Dermal Fillers

 

HautSpa Medica offers a variety of injectable Hyaluronic Acid dermal fillers such as Juvederm Family and Restylane family for patients looking to enhance, add definition to, and restore volume to various parts of the face. Injectable dermal fillers can also be used to reduce the visible signs of aging, like facial wrinkles and folds, and as an alternative to surgical cosmetic procedures, like lip, smile lines, chin, and cheek augmentation.  

 

What Are Hyaluronic Acid/HA Dermal Fillers?

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Hyaluronic acid, or HA, is a naturally occurring substance that delivers volume to the skin. JUVÉDERM® / RESTYLANE are long-lasting, non-surgical option that contains a form of HA that are synthetically made for better tolerance. They restore volume lost to aging for a youthful appearance, enhance shape and definition for a balanced appearance, treat specific facial areas such as cheeks, mouth/smile lines, lips, and wrinkles around the eyes, and refresh and improve the condition of your skin for a glowing and hydrated skin.

HA dermal fillers are generally safe and according to Restylane.com there has been over 40 million treatments with Restylane, over 6,700 patients followed in clinical trials, over 320 scientific publications and 60 randomized controlled trials showing low risk of adverse events post treatment with 350 reports per 1 million treatments.

According to Juvederm.com the satisfaction rate amongst patient treated with Juvederm family ranges between 90-98% depending on the product used.

Smile Lines

If you are interested in reducing the appearance of smile lines and wrinkles around the mouth, Juvederm or Restylane are good non-surgical options. Injectable dermal fillers can be used to fill in fine lines around the mouth and improve the appearance of smile lines for up to one year. We perform this procedure routinely at HautSpa Medica. Before the injection the area is cleansed properly with a special antibacterial solution. Depending on the one's anatomy and depth of the smile lines Filler is directly injected underneath the skin pushing the fold outward making the crease more shallow. To lessen the bruising possibility a micro-cannula may be used for this procedure.

The procedure lasts roughly about 15 minutes. Bruising, swelling, and tenderness are mild and usually resolve in a few days.

Lip filler before and after are demonstrated in our gallery for reference.

 

Tear Trough

Dark circles or deep hollows under the eyes can cause one to look older than they are, and create a weary-looking appearance. Injectable facial fillers can be used to reduce the appearance of these signs of aging and restore a more refreshed and younger-looking appearance. Tear Troughs or under eye bags or more correctly the medical term of "nasojugal grooves" are major concern in many individuals seeking its rejuvenation. This sunken appearance of the eye results in development of a dark shadow over the lower eyelid, giving the patient a fatigue look. In some individuals hyper-pigmentation creates an illusion of more depth in the tear trough. Depending on the severity and depth classification of I - III is assigned to the tear trough, with class I being mild, class II moderate and class III the most severe form. Unfortunately Many over the counter products including concealers have not produced any results. Traditionally surgery has been the main stem of the treatment. Now with the availability of HA filler and autologous fat grafting this area is amenable to non-surgical treatment. Patients with mild to moderate volume loss may be good candidates for HA filler alone or combination of HA filler and fat grafting for restoration of volume and rejuvenation in this area. Patients however, with severe tear trough with pronounced under eye fat bulging may be a better candidate for surgery. Prior to the procedure Dr. Tamiry provides a clinical assessment to determine if you are a candidate. The procedure involves a special technique using a tear trough filler in small doses for correction. The procedure is 15-20 minutes and lasts 1-2 years depending on the product used. there is minimal to no bruising and patients can return to normal activities after the procedure with essentially no down time.

 

Lip Augmentation/Lip Filler

Juvederm and Restylane can be used to add immediate definition, fullness, and volume to the lips making them more esthetically pleasing. Depending on the age and sun exposure or dynamics of the lips a particular filler is suited for this purpose. At our clinic Dr. Tamiry provides a full assessment including the shape of the lips, its different dynamics while smiling or talking, and its anatomical dimension to the entire face prior to the procedure. After antibacterial preparation a numbing cream is used to provide comfort during the injection. Depending on the patents' desire, we at HautSpa promote a natural but younger appearance appropriate for age for our patients. The benefits of HA fillers for lip augmentation is longevity up to one year depending on the product, reversibility, gradual pace to achieve the desired results, and relative well tolerability of the filler. Bruising, swelling and tenderness are temporary and in most cases resolve within a few days.  Postoperative instructions are provided after the procedure to minimize the amount of bruising and swelling.

 

Jowls & Marionette Lines

Marionette lines are facial lines that run vertically from the corners of the mouth down towards the chin and form as a result of reduced skin elasticity, loss of deep facial fat pads, and repeated facial expressions. These facial lines can enhance the signs of aging and make people look older than they are. Marionette lines start to develop in late 30's to early 40's as a result of loss of deep facial fat pads that support jowls. Over the years these structures loose volume and consistency giving the impression of loose and sagging skin. There are varieties of non-surgical treatment options  to address and improve sagging jowls. Thread lift, dermal fillers, Skin tightening treatments such as radio-frequency, lasers, and neurotoxins such as Botox and Dysport are amongst the options. In some instances depending on the adipose or fat structure Kybella, an injectable fat dissolver, for jowls might be considered an option for non-surgical correction. Treatment of jowls with jawline fillers often involves treatment of the entire area. Depending on the individual anatomy, and severity of the jowls a combination of treatment might be considered. In many instances jowls are a consequence of overall descent of upper and mid face deep fat pads. Addressing theses structures 3 dimensionally from top to bottom of the face is an important part of consideration for choosing the right treatment approach. 

