Cosmetic Dermatology


What is it?
Filler used to treat deeper skin folds and replace volume to the upper and mid region of face that is lost with aging, beginning at age 30, and the hands. It is injected into the skin with a fine, thin needle.
  • Nasolabial folds – run from nose to corners of mouth
  • Marionette lines (puppet lines) – lines that form at corners of mouth towards the chin
  • Cheeks – filling here gives volume and support to the upper portion of the face, thereby necessitating less product at the nasolabial folds. Plus it redefines the cheekbones!

What is it made of?
Calcium hydroxylapatite, which is a synthetic product that is made from the same material as our teeth and bones. Thus, the body does not recognize it as foreign, and does not form granulomas (inflammatory bumps) against it.

How long does it last?
9- 12 months, some as long as 18 months. Many patients get a touch-up treatment 3-4 months after their first injection, which usually prolongs the longevity.

What areas can it not treat?
The filler is too thick to use at the tear troughs under the eyes or in the lips. It also cannot be injected into fine wrinkles because it needs to be placed deep. If it is placed to close to the surface of the skin, a “tindel” effect will occur – this is a bluish hue over the skin.

How long does a treatment take to perform?
20-35 minutes depending on how many areas and how many syringes are being used

What are the most common complications?
Bruising and swelling occurs in some patients, but varies greatly in severity. It usually completely resolves within 2 weeks.