in your own body or are made of biologically nonreactive substances (silicone). Fillers are used to plumping up areas where you have naturally lost facial fat volume (atrophy). For instance, as we all age are lips naturally get thinner with time. A filler can be used to help fill that lost volume. Fillers can also be used to fill undesirable facial defects or wrinkles or grooves.
Fillers are placed through very small needles. Dr. Urban first prepares the skin and then placed topical anesthetic cream to anesthetize the area to be injected. Another method is a dental anesthetic to provide complete numbness. Our goal is not only the perfect placement of your filler but also your comfort.
The procedure itself is actually a quick procedure. Afterward, ice is applied to the area of injection to minimize swelling. Sometimes there will be a little swelling afterward. Consequently, it is sometimes best to have the procedure performed on a Friday to allow the swelling to subside before works start on a Monday. Dr. Urban recommends a follow-up appointment in 2 weeks to ensure there are no asymmetries. Remember filler placement is very similar to the artwork. Sometimes a little touch-up is required to get it just right.
Juvederm ultra and Perlane have both been shown in studies to last up to 12 months. However, everyone is different. Consequently, the duration of filler can vary. Silicone is the only permanent filler Dr. Urban places.
Well, removal of the filler is possible by enzymatic degradation through a product called Vitrase.