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Dermal Fillers

Dermal Fillers San Antonio | Facial Fillers

Dr. José Barrera, MD is a certified injector of dermal fillers San Antonio and has extensive experience with all dermal fillers available on the market as well as facial fat grafting. Dermal Fillers can be made from several different substances with the goal of improving youthfulness, treating wrinkles, maintaining skin volume, and treating facial contour abnormalities.

Hyaluronic acid (HA)

HA is a natural substance (complex sugar) found in all living organisms. It hydrates the skin by holding in water, and acts as a cushion and lubricant to reduce damage to the skin. It is found in connective tissue throughout the body, including the dermis of the skin. HA dermal fillers include Juvederm, Restylane, Perlane, Voluma, and Belotero.

To maintain its presence in the tissue, the HA is cross-linked by various techniques. It is an important component of youthful, supple, and elastic skin, and helps to maintain skin volume. As we age, our skin loses HA, contributing to the formation of wrinkles. The incidence of complications with HA is low, and the treatment of complications is relatively straightforward with the use of hyaluronidase. In many ways, HAs are the ideal filler.

Dermal fillers San Antonio add volume to help restore youthful contours, so you’ll see results immediately following your treatment. They can be used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, including the lines from your nose to the corners of your mouth (nasolabial folds or laugh lines), the area just below the nose and above the upper lip; the corners of the mouth; and marionette lines—the area that extends downward from the corners of the mouth to the jawline.


 

JUVÉDERM® XC is the first and only FDA-approved HA filler that lasts up to 1 year with 1 treatment.

 

Juvederm

Dr. José Barrera, MD specializes in JUVÉDERM® and has extensive experience with sculpting the face using JUVÉDERM®. Dr. Barrera incorporates up-to-date, cutting age anti-aging technologies, including dermal fillers, to provide natural results that allow his patients’ own youthful beauty to shine.

Dermal fillers are a wonderful and painless way to achieve maximum cosmetic results with minimum recovery time. In general, we use fillers to replace volume, which then helps to restore a natural, rested look. Unfortunately, we associate a sunken, gaunt look with age and disease, whereas we are all attracted to the youthful fullness of a face that has retained its curves and a supple appearance.

Everyone’s skin ages differently and JUVÉDERM® XC may be used to rejuvenate multiple problem areas.* From smile lines to vertical lip lines, you can smooth away unwanted wrinkles and restore natural contours.
Juvederm Angela


 

Restylane and Restylane-L® are the only FDA-approved products for lip enhancement in patients over 21 years, and are uniquely formulated to give your lips fullness and definition. Restylane Silk is now available as a lip filler to provide volume for thin lips in San Antonio. Newer Fillers include Restylane Refyne and Defyne improve laugh lines naturally.

Dermal Fillers

About treatment volume

Treatment volume for HAs should be limited to 6.0 mL in wrinkles and folds, such as nasolabial folds, and limited to 1.5 mL per lip (Restylane and Restylane-L only), as greater amounts significantly increase moderate and severe injection site reactions.

What are some side effects that may occur after treatment?

After treatment, you might have some swelling, redness, pain, bruising, or tenderness.  Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years.


 

How does Restylane Lyft work?

Just like Restylane® Lyft or Perlane is a clear gel HA that is specifically formulated to act like your body’s own hyaluronic acid, adding volume and fullness to the skin.

Dermal Fillers

The most commonly observed side effects are swelling, redness, pain, bruising, and tenderness at the injection site. These are typically mild in severity and resolve in less than 7 days in nasolabial folds.

What makes Lyft different from Restylane?

What makes Lyft different than Restylane is the average size of the particles and the depth of injection, which means it’s a good choice for more severe facial wrinkles that benefit from a deeper injection into the skin.


 

What is Belotero and how does it work?

BELOTERO BALANCE® is an HA derived dermal filler used to treat fine lines and improve facial contours. It is best used to soften lines and wrinkles around the nose and mouth for smooth and natural.

 

Radiesse

Synthetic calcium hydroxylapatite (CaHA) is a soft-tissue filler for use in facial aesthetics. This product may offer many of the desirable properties of a facial filler. Radiesse is a sterile latex-free nonpyrogenic, semisolid, cohesive subdermal, injectable implant, the principal component of which is synthetic CaHA.  Different facial regions can be injected with CaHA to ameliorate or enhance some facial features: glabellar lines, cheeks, tear troughs, nasolabial folds, nose, lips, marionette lines, oral commissures, chin, and other areas. Although conventional aesthetic rhinoplasty remains the treatment of choice for major nasal deformities, injectable facial fillers may provide an attractive alternative in minor defects.

 

Radiesse Filler after Revision Rhinoplasty to improve the dorsum of the nose

Rhinoplasty post


 

Sculptra

Sculptra was approved by the US Food and Drug Administration (FDA) on August 3, 2004 as the first synthetic injectable. Dr. Jose Barrera, MD trained at Stanford University where he became a certified Sculptra injector in 2006. A board certified facial plastic surgeon, Dr. Barrera has extensive experience injecting Sculptra San Antonio. Sculptra® Aesthetic is intended for use in people with healthy immune systems as one time treatment regimen of up to 4 injection sessions that are scheduled about 3 weeks apart for correction of shallow to deep nasolabial fold contour deficiencies and other facial wrinkles.Facial wasting and fat lipoatrophy has been described in many conditions including HIV, facial deformities resulting from tumor resection, and athletes who have lost much of their facial fat from training and overexertion. Fat wasting  may be severe and distressing for patients who are otherwise stable.

The face shows progressive loss of orbital, buccal, parotid, and preauricular fat. Eyes appear prominent and hollow. Progressive orbital lipoatrophy causes a flattening and lengthening of the lower eyelids, leading to increased scleral show. Cheeks appear sunken with loss of the preauricular and buccal fat pads. As severity progresses, skeletal and muscle visibility become prominent features. Often, the nasolabial folds flatten  and, along with atrophy of the cheeks, gives a prominence to the perioral region.

Dermal Fillers

Sculptra and Rhinoplasty Before and After 3 treatments

 

Sculptra and Rhinoplasty Before and After 3 treatments

Sculptra sideSculptra side after

 

JUVÉDERM VOLUMA™ XC

What is JUVÉDERM VOLUMA™ XC injectable gel?

JUVÉDERM VOLUMA XC is the newest injectable HA gel available on the market. It is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face.

What else should you know about JUVÉDERM VOLUMA XC?

  • Clinically proven to last up to 2 years with optimal treatment
  • After 24 hours, you should be able to resume your normal activities
  • Side effects associated with dermal and subdermal fillers like Voluma and Sculptra are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

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