Denver Juvederm and Facial Fillers

We offer the best facial fillers including: Juvederm®, JUVÉDERM VOLUMA™ XC®, Radiesse™, Sculptra™, Restylane® and more

JUVÉDERM VOLUMA™ XC

The first and only FDA-approved filler to correct age related volume loss in the mid-face. With optimal treatment, natural-looking results last up to 2 years. JUVÉDERM VOLUMA™ is the newest filler in the Juvederm line from Allergan. Following years of use in Europe and Canada it is now available in the USA. It is specifically designed to restore volume in the deeper layers of the face.

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Frequently Asked Filler Questions

What is Hyaluronic Acid?

Hyaluronic acid (HA) is a naturally-occurring key component of human skin.  HA comprises 40%of the deep skin layer known as the dermis and collagen comprises the majority of the remaining volume.  HA acts as a firm gel-like matrix within which the collagen fibers and fibroblasts are embedded.  HA is chemically identical from species to species and therefore there is no danger of inducing and adverse response if HA derived from animal or bacterial sources is injected into humans.   HA fillers first gained FDA approval as cosmetic dermal fillers in 2003 with the introduction of Restylane and since then several other HA fillers have gained FDA approval.  Currently there are several HA fillers available in the USA:

  • Restylane / Perlane (2003)
  • Hyalaform (2004)
  • Captique (2004)
  • Juvederm (2006)
  • Elevess (2008)
  • Prevelle (2008)
  • Hydrelle (2009)

Are all Hyaluronic  Acid (HA)  fillers the same?

Hyalaform is an animal sourced HA derived from rooster combs.    Juvederm and Restylane are biosynthetic non-animal forms of HA and are produced by bacterial synthesis and then harvested and purified to yield medical grade injectable forms of HA.  and Captique are first generation HA fillerswas the first HA injectable filler to gain FDA approval, however, it currently is no longer widely used due to its relatively short lifespan.

JUVÉDERM VOLUMA™ XC is Now FDA Approved!

Watch a video on Juvederm® VOLUMA

The first and only FDA-approved filler to correct age related volume loss in the mid-face. With optimal treatment, natural-looking results last up to 2 years. JUVÉDERM VOLUMA™ is the newest filler in the Juvederm line from Allergan. Following years of use in Europe and Canada it is now available in the USA. It is specifically designed to restore volume in the deeper layers of the face.

Full cheeks are a key marker of youth. Age-related volume loss can cause the face to lose definition, balance and change shape, all of which can make a person appear older than their years. The mid-face is one of the first areas to show the signs of aging – as we lose facial volume, cheeks deflate and descend.

When it comes to enhancing the chin and cheeks, a little volume goes a long way. Thin, tired skin can speak volumes about a person’s age. Signs of aging like sunken cheeks or a sagging chin can add years to a person’s face. These telltale signs of aging can now be addressed with JUVÉDERM® VOLUMA™.

What is Radiesse™

Radiesse is an injectable filler composed of calcium hydroxlapatite (CaHA) crystals suspended in a water-based carrier gel.  CaHA is identical to the mineral found in human bone and teeth.  Radiesse is a synthetic analogue of a naturally occurring biologic compound found in humans.    Hydroxylapatite has been used for several years in a variety of applications including bone augmentation, bladder sphincter augmentation and vocal cord augmentation for several years and has proven to be very biocompatible.  Radiesse received FDA approval for use as an injectable cosmetic facial filler in 2006.

How does Radiesse™ Work?

Radiesse augments facial volume via 2 modes of action:  1) as an immediate space-occupying filler and 2) as a delayed collagen stimulating agent.

Microscopic photograph of space occupying  hydroxylapatite spheres within the subcutaneous layer of the face inducing collagen synthesis in the adjacent tissues.

Where can Radiesse be used in the face?

Radiesse is being used in virtually all areas of the face except for the lips.  It can be used for both deep facial revoumizing in the cheeks and as well as for more superficial areas such as the nasolabial folds and marionette lines.

Locations where Radiesse™ is most useful.

