Is filler permanent?

lyzahLyzah, Registered Nurse

Myth 3: “My filler will last forever, right?”

The honest answer to this question is NO they will not last FOREVER with only ONE treatment. Dermal fillers are fillers that treat volume loss in most areas of the face including lips, nasal labial folds, chin, cheeks, tear troughs, under eyes, jaw line and  temples.  Most hyaluronic acid fillers (Restylane, Perlane, Silk, and Juvederm) will last anywhere from 6-12 months with one treatment. However; if you can tolerate minor maintenance about every 6-8+ months, you can achieve and maintain amazing results that last.   Keep in mind results also depend on which filler you choose, what area we treat, and how much product we use. The most common filler complaints I have encountered are a result of inadequate amount of product being placed.  Perhaps you needed 2 syringes and chose to place only one syringe, you may not achieve your optimal result. For this very reason I am all about consultation and catering to each patient’s needs and what will work best for your lifestyle. Another hyaluronic option is Juvederm Voluma, specifically for cheek volume. With adequate treatment you can expect to see results for up to 2 years. The last option is Sculptra Aesthetic, or poly-L-lactic acid (PLLA). This is also a filler used to add volume; however, in a few days the initial volume diminishes, and the PLLA microparticles remain to stimulate your own collagen production. With adequate treatment you can expect to see natural results for 2-5 years. I strongly recommend you consult with your practitioner and ask plenty of questions prior to having a treatment. This will help to eliminate any confusion, and also aid in the selection of type and amount of product that best fits YOU.  :)

Filler Myths

lyzahHi I’m Lyzah your personal Registered Nurse/ Expert Injector. (More so expert injector than Registered Nurse, I must admit.)  Like if someone needs life-saving medical intervention I’m probably not your girl, BUT if you want a FABULOUS face I’m THE girl. I love love love what I do! Part of that love is helping others look and feel like their best self (which I think go hand in hand).

Originally from Virginia, I attended The University of Kentucky and started my nursing career in dermatologic skin cancer surgery (MOHS) at a practice in Ohio. Basically, our practice specialized in extensive skin cancer treatments of the head and neck. I learned from what I consider to be the best surgeons in the business, and am so glad I had those years of experience. I then moved back to Louisville and worked mostly with general Dermatology before switching to the amazing cosmetic side. Combining all that I have learned over the years is why I think I’m a great artist. I really think this business is about true artistry and getting to know your patients well. I want all of my patients to enjoy coming in to see me, feeling like I give them personal attention at each visit, and MOST of all helping them look and feel their best. Too often I hear about bad experiences and bad results; as a result, patients are often too scared to do anything. This leads to my latest blog topic ‘Myths and misconceptions about fillers’.

Over the past few years Injectable Fillers have dramatically increased in popularity. They are most commonly used to treat fine lines, wrinkles and facial volume loss.  According to the latest statistics from the American Society of Aesthetic Plastic Surgery, cosmetic dermal filler treatments have increased by 8% in the last year alone. What makes them so appealing is their ease of use and noninvasive alternative to surgery with fantastic results. However; as popularity has grown, many myths and misconceptions have also developed.

Myth 1:   “Am I going to look like Joan Rivers, or those crazy celebrities on TV?”

My favorite line I use with my patients is “you are going to look like yourself, only better”. My goal is not only making you look better, but also feeling great about yourself. I don’t ever want anyone to leave our office feeling unnatural or overdone. One way I achieve this is taking the time to discuss with my patients exactly what bothers them, and what outcome they are trying to achieve.  I carefully explain each option and what will work best for them.  In all, fillers can be very natural and easy with the correct techniques and injector.  It’s truly all about catering to each patients needs and what will work best for their lifestyle.

So what are Fillers?

Fillers represent the single largest growth sector of aesthetic medicine over the past few years yet I don’t think a lot of people know what they are or how they are used.

So here’s Filler 101. Most of the fillers out there today, Restylane® and Juvederm® are the most common ones, are composed of Hyaluronic Acid (HA). HA is a protein that is already all over your body. It’s in your skin and joints and connective tissue. HA’s have replaced Collagen injections because they last longer and are easier to use. The longevity of the fillers varies but tends to be many months at least with some of them lasting several years.

Uses: Fillers fill and that’s how we use them. They are not intended to smooth fine lines or crows feet or frown lines. That’s what the toxins do, think Botox® and Dysport®. Fillers restore volume to your face. As we age, our faces loose volume, particularly our midface. The mid face is the area between your lower eyelids down to the bottom of your nose. What happens is the fat pads we have in that area tend to shrink and descend. So, with the fillers we can safely restore that volume. It’s that simple.

Now, fillers can be used all over the face and commonly are. We inject them in the temple, between the eyes, in tear troughs, the nose, cheeks, nasolabial folds, marionette lines, lips and along the jawline. They are very versatile.

The lip injections are what most people see and they are the reason, based on the comments I hear from women, that some patients shy away from fillers. Some patients prefer a larger lip that some others may see as being “over done”. This is really a matter of opinion but the point is, if you see a patient with a very full lip or cheek or wherever, it’s because they like it that way. They have simply requested more filler. You don’t automatically get huge lips just because you inject some filler. Some patients request 1 syringe ( 1cc) of filler, others 3 or 4 syringes.

Fillers are injected in the office usually with topical anesthesia. The whole process takes about 30 minutes. After, you can have some swelling, or bruising and the area may be a little tender for a while. Overall there is very little down time associated.

So there’s a brief summary of fillers. If you are interested or have more questions please just contact our office. 502.721-0330.

Lee Corbett, MD

Medical Director of Corbett Cosmetic

The misunderstandings about fillers…

About every other day I have someone ask me why so and so looks the way she does or why the celebrity of the day has “lips like that”? What they are questioning is the look you can get when you add a lot of filler, such as Restylane® or Juvederm®, to the lips or cheek areas. Usually it’s the lips.

Well, the thing is, it’s not the filler and it’s not the injector, at least not in my office, it’s the patient who is directing this. When we inject filler what you see is what you get right on the spot. Now in the day or two after you may have swelling or bruising that can slightly alter what the real result is, but that is transient. So the point is, when you see someone with really full lips, that you might think are overly plumped, well, they are that way because she wanted them that way. We don’t make that decision for the patient.

When we inject filler we have the patient there with mirror in hand. We treat and then have her take a look. If she likes what she sees we stop. If she wants more, we add more in small amounts until she is pleased. It’s that simple. So don’t be afraid of filler!  Fillers are GREAT products and are actually the treatment that is growing in popularity by the day. If you only want a mild to moderate correction/enhancement that is entirely possible.

Fillers are your friend!

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and MediSpa