Palo Alto Medical Foundation Department of Cosmetic Surgery

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Dermal Fillers Increase in Popularity

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Just a few years ago, collagen was considered a revolutionary way to add volume to lips and fill creases in the lower portion of the face. Now this product is losing popularity as new products offer better, longer-lasting results.

Among the more popular collagen replacements used by the Palo Alto Medical Foundation’s (PAMF) Cosmetic Surgery Department are Restylane® and the newly FDA-approved Radiesse™.

“There are some great dermal fillers available on the market today,” says Sandra Ewers, M.S., PA-C. “These products are typically used in the lower half of the face, to help fill in the lines or folds that extend from the side of the mouth or nose down to the chin. They are also great for filling in and plumping up lips.”

Radiesse is increasing in popularity because its effects last twice as long as other fillers such as Restylane. Restylane lasts from six months to a year, and Radiesse lasts from one to two years, according to Ewers.

“Many patients like to try Restylane first so they can see if they like the cosmetic results,” Ewers explains. “Then for subsequent treatments they may prefer to switch to Radiesse so they can enjoy the longer-lasting benefits.”

A typical dermal-filler treatment in one area generally takes about 10 minutes to inject and ranges from $400 to $800, depending on the type of product and how much of it is used. According to Ewers, this cosmetic treatment is growing in popularity because it’s relatively non-invasive and affordable compared to cosmetic surgery.

“Most people love the results, which are immediate,” she says. “The procedure can be uncomfortable, but we do topical and dental blocks to minimize the pain.”

Common side effects are swelling at the area of injection for up to three days. However, Ewers explains, the swelling is generally minimal enough to cover with makeup even the first day after the procedure. To avoid bruising, patients are asked to avoid blood thinners such as aspirin or high doses of vitamin E before coming in for their treatment. Allergic reactions to dermal fillers are very rare.

“Dermal fillers are a nice way to do something that is minimally invasive and produces great cosmetic results,” Ewers says. “I expect the treatment will continue to grow in popularity as people become increasingly aware of the newer products’ benefits."

Learn more about non-surgical cosmetic procedures.

Last Reviewed: March 2007

Sandra Ewers, M.S., PA-C, and patient
Sandra Ewers, M.S., PA-C (right), explains the benefits of dermal fillers to a patient.
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