The mid face contains fat pads that support our cheeks. As we age, these fat pads begin to fall resulting in the development of smile lines and, secondarily, a hallowing of the areas under the eyes. This loss of volume can be remedied with the use of dermal fillers.
The dermis contains a substance called hyaluronic acid. It is one of the most ubiquitous in the entire body. It can be manufactured from bacteria, and injected into a number of facial areas. The main areas where dermal fillers are used are the nasolabial folds (lateral nose and lips), infraorbital area (under the eyes), and the melomental folds (around the mouth). There are a few special areas as well such as the cheeks and temples.
There are two types of dermal fillers used: hyaluronic acid and calcium hydroxyapatite. The three hyaluronic acid fillers are Juvederm, Restylane, and Perlane. These agents last about 4 to 6 months. Radiesse, a product made with calcium hydroxyapatite, is thicker, lasts about 9 to 12 months, and stimulates collagen formation.
We will discuss with you which agent is best for the particular area you wish to treat.