Lift without breaking a sweat. Dermal fillers are the boost flat, tired or sagging skin has been looking for.
What are dermal fillers?
Dermal fillers, also known as facial fillers or injectables, are an extremely popular non-surgical option for addressing the signs of aging and plumping the lips. Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours.
As a Board-Certified Oculoplastics and Reconstructive Surgeon and Expert Injector who specializes in performing non-surgical facial rejuvenation treatments and cosmetic eyelid surgery, Dr. Baljeet Purewal has the artistic vision, extensive knowledge of facial structure and contouring as well as the skills necessary to provide you with beautiful, natural-looking results.
Why are they needed?
As we age, we lose fat (or volume) in our faces due to the decline in the body’s production of the proteins that make up the structure of the skin, such as collagen and elastin. Many of the visible signs of aging are a direct result of this volume loss, as well as other environmental factors.
As facial tissues thin out, lines are etched around the nose and mouth, and our cheeks begin to look hollow. Dermal fillers replace lost volume to plump thin lips, smooth wrinkles, enhance shallow contours, soften facial creases, and improve the appearance of scars.
See our dermal fillers before and after pictures here.
How do dermal fillers work?
Dermal fillers help restore the fullness that makes skin appear more youthful. Facial changes caused by fat loss underneath the skin unfortunately won’t respond to treatments like BOTOX alone. That’s where dermal fillers come in.
There are a few types of dermal fillers, including Juvederm®, Restylane®, and Volbella®, which are used to add volume underneath the skin. Dermal fillers are particularly effective in the depressions around the corners of the mouth and cheekbones. There are many different filler options and often we’ll use a combination of different fillers in different areas to get the results you are looking for for optimal correction.
Fillers are injected just beneath the skin. After injection, your body increases its production of elastin and collagen. Collagen adds volume, which firms and strengthens the skin. Elastin assists in making the skin more flexible and tighter, which allows it to stretch and then easily bounce back into place.
How long do dermal fillers last?
Most dermal fillers last anywhere from nine to 12 months depending on the areas treated and how your skin responds. Some of the newer fillers produce results that last even longer, up to 15-18 months.
Do dermal fillers have side effects?
Any cosmetic injection treatment, including dermal fillers, has potential side effects. Dr. Purewal will take the time to discuss these with you before determining whether dermal fillers are right for you, and if so, which fillers will provide the best results based on your goals and skin type.
Are your patients typically happy with their results?
Yes. However it’s important to understand that you aren’t going to get facelift results from a non-surgical treatment such as dermal fillers. Many of our patients choose a combination of treatments, such as Botox + dermal fillers + photofacials, that can help rejuvenate skin and restore a youthful appearance.
What dermal fillers do you offer?
Different fillers produce different results, so we offer a variety of fillers to address a wide spectrum of concerns.
- Restylane Lyft
- Restylane Kysse
- Restylane Defyne
- Restylane Refyne
- Juvederm Ultra
- Juvederm Ultra Plus
The best filler depends on the treatment area. So dermal fillers under eyes may be different to what’s used in your lips or cheeks.
As an experienced expert injector, Dr Purewal is familiar with facial structure variations, understands the difference between the seven basic face shapes and knows which of the fillers to use in any given area to successfully contour your face for your desired results.
What are injectable fillers?
Injectable fillers can fill in wrinkle lines, furrows, and contour cheekbones, chins, noses and jawlines. They can also volumize cheeks and plump up lips. Fillers can be derived from natural materials (like hyaluronic acid that is present in every living organism) or from synthetic materials (like poly lactic acid that is in Sculptra).
What should I expect to look like immediately after?
Fillers have an immediate effect, so you’ll see an improvement before you even leave the office. You may experience some swelling which accentuates the effect of the filler, but this is usually gone within a day or so. Depending on the area treated, there may be bruising that can last on average one to two days. Ice packs can help minimize bruising and swelling along with Arnike Forte.
