What Concerns Facial Fillers Can Address

What Concerns Facial Fillers Can Address

Volume loss is one of the top causes of visible facial aging. This is especially true when the volume is lost in the middle and lower portions of the face. This is what causes loose, sagging skin along the jawline, dark hollows beneath the eyes and at the cheeks, deep creasing along the nasolabial folds, and marionette lines that travel from the corners of the mouth down to the outer edges of the chin. Fortunately, facial fillers can be used to correct all of these issues and more. In fact, some fillers are even able to fully hydrate the skin from the inside out, even as they correct static facial wrinkling. The result is a smoother and more refined appearance overall, along with a dewy and truly youthful-looking complexion.

How The Top Fillers Quickly Reverse Some Of Most Common Signs Of Aging

Many of the world’s best topical anti-aging products are largely focused on restoring suppleness and elasticity to the skin. Unfortunately, even remarkable improvements in these areas will not undo the ravages of volume loss. As people grow older and facial volume is gradually diminished, this can leave the skin with a loose and sagging appearance. It is also responsible for the formation of deep, static wrinkles that remain visible and present even when the facial muscles are completely relaxed.

Many of the top fillers are largely comprised of hyaluronic acid (HA). HA is a naturally occurring substance that exists in your connective tissues, skin, and joints to promote optimum hydration. Whether naturally occurring or inserted into the skin as part of an anti-aging facial filler, HA immediately attracts and binds itself to local water molecules. This simultaneously hydrates the area and increases volume. The resulting plumping effect can quickly minimize the appearance of marionette lines, peri-oral wrinkles that radiate outwards from the mouth, creases that travel along the nasolabial folds, and hollows just beneath the cheekbone. HA-based fillers can also have a tightening effect on loose skin at the chin and along the jawline. By restoring lost volume, these products essentially return the visage back to its full and youthful condition.

Beautify Your Lips With Fillers

There are also fillers that can be used to eliminate volume loss and creases that are giving the lips an aged and unappealing appearance. These fillers are frequently used to revitalize lips that have sustained significant wear and to strategically refine and redefine a patient’s natural lip shape. They are perfect for both anti-aging treatments and non-surgical lip augmentation.

Understanding The Duration Of Treatment Results With Facial Fillers

When compared to invasive anti-aging procedures, there’s a very impressive range of benefits that nearly all facial fillers can provide. To start, these treatments take mere minutes to complete. Moreover, the results of filler injections can start manifesting within just a matter of hours or days. Patients do not receive any incisions and they are not subject to any significant amount of downtime. In fact, with a standard anti-aging filler appointment, most people can look forward to recoveries that last just two to six hours.

HA-based fillers are incredibly popular due to their large natural composition. Many people also love the fact that the results of these injections are only temporary. Given that the body is capable of recognizing HA and gradually breaking it down, there is virtually no risk of obtaining permanent aesthetic changes that you aren’t happy with. Many standard HA-based facial fillers last just six to nine months. For those who want longer-lasting results, however, there are also HA fillers made with special cross-linking technologies that can last 12 to 18 months. There are even injectables made with Polymethyl-methacrylate microspheres that are intended to produce semi-permanent results for those seeking to regain lost facial volume in a far more lasting way.

How To Know If Facial Fillers Are Right For You

Dr. Hetal Fichadia can help you determine whether or not dermal fillers are right for you. Cosmetic issues such as dynamic facial wrinkles which include both crow’s feet and frown lines are often best resolved with injectable neurotoxins. Conversely, facial fillers can provide an effective and fast-acting fix to many of the most common signs of facial volume loss and advanced facial aging. Scheduling a consultation appointment at Dr. Fichadia’s Portland, OR office is a great way to learn more about these products, and to determine which of the available solutions can help you reach your cosmetic goals.

