#1. What Are Dermal Fillers?

Often referred to as soft tissue fillers, dermal fillers consist of gel-like substances that are injected beneath the skin’s surface. Many are based on hyaluronic acid (HA), a substance that occurs naturally in the body and gives volume and hydration to the skin. Others, such as RADIESSE and Sculptra, contain ingredients that trigger your body to produce more of its own collagen. Fillers are used to plump up areas that have lost volume due to aging or other factors. At The Swan Center, we use dermal fillers to smooth wrinkles, create subtle lift, and enhance facial contours for a more youthful and defined appearance.

#2. How Long Do Dermal Fillers Last?

The longevity of dermal fillers varies depending on the type of filler used and individual factors such as your metabolism and lifestyle. Generally, hyaluronic acid fillers (like those from the Restylane® and JUVÉDERM® family of products) can last anywhere from 6 to 2 years, based on the formulation.

RADIESSE®, meanwhile, contains calcium hydroxylapatite microspheres. This durable collagen stimulator can last 12 to 18 months.

[eii-gallery-images views=”28299/138756, 26676/138772, 26788/138760, 26656/138786″ display_captions=”y” caption=”Before & After Dermal Fillers”]

#3. Where Can Dermal Fillers Be Used?

Dermal fillers can be safely used throughout the face and even injected into the hands or buttocks (such as in our Sculptra® Butt Lift). HA fillers (Restylane® and JUVÉDERM®) are great for treating wrinkles and folds in the lower half of the face and restoring volume loss in the mid-face.

Restylane and Juvederm can treat nasolabial folds, marionette lines (vertical lines at each corner of the mouth that extend down toward the jawline), lipstick lines, smile lines, and more.

Sculptra can also be used to help restore lost volume to the face. Both Radiesse and Sculptra can be used to help in different areas of the body such as hands, knees, and in the buttocks to enhance projection and correct hip dips.

Learn more about treating wrinkles in each area of the face in our related blog post.

#4. How Much Do Dermal Fillers Cost?

Dermal filler prices vary based on the type of filler used, the amount of product needed, and the provider’s expertise. At The Swan Center, we price our dermal fillers by the syringe.

You can get a ballpark figure on our pricing page, but keep in mind that most patients need multiple syringes. We will provide you with a personalized quote at your consultation after we have had a chance to evaluate your unique case.

#5. Are Dermal Fillers Safe?

Dermal fillers are generally considered safe, especially when administered by a trained and experienced provider. However, like any cosmetic procedure, there are potential risks and side effects to be aware of, including bruising, swelling, redness, and, rarely, allergic reactions.

Hyaluronic acid-based fillers like Restylane can be instantly dissolved with hyaluronidase if you are showing any negative effects or are unhappy with how the filler looks. Choosing a reputable injector who follows proper injection techniques can help you minimize the already low risk of complications.

Get Started With Dermal Fillers

If you’re considering dermal fillers to rejuvenate your appearance and enhance your natural beauty, we’d love to chat! We will be happy to assess your unique needs and goals, recommend the most suitable treatment options, and answer any questions you may have.

If you are ready to take the next step, please request a consultation online or call us at (770) 667-0904 to schedule an appointment!

We often meet patients who tell us, simply, “Botox me!” While the answer is usually an enthusiastic “You got it!,” Botox® is best for certain dynamic wrinkles, and there are actually a number of highly effective wrinkle treatments that we can use to give you a personalized, optimal result. As a nurse injector in Atlanta, I always customize a plan based on each type of wrinkle you want to treat! Here’s everything in our arsenal, plus your treatment options by the area.

