cosmetic fillers virginia plastic surgeon

FACIAL FILLERS

LOSE A DECADE OF WRINKLES

COSMETIC FILLERS have revolutionized cosmetic surgery. Cosmetic fillers such as Juvederm Ultra, Voluma, Sculptra, and Radiesse give your cosmetic surgeon or cosmetic nurse injector the ability for the first time to add volume to the aging face. It only takes looking at a baby or young child to understand that a round face is a youthful face. Loss of facial volume, particularly seen in the temples, cheeks, and around the mouth and lips add to the appearance of sagging skin and wrinkles. Cosmetic facial fillers give your cosmetic surgeon to reverse the aging process to some degree simply buy replacing some of the volume that is lost with age. 

LOOK YOUNGER

WITH COSMETIC FILLERS

Dr. Chang and our expert nurse injectors are ranked in the top 1% of all medical offices in the country by Allergan, the same company that manufactures Botox. To be clear, BOTOX and cosmetic fillers work very differently and serve different purposes. Cosmetic fillers are used to add volume while botox is used to stop hyperdynamic muscles from causing wrinkles.  

It is not a secret that tissue appears to sag as you get older. Some of the sag is due to loss or relaxation of tissue collagen, but much of the appearance of sagging tissue is simply due to the loss of volume. This is true in the breast, the buttock, and the hands as well as the face. Restoring volume to these areas will partially lifts up the tissue. Restoring tissue volume should be a performed before tissue excision to avoid a “pulled” look. Over-filling the tissue, however, should be avoided in order to avoid a distorted and unnatural appearance.

DO YOU HAVE ISSUES WITH...

FACIAL VOLUME

LOOK YOUNGER

Young faces are round faces.   Restoring the facial volume that is lost with age is the first step in helping you look younger.  The most common areas to address include the temple as it extends down to the cheek mound, the under-eye hollows, the tissue around the mouth including the lips.  Restoring volume not only look more youthful, but it will lift sagging tissue to some extent.  This is the inspiration behind the liquid facelift procedure.  

ACNE

SCARS

Acne scars are extremely difficult to address. The treatment of acne scars often will require multiple methods together or in succession.  Acne scars often appear as a crater or “ice pick” mark where the skin in tethered and pulled to the deeper tissues.  The most common treatments performed include subcision, profractional laser therapy, and using filler to elevate the cratered skin.  Subcision is process where an instrument is used to undermine and separate the crater from the deep tissue.  Profractional laser therapy is then used to shrink the tissue as well as promote collagen growth.  The filler is then placed between the cratered tissue and the underlying tissue.  

INCREASE SENSUALITY

LIP AUGMENTATION

The lips are the evolutionary centerpiece of facial sensuality.  The curves, outline, and fullness of the lips embody a woman’s sexuality.  They are meant for kissing and communicating.  The introduction of hyaluronidase fillers such as Juvederm and Volbella have revolutionized the cosmetic treatment of the lips.  These fillers are able to provide extremely soft gel fullness to the lips with ( in the right hands ) neglible side effects.  We are able to provide young women with full luscious lips that are ripe for kissing.

UNDER EYE HOLLOWS

AGING EYELIDS

The under-eye hollows show your age as much as any other aspect of aging.  Volume that extends from the cheek mound up to the lower eyelid fades with age.  The loss of volume results in deflation and sag of the cheek; the result the accentuation of the nasolabial fold as well as the outline of the orbital bone at the base of the lower eyelid.  The lower eyelid will thin as the tissue is pulled lower, the skin will appear as dark circles, and the lower eyelid will appear longer and more wrinkled.  

These changes occur as early as your 20s but accelerate with age.  Restoring volume here with juvederm or voluma will not only recreate a youthful appearance but will slow many of the changes that were just discussed. 

HAND VOLUME

AGING HANDS

Ht back of the hands age by a loss of fat volume, the dilation of hand veins, and the occurrence of age and sun-spots.  Hand rejuvenation is addressed by restoring volume with cosmetic fillers or fat, ligation of particularly large hand veins, and Forever Young BBL treatment to remove age and sun spots.

