Under Eye Filler
Many people benefit from filler in the “tear trough” area under the eyes to treat volume loss or shadowing. It may even help mask pseudoherniated fat in the lower lid, putting off the need for surgery. Dr. Mark Beaty uses Restylane exclusively for this purpose as this filler is less hydrophilic than other hyaluronic acid fillers and therefore provides a more stable correction in this thin-skinned area.
Sculptra is excellent for improving the contours of temporal hollows. Many people have volume loss in this area as they age and Sculptra provides excellent contouring and restoration of youthful volume. This is an area often overlooked in the facial aging process but can make a big difference in the appearance of the upper face!
Midface augmentation replaces volume loss and with the proper use of filler can help provide support for the lower cheeks and nasolabial folds. Voluma and Restylane Lyft are the most commonly used fillers for this purpose.
Nasolabial folds and Marionette Lines
This is the most common area augmented with fillers. It really depends on the needs of the patient as to which filler is best here. Some people have very sharply defined N/L folds, others softer. Since different fillers have varying degrees of G prime (think consistency and stiffness), the best one to use is selected for each patient. At Beaty Facial Plastic Surgery, we commonly use Juvederm, Restylane, Vollure, and Restylane DeFyne and ReFyne in this area.
Lip enhancement is a popular and powerful aesthetic enhancement. Dr. Beaty prefers Restylane for defining the lip border and Juvederm or the new Restylane Kysse for volume enhancement. Volbella can be useful for short-term lip enhancement and border definition. Some products should be avoided as they can cause clumping and irregularities in the lip.
Jawline enhancement should be performed deeply right over the periosteum, mimicking an implant or an actual change in anatomy. Voluma, Vollure, and Radiesse can all be used effectively here and are long-lasting solutions in these low-mobility areas.
Injectable rhinoplasty has increased greatly in popularity and can be an effective solution for refinement of the nasal dorsum and tip. Restylane and Juvederm are the most commonly used fillers for this area. Nasal injections are highly technique dependent and complications can be significant so it is especially important to seek a knowledgeable and experienced nasal injector for this procedure.