Medical-grade wrinkle treatments

Wrinkle reduction can involve a range of treatments, and not every wrinkle requires an injectable. From facial treatments that improve skin quality to skincare you use at home, we believe in a complementary anti-aging approach using tools like:

• Laser treatments, peels, and facials like chemical peels, microneedling, Hydrafacial®, and laser peels are effective anti-aging options for combating fine lines and improving overall skin quality. Each year, I receive a HALO Laser Treatment to boost collagen deep in the dermis, which is literally what prevents wrinkles.
• Botox-type injectable neurotoxins like Botox® and Dysport® treat dynamic wrinkles, especially in the upper face. I use Botox to preserve youthfulness or to slow the signs of aging, or even if you want to smooth or soften existing lines! I take a unique approach to treatment plans for each individual, because no two faces are the same. With consistent treatments, neurotoxin patients will be so happy with the investment they make in their skin—after treatment AND long term!
• Dermal fillers like Juvéderm® and Restylane® treat dynamic and static wrinkles, especially naso-labial folds and marionette lines below the corners of the mouth. Filler is an AMAZING tool to soften lines and restore volume. By using a hyaluronic acid based dermal filler, the boost and glow your skin will achieve is absolutely stunning!
• Medical-grade skincare is a critical part of our arsenal for supporting your in-office treatments with an effective, wrinkle-fighting skincare regimen at home. Skin care is the security for your investment: In-office treatments are amazing, but if you don’t have a daily regimen at home, then you are not fighting wrinkles at max capacity! 70% of your anti-aging routine is at home with a curated medical grade routine, and then 30% stems from in-office procedures.

Dynamic vs. static wrinkles

The first thing to know about wrinkles before I select a treatment is that they can be either dynamic or static. Dynamic lines appear when you’re smiling, frowning, squinting, or making other facial expressions. Static wrinkles are etched into the skin, even when your face is at rest, and tend to form in your thirties or later as your body’s production of collagen and elastin (the building blocks of plump, elastic skin) begins to diminish.

Each type of wrinkle, depending on its location in the face or neck, calls for a different anti-aging approach. Most dynamic wrinkles respond best to Botox-type injectables, although some (namely the nasolabial folds) can be treated with filler. However, once wrinkles become static, they usually require filler, laser treatments, and/or a surgical lifting procedure to reverse. Both dynamic and static wrinkles, in any area of the face or neck, can also benefit from skin resurfacing facials and a medical grade skin care routine.

I always customize a plan based on each type of wrinkle you want to treat!

Wrinkle formation and treatment, by the area

Here’s how wrinkles form in the key areas of the face, and my go-tos for smoothing them out:

Forehead

Horizontal forehead wrinkles are caused by movement of the frontalis muscle, especially when raising the brows; these lines can deepen with sun damage. Treat forehead lines with neuromodulators like Botox or Dysport. For best results, relax these muscles early to slow wrinkles’ formation!

Frown lines (between the eyebrows)

The “11”-shaped lines that form between the eyebrows are the original territory of our faithful friend Botox. Injected into the muscles below the inner eyebrows that pull your brow down into a frown, neurotoxin stops those lines from frowning, allowing the skin to smooth itself out.

Crow’s feet (eyes)

These lines emanate from the edges of your eyes when smiling or squinting, and may be made worse by sun exposure—so always wear a good pair of sunglasses, in addition to sunscreen and a hat! Botox is highly effective for crow’s feet, and it’s a good idea to pair it with a topical medical-grade eye cream to reduce the appearance of these fine lines.

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Nasolabial folds

These folds that extend from the nose to the outside corners of the mouth, framing your smile, are often caused by movement when smiling. Some people are genetically predisposed to have deep nasolabial folds because of their inherited anatomy. The best way to treat nasolabial folds is with dermal fillers like Restylane Lyft, which can be injected deeply in the dermis and also in the more shallow epidermis layer to “fill” the wrinkles and soften their appearance.

Lips

Wrinkles in and around the lips form due to drinking through straws, smoking, general volume loss over time, and even movement as you talk. To treat wrinkles here, we typically use lip fillers to replace lost volume and smooth perioral lines (a.k.a. smoker’s lines). We can also use a small amount of Botox above the upper lip to soften the muscle and allow the upper lip to curl outward with a technique commonly called the “lip flip.”

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Neck

In the neck, you may see horizontal lines that form from looking down at your phone or computer (tech neck), as well as vertical platysmal band lines that become distinct due to thinning skin. To improve the texture of thin, delicate neck skin, RF microneedling and laser skin resurfacing are effective options. To address the vertical bands, Botox can be injected to soften the muscles that cause them. And when sagging tissues in the lower face and neck have progressed beyond the power of non-surgical treatments, a facelift and/or neck lift with one of our Atlanta plastic surgeons is the ultimate neck rejuvenation procedure.