AGING LIPS

SMOKER'S LINES

Young patients will often come to the office to ask for plump luscious lips. In contrast older women, despite obvious thinning of the lips, are deadly afraid of adding volume to the lips. Rest assured, the primary goal in treating older women with thinning lips is not to overfill the lips; instead, the primary goal is to restore the volume that is lost with aging. Thinning of the pink lip as well as the upper lip tissue in the philtrum ( between the lip and the nose ) results in smoker’s lines because the lip folds on itself when it speaks or is pursed. In addition, the loss of volume forces the pink lip to turn inward. Volume with Juvederm or Volbella should be the first option in treating smoker’s lines.

SAGGING BUTT

BRAZILIAN BUTT LIFT

The classic Brazilian butt lift uses transferred fat from the abdomen, flanks, and/or thighs to add volume to the butt. Adding volume to the butt will obviously add more fullness and roundness to the area. It will also lift the tissue. This is the same strategy that was presented for the face at the beginning of this article.  

For patients that do not have enough fat to be used, sculptra can be used as a very excellent substitute.

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WHICH FILLER IS RIGHT FOR YOU?

JUVEDERM

Juvederm was one of the original cosmetic facial fillers.  It is a hyaluronic acid gel that has become one of the most popular fillers on the market.  Over the subsequent years, Juvederm has evolved in to a family of fillers that includes Juvederm Ultra, Voluma, Volbella, and Vollure.  They each have different qualities and may be used for different purposes on the face and body.  

The are all soft gels that will last anywhere from 9 months to about 2 years depending on the filler.

JUVEDERM ULTRA

Juvederm ultra is the oldest of the hyaluronic acid fillers created by Allergan, who also is the manufacturer of Botox.  Juvederm Ultra has the shortest duration ( 9 months ) of all the fillers.  Some might think of this as a negative, but this is not always the case.  Because of its shorter duration and ease of use, it is possibly the best filler for you if you are unsure of the benefits and you want something that might dissolve more quickly. 

  • The best filler for lips!
  • The best filler if you are not sure and you want a short duration.
  • Commonly used in any are of the face including the temples, eyelid-cheek junction, and around the mouth.
  • Tied with Voluma for the most commonly used fillers.
  • $750
VOLUMA

Voluma was the second  hyaluronic acid filler created by Allergan.  They made Voluma so that it would last up to 2 years.  Although soft, it is slightly thicker than Juvederm Ultra and is therefore not as appropriate for the lips.  

  • Best hyaluronic filler for longevity – 2 years.
  • Commonly used in any areas of the face including the temples, eyelid-cheek junction, and around the mouth.  
  • Our favorite filler for used to re-shape the nose.
VOLBELLA

Volbella is a newer hyaluronic acid filler designed to treat sharp lines and wrinkles such as in “smoker’s lines”.  This is made possible because it is more liquid than the other fillers.

  • Lasts for about 9 months. 
  • Best filler available for fine lines and smoker’s lines. 
VOLLURE

Vollure is a new hyaluronic acid filler designed for areas with thin skin such as under the eyes or in other areas where your skin might be thin.  

  • Used for under the eyes. 
  • Also used for nasolabial folds and marionette lines if the skin is thin.
  • Lasts for about 1 year.

SCULPTRA

Sculptra is a cosmetic filler that we turn to in patients who need a lot of volume.  You will get more volume per syringe than any of the other fillers.  In addition, Sculptra will also last longer than other cosmetic fillers.  Sculptra helps stimulate your skin’s own natural collagen production to help restore its inner structure and increase facial volume that has been lost to aging.  

These qualities make Sculptra, the most cost effective facial filler that we use. This begs the question, why don’t we use Sculptra for everything?  Sculptra requires more potentially recovery than the other fillers because it tends to have more swelling and bruising than the other fillers.  It also cannot be used where the tissue is thin such as around the eyes or lips.  