At our institution Dr. Tamiry provides a comprehensive evaluation of your face in different angles with and without animation with photographic imaging prior to treatment. A combination or HA filers with or without other modalities of treatment may be considered.  

Filler for Cheek

As you age the cheeks may flatten and the skin begins to sag. This is a consequence of age related mid face volume loss and consistency of the deep layers of facial fad pads which support the overlying mid face soft tissues. 

There are a variety of FDA approved fillers that can not only enhance the wrinkles but also serve to lift and augment the mid face, an approach that mimics the mid face lift non-surgically. Voluma XC, and Restylane Lyft are amongst the HA filler specifically designed to achieve lifting and rejuvenation in the mid face. In the past fillers used to correct and fill in the lines, but since the introduction of Voluma and Restylane Lyft the desired effect of lifting of the mid -ace and cheeks have resulted significantly to achieve this goal. The technique of mid face lifting and cheek lift is different than the traditional filling in the lines. The injection technique is deep and must be done by experienced cosmetic surgeon who is familiar with the technique. At HautSpa Medica Dr. Tamiry is specialized in this technique. Achieving natural but younger results are the main stem of this procedure at our institution. We do not promote fake look and overdone filler appearance. We understand that every face is different specifically we do not promote one size fit for all approach. After initial consultation a 3 dimensional approach of the individual face is undertaken and treatment with this special technique is done by Dr. Tamiry. The length of the treatment is about 30 minutes and the results last 1-1/2 -2 years based on the manufacturers recommendation. There is no significant down time and the individual can return to regular activities. Post op instructions provided by our staff specifically outline the instructions for speedier recovery

Chin Augmentation

According to the recent statistics by the American Society of the Aesthetic Plastic Surgery (ASAPS) chin augmentation procedures noted a 20% increase in 2018 alone. In the past chin augmentation was primarily surgical but now days with the availability of a variety of the injectable chin fillers the correction can be done non-surgically with minimal to no down time. Surgical chin implants pose a variety of risks and complications such as infection, hematoma, shift of the implant, scarring, loss of sensation in the chin, and side effects associated with anesthesia. Most commonly a squaring of the chin in females in particular can have an undesirable masculinizing effect. Special injectable dermal chin fillers in the right hand can bypass the side effects and post operative complications associated with surgical chin implants. Prior to procedure a careful 3D analysis of the chin with its relationship and dimensions to other facial features such as jaw, lips and nose using the Golden Ratio is carried out. Under local anesthesia a careful deep injection using a chin filler is directly injected in the desired anatomic location. The procedure takes about 10- 15 minutes with no down time lasting approximately 12-24 months.

 

Brow Lift

Non-surgical brow lift is one of the procedures that we perform that will create a more refreshed, youthful appearance by elevating the eyebrows. Brow lift with BOTOX or non surgical brow lift using Injectable dermal fillers can be used to fill in loose skin and wrinkles and restore a more youthful appearance of the eye area. The results with brow lift filler lasts anywhere between 1-2 years. These are typically longer than the BOTOX brow lift. Appropriate candidates are the ones who desire a slight to moderate correction, and do not want to undergo surgery. Another alternative where more moderate elevation is desired, is endoscopic brow lift a minimally invasive procedure where several small incisions in the hair line is made using specialized equipment where the brow tissue is gently released and elevated.

 

Temporal Hollow

As we go through the aging process, we can lose facial volume and facial fat that gives us a more youthful appearance. One of the most common areas of volume loss is the temporal area, which can cause us to look older and create an unflattering shadow under the eyes. We can instantly restore this volume and refresh and rejuvenate your appearance with injectable dermal fillers. These fillers provide an immediately visible improvement to the treated area that can last for one to two years depending on the product. In many instances the volume loss in the upper part of the face particularly in the temples contributes to the shallowing and volume loss in the mid to lower face. 

 

Non-Surgical Nose Job

Non surgical nose job or non surgical rhinoplasty is an alternative method of re shaping and enhancing the nose without down time. HA fillers such as Voluma or Restylane are particularly designed to achieve the desirable results in patients who are bothered by asymmetry or uneven bump on the nose. In some individuals when smiling the tip of the nose pulls down giving the impression of a bigger nose. factors that are responsible for droopy nasal tip are several. The most common among them include too much cartilage around the nose, aging, lack of cartilage firmness, and even traumatic accidents. A muscle pulling down on the nasal tip may cause the droopy nose. Depending on the ones anatomy the non-surgical nose job may be combined with BOTOX to elevate the nose tip for correction.

If you are interested in learning more about how you can achieve a complete facial rejuvenation with the injectable fillers offered at HautSpa Medica? Contact our office in Newport Beach today for more information or to schedule a consultation with Dr. Tamiry.

We look forward to hearing from you!

1000 Bristol St. N., Ste. 21  Newport Beach, CA 92660  Phone: 949-477-4940

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