Most of the products that we use at El Segundo Dermatology are hyaluronic acid fillers. We can do amazing things with filler and it’s now all about restoring the natural volume and contours to the aging face. We have learned over the years that it is not about filling lines, but lifting and reinflating the face to its more youthful form. More and more evidence is available showing that placement of fillers can even stimulate collagen production, lending it’s anti-aging abilities long after the filler is gone. We see the best results when we combine fillers with neuromodulators (like Botox), laser resurfacing and skin care.
In its natural form, hyaluronic acid is a sugar found in the skin and joints. Hyaluronic fillers are synthetic, biodegradable versions of these naturally occurring sugars and are considered to be extremely safe. You have probably heard of most of them: the Juvederm and Restylane family of products are the most well known. Some injectors prefer one over the other, but in general they can both accomplish the same goals. Restylane and Restylane Silk are excellent products for the under-eye area (also known as the "tear trough") to help improve the appearance of dark circles and hollows. They are also great for lip enhancement. Restylane Lift is a more robust version of Restylane, used in cases that may require a thicker product to fill deeper folds of the face, such as the cheek and lower face.
Juvederm XC Ultra and Ultra Plus, are used like the Restylane family of products to smooth lines and folds and add volume to the face. Juvederm XC Ultra is commonly used for lip augmentation. Juvederm Voluma is the newest filler in the Juvederm family and is used to add volume to the cheek area—we have been waiting for this product for a long time. It's a great filler for the cheeks, and we are obsessed!
Finally, Restylane Silk and Belotero are used for “fine lines” (and lips) but it’s usually best to treat the deeper ones first.