LIQUID FACELIFT

Also called a nonsurgical facelift, the liquid facelift is a quick procedure that uses cosmetic injectable fillers and botox without surgery to give you a more youthful appearance.  As discussed on the page about the 4 pillars of anti-aging, volume loss will initiate the sagging of the face as early as in your twenties.  Adding volume and inhibiting the dynamic muscles with botox will within reason, lift the tissue

FAT TRANSFER

Fat transfer is obviously the most natural of cosmetic fillers.  The fat is take from your own body from an area that you normally find difficult to get rid of such as the lower abdomen, inner thighs, or flanks; it is then processed and transferred to the area which you are looking to provide extra volume.  Because you are the the product, there is significantly less overhead cost than using artificial fillers like Juvederm or Sculptra.  Therefore, if you require a significant amount of volume, fat becomes the most cost effective option.

Fat transfer is most commonly used for the face, but also very common for breast augmentation, brazilian butt lift, lips, and even hand rejuvenation.  Fat provides a soft natural look and feel.

The downside is that it results in more swelling and bruising than the artificial fillers.  Depending on its placement, some patients can have obvious swelling for up two weeks with complete resolution in 1-3 months.  In addition, not all of the fat will survive the transfer.  You can lose all of the fat. 

WHAT TO EXPECT

YOUR EVALUATION

DISCUSS THE AREA TO BE ADDRESSED

As previously discussed, cosmetic fillers and/or fat transfer are used to add volume to areas of the face or body that either have lost or lack adequate volume.  These areas can include the face ( see details above ), hands, breast, or butt.  Depending on the area, a filler with the correct properties will be chosen

CHOOSE THE CORRECT FILLER

Cosmetic facial fillers and fat transfer all have different properties.  We will choose the correct option together based on the type of area, how long the filler lasts, and the price.  In general, voluma which lasts for about 1 and a half to 2 years in the localized areas of the face except for the lips and under-eye are.  Those areas are treated with Juvederm ( 1 year ) or a judicious amount of Voluma. Large surface areas are treated with Sculptra or fat transfer.  Sculptra will last about 2-3 years and fat may last a life-time.  

WHAT TO EXPECT

YOUR INJECTION

Most facial fillers come with numbing medications in the syringe decreasing the pain of injection.  Topical numbing is usually added to the lips as they are generally more painful.  

Most patients will not have pain or bruising after their procedure.  Most patients may return to work immediately especially if there is only one or two syringes used.  The exception is patients who have injections with Sculptra as the procedure requires a larger needle and multiple passes.  Most patients will still not bruise considerably but every once in a while… 

WHAT TO EXPECT

AFTER TREATMENT

All patients can expect some mild swelling after their procedure.  Most patients will not have any significant bruising.  Swelling will decrease significantly in the first 2-3 days but you can expect some minimal swelling for up to 3 weeks.  You should schedule your follow-up no earlier than 2 weeks for this reason.  

If you absolutely hate your result, it may be dissolved using hyaluronidase for hyaluronic acid products.  There is no refund as we have already used the product and the work is done.  Sculptra cannot be removed.  

TIPS: MAKE NONSURGICAL TREATMENTS

MORE AFFORDABLE

PRE-BOOKING DISCOUNT

Patients that prebook their next appointment decrease our administrative and marketing expenditures. Prebooking also ensures that your anti-aging efforts are optimized and decrease the time of your next visit. We want to pass these savings on to YOU! Pre-book to optimize your savings. 

EXECUTIVE MEMBERSHIP

Executive Membership provides regular discounts on products and treatments. When you register you will automatically receive that month’s discount offer. If you plan to have multiple or regular procedures, consider Executive Membership for significant long-term savings! 

WRITE A REVIEW

We are confident that you will happy with your treatment. Help us spread the word about your treatment by writing a review on Google to not only help other potential patients learn more about your satisfaction with the treatment, but to help them learn more about Dr. Chang and the team at Aesthetica as well. In return, receive a credit toward your next service. We would love to thank you for your loyalty! 