    1. Lower Forehead & Brow
    2. Nasal Dorsum
    3. Malar (Cheek)
    4. Submalar
    5. Upper Lip-Cheek Groove (Nasolabial Groove)
    6. Lower Lip-Cheek Groove (Marionette Line)
    7. Labiomental Crease
    8. Prejowl Sulcus

How long does Radiesse last?

Long term studies seem to indicate that the duration of Radiesse ranges from 1 to 1.5 years.  It seems to last longer when injected in areas not affected by the facial muscles such as when it is used in deep injections adjacent to bone for deep facial revolumization.

What are the risks and complications with Radiesse injections?

Bruising and a slight degree of swelling is similar to other injectable fillers.  If injected too close to the surface Radiesse can be visible through the surface as a white nodule.  It is possible to remove the filler in such cases by massaging it back out through a small needle puncture directly into the offending  nodule.  Nodule formation is particularly problematic when Radiesse is injected into the lips and its therefore not recommended for lip augmentation.  Otherwise, Radiesse has a very safe risk profile.

What is Sculptra™?

Sculptra™ is a biosynthetic filler that contains poly-L-lactic acid suspended in a water-based delivery fluid.  Sculptra™ was initially approved by the FDC in 2004 for the correction of facial lipoatrophy, a  medical condition that results in aggressive fat loss through the cheek and temple regions.  Subsequently, in 2007, Sculptra™ was FDA approved as a cosmetic filler to reversed volume loss associated with aging.

How does Sculptra™ work?

Polylactic acid acts by inducing a low grade inflammatory response and stimulating fibroblasts to produce collagen in sites where it is injected. Please note that Sculptra is not an instant gratification injectable filler treatment.  Initially, the a queous carrier fluid will result in significant volume increase but this is quickly lost after a few days due to water resorption.  Subsequently, the poly-lactic acid gradually stimulates collagen production and It takes approximately 2 months for the full effects of Sculptra to become evident.  Volume will continue to increase for approximately 4-6 months.  In most cases, the best results are obtained when Sculptra is injected in a series of 2 or 3 sessions.  The improved volume  lasts on average 1.5 to 2 years.

Where can Sculptra™ be used in the face?

Sculptra™ is best suited to restore deep facial volume in the cheeks, temple region, nasolabial folds and marionette lines.  It is best best to inject Sculptra adjacent to the he bone of the facial skeleton whenever possible.  If this is not feasible, then it can be injected into the deep dermis or superficial subcutaneous layer.  Sculptra™ seems to do best and last longer in areas where there is the least movement of the facial muscles acting on it.

Locations where Sculptra™ is mot useful.

  1. Lower Forehead & Brow
  2. Temple
  3. Deep Malar (Cheek)
  4. Submalar
  5. Upper Lip-Cheek Groove (Nasolabial Groove)
  6. Lower Lip-Cheek Groove (Marionette Line)

 How long does Sculptra last?

Sculptra™ can be expected to last in most people from 1.5 to 2 years.  Please note that in certain individuals the duration may be reduced.  We tend to see a shorter duration in patients with severe volume loss or in those with extensive scarring from prior surgery or trauma and in patients with HIV related lipoatrophy.

Does Sculptra have any side effects or complications?

Sculptra™ has a very safe profile in general.  Immediately following Sculptra™ injections there can be some slight swelling or bruising.  Patients receiving large amounts of Sculptra™, patients with facial scarring or those with thin skin can experience more bruising.  However, in the vast majority of cases there is essentially do down time and any bruising can be easily covered over with make-up for a few days.  Long term complications are very uncommon as well.  The most common long term complaint with Sculptra™ involved subcutaneous nodue formation.  This was much more common during its early use.  Currently, however, new product-handling protocols, injection techniques and post-injection massage have led to a much lower incidence of nodule formation.  Even if nodules do occur they generally resolve on their own or can be treated with steroid injection to hasten their disappearance.  Usually the nodules are only evident to the touch and cannot be detected visually.  In order to minimize complications, be sure that the injectionist you select has undergone certified training specific to Sculptra™ and that they are experienced with the product.

AESTHETICS BY DESIGN uses the latest technologies and products available.