Fillers Blog
Please feel free to use the blog below to share information about Fillers, or to ask Dr. Ringpfeil a question that might be of interest to others.
The Philadelphia Center for Dermatology and Cosmetic Surgery
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rad@ringpfeildermatology.com
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Fillers
Next available appointment
for a new patient Fri, May 18 9:35AM
Click here to book it! find other appointments here or call us 610.525.5250
Click here to book it! find other appointments here or call us 610.525.5250
Hand Rejuvenation With Fillers
before
after
We live in an exciting time where the variety of fillers and volumizers allows the safe and effective correction of volume loss and wrinkles over the entire face. Bovine collagen, for decades the only available injectable agent, has now been largely replaced by other, mostly synthetic compounds that have a variable live span and indication. They can be used to correct static lines over the entire face, to lessen dark circles under the eyes, augment lost volume in the cheeks and in the lips, and plump up the back of your hands for rejuvenation.
With the exception of one (Artefill), they get degraded by the body's own enzymes over periods of 3-24 months and do not require skin testing prior to the procedure. People who like the effects of the temporary fillers and want to reduce the number of injections over time may choose Artefill, the only permanent injectable filler and volumizer. Because its filler component is collagen-based, it needs a skin test one month prior to injection.
Facial wrinkles treatment by fillers and Botox
| price / syringe | lasts (months) | # treatments | |
| Botox | $15 / unit | 4-6 | 1 |
| Artefill | $900 (0.8 ml) | Permanent | 1-2 |
| Sculptra | $750 (1.0 vial) | 24+ | 2-3 |
| Radiesse | $600 (1.5 ml) | 12-18 | 1 |
| Juvederm | $500 (0.8 ml) | 6-12 | 1 |
| Restylane | $500 (1.0 ml) | 6-9 | 1 |
| Prevelle | $250 (1.0 ml) | 3 | 1 |
Purchase of a full syringe is required. When only a partial syringe is needed, the remainder can be injected to another area.
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Marionette lines – Radiesse / Juvederm / Restylane / Prevelle- 1-2 syringes will fill in the longer grooves that extend to the jaw line.
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Note: Sculptra and Artefill can be used in place of Radiesse. Usually, several treatments are necessary to achieve desired volume correction. Their upfront cost is substantially higher, yet, fewer treatments are needed in the long run.
7 Responses to “Fillers”
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Ringpfeil Advanced Dermatology | 569 W. Lancaster Avenue | Haverford, PA 19041 | rad@ringpfeildermatology.com | 610.525.5250
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I walked in last Thursday without an appointment and was able to been seen later by the physician’s assistant and nurse. Their care and concern were wonderful and I understand you too weighed in on my situation. The outcome will hopefully be successful.Am having a blood test before I start the medication you prescribed. Thanks to all of you for the time,energy and support. What a incredible group of professionals! Thank you!
Hi doctor!
I am a 30 yr old woman who has sagging skin in the jaw area (jowls?) I was wondering what is the best way to get this corrected? Can it be done with fillers? If so, which ones and how many treatments?
Beginning jowls can often be corrected by several different fillers while moderate to severe jowls require a lower face and neck lift for best results. Radiesse, Juvederm ultra plus XC or Perlane are used in a single treatment. The amount can be determined after examination and may range between 1-2 syringes. These fillers last between 9-12 months for Juvederm and Perlane and between 12-18 months for Radiesse. Sculptra may also be an option, and between 1-3 vials can be injected in 2-3 sittings that are spaced 6 weeks apart. Sculptra last about 2 years. Artefill is a much longer lasting filler and between 1-2 syringes can be injected in 1-2 sittings.
Your facial features, degree of laxity or any volume loss in the cheeks will determine which fillers are best for you.
I am interested in an injectable for under-eye tear troughs as well as one deep brow line. Is there a filler that is more natural and actually builds collagen over time? I know there are new products coming out all the time. I am not interested in Botox.
Also, do under-eye injectables have side effect like noticable bruising (black eyes)??
Thank you.
Hyaluronic acid based fillers are the only injectables currently considered appropriate for visible tear troughs. Unfortunately, none of the hyaluronic acid fillers available stimulate any significant collagen production. The most common brands are Restylane and Juvederm which typically last 6-12 months before our body’s own enzymes dissolve them. Other shorter lasting hyaluronic acid fillers are also available. The same way that any needle stick into our skin may cause a bruise, all fillers may cause bruising. If it occurs, it typically lasts 8-10 days.
Tear troughs can also be corrected by fat injections, which have a high failure rate and are therefore not widely performed. Botox does not correct tear troughs.
I have a small dent on the bridge of my nose as a result of a prior rhinoplasty. Can fillers be used to correct the problem?
Filler may be the best option.