Restylane®, Juvederm™, Sculptra™Aesthetic, Radiesse®, and Other
We all strive for the full,youthful face we once had void of any
of life's stresses, years of fun-in-the-sun, and of course, normal
aging processes. Dr. Enzer offers a number of ways in which to give
one a more natural and youthful look; from surgical to less invasive
procedures, such as facial fillers. Many term this a liquid face
lift - the look without the downtime or fees associated with surgery.
Outside the United States, scores of new filler materials are available.
Most are not proven safe and thus are not approved in our country.
However, in the past few years several new fillers have been approved
by the FDA. Most important is the group called hyaluronic
acids, such as Juvéderm
Ultra XC™, Juvéderm UltraPlus XC™, Restylane-L®, and Perlane-L®.
More recently the manufacturers added numbing medication into these
products, making the procedure more comfortable. These fillers give
immediate results, smoothing out lines and wrinkles, by holding
in water. This class of fillers is the safest type, and the only
type that can be easily reversed in the event of a problem. The
benefits typically last at least six (6) months, and often for many
years around the eyes (off-label use).
Another synthetic filler, Sculptra™
(poly-L-lactic acid), has recently become available for
long-term correction, typically lasting 1 – 2 years. This product
stimulates collagen growth, and therefore usually three sessions
are necessary over six (6) months to see the desired results. Sculptra
is best suited for full face volumization (in addition to fat transfer).
Dr. Enzer also offers Radiesse®,
an FDA-approved soft tissue filler used to enhance one's own facial
features. Resulting in immediate, natural facial contouring, this
non-invasive injectible takes away years from your face. Radiesse®
is made up of calcium hydroxylappatite microspheres in a water-based
gel carrier, a biocompatible substance found in the body which is
absorbed over time. For more imformation on Radiesse®, go to www.radiesse.com
to learn more about this product. As a rule, Dr. Enzer does not
offer synthetic implants because he opts for more natural results
with dermal fillers. Even so, Dr. Enzer will consider a patient's
wishes on an individual basis. Dr. Enzer expects many more fillers
to become available in the next few years.
For those people interested in a longer-lasting and a more natural
solution, we recommend fat
transfer. This type of procedure is primarily used
for lip augmentation, to smooth nasolabial lines, cheeks, or to
fill other depressions on the face or body. Fat transfer uses one’s
own tissues, thereby eliminating any risk of implant rejection or
allergic reaction. There is minimal pain and discomfort with this
procedure, which can be done either in Dr. Enzer’s office or at
an out-patient facility. More recently Dr. Enzer has devised a technique
for full face fat transfer, which, in some cases,
replaces the need for face-lifting. This procedure is very dependent
on the experience of the cosmetic surgeon, poor outcomes can be
seen, including non-survival of the transfered fat, lumps, irregular
grooves, or asymmetry. Dr. Enzer has over 15 years of successful
experience with fat transfer, being one of the first to offer this
procedure in Southern New England.
to view photos of patients who have undergone filler procedures.