Skin rejuvenation has come a long way since its humble beginnings. The advancement in technology alone has provided the industry with a much broader range of non-surgical options. One of the most significant advances is in the use of “filler” substances. Filler substances are based on the principle of replacing or enhancing soft tissue with biologically similar components. Our soft tissues are made of substances that help your skin retain its soft and elastic qualities.
One of the first filler substance commercially available was bovine (derived from cow protein) collagen. Because of problems with allergic reactions, companies eventually began offering human based collagen (derived from donors). However, these collagen injections tend to be absorbed fairly quickly. More recently, porcine collagen (Evolence®) has been developed which lasts 6-12 months. Evolence® is superior in its ability to minimize swelling and bruising, while providing a very soft, natural result.
Hyaluronic acid is also a naturally occurring component of our skin. Utilizing modern technology, we can now create hyaluronic acid. Unlike collagen, which requires animal donor sources, hyaluronic acid is created through a fermentation process, thus there is no risk of transmission of viral particles or of an allergic reaction.
Because there are a wide variety of fillers available, we encourage you to schedule a consultation at the Maryland Plastic Surgery Center Medical Spa with Dr. Summers to discuss you desires and expectations. Dr. Summers will discuss the options and recommend the optimal treatment regimen for your particular situation.
Each of the above fillers may be used on patients of any age.
Swelling is common with the dense hydrophilic hyaluronic acid fillers (Restylane, Juvederm). The swelling should resolve within 48 hours. In rare cases, bruising will also be present. Visible lumps are very rare. However, in the event any lumps are present, they should dissipate within a few weeks – this process can be hastened by massaging the affected area.