Makeup can be applied the day after treatment to camouflage bruising.
What do I need to do to prepare for my facial filler treatment?
Two weeks before treatment, you must avoid taking any herbal supplements, vitamins or medications that could thin the blood. Medications to avoid include Aleve, aspirin and ibuprofen. If you take fish oil, you must also discontinue this as it’s also a blood thinner.
If you are taking a prescribed blood thinner or are on an aspirin regimen, you must continue taking these medications until the prescribing medical professional approves your request to discontinue taking the medication for the two weeks leading up to treatment and the 72 hours thereafter.
Please also refrain from wearing makeup to the office on the day of treatment.
What aftercare do I need to know for after injectable fillers?
In the one to two weeks before treatment, and for several days after, you must avoid anything that may thin your blood, such as aspirin, aleve, ibuprofen and fish oils. Do your best to not lay on your face. Wait two weeks before getting a facial or a dental appointment.
Don’t apply makeup over the area injected on the day of your treatment, however it can be worn the next day.
Can lip gloss prolong the effects of filler in the lips?
Yes. An over-the-counter lip enhancing product will cause some swelling in the lip area. Since lip filler attracts water, using the two together will have an increased effect.
What can dermal fillers address?
Due to her skill, artistic vision and familiarity with the facial structure, New Jersey Expert Injector Dr. Purewal can use fillers to rejuvenate and beautifully contour her patients’ faces.
Dermal fillers can address:
- Tear troughs and hollowing beneath the eyes.
- Smoker’s lines, which are the vertical lines that develop around the mouth.
- Thin lips.
- Lack of facial definition and contouring (e.g., cheekbones, noses, chins and jawlines).
- An undefined lip border (add definition to the vermilion border to create a cupid’s bow).
- Marionette lines (i.e., these are the lines that run down from the corners of the mouth towards the chin).
- Nasolabial folds (i.e., these lines run from the nose to the mouth).
- An undefined chin.
- Hollow-looking cheeks.
- Depressed scars (e.g., acne scars).
- Hollowed temples.
Can you address more than one area at a time?
Yes, we can address multiple areas during one treatment session.
Fillers can be used to improve facial definitions, which is why they’re extremely effective and popular for creating voluptuous lips, prominent cheekbones and a fresh, youthful appearance.
Can dermal fillers help augment lips?
Yes. If you’d like shapelier or larger lips, lip augmentation may be the treatment for you.
Added volume eliminates the need to overline your lips with makeup to give the illusion of fullness.
At Fresh Face + Eye, our experienced practitioners offer fuller lips that remain soft and feel natural.
What does an injectable filler consist of?
Injectable fillers are gel-like materials of various consistencies. An injectable can be created using synthetic materials or using natural materials. For example, Sculptra is made of the synthetic polymer poly-L-lactic acid, whereas Restylane Lyft consists of hyaluronic acid, a naturally occurring substance in the body.
Why are there so many different kinds of dermal fillers?
Good question. There are numerous injectables available because of the varying consistency of these gel-like fillers.
Knowing the consistency of each injectable is vital as it’s key to determining where the filler should be used. It’s one of the many reasons it’s essential to choose an injector experienced and familiar with all the dermal filler products available.
During a treatment session, Dr Purewal will often target several areas to achieve the best results, so a combination of dermal fillers are used during a single session. She has extensive experience and knowledge of facial structure and shape to ensure youthful-looking, beautifully contoured facial features and well-defined, plump lips.
How do injectables work on the lips?
Treating volume loss, naturally thin lips, undefined lips or lip wrinkles requires an extremely careful approach as the skin on the lips is thin. A thin injectable is required to ensure fillers look good and feel natural.
Some of the injectables we use for the lips include:
- Volbella – to address lip wrinkles.
- Restylane Kysse – to add volume. Using a filler with a thin gel consistency ensures that the improvements are subtle and allow for the natural movement of the lips. If an inexperienced injector uses a thicker gel to plump the lips, the patient’s lips will be too firm, which results in stiff lip movement.