Botox vs. Fillers

I was at a local gathering recently, and when someone learned that I was a plastic surgeon, they wanted to pick my brain about what would be better for a more relaxed, refreshed look – Botox or fillers?  I realized that while the media has done a great job of bringing awareness about these great non-invasive options, there is room for more understanding about these products. This post is my effort to increase awareness of these two options. Read on to learn more about these injectable treatments, and which one is right for you.


Botox is a neurotoxin derived from Clostridium botulinum, an organism found in the natural environment. In extremely small concentrations, Botulinum toxin is used to reduce fine lines and wrinkles by paralyzing the underlying muscles. It works by preventing signals from the nerve cells reaching muscles, therefore paralyzing them, which in turn smoothens the lines that form when those muscles are active. This treatment can address horizontal forehead lines, lines between the eyebrows, and crow’s feet or laugh lines around the eyes.

Here are some of the misconceptions I have heard about Botox:

  • “I don’t want a frozen face” – If used artfully and conservatively, Botox can really smooth the lines that make you look tired, angry, or like you have a perpetual scowl, without taking away your ability to show emotion
  • “It hurts too much” – Botox treatments are not very painful, and when fine needle tips are used, do not cause noticeable bruising. Although there are individual variations, usually, this is something you can schedule during a regular day and expect to be back at work/social gathering in 1-2 hours.
  • “I will get hooked on it” – Well, Botox is not habit forming in that it has no addictive potential. The effects last for about 3-4 months, and we recommend ongoing treatments to prevent fine lines from turning into more permanent deep lines. However, if you feel that Botox is not for you after the first treatment, then you don’t have to continue with the treatments and your muscles continue working just like before. Most patients love the results and keep coming back regularly.

There are multiple components to facial appearance and changes as we age. Botox works by relaxing the muscles that start fine and deep lines. Another component of facial aesthetics is a loss of soft tissue volume from the face. This causes hollowing of the cheeks, thinning of lips with fine vertical lines, smile lines that look like parenthesis, jowls, and under-eye hollows. Fillers, such as Restylane and Juvéderm, add volume in the right place for a more youthful, refreshed appearance.


Many of the currently available fillers, including ones from the Juvéderm and Restylane families, are hyaluronic acid based. Hyaluronic acid is a component of joint fluid and other soft tissues. They are injected at different depths to give the desired effect. For example, to add fullness to the cheeks, they are injected just above the cheekbone, whereas for the lips and smile lines around the lips, they are injected slightly more superficially for a more obvious effect. Of course, too superficial of an injection can also give undesirable results, and hence the importance of finding a qualified, experienced injector.

Some of the common misconceptions about fillers that I’ve come across are:

  • “I don’t want to look plastic or like I’ve had work done” – With fillers, it is as much of an art as it is science. Most people need less than 1 mL of fillers placed strategically. This is equal to a fifth of a teaspoon. The end result is a face that still looks like you, but more refreshed.
  • “They are permanent” – Most hyaluronic acid fillers last anywhere between 6-12 months. The Newer generation of fillers, such as Volbella, can last up to 18 months.
  • “I don’t want duck lips” – Fillers can add subtle volume to the lips, and result in better lip aesthetics by enhancing natural lip landmarks. The result is lips that look well hydrated and symmetric. Dramatically large, unnatural appearing lips that don’t fit the facial frame are rare with good technique and planning.
  • “They are very painful and invasive” – While filler injections are typically more uncomfortable than Botox injections, they can be a 15-20 min office treatment. You can ask for topical anesthesia, and most fillers have lidocaine, which results in numbing with ongoing treatment.

Which One is Right for You?

While Botox is used to treat wrinkles and lines caused by muscle contractions, fillers are used to treat lost volume and smile lines. They are used alone or in combination with each other and are an excellent tool for facial contouring.  Of course, having a good basic skin care routine complements all these modalities. If you don’t know which injectable treatment is right for you, a consultation can help to determine which treatment can help.

Schedule a Consultation in Portland

If you are interested in Botox or fillers in the Portland area, contact our office in Portland today to schedule a consultation with Dr. Fichadia.