Sleek Laser

Medical Services

Dermal Fillers

Eliminate wrinkles instantly and immediately to enhance specific areas of your face. Areas most commonly treated include lips, superficial lines, smile lines and forehead lines. Filler types include we use at Sleek Juvederm® Ultra Plus, and Radiesse®.

Dermal Filler FAQs

We are here to offer our insight and share our experience with you, giving you the knowledge and confidence to take the next step. Still have questions? Schedule your complimentary consultation so we can give you answers specific to your skin and your concerns.

What causes the effects of aging skin?

As we age, a decreased production of collagen and elastin (which gives skin it’s support structure and elasticity) in addition to a loss of moisture manifests as fine lines, rough texture, veins and sagging skin. Hormonal changes can result in significant elastosis and collagen loss, causing the skin to look dry and fatigued. Photoaging, the effects the sun has on the skin, results in brown spots and increased wrinkles. In addition, habitual muscle contractions over time lead to increased wrinkles.

What can I expect from a dermal filler treatment?

Depending on the treatment area and the injectable used, these fillers can reduce the effects of collagen loss, adding temporary volume to restore a smoother appearance to the face for moderate to severe facial wrinkles and folds, smile lines, small lines above the lip, severe frown lines between the brows and creases that turn down the corners of the mouth. Lips may be made to appear fuller. Multiple facial areas may be lifted and contoured. Cheeks can be made fuller and more youthful.

How do dermal fillers work?

Juvéderm® Ultra and Juvéderm® Ultra Plus are all cosmetic dermal fillers composed of stabilized hyaluronic acid. Hyaluronic acid, a natural substance that already exists in the human body and provides volume and fullness to the skin, giving it a healthy, youthful appearance. It is also found in the connective tissue of the body that cushions and lubricates.

Radiesse™ is a cosmetic filler composed of Calcium Hydroxylapatite (CaHA) which forms a scaffold in the treatment area. CaHa is the minerals found in human teeth and bones that give them their hardness and strength. As the microspheres degrade, the scaffold stimulates and supports the skin’s own collagen growth.

Are there any risks?

Hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair. Clients who are allergic to gram positive bacteria should not be injected with hyaluronic acid based fillers. These fillers should not be used on people with a known potential for anaphylactic reactions, keloid formation, hypertrophic scarring or pigmentation disorders. If you are pregnant or breastfeeding, you should not use dermal fillers.

Risks include hematoma or blood pooling beneath the skin, and although rare, infection and necrosis or skin loss is possible. An unsatisfactory outcome is also a risk. The greatest risk occurs when dermal fillers are injected by someone who is not properly qualified to perform injections. Semi-permanent and permanent fillers may carry a risk of clumping (the particles form a granuloma or lump that can be felt or seen beneath the skin). Particles may also migrate or displace from the injection site. Injection of an anti-inflammatory may help to improve minor clumps or swelling.

Can I be allergic to a dermal filler?

Generally, only dermal fillers derived from animal sources have a risk of allergy. The fillers we use are not derived from animal sources. We use Juvederm® and Radiesse™, these are synthetic. Fillers such as Zyderm, Zyplast and ArteFill are derived from bovine (cow) sources and a pre-treatment allergy test is part of the standard of care.

What if I don't like my results?

One advantage of most injectable treatments is that they are temporary. If you don't like the results they will diminish in time. A hyaluronic acid based filler like Juvederm® be more rapidly diminished (in weeks rather than months) with the injection of a substance called hyaluronodase in the treatment region.

Is there an age limit for dermal fillers?

Dermal fillers for cosmetic purposes should not be administered to anyone under 18 years of age.

Can dermal fillers be used on skin of color?

Juvederm® and Radiesse™ are generally appropriate for skin of color as these are colorless gels that should not be visible under the skin or alter the skin color.

Will I be able to feel the filler once injected into my skin?

In the first few days after injection, the treated area may feel a little firm; however, this should rapidly improve. In general, a dermal filler should not be felt under the skin. However, there is the risk with semi-permanent or permanent fillers of particles clumping together and forming a granuloma that may be felt or seen under the skin.

What techniques will be used?

The dermal filler is injected directly into the skin in tiny amounts by an ultra-fine needle. There may be some discomfort, depending on the treatment area and upon the particular filler used. Your medical practitioner may choose to numb the area prior to treatment. Depending on the filler used, the area may appear bruised, swollen or exaggerated for a few days, with the desired effect appearing within a week. Some fillers result in immediate effect. For the best outcome and to obtain complete correction, some injections may require a refinement appointment following the initial injections to add additional filler.

How much time will a dermal filler treatment require?

Approximately 30-60 minutes, depending on the treatment area(s).

How many treatments are recommended?

Hyaluronic Acid fillers, such as Juvederm® Ultra Plus, generally last from nine months to over a year, usually last longer after multiple injections. Having a follow-up treatment before the product has fully dissipated may enhance the lasting effect. Radiesse™ filler usually lasts a year or longer. Consult your practitioner about recommendations for follow-up treatments.

What’s the recovery time?

Many clients will feel comfortable resuming their normal activities following treatment. However, with some fillers there will be temporary bruising, swelling or redness. This will normally last less than a week. Avoid the sun and cold outdoor activities until side effects disappear.

Are there cheaper alternatives to brand name dermal fillers?

No. While additional brands of injectables may be approved by the U.S. FDA, if you are offered a "generic" or "cheaper" solution to any U.S. FDA-approved dermal filler, you should refuse. There are no less costly alternatives proven safe or effective.

Juvederm® is a registered trademark of Allergan Corporation.
Radiesse™ is a registered trademark of Mertz Aesthetic, Inc.

Before and After Images

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Prices subject to change.