Dermal Fillers: What Are They?
Hyaluronic acid based dermal fillers are naturally-occurring injectable agent that is used for lip enhancement and to soften facial lines and creases. Hyaluronic acid fillers have been approved by the FDA for the treatment of lines and creases around the mouth and nose since 2003. Blue Water Spa/Michael Law MD has been using them exclusively for patients seeking temporary, reversible facial soft tissue enhancement for over 14 years. We have found this material to be very well tolerated, long lasting for most patients and have yet to encounter an allergic or inflammatory response to them.
Not every dermal filler is created equal. It is important to have an expert injector assess your individual aesthetic needs so they can determine what filler will give you the best results.
Juvederm® Voluma is typically used for mid face volumizing, temples and sometimes jawline. This product has a higher cross linked hyaluronic acid molecule which makes it optimal for volume in these specific areas. The product has been shown in Allergan’s research studies to last up to 2 years.
Common signs of mid face aging include flattening of the anteromedial cheek (prominent “apple” of cheek), hollowness in the submalar area (below the cheek) and zygomatic arch (cheek bone). These features can in many cases be instantly and dramatically improved by the injection of soft tissue filling materials such as Juvederm® Voluma.
Juvederm® Ultra Plus XC and Juvederm® Ultra XC
These are both typically used for low face volume loss and last up to one year or longer in patients. This dermal filler can be used in areas such nasolabial folds (creases from corner of the nose to angle of mouth), marionette lines (creases from angles of the mouth down to jawline) and lips. The “XC” in the product name stands for “extra comfort” due to the addition of lidocaine powder in the product for analgesic effect. Allergan’s research report showed 9 out of 10 patients had less pain. And the study showed the addition of lidocaine as a dry substance has no effect on the hyaluronic acid concentration, volume, degradation, or pH level.
Juvederm Vollure XC
Juvederm Vollure is indicated for low face volume loss such as nasiolabial folds, marionette lines and lips. This hyaluronic molecule has shown to last upwards of 18 months upon research studies. Juvederm Vollure is soft, flexible and animates well upon expression. This product is fluid and smooth like Juvederm Ultra Plus and Juvederm Ultra however lasts approximately 6 months longer.
Juvederm Volbella XC is indicated for lines around the mouth (perioral rhytids) and lip augmentations. Volbella XC is smooth, fluid and last upwards of 1 year. This product is extremely technique dependent as precise placement is key. Blue Water Spa has performed over 6,000 dermal filler procedures to date and our injectors receive advanced training. Volbella will soften, define and leave on with natural and smooth lip borders while providing subtle lip fullness.
Why Blue Water Spa/Michael Law MD?
At Blue Water Spa/Michael Law MD we have surgeon-trained and supervised nurse injectors that are the ideal person to perform BOTOX® injection. The nurse injectors at Blue Water Spa/Michael Law, MD only inject BOTOX® Cosmetic and dermal fillers. It is what they do all day long, every day not just “occasionally” between other services. Our nurse injectors have injected over a million units of BOTOX® to date and 8,000+ dermal fillers and are among the top 1% providers of BOTOX® Cosmetic in the country. Our injectors have a “no pressure” approach and are skilled at providing the least amount of BOTOX® cosmetic possible to give optimal results. At Blue Water Spa/Michael Law MD you don’t have to worry about having a new nurse injector every 6 months, our Nurse Injectors have been with Blue Water Spa/Michael Law MD for years and have mastered the art of BOTOX® and dermal fillers. Our clients are continuously pleased with their performance.
“I don’t trust my face to anyone else but BWS! Blue Water Spa does my Botox and they know exactly what I need to look more refreshed without looking frozen!”
Mari RN, CANS
BJ NP-FNP-C, WHNP-C