Fillers are crystal clear injectable gels that are used to fill nondynamic wrinkles of the face. These are the wrinkles that are present even when you are not smiling or animating. The most commonly used fillers are Restylane, Perlane, JUVEDERM and Prevelle. These are FDA approved purified, naturally occurring polysaccharides, called hyaluronic acids, that are found in all living cells. Hyaluronic acid is one of the main components of the dermis connective tissue matrix. By injecting these gels into the dermis, wrinkles can actually be smoothed out. Areas that are particularly well suited to these treatments include the lines and folds along the face and mouth. Crow’s feet and frown lines that persist even after BOTOX Cosmetic treatment may also be good indications for these fillers.
Other fillers such as Evolence (a collagen-based product) or fat or other tissue that is harvested from your own body may also be used . The particular choice of filler will depend on your particular needs and Dr. Ram’s assessment of you.
Fillers can also be used for lip enhancement to add volume to thin lips, to create better definition to the borders of the lips, or to fill in some of the vertical lines along the lip that develop with age.