• Related: Why Microneedling with RF is Superior to Traditional Microneedling »

Prevent wrinkles with good choices, skincare, and Botox-type injectables

There are a handful of proven ways to stop wrinkles from worsening: Botox or Dysport can be injected preventatively to stop dynamic wrinkles from forming in the first place. Protect skin from sun exposure with sunscreen, hats, seeking shade, and wearing sunglasses! You can counter the very real effects of air pollution on skin aging by applying antioxidants, such as Vitamin C, in your skincare routine. And products like retinol (tretinoin) are highly effective when used as directed. Most importantly, make good choices: eat a nutrient-dense diet, and get regular exercise and quality sleep!

Schedule your appointment with one of our expert nurse injectors at The Swan Center for Plastic Surgery. Our team of Expert Injectors, our aestheticians, and our Atlanta plastic surgeons are here to make treating your wrinkles as effective and efficient as possible, with a full range of injectables, skin treatments, and plastic surgery offerings—including minimally invasive alternatives! Call us at 770-667-0904 or contact us online to begin.

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Can you treat wrinkles at home?

While at-home treatments simply can’t deliver the kind of transformation that is possible with plastic surgery or injectables, certain products can help slow the signs of aging and soften fine lines. The team at MindBodyGreen recently discussed various tactics for reducing wrinkles at home; here are our favorite ideas from their list:

• SPF. You’ve surely had the importance of wearing sunscreen impressed upon you from a young age, but we’ll reiterate it here: sunscreen is one of your first and best lines of defense against wrinkles because it blocks the sun’s harmful UV rays from damaging elastin fibers in your skin.
• Smart topical products. Medical-grade skincare products can further protect your skin while providing essential nutrients such as retinoids, alpha-hydroxy acids, niacinamide, anti-aging peptides, and/or growth factors. But with so many options, it’s important to consult with a medical skincare professional to help determine which products are appropriate for treating your unique skin concerns. (Working with a medical practice will also save you from wasting time and money on OTC skincare: while some products include similar nutrients, the concentrations are much lower, making it unlikely you will see any real results.) From Revision Skincare to ZO Skin Health, shop our favorite skincare products here. Our skin care specialists tailor at home regimens to fit your specific needs. We recommend a personal consultation to get you on track to proper skin health.
• Supplements. When it comes to supplements, many are not medically proven; however, one supplement long-known for its ability to support skin health is vitamin C. Vitamin C helps promote collagen production and is needed for its synthesis and maintenance. Making sure you get enough vitamin C in your diet will likely improve your skin’s overall health—just make sure to choose a high-quality, trusted supplement brand.

Incorporating these at-home techniques should provide some noticeable wrinkle protection and modest reduction over time, but if you really want to see smoother, more youthful skin fast, it’s time to head to a true medspa.

At-home treatments simply can’t deliver the kind of transformation that is possible with plastic surgery or injectables, but certain products can help slow aging and soften fine lines.

How can a medspa treat wrinkles without injectables?

A true medical spa offers a variety of physician-supervised treatments designed to remove layers of dead skin cells, hydrate skin, and encourage collagen production. Here are a few of our favorite non-injectable medspa treatments for wrinkles and lines:

• A HydraFacial can help you achieve softer, smoother skin in a relaxing treatment that involves zero needles or downtime. The treatment utilizes a gentle, deep-cleansing jet of water infused with nourishing antioxidant serums to exfoliate, cleanse, and finally replenish your skin’s essential nutrients. For an added rejuvenating boost, your HydraFacial can be customized to include a connective tissue growth factor designed to promote natural collagen and elastin production and help reduce the appearance of wrinkles. Unlike some skin treatments, HydraFacial is also completely safe for patients who have darker complexions, as well as for those with skin issues such as melasma.

• Radiofrequency microneedling delivers high-intensity radiofrequency energy deep into your skin via an array of insulated needles. This warms the deep dermis to stimulate new collagen fiber growth and tighten skin, leading to visible skin improvements that improve over the following months. This hard-working treatment has been touted by celebrities for its ability to quickly diminish fine lines and other blemishes, like sunspots and acne scars.

