Dermal Fillers

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For patients with finer wrinkles of the lower facial areas (especially around the mouth and chin) who are not yet candidates for facelift surgery in Chicago, the new generation of hyaluronic acid soft tissue fillers are very effective. These dermal-filler agents are also requested by many patients on the North Shore of Chicago for lip augmentation. Popular options with respect to FDA-approved injectable soft-tissue fillers include Restylane®, Juvederm® and Prevelle®, which have largely supplanted the collagen fillers of the past.

Meet Dr. Steinwald

Paul M. Steinwald, M.D. is one of the few plastic surgeons in Chicago who is double-board certified in both plastic and general surgery. Read On

These newer dermal fillers are all based on a purified form of hyaluronic acid, a compound found in the tissues of all living organisms (particularly cartilage), which is formulated as a clear gel. When this is injected into facial folds or wrinkles, it binds water, which maintains its "viscoelasticity" and effectively fills in these defects and/or augments the soft tissues (such as in the lip area). Fillers work differently than BOTOX® Cosmetic or Dysport, and are therefore generally used for more "static" (vs. "dynamic" or muscularly-enhanced) wrinkles.

The principle differences between these (otherwise similar) products are:

  • Restylane® – The effect usually lasts for approximately 6-8 months, and in our experience is probably most appropriate for the nasolabial folds areas.
  • Juvederm® – This slightly more expensive filler has a different cross-linking profile, generally lasts 8-10 months, is somewhat smoother to inject, and therefore is also very useful not only around the mouth, but also for the direct lip augmentation many Chicago area patients seek.
  • Prevelle® – This product is formulated with lidocaine (local anesthesia) already mixed in, which makes it more comfortable to inject, but lasts only 3-4 months. It is priced accordingly.

All of these products gradually metabolize over time, but the filler effect is often noticed almost immediately. Restylane® and Juvederm® do usually require the injection of local anesthesia into the gum line areas to achieve the best anesthesia, although occasionally topical creams can be effective. The injection of peri-oral fillers generally takes 15-20 minutes as an in-office procedure, and these treatments are personally administered by Dr. Steinwald. Some redness and swelling can be expected for the first 24-48 hours after treatment, and bruising is more likely in patients with uncontrolled hypertension, or those who have been taking aspirin within 5-10 days of treatment. Some of these effects can be mitigated by the administration of the herbal supplement Arnica Montana for the 24 hours following the procedure.

Your Next Step

If you are thinking about peri-oral wrinkle reduction or lip enhancement in Chicago, it's easy to take the next step. Simply request a consultation online with Dr. Steinwald and save $50 off the regular cosmetic consultation fee. You may also call the Lake Forest Plastic Surgery office at (847) 234-9464, or the downtown Chicago office at (312) 988-9330 to schedule your visit. All dermal filler treatments can be performed at the time of your initial visit, and the consultation fee is waived if a procedure takes place at the time of consultation. Dr. Steinwald looks forward to helping diminish your earlier signs of facial aging.

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