What fillers are used to address volume loss in the face?
There are many different fillers available to treat volume loss in the face. Dr. Purewal uses her experience with dermal fillers to determine which injectable will serve you best.
The fillers used for facial volume are usually of a thicker consistency to ensure the product can provide sufficient support for your cheeks.
Some of the fillers we use to address volume loss in the face include:
- Sculptra – this product has poly-L-lactic acid in its formulation and can be injected to create natural-looking fullness in the mid face as well as in the temples.
- Juvéderm Voluma – this product was largely developed to improve facial volume as well as for contouring purposes. Juvéderm Voluma is usually injected into the cheeks.
- Restylane Lyft – this product consists of hyaluronic acid and was initially developed to add volume in the cheeks, however Restylane Lyft can also be used to contour other areas.
What fillers are used for addressing nasolabial folds?
Your nasolabial folds run from each corner of the nose downward to the corners of the lips. They’re often the result of a combination of repeated facial movements in conjunction with a decrease in the production of collagen and elastin. The visibility of these folds can be exacerbated by the often unwanted shadows they create on the face.
Smiling, talking, laughing, kissing and even smoking can leave their mark - and not always in a good way.
Causing permanent facial lines folids, these may also appear as small vertical creases may form around the mouth (i.e., smoker’s lines), or lines at the corners of the mouth and then run down toward the chin (i.e., marionette lines).
Some people also have a resting face with a natural frown. Dr. Purewal can address each of these issues with fillers to provide you with a rejuvenated, youthful appearance.
Some of the fillers we use to address nasolabial folds include:
- Sculptra – this product stimulates collagen production, which gradually increases the support beneath the folds, thus, reducing their visibility.
- Restylane Defyne and Restylane Refyne – both of these products are created using hyaluronic acid. These fillers differ in the way their molecules are cross-linked. Defyne is designed to provide support, whereas, Refyne is used when focusing on flexibility.
What will happen during my initial consultation for filler treatment in New Jersey at Fresh Face + Eye?
To determine if the treatment is suitable for you, during the initial consultation Dr. Purewal will assess the areas of your face you’re concerned with.
After assessment, she will then make recommendations as to which fillers would benefit you the most, as well as which areas are suitable for treatment with fillers.
What will happen in my initial consultation for hollow tear troughs and dark circles beneath the eyes?
During this initial consultation, Dr. Purewal will assess your eyes to determine if you are a good candidate for dermal filler treatments to address tear trough hollowing.
If eligible, a treatment session will then be scheduled. Post-treatment, you’ll enjoy a brighter facial expression and will look more youthful, rejuvenated and refreshed.
What will happen during my filler treatment session?
Prior to starting any injectable treatment, a topical numbing cream is applied. This ensures you remain comfortable throughout the injectable treatment session.
If treating hollow tear troughs...
Dr. Purewal injects the dermal filler directly into the tear trough. By injecting the filler into this area, the volume in the tear trough is restored. Dark circles beneath the eyes also become less noticeable.
The tear trough treatment is not suitable for everyone, which is one of the reasons that scheduling an appointment with an experienced expert injector is essential.
If addressing lax facial skin and issues related to the cheekbones...
Using a filler, Dr. Purewal can provide you with cheekbones that are more defined and appear to be resting at a higher position on the face. Fillers can also be used to plump the cheeks and tighten facial skin.
To create a more defined cheekbone, Dr. Purewal injects the filler along the bone’s contour. She may also add volume to the cheeks, which helps address lax facial skin.
What do dermal fillers cost?
The dermal fillers cost near me will vary based on the fillers and treatment area targeted. After an initial consultation, Dr Purewal can give you an accurate cost for the treatment.
Ready for a fresh approach to beauty? To schedule an appointment or learn more about our dermal filler treatments at Fresh Face + Eye please call (973) 635-4000 or use the online form by clicking here. Virtual consultations are also available.