Dermal Fillers

Treating facial wrinkles and creases with injectables is nothing new — it all started with Botox in 2002, the year the FDA approved Botox for the treatment of facial wrinkles around the eyes and on the forehead. But you can read about Botox on another page on Dr. D’Amico’s site. This page is all about dermal fillers.

The dermal fillers Dr. D’Amico uses are Juvéderm® XC and Juvéderm® Voluma XC. And, unlike most practitioners, Dr. D’Amico personally performs all the injectable treatments in his office.

What is a dermal filler?

Dermal fillers are appropriately named. They do their job by filling wrinkles, creases, and areas of decreased volume by adding volume beneath the injection area and pushing the skin back upward. Some fillers also encourage the production of new collagen at the injection sites to lengthen their results.

What are the different types of dermal fillers?

Dermal fillers are classified as either natural or synthetic.

Dr. D’Amico only uses natural fillers. These fillers are basically made with hyaluronic acid. Hyaluronic acid naturally occurs in the human body; its job is to plump, hydrate, and firm the skin. It does this by binding with water molecules.

Synthetic fillers are not used because they can extrude through the skin over time causing painful eruptions.

How are fillers different than Botox?

Dermal fillers “fill” wrinkles from beneath. Botox is a neuromodulator. When injected into a muscle, it temporarily paralyzes that muscle. Botox works on what are called “dynamic” wrinkles. These are wrinkles that form due to muscle contractions when we perform certain typical behaviors such as squinting or frowning. They form mainly on the upper third of the face. Botox has no effect on “static” wrinkles that show themselves at all times. Dermal fillers are used to fill static wrinkles and return lost volume.

What natural dermal fillers does Dr. D’Amico use?

Dr. D’Amico offers Juvéderm® XC and Juvéderm® Voluma XC for his patients. Both are natural dermal fillers that address lines and volume loss in different areas of the face.

Juvéderm® XC — This is one of the word’s most popular dermal fillers. It was the first of the Juvéderm® line and is still the most used. Juvéderm® XC is formulated to smooth nasolabial folds (the lines that run from the nose down to the corners of the mouth) and parentheses lines (the lines that frame the outside of your mouth and resemble parentheses). Juvéderm® XC results last around one year.

Juvéderm® Voluma XC — People worry about wrinkles and lines, but volume loss is just as big a problem in facial aging. Over time, our cheeks flatten and the skin sags. Juvéderm® Voluma XC was the first filler specifically created to restore volume and contour in the cheeks. Juvéderm® Voluma XC results last up to two years.

Are these Juvéderm® injections painful?

Dr. D’Amico is one of the few doctors who combines topical local anesthetic cream AND fine needles so injections are virtually painless.

Dr. D’Amico uses a very fine needle when injecting these Juvéderm® products. Plus, all Juvéderm® products contain lidocaine to help minimize any discomfort.

Are there any risks with these dermal fillers?

Because hyaluronic acid naturally occurs in the human body, any reactions to Juvéderm® products are extremely rare. That’s one reason why Dr. D’Amico prefers natural fillers; synthetic fillers are more prone to allergic reactions in the patient.

Patients may have slight redness around the injection sites for a couple of hours, but that passes quickly. Patients can go back to their normal activities immediately after their session.

Does Dr. D’Amico use dermal fillers with other treatments?

Dermal fillers don’t have to be a stand-alone procedure. Botox can be used in conjunction with fillers to address a wider range of wrinkles and creases. Dermal fillers can complement a facelift, returning volume to areas not specifically addressed with the lift. Dermal fillers can even be used in lieu of nose surgery, giving the patient a test run of sorts to see if he or she likes the new dimensions of their nose before opting to have the changes made permanently with surgery.

Recovery

You might have a slight redness around the injection site for the first two hours. It will be obvious to you when you should come in for another treatment, as the wrinkles will begin to reappear. Because our office is very busy, we suggest that you make the appointment for your next treatment when you have each treatment.

Schedule a Consultation

Dr. D’Amico will review your skin’s condition to establish the best treatment for your needs. The first step in achieving your cosmetic goals is to request a consultation with him. Serving the New York metro area Dr. D’Amico enjoys spending time with you one-on-one to understand your objectives and give his professional opinion about the procedures that are best for you. You will never feel pressured to choose surgery and you will even have a second consultation visit (included with your fee) to bring along family or loved ones and ask follow-up questions. The consultation fee is applied toward any surgical procedure you choose. We are also happy to schedule appointments by phone by calling (201) 567-9595.

* = Results may vary