Throughout this online booklet, a number of ways have been demonstrated in which a patient’s face can be rejuvenate and how each procedure plays a role in the total improvement process. Laser surgery or the chemical peel is especially effective in removing the finer wrinkles which etch the skin; however, the deeper creases found around the eyes and at the outside corners of the mouth require further treatment. Lip augmentation is among the most popular reasons fillers are requested. This treatment may be beneficial to those patients who have acne scars, and other soft tissue deficiencies. During the course of the consultation, I will advise you if injectable substances, such as Restylane™, may be used to effectively treat your concern.

What is Restylane™?

Your skin is composed of several layers, which is made up of collagen and elastin connective tissue. The area in-between the collagen and elastin includes a substance called hyaluronic acid. Hyaluronic acid fillers help provide structural support for your skin. Since most of the hyaluronins are not derived from animal extracts, there is minimal risk of developing an allergic reaction. Therefore, unlike collagen, which requires allergy testing, this treatment can be performed at the same time as your consultation.

Hyaluronic fillers are injected below the dermal layer of your skin with a small needle. Restylane™, which was approved by the FDA in December 2003 for the treatment of mid-to-deep dermal implantation for the correction of moderate to severe facial wrinkles and folds, such as the nasolabial folds is among the most frequently used fillers. A series of small injections are made along the areas being treated and the area is then vigorously massaged to evenly distribute the substance and prevent lumps or nodules. A topical anesthetic, applied 30 minutes before the injection, will minimize discomfort. The injection procedure itself takes about 15 minutes and the results can be seen immediately. There is minimal downtime, and you can return to your work and normal activities soon afterwards.

Hyaluronic fillers have higher biocompatibility and last longer than collagen implants; fewer re-injections would be needed to maintain the effects of your treatment. Often it is helpful to come in for a touch up session in about one or two weeks after your first treatment. Bumps and irregularities, although rare, can represent a small, temporary cosmetic problem.

JUVÉDERM™ Ultra: A highly cross-linked formulation for versatility in contouring and volumizing facial wrinkles and folds.

JUVÉDERM™ Ultra Plus: A robust formulation for volumizing and correcting deeper folds and wrinkles.

How Long Does it Last?

Like other fillers, treatment with hyaluronic acid is not permanent and it will over time degrade and be absorbed by the body. Although everyone’s body resorbs fillers at different rates, visible results may last up to 5 months. Most women return to their doctors for touch ups as they begin to notice the effects of the injections fading, and re-injections are usually performed every 4-5 months.


Not everyone is a candidate for injection/augmentation. Whether or not your concerm may be improved with a filler can be determined at the time of consultation. Wrinkles, folds, and soft tissue deficiencies and depressions are among the issues that may be corrected.


  • Past President of the American Academy of Facial Plastic and Reconstructive Surgery
  • 30+ Years of Experience
  • Facial Plastic Surgery Specialist
  • High Expertise
  • Individualized Care