Reasons for treatment
Most of the aging of our faces is a result of volume loss in bone, fat pads, and skin thickness. The field of facial rejuvenation is now incorporating more volume restoration rather than the old school tightening, upward pulling, and removal of sagging tissues. This has resulted in more natural results, as well as an opportunity for younger patients to choose subtle stepwise enhancements rather than wait until a full surgical facelift is needed. At Oasis Eye, Dr. Schiedler performs all her own filler injections. As an experienced surgeon, she has intimate understanding of the anatomical considerations of the areas being volumized.
Dermal fillers such as Restylane, Juvederm, Belotero, Voluma, and Radiesse are injected into or beneath the skin in order to restore volume to the face. These treatments are popular because there is very little downtime or recovery, they are given as office procedures, and results are seen immediately. These injections are well tolerated with topical anesthetics, ice packs, and occasional nerve blocks. Some fillers come with a numbing agent already mixed in to minimize discomfort even further.
Popular areas for filler are the nasolabial folds, lips, furrows between the brows, cheeks, jawline, and the hollows under the eyes. The optimal type of filler selected depends on the area being treated and the patient’s skin characteristics. Some fillers are reversible and best for first time users. Fillers can be used in combination with Botox and surgery.
What to expect after treatment
Dr. Schiedler does not use any fillers that require skin testing. Allergic reactions are very rare. The most common side effect is bruising. It is helpful to avoid aspirin, ibuprofen, Aleve, Advil, Motrin, vitamin E, fish oil, and other blood thinners temporarily in order to reduce potential bruising. However, if blood thinners are prescribed for a medical problem, they should not be discontinued.
Recovery from filler injections is typically very easy. Small bumps from swelling and redness is typically gone a few hours after injection. A cold compress may keep the swelling down and resolve it faster.
There may be some lumps that take a week to resolve on their own. It is important not to try to massage these areas to avoid moving the filler to unintended areas. Lower lids are more likely to be bruised than other areas of the face. Infection is very rare and antibiotics are not routinely needed.