Fillers Gallery

A woman in her early 60s who had a rhinoplasty more than 40 years ago.  She has developed some settling of the mid-dorsum and a palpable septal cartilage bump in the “open roof” area between the reduced nasal bones.  We could consider returning to the operating room to rasp down the bump and add some additional tissue such as a temporalis fascial graft.  But we elected to try the much simpler option of augmenting the area with 0.6 cc of Restylane.  At two weeks she has an excellent result.  This can typically last for 2 years or longer in this area and is relatively easy to repeat as necessary.

A woman in her mid-50s is bothered by “smoker lines” on her upper lip when she is putting on her lipstick.  She does not smoke.  The lines are from subtle soft tissue loss with aging.

She is shown before and again, one month after the placement of one syringe of Redensity, one of the Resilient Hyaluronic acid fillers from Revance that helps to correct this without adding bulk to the lip.

A nearly 60-year-old woman is bothered by “smoker’s lines” or “lipstick lines” of her upper lip but does not want the lips to look noticeably fuller.  She is shown before and again 7 weeks after one syringe of redensity to the white portion of her upper lip.  The dynamic lines when she is pursing her lips are much better.  At rest, there is not a large change as per her request just a subtle improvement in the lines.

A man in his later 70s who is bothered by his lower eyelids giving him an aged appearance.  On examination, the main problem is the volume loss of aging.  He is shown just before and again 2 weeks after the off-label use of 3 syringes of  Redensity and one syringe of RHA 3 to correct the “tear trough” area. More was placed on his left which is still his deeper side.  He is thrilled with his improvement.  Tear trough correction is challenging and it is easy to over-correct in this area, requiring removal of the NASHA filler with hyaluronidase, an enzyme that can dissolve NASHA fillers. The RHA fillers are “resilient” and can be a little more flexible than the other fillers, giving a more natural view with animation.

A woman in her early 80s who is shown before and again, 2 weeks after 100 units of Daxxify to the forehead and 1 Redensity to the upper lip At rest she actually has a few mm of eyebrow elevation.  The skin has a better appearance, something that patients are noticing after Daxxify that we don’t have an explanation for yet.

The redensity to the upper lip shows a nice improvement of the dynamic lines (sometimes called “smokers lines”) with a “whistle” view,  but no fullness of the lips at rest.  At 2 weeks she still has a small bruise.

A woman in her later 50s is bothered by dynamic lines of the upper lip (“smokers lines”) and wants an improvement but does not want the fullness of the upper lip. She is shown before and a few months after one syringe of Redensity to the upper lip.  No significant difference at rest but a dramatic difference with the pursing of the lips.

A woman in her later 50s wanted to improve the “smokers lines” of the white portion of the upper lip as well as correct some age-related collapse of the vermillion. But she still wanted a soft, natural look.  She is shown before and again, 1 month after one redensity to the white portion of the upper lip and 1 Kysse to the vermillion.

Redensity is the first filler that is approved for dynamic lines of the lip. Our patient in her late 50’s is shown before and 2 weeks after the placement of Redensity to the upper lips.  It does not add bulk to the lip at rest, but dramatically supports the soft tissues with motion.  It is another Non-Animal Stabilized Hyaluronic Acid filler from Revance and is the newest addition to their portfolio of Resilient Hyaluronic Acid fillers

A delightful woman in her early 70’s who is bothered by the tired and aged appearance of her face.  As we age, we lose volume in the face.  She has had additional bony volume loss because of dentures.  She is shown before and again, 5 weeks after initial correction with Botox to the corrugator muscles ( “ the 11’s”)  and procerus muscles, as well as the placement of  Resilient Hyaluronic acid ( RHA) to the corrugator lines and cheeks.  The RHA is “resilient” and highly flexible, moving as she moves her face in animation so that she has a natural appearance at rest and with smiling and talking.

A woman in her early 60s with volume loss around the cheeks and lower eyelids.  She is shown before and again, 3 months after 2 syringes RHA 4 to the cheeks, one RHA 3 to the upper nasolabial crease, and 1 Redensity to the tear trough.  Redensity is the newest addition to the Resilient hyaluronic acid lineup and is approved by the FDA for dynamic lines of the upper lip.  It is commonly used off-label in Europe for the tear trough area, the hollow under the eyes.  It is used here off-label, with good results.