• Laser skin resurfacing may sound intimidating, but it’s one of the most effective methods of treating wrinkles and lines on the face and body. Laser skin resurfacing utilizes focused beams of heat and light energy to encourage newer, healthier skin growth. At The Swan Center, we use the HALO Hybrid Fractional Laser because it provides the fully rejuvenating benefits of an ablative laser but with less downtime.

What’s the best way to permanently get rid of wrinkles?

Unfortunately, short of having surgical procedures at intervals, there’s really no way to permanently remove and prevent wrinkles. However, since deep lines—like nasolabial “smile” lines—are caused in part by volume loss, dermal fillers can go a long way in reducing their appearance.

We know you are probably reading this in an effort to avoid fillers, but before you write injectables off, let’s consider the main reasons people give for wanting to avoid them:

• Fear of poor results: Many people assume injectable fillers create a fake, puffy look because they have only noticed patients with poor results. Consider, however, that you’ve likely seen lots of good injectable work without realizing it—after all, most celebrities make use of them. And the truth is, retaining a completely natural look is possible: skilled injectors who understand advanced techniques consistently achieve this goal. For example, when treating the nasolabial folds, a physician who is fully versed in facial anatomy will often take an indirect approach with fillers, treating surrounding areas to naturally lift the tissues below (rather than only treating the immediate area which can lead to the “duck face” look).
• Fear of needles/pain: A skilled injector will take a number of steps to reduce pain and anxiety during treatment. If this is an issue for you, talk to your provider and consider trying a minor injectable treatment first.
• A perception that fillers can be harmful: While it is true that some unscrupulous providers have injected patients with harmful substances, legitimate filler products have a long history of safe use on millions of patients.
• A desire to avoid “unnatural” substances: It would be easy to assume injectable fillers must be made of foreign substances, but hyaluronic acid—the key ingredient in our go-to dermal filler, Restylane—is already produced naturally in your body. Fillers simply boost the amount you have, placing it right where you most want it.

We advocate for dermal fillers because they can achieve structural appearance changes that no other non-surgical option offers. For example, plumping the cheeks with fillers will not only help reduce smile lines but also give a lifted look to your entire face, reflect more light into your eyes, and enhance your face’s symmetry.

But do I need dermal fillers to get rid of wrinkles?

There are essentially three options to choose from when it comes to fighting wrinkles:

• Utilize medical-grade skincare and medspa wrinkle treatments as a way to slow aging and soften the appearance of fine lines.
• Use dermal filler injections; they are the safest, most effective way to immediately reduce the appearance of wrinkles (and you can choose a completely natural hyaluronic-acid based formula).
• Have a surgical lifting procedure; while surgery requires an investment of time and money, a skillfully performed facelift can treat deeper folds and wrinkles, turning back the clock about a decade.

While the most ideal long-term results ultimately come from using a combination of all of the above techniques, if you want to completely avoid fillers, we suggest being extra attentive to your skincare routine, seeking regular medspa treatments, and having a surgical procedure when skin laxity becomes more apparent.

Wrinkle reduction in Atlanta

At The Swan Center in Atlanta, our board certified plastic surgeons and skilled aestheticians have the skill, experience, and technology to help you reverse and prevent the signs of aging with or without injectables. To make a skincare plan that meets your goals and comfort level, contact us today or call (770) 667-0904.

From da Vinci’s “Lady with an Ermine” to Thutmose’s iconic “Nefertiti Bust,” the cheeks have been celebrated by cultures around the world for the definition and structure they provide the face. Historically, plump, rosy cheeks were seen as a sign of health—and therefore, attractiveness—by European cultures. However, over the last half-century, prominent upper cheekbones and narrower cheeks have become universally favored, with more men and women seeking plastic surgery to contour their cheeks than ever before.

For those who don’t want to undergo a surgical procedure like buccal fat removal or cheek implants to get sculpted cheeks, injectable fillers are a great alternative. In this month’s post, we explain how you can get chiseled cheeks surgery-free with simple filler injections.

What are cheek fillers?

