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Allen M. Doezie MD - Mission Plastic Surgery

Injectable fillers reverse the signs of aging, such as wrinkles and facial lines, by adding structure and volume to sagging facial skin and making it firm again. Restylane® and Juvederm® are some injectable fillers Dr. Doezie uses. Another is hyaluronic acid, a natural complex sugar found in all living cells, and one of the major components of the dermis connective tissue matrix, along with collagen and elastin.

Hyaluronic Acid retains water like a sponge and can soak up liquid that is more than 1000 times its weight. This helps to attract and maintain water, hydrating the skin and increasing its volume and density by bringing sunken skin back up to the surface. When administered by a trained healthcare professional, the process works wonders.

Restylane® is the original Hyaluronic Acid filler with a proven track record of successfully correcting facial lines and augmentating the lips. Juvederm®, however, lasts longer. Produced through Hylacross technology, Juvederm® creates a high degree of cross-linking and lasts for up to 6 months or longer. Hylacross technology results in a smooth consistency gel, which is a primary factor in the long-lasting, smooth, natural look and feel that is characteristic of Juvederm® wrinkle correction. There are two versions of Juvederm®. Juvederm® Ultra injectable gel is made for versatility in contouring and creates volume for wrinkles, folds, and lips; Juvederm® Ultra Plus is a robust formulation that provides volume and corrects deeper wrinkles and folds. Perlane is a new variant of Restylane® which also facilitates volumizing and correction of deeper folds and wrinkles just the way Juvederm® Ultra Plus does. Dr. Doezie will decide which is most suitable for the patient.


Discussing advantages and risks with the attending physician prior to any procedure is advisable. A filler treatment is done under anesthesia that may be localized or general. The doctor will also need to evaluate the facial skin, muscles, underlying bone, medical history, drug allergies, anatomy, lifestyle, and the patient’s cosmetic requirements before going ahead with the process and to decide on the type of filler that will suit the patient’s needs. Postoperative recovery from bruising may take some time and require adequate care and rest as per medical advice.


As with any other surgical procedure, soft-tissue injectable fillers may have complications and risks, though these are rare and minor. Common risks associated with injectable collagen are allergic reactions, redness, itching, swelling, infection, and scaring. Injectable fat may cause infection. Other fillers such as Fibril and Grotex pose minor risks.


The effect of the hyaloronic acid is temporary, about 6 months. The length and nature of results depends on age, genetic make-up, lifestyle, and skin quality.


Face wrinkles appear in the form of the nasolabial fold, the line that stretches from the mouth to the nose often referred to as “parenthesis”. Earlier, Collagen was the preferred method to correct these. This was generally bothersome as it required allergy tests and a waiting period of a month or more as it was made from animal fat. New products made from a material called hyaluronic acid such as Juvederm® or Restylane® have cut the testing and waiting time with better results and Collagen is now considered outdated.


Juvederm® and Restylane® are injectable gels that work for both the lips and face when injected under the skin. For the lips, they provide a little extra volume to supplement lips that become thin with age, and can also add definition to the lip border. On the face, they help fill the folds and smooth wrinkles.


Injectable filler treatment is becoming more and more affordable. The cost of injectable fillers will vary based on the type of product chosen and the number of units needed. Dr. Doezie will determine your exact quote at the time of your consultation.

Learn more about injectable fillers and schedule an appointment with Dr. Doezie at Mission Plastic Surgery.

Allen M. Doezie MD - Plastic Surgery Associations