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2 posts tagged "Juvederm"

Dr. Suzanne Trott on the Do’s and Don’ts of Fillers


woman-with-glowing-skinThis column features weekly tips and advice from a revolving cast of industry leaders on hand to discuss your beauty dilemmas, from blemishes to Botox.

What should I consider before trying fillers, and how do I determine what’s right for me?

First off, as a filler “virgin” you need to make sure that the person doing it—whether it is a plastic surgeon, dermatologist, or nurse-practitioner—is on the same page as you in terms of aesthetic ideal. If their own face has that alien blowfish look and that’s not what you’re aiming for, you should probably go elsewhere.

Second, when it comes to fillers—which can be amazing!—usually less is more. Start small. Some of the fillers come in half-syringes so you don’t have to buy as much at one time. And start with a hyaluronic acid that is reversible, like Juvederm, Restylane, or Perlane. As with collagen, hyaluronic acid is a natural building block of the skin. It dissolves over time, and it usually lasts about four months in the lower face, while in the upper face it can last years. However, if you don’t like how it looks, it can be dissolved and removed with a hyaluronidase injection. So there’s no reason to be afraid.

Oftentimes my patients feel that their faces need refreshing, but they can’t pinpoint what’s bothering them. This is where you need to trust your doctor. The areas that can be dramatically improved with a small amount of filler volume are under the eyes (tear troughs) and upper cheeks. But sometimes it’s about balance. The lines from your nose to the corners of your mouth (nasolabial folds) and jowls can be softened, but you should be conservative in the lower face.

Located in Beverly Hills, Dr. Suzanne Trott is a board-certified plastic surgeon who specializes in breast and body contouring. Her areas of expertise include liposuction and the new “natural breast augmentation” procedure with autologous body fat. She answers your questions on her blog, Lipo Queen, an international resource for unbiased information regarding all of the newest developments in plastic surgery and cosmetic medicine. Her book, Lipo Queen will be available next year. Further information about Dr. Trott and her practice can be found at

Dr. McDaniel Says A Filler Is Not Forever


This column features weekly tips and advice from a revolving cast of industry leaders, on hand to discuss your beauty dilemmas, from blemishes to Botox. The following query was culled from a private stock, but we’ll be accepting readers’ questions soon.

I’m interested in exploring cosmetic fillers to smooth out the increasingly visible lines and wrinkles on my face, but am hesitant to spend the money because it seems like most of them only last for six months at most. Are there any fillers that don’t get reabsorbed into your skin, for a more permanent solution—and, more importantly, if this technology exists, is it safe?

Artefill is becoming more popular for this very reason. However, there are special issues when considering using permanent fillers, such as the cosmetic surgeon’s technique and experience, because if the filler is not placed properly the results are still “permanent.” Additionally, aging of the face is a dynamic process and what may look good initially may not be ideal for the long haul—even more so if facial plastic surgery is performed and the skin is significantly “rearranged” in the future. I prefer to use some of the longer-lasting fillers such as Juvederm and Restylane, and the newer Evolence is very promising.

With over 20 years of clinical experience in cosmetic laser surgery and dermatology research, David H. McDaniel, MD [], is board-certified by the American Board of Dermatology, an assistant professor of clinical dermatology and plastic surgery at Eastern Virginia Medical School, and the director of the Institute of Anti-Aging Research. Dr. McDaniel is also a sought-after consultant for cosmetic and drug companies regarding skincare products and cosmeceuticals.

Photo: Peter Dazeley/Getty Images