Cheek fillers are strategically-placed dermal filler injections that provide volume and structure in the area around and above the cheeks. These fillers are typically comprised of hyaluronic acid (HA), a naturally-occurring molecule in the human body that is responsible for absorbing water to keep your skin supple and moist. HA-based fillers not only lift and contour the cheeks but also smooth wrinkles and fine lines in the face by hydrating the skin from within.

How do cheek fillers work?

Over time, skin loses its ability to produce collagen and elastin, which can lead to a saggy, sunken-in facial appearance. When most people age, they lose volume in their mid-face & cheeks and experience skin sagging, or “jowling,” in their lower face. When carefully injected by an expert, fillers can temporarily volumize sunken areas and create symmetry in the face.

Increasing the volume around your cheekbones can create the illusion of a more defined bone structure. A skilled surgeon can use cheek fillers to control the light and shadows on your face, highlighting certain areas and using shadows to create the appearance of natural depressions. Contoured upper cheeks can also reflect light into the eyes to help you look more refreshed and invigorated.

Another added benefit of cheek fillers is that because of the filler’s moisturizing effect, you can get away with wearing less makeup, as your cheeks will take on a natural glow you’ll want to show off.

How long do cheek fillers last?

Hyaluronic acid cheek fillers typically last between 9-12 months before maintenance treatments are needed.

Which fillers are best for cheeks?

At the Swan Center, we use the Restylane line of fillers to sculpt the cheeks. Restylane is an FDA-approved HA-based filler with a safe and effective track record. Like other HA fillers, Restylane not only firms and volumizes skin, but also hydrates it from the inside out for smoother skin with fewer wrinkles and lines. Other fillers that can be used in the cheeks include Juvéderm, Radiesse, Sculptra Aesthetic, and Bellafill.

Cheek fillers are customizable

Everyone’s facial anatomy is unique, and at The Swan Center, our goal is to bring out this individualized beauty in each of our patients. Cheek fillers are a wonderful way we are able to achieve this because they are highly customizable. Here are a few ways we can adapt cheek fillers to enhance your face.

For patients with a rounder face:

While filler can’t reduce volume in your face, it can make the lower cheeks appear slimmer by volumizing the upper cheeks. This will also elevate the mid-face for a more lifted and elongated facial appearance (think Demi Moore circa 2011).

For patients with a narrower face:

Filler injections to the mid-face and lower cheeks can help fill out the face for a healthy, youthful appearance (think Jennifer Lawrence in the first Hunger Games film).

Cheek fillers are quick and easy

Cheek fillers are done in-office in under 15 minutes. The HA begins to volumize and hydrate skin immediately, so you’ll begin to notice results as soon as you leave the office. Even better, because Restylane increases collagen and elastin production in your skin, you’ll see your skin tone improve over the following months.

Cheek fillers have zero recovery period, and, when performed with Restylane injections, last for up to 12 months.

Cheek fillers are a worry-free procedure. If for any reason you aren’t completely satisfied with your results, your surgeon can inject hyaluronidase, an enzyme that breaks down HA, to reverse your filler. Or, if you’ve had a less-than-ideal filler experience elsewhere, our expert plastic surgeons can use hyaluronidase to return your face to its natural state and work with you on achieving the results you want.

How can I enhance my cheek fillers?

Looking to highlight your newly-enhanced cheeks? Here are a few of our favorite methods.

• Dermal fillers in other parts of the face. Adding a few filler injections to other areas of the face can create symmetry and full-facial rejuvenation while drawing attention to your cheeks. Lip fillers can provide a subtle enhancement to the natural shape of the lips and smooth their texture; jawline fillers can make the jaw appear stronger, thinner, and more angled; under-eye fillers can fill in the sunken hollows between the cheeks and eyes for a more alert appearance.
• Botox & Dysport injections. Neurotoxin injections like Botox and Dysport can fix a gummy smile, create a subtle lip flip, and soften the brow. When paired with cheek filler, well-placed neurotoxin injections can improve your appearance by helping you look more relaxed and refreshed.
• HydraFacial. HydraFacial is one of our most popular skincare treatments. It uses a patented medical-grade hydradermabrasion device to cleanse, exfoliate, and hydrate the face with protective serums. HydraFacial treats acne, sun damage, dark spots, and even fine lines. A HydraFacial can help to perfect your complexion to highlight your chiseled cheeks.

