Hyaluronic Acid Dermal Fillers

e.g. JUVEDERM®, RESTYLANE®

How does a wrinkle form?

  • Your skin consists of two layers known as the epidermis and the dermis
  • The dermis, or innermost layer of the skin, is composed primarily of connective tissue and provides the skin with a support network.
    • Most facial wrinkles and deeper nasolabial folds occur within the dermal layer of the skin
  • Much like a sponge, its primary function is to absorb water, which creates volume in the face
  • As we age, HA diminishes, which contributes to the presence of lines and folds. Hyaluronic acid fillers (Juvederm®, Restylane®) work to correct this by restoring hyaluronic acid in your skin

What areas can be treated?:

  • Crow’s feet
  • Laugh lines
  • Smoker’s lines
  • Frown lines
  • Superficial to Moderate wrinkles

What is a hyaluronic acid filler made of?

Hyaluronic acid is a substance which is naturally present in the skin. It is of non-animal origin and unlike collagen, it does not require any preliminary test.

Who can get this treatment?

Hyaluronic acid is suitable for patients of all ages and all skin types.

How is it done?

  • Hyaluronic acid filler is a nonsurgical, physician-administered treatment
  • Using a fine needle, the doctor eases the filler under the skin to fill the soft tissue of the dermis
  • This adds volume and diminishes the appearance of wrinkles and nasolabial folds instantly
  • The treatment session lasts 30 to 45 minutes in most cases
  • We offer local anaesthesia to make the correction more comfortable, by applying an anaesthetic cream or by local superficial anaesthesia
    • Some filler products contain local anesthetic to make the injection more comfortable
  • Fillers are available in a variety of formulations increasing versatility—
    • some are used for contouring and volumizing facial wrinkles and folds,
    • and others for deeper folds and facial wrinkles

Post-Injection Recommendations:

  • In the hours following the injection, we recommend that you avoid excessive facial expressions.
  • You are not recommended to expose yourself to sunlight or excessive heat (e.g. sauna) for long times during the weeks after the injection; or to touch, handle or massage the site injected
  • Make up and usual care may be used on the day after treatment

What are the possible side effects?

  • Inflammatory reactions (redness and swelling) which may be associated with stinging or pain on pressure may occur after the injection
    • These reactions may last for a week
  • Swelling or nodules may develop at the injection site
  • Very rare cases of discolouration (reversible) of the injection area have been reported
  • Also, very rare cases of necrosis (severe tissue damage), infection, long lasting inflammation (granulomas) and allergy are possible

Who should not have fillers injected?

  • Women who are pregnant or breast feeding
  • Areas with inflammatory and/or infectious skin problems (acne etc.)

Do not forget to tell your practitioner about:

  • Tendencey to develop hypertrophic scarring
  • Autoimmune disease (e.g. lupus)
  • Allergy to hyaluronic acid
  • Areas with inflammatory and/or infectious skin problems (acne etc.)

What other treatments can be combined with fillers?

  • Other injections for wrinkles
  • Microdermabrasion
  • Chemical Peels
  • Photofacials (IPL)
  • Levulan PDT (Photodynamic Therapy)

What is the Cost?

  • The cost is determined based on the amount of the injection that is used
  • For an estimate please book a free consultation with Dr. Arora or one of the medical aestheticians in the office

Which aesthetic products or procedures can be combined with hyaluronic acid fillers (e.g. Juvederm® Dermal Filler)?

  • Medical Facials, Eye Lash Enhancing Treatments, Microdermabrasion, Chemical Peels, Mineral Makeup and IPL (Intense Pulsed Light Fotofacials) can be successfully combined with Injections for Wrinkles
  • Medical Facials
    • This is a clinical facial, using pharmaceutical grade products by our qualified staff
    • This is a relaxing, enjoyable treatment which leaves the skin silky and hydrated
    • Recommended for:
      • Dehydration
      • Photodamage (sun damage)
      • Aging Skin
      • Acne
      • Dull Skin
      • Skin that needs rejuvenation
      • To learn more about medical facials, please click here
  • Eye Lash Enhancing Treatments which help your own lashes to grow:
    • Longer
    • Thicker
    • Fuller
    • Darker
    • To learn more about Eye Lash Enhancing treatments, please click here
  • Microdermabrasion and Chemical Peels (Lactic and Lactic with Retinoic Boost) help to:
    • Unclog pores
    • Improve skin tone
    • Remove devitalized and dead skin cells
    • Give the skin a fresh glow
    • To learn more about Chemical Peels, please click here
    • To learn more about Microdermabrasion, please click here
  • Mineral Makeup Consultations and Colour Matching
    • I am pleased to offer high quality makeup in my office which includes:
      • Sheer to Flawless coverage foundation (cream, liquid and powder)
      • Eye shadows
      • Eye liners
      • Lip sticks
      • Lip glosses
      • Blushes
      • Bronzers
      • Professional makeup tools (natural bristle brushes, lash curlers)
    • To learn more about our Hypoallergenic Mineral Makeup, please click here
  • IPL (Intense Pulsed Light Fotofacial, Photofacial) treats:
    • Broken blood vessels
    • Background red skin tones
    • Brown freckling
    • Enlarged pores
    • Sun damage
    • Depleted skin collagen
    • All of these lead to smoother, younger looking skin and reduced redness at the same time
    • To learn more about IPL(Intense Pulsed Light Fotofacials), please click here

How long does it last?

  • The effects of hyaluronic acid usually last 9 months, and may last up to 1 year or more
  • This effect varies depending on the types of skin, areas, amounts injected, and the injection technique
  • The average life of hyaluronic acid in the lips is 6 months

Do I need a doctor’s referral to make an appointment?

  • No.
  • You may phone the office directly to book your free consultation with one of our staff members

When can I start having treatments?

  • Today!
  • For your convenience, the services above are available in my office

What if you are interested to learn more?

  • If you would like to learn more:
    • Please click on the bold blue links above
    • E-Mail Us
    • Or call our aesthetic centre directly at 905-549-7873 to book a free consultation with one of our knowledgeable technicians

JUVÉDERM® is a registered trademark of Allergan Holdings France SAS © 2013 Allergan Inc. All rights reserved.