Injectables

All Juvéderm products contain hyaluronic acid (HA), a lubricating substance that attracts water underneath the skin, helping it maintain hydration while creating a plumping effect. (1) Injectors administer this FDA-approved filler just below the surface of the skin to restore youthful volume, fill out wrinkles, and create a more refreshed appearance.

Most patients receiving these injections experience some mild swelling and bruising, but overall, there are no severe side effects to hyaluronic acid fillers. Juvéderm lasts approximately 6 to 12 months, depending on the formulation and the patient’s metabolism.

Vollure is an FDA-approved dermal filler composed of hyaluronic acid that is specifically designed for the nasolabial folds and “parenthesis” around the mouth. It is the longest-lasting filler for the mid-face (up to 18 months). It uses Vycross Technology, which is a unique cross-linking of both high and low-weight hyaluronic acid molecules.

Vollure is capable of providing support and subtle augmentation to facial wrinkles and nasolabial folds. The best candidates for this injectable are patients with mild to moderate nasolabial folds and marionette lines.

Voluma is one of the only hyaluronic acid fillers that instantly volumizes the cheek area. It is made of shorter chains of hyaluronic acid with many “cross-links.” It is most suitable for the mid-face, but injectors can also use it to contour the temples and jawline.

Volbella is a “gel implant” that was initially indicated for lip plumping, but it can also smooth out other skin texture concerns. For example, Volbella can also address minor acne scarring and effectively diminish the appearance of “platysmal bands,” the horizontal lines on the neck area, by smoothing and filling them out. It can also be used to reduce hollowness under the eyes.

Restylane is another hyaluronic acid dermal filler that resolves moderate to severe facial wrinkles and nasolabial folds. Injectors may also apply it for lip enhancement and utilize it off-label for hollowness under the eyes, commonly referred to as “tear troughs”. In addition to marionette lines and nasolabial folds, Restylane-L can also treat smaller vertical lip lines and lines at the corners of the mouth.

Restylane Lyft is another hyaluronic acid filler that injectors can administer into the backs of the hands to eliminate prominent veins and tendons, but it is also suitable for various areas of the face. Injectors commonly use it to correct moderate to severe wrinkles and folds, but sometimes use it to restore the youthful contours of the cheeks.

Restylane Silk is hyaluronic acid-based filler designed specifically for augmenting lips and reducing wrinkles around the mouth, such as “smoker’s lines”. Dr. Kiripolsky can also use it to eliminate horizontal lines on the forehead, lines on the neck, and crow’s feet.

Restylane Refyne & Defyne are hyaluronic fillers designed to smooth out laugh lines. They are newer fillers that are flexible enough to move alongside the surrounding skin, promoting natural facial expressions. Defyne is a gel-like product made to smooth out deep wrinkles, while Refyne is a much lighter product to correct finer lines.

Dr. Kiripolsky applies Defyne in locations such as the nasolabial folds, the cheeks, marionette lines, and the jawline.

Restylane Contour is one of the latest FDA-approved fillers in the Restylane collection. It specifically treats hollowness and contour deficiencies in the mid-face and cheeks. Contour can last for up to 48 weeks, making it one of the most advanced options for hyaluronic acid. For the most optimal effect, Dr. Kiripolsky may use more than one syringe. Occasional touch-up treatments may be required to create a sustainable long-term outcome.

Restylane Kysse can volumize the lips, smooth out “smoker’s lines”, and improve natural lip color. Though Kysse is able to last up to 12 months, it is more likely to last between 6 and 12 months.This is due to the high level of movement in the lips, making them more prone to filler dissolution. Dr. Kiripolsky recommends touch-ups for optimal results.

Belotero is a prescription hyaluronic acid injection approved to resolve moderate to severe nasolabial folds and smooth out more superficial creases. This hyaluronic acid filler can effectively and safely erase fine lines on various areas of the face.

Sculptra is a biostimulatory filler, so it triggers the skin to produce more collagen over time. Dr. Kiripolsky may recommend “layering” Sculptra with multiple sessions to gradually create the desired volume.

Studies show that Sculptra results can last about 2 years. (2) Most often, this filler is designed to restore volume in sunken areas like the temples, cheeks, along the jawline, and more pronounced facial folds.

As with any injectable filler, some may experience mild side effects like bruising or swelling, however Dr. Kiripolsky’s injection techniques can help mitigate these effects.

Radiesse is another biostimulatory filler made of calcium hydroxylapatite (CaHa)- a biocompatible mineral- carried by water-based gel molecules. While Radiesse can resolve deep wrinkles and nasolabial folds, Dr. Kiripolsky can also administer it to the back of the hands to hide prominent veins and tendons. Like Sculptra, it tends to last longer than hyaluronic acid fillers. Studies show that it can continue to trigger collagen production for 9 months. (3)