• Laser peel. For those looking to treat skin at a deeper level, a laser peel allows us to treat wrinkles, scars, and lesions while tightening skin for glowing results after just one treatment.

Book your cheek filler consultation with our expert injectors in Atlanta

At The Swan Center, all of our cosmetic injections are performed under the direction of board certified plastic surgeons and highly-trained master nurse injectors, which means you’ll get the highest standard of care, results, and safety. If you’d like to learn more about cheek fillers, contact us online or give us a call at (770) 667-0904.

Here at the Swan Center, we’ve helped thousands of Atlanta plastic surgery patients navigate the wide range of available treatments and procedures.

We put together the following guide to help you understand the level of invasiveness for various treatment types, and what effect they may have on your busy lifestyle.

What’s an invasive procedure?

The term invasive is typically used to describe surgical procedures that require incisions and appreciably alter skin or underlying tissues at the time of the procedure. As such, this class of procedures requires bed rest for a few days up to a few weeks. Surgical procedures usually include the option for general anesthesia or local anesthesia with IV sedation.

Examples of common invasive plastic surgery procedures:

• Rhinoplasty (nose enhancement or repair)
• Breast augmentation (placement of breast implants)
• Facelift surgery (improvement of sagging skin on lower face and neck)
• Liposuction (fat reduction)

Total healing time: Two to six months, depending on the procedure, with patient rest averaging one to two weeks.

Results: Varies between one to six months.

The risks involved with invasive plastic surgery procedures are usually greater than non-invasive options. However, these procedures are particularly effective at delivering results and are considered safe when performed by a board certified plastic surgeon.

So, what does minimally invasive mean?

Minimally invasive treatments require significantly less or no downtime and very little discomfort, but often involve a puncture or even a small incision. Minimally invasive procedures are considered less risky than other methods and do not require general anesthesia.

Examples of common minimally invasive options:

• Dysport®, Restylane®, and dermal fillers (injectable treatments)
• Skin procedures such as scar revision or dermaplaning
• Deep skin peels

Healing time: Zero to ten days, with patient returning to work immediately or within a few days.

Results: Varies between a few days to two weeks.

These cosmetic treatments are growing in popularity because patients can return to normal activities quickly, the risk of infection or complication is low, and the results can be impressive.

What about non-surgical options?

Non-surgical cosmetic treatments involve no needles, no punctures, and no anesthesia. Foreign objects do not enter your body at any time and the entire cosmetic treatment is done externally.

These types of treatments typically involve very little downtime, with patients being able to resume unrestricted normal activity very quickly after treatment. Non-surgical treatments may occasionally be considered invasive on some level, depending on how they affect both the treatment area and underlying tissues.

Examples of common non-surgical treatments:

• Laser treatments (such as fractional skin resurfacing or hair removal)
• Light chemical peels

Healing time: Anywhere between one day to two weeks, with patient typically feeling and looking back to normal within a few days.

Results: Varies between one week to three months.

Non-invasive treatments

Many skincare treatments are considered non-invasive because they do not puncture the skin or otherwise impact the underlying tissues. These treatments are quite comfortable and often relaxing. There is no downtime whatsoever.

Examples of common non-invasive treatments:

• Facials (to improve quality of skin through cleansing, exfoliation, & hydration)
• Medical-grade skincare (products used at home or applied professionally to improve skin)

Healing time: Usually minimal, with patient resuming normal activity immediately

Results: Typically, results can be seen immediately or within a few days

Non-invasive treatments are especially effective when used in conjunction with other procedures. Be sure to ask which treatment combinations are most appropriate for your skin type and goals.

How do I know what’s right for me?

We hope we’ve cleared up some of your questions here, but the best way to learn about effective cosmetic treatments is to talk to a trusted professional. Our board certified surgeons and skincare experts can guide you through the process and help you determine which treatments are a good fit for you.

The Swan Center offers private consultations for potential patients. We can answer all of your questions and develop a safe and effective treatment plan that suits your needs.