Dermal Filler FAQ New Jersey

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Where can fillers be used?

Fillers can be used practically anywhere on the face. Some are better suited for deeper placement and some for superficial placement. They differ in their elasticity and their viscosity. The elasticity or G’(G Prime) determines how well a filler retains its shape and relates to its firmness. For example, lower G’ fillers are ideal for the lips and superficial lines. In some instances, particularly with fat, they can also be used in many places on the body. The specific properties of the filler determine the area of best placement, permitting the use of more than one filler in a given region.
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What are the best fillers?

Again, that depends on where they are being used. Radiesse has a high G’ making it a good deep filler, but a poor lip filler.
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What are the risks?

The risks of the fillers are all the same. They can be minimized by selecting a surgeon who is qualified and has an extensive experience with injectables. Bruising and swelling are the most common risks. There may be visibility, and palpability or lumpiness. Rarely the fillers can occlude blood vessels. All fillers in the Juvederm and Restylane families are HA (Hyaluronic Acids) and can be removed with an enzyme called Hyaluronidase if you are unhappy.
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How long do fillers last?

The life span of a filler varies. Most fillers last on average 9 months. Fillers to lips tend to disappear most quickly because of the constant motion of lip(talking, chewing, kissing etc.) lasting on average 3 months. Deep fillers can last up to 2 years with complete correction. Although technically not a filler, Sculptra which stimulates collagen production, can last up to 2 years as well.
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Will I be bruised or swollen afterwards? For how long?

Bruising and swelling is variable. Some patients have a greater tendency to bruise than others. The lips are an area which is highly prone to swelling. It is best to proceed with your filler treatment a few weeks before any major event to ensure you look your best. We suggest eliminating blood thinners such as aspirin and nonsteroidals such as alleve or advil for a few weeks prior. Likewise, we recommend that Arnica, a homeopathic found in health food stores, can be taken orally a few days before and after to help reduce potential swelling and bruising.
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Can I be allergic to the filler?

The first filler, Collagen, was an animal derived product, and required skin testing to ensure the lack of an allergy. We have come a long way since then. With the exception of Artefil, which contains highly purified Bovine Collagen, allergic reactions are no longer an issue.
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Is it painful?

Any type of injection has some level of discomfort, and different people experience different levels of pain. Many patients are often surprised that their pain is minimal. All of the injectables we use contain lidocaine, an anesthetic. If requested, topicals can be applied or nerve blocks can be given. We try to ice all patients prior to treatment.
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Do you offer financing?

Having cosmetic surgery is an investment in how you look and feel. If you would like to make a change in your appearance, but are concerned about the cost, you will be able to discuss financing options with our surgical care coordinator. There are options available for every budget.
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Beverly Friedlander MD