REFER A FRIEND

Referring a friend is the ultimate demonstration of your satisfaction and appreciation. We want to show our appreciation by giving you something more in return. For every friend who you refer and has a treatment done, each of you will receive $100. Read more about our referral program here. 

FACEBOOK SPECIALS

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PREMIER

PLASTIC SURGERY FACILITY

Our state-of-the-art medical facility provides a safe and convenient cosmetic oasis where world class technology and equipment is coupled with a caring, compassionate staff. You will be welcomed into a chic, inviting reception area and greeted by our friendly patient coordinator. Your treatment will be performed in one of our cutting edge suites, and then you will be escorted to our soothing, restorative recovery rooms. Concierge service and boutique amenities await at every stage of your journey.

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Nonsurgical Wonders

Make sure to explore these other nonsurgical wonders to help you find your own mystical fountain of youth… now accessible at Aesthetica, the premier plastic surgery center in Loudoun County. 

Sculptra aesthetic is a poly-L-lactic acid injectable that helps produce collagen/volume into the tissue it was injected. 

Volume replacement in the butt requires a good amount of product. One of the most cost effective ways is a fat transfer. You also see the added benefit of liposuction where the fat was taken from. If someone doesn’t have enough fat to take, or if they want an injectable option, Sculptra Aesthetic is a good alternative to increase volume. 

Depending on the degree of severity of the sagging, a surgical butt lift can be done, or also volume replacement with either fat or injectable volume replacement. 

Yes, technically any filler can be placed in the butt, for for longevity sake and for the proper firmness and volume, we recommend the use of Sculptra 

Sculptra is indicated to last over 2 years, many people see a result that lasts upwards of 5 years. 

Sculptra helps your body produce its own volume, so with enough stimulation your body will produce and keep volume in the area for years. Most people do “touch up” treatments annually. 

Priced per consultation it really depends on how many vials of Sculptra we use. on average we will use 10-20 vials for a full butt. 

Finding a Board Certified Plastic Surgeon near you is easy with a google search. Seek providers who have good photos on their website and go in for a consultation first. After gathering information go with the provider that you feel comfortable with. 

Start with google reviews or word of mouth, and then check out their credentials too. It is important the a plastic surgeon be board certified and have experience.  

Lips are an art form. If you are looking for volume in the lips then Juvederm Ultra Plus XC works best. it holds a nice shape, and gives volume to increase your pout. 

We use a different filler around the lips than we do in the lips. Juvederm Vollure or Juvederm Volbella both work well for smaller finer lines around the lips without adding bulk volume to the area. They are both meant to fill in fine textural lines.

Filler under the eye should always be done by a very experienced injector. Certain products can cause under eye puffiness to become worse. Using a product that is less water loving is important. Volume in the cheek can also address under eye issues. We would use Juvederm Voluma in the cheek to smooth the under eye area. In some cases Vollure can be treaded into a tear trough area as well. 

Juvederm Ultra plus XC or Juvderm Voluma work very well in nose reshaping. Voluma is more common as the results last longer. 

Full face volumization is achieved best with Sculptra Aesthetic. Some times we will add other hyaluronic acid fillers around the mouth or under the eyes as these are places not indicated for Sculptra. 

Technically the longest lasting filler would be your own fat. After that the injectable fillers we do range from results lasting 5 years to one year. Permanent fillers are not a good idea. Your face is always changing and you want to be able to maintain a look without having to work around an implanted filler that doesn’t move with your face. 

Facial fillers have a range depending on the formulation ranging from about five years to one year. 

In the unlikely event that you don’t like your results, some fillers can actually be dissolved. Hyaluronic acid  fillers do have an enzyme called hyaluronidase that can be injected into the filler and dissolve the product. It is not recommended to use this liberally however as it can remove your body’s natural hyaluronic acid as well. 

Contact Our Office:

Our office can provide you will helpful information, schedule a free consultation, and walk you through the process of having the procedure covered by your insurance.

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