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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Dermal Fillers

dermal filler - Juvederm - before and after

As part of the aging process, our skin stretches and loses some of its elasticity and the face loses some of its subcutaneous fat. As a result, the skin looks loose, and we lose the plump skin we had in our youth.

Dermal fillers replace the fat we lose and help to restore the full appearance of our face. In addition, fillers serve as a buffer between our facial muscles and our skin. This buffer reduces the impact of the constant muscle movement of the face and fills indentations and lines left in the skin

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What until recently could only be corrected by an invasive and expensive surgery can now be corrected by Juvederm and Restylane, the two derma filler brands that revolutionized cosmetic surgery since they were introduced to the market at the beginning of the millennium.

Juvederm & Restylane: Time to results: 1-10 days. Lasts: 6-9 months.

The most common dermal fillers in the US are manufactured and distributed by a handful of pharmaceutical vendors. The Juvederm line and Kybella are produced and distributed by Allergan and Restylane by Galderma. Other products are Radiesse, Belotero, Prevelle, Artefill, and Sculptra.

Most of these products address the same facial areas such as the Nassolabian lines, vertical upper and lower lip lines, and cheeks. Cost, lasting results, and personal preference are the most common differences between the various products. Also, an experienced injector may prefer one product over another in specific situations. For example...

Static vs. Dynamic Lines

Static Lines - Lines/wrinkles visible at rest.
(usually treated by dermal fillers)

Dynamic Lines - Lines visible with forceful movement of muscles. (usually treated by Botox)

  • restores cheek volume
  • reduces creases and wrinkles
  • enhances lips
  • rejuvenates hands
  • corrects scars
Botox and Filler Pricing List

2
Frown lines - Botox - 15-25 units for women or 20-35 units for men treat dynamic lines and mild static lines. Deeper static lines will respond after 3-4 injections if spaced 4 months apart. Results last 3-6 months. Belotero - 0.5-1 syringe treats moderate to deep static lines, or bridge until Botox takes effect.

3
Upper lids - Radiesse - 1/2 syringe to each temple lifts the upper lids gently. Botox - 10-16 units for women and 12-20 units for men will gently lift the brows.

5
Lower lid crepiness/ Sunken under eyes - Botox - 2-4 units reduce fine lines on the lower lids. Results last 4-6 months. Restylane / Belotero - 1-2 syringes will elevate deep hollows and lighten dark circles.

6
Vertical upper lip lines - Juvederm / Restylane / Belotero - 1/2-1 syringe treat moderate to deep lines. Botox - 4-8 units treat mild static lines. Results last 3-6 months.

7
Nasolabial lines - Radiesse/Juvederm / Restylane / Prevelle - 1-3 syringes will correct deep lines. Among filler treatments, this procedure provides the most age-reducing effect.

8
Cheeks - lines and volume loss - Radiesse / Juvederm / Restylane / Voluma - Highly variable - 1-3 syringes will gently lift the cheeks and restore their contour.

9
Down-turned corner of mouth - Juvederm / Belotero / Restylane - 1/2-1 syringe will undo the "sad-looking mouth".
Marionette lines - Radiesse / Juvederm / Restylane / Prevelle- 1-2 syringes will fill in the longer grooves that extend to the jawline.

10
Upper and lower lips - Belotero / Restylane - 1-2 syringes will plump thin lips. This popular treatment makes you look sexier while kissing still feels the same.

11
Vertical lower lip lines - Juvederm / Restylane / Prevelle - 1/2-1 syringe treat moderate to deep lines. Botox 4-8 units treat mild static lines. Results last 3-6 months.

for more information about Botox injection in areas marked as

1
4
12
13
go to the Botox page

Price List

price / syringe lasts (months) # treatments
Artefill $900 (0.8 ml) Permanent 1-2
Sculptra $750 (1.0 vial) 24+ 2-3
Radiesse $750 (1.5 ml) 12-18 1
Juvederm $680 (0.8 ml) 6-12 1
Restylane $600 (1.0 ml) 6-9 1
Prevelle $250 (1.0 ml) 3 1
Voluma $880 (1.0 ml) 24 1

The purchase of a full syringe is required. When only a partial syringe is needed, the remainder can be injected into another area.

Restylane

Restylane, Restylane Silk, and Restylane Lyft (Used to be called Perlane) are members of Galderma's family of dermal fillers.

Restylane before and after

We use Resytlane and Restylane Lyft to restore volume and correct deep lines, folds, and wrinkles.

Restylane Silk is an excellent filler to enhance lips and correct lip lines.

Restylane is made of a hyaluronic acid gel which is a substance produced by our body. It has FDA approval to be used for facial wrinkles and nasolabial folds but it is also used for tear troughs and lip enhancements.

Juvederm

Restylane before and after

Juvederm Voluma

Restylane before and after

Radiesse

Hands rejuvenation with Radiesse

hands rejuvenation with filler before and after
Hands rejuvenation with fillers before and after

Side Effects

How can we help you?

SKIN

# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

Little to no waiting

#12012-09-19 10:54:21

Everything was explained to me in detail; the doctor especially was very thorough both during and after her examination.

#22024-04-30

The service was great!

#32023-12-07

Everything was great and the people were very friendly.

#42023-12-06

all people very nice.

#52024-04-15

Beautiful offfice. Doctor was thorough but quick, which was great

#62011-04-04 11:16:27

I liked that the doctor was well informed about the proper medicines to help me with my acne, and also was well informed about my medical condition, and was able to prescribe medication to help both!

#72024-05-21

Andrea was very responsive to my original request to be seen, and you provided a very quick appointment even though I was not a patient. As an architect, I especially appreciate the attention to detail in how you have retrofitted the office.

#82023-08-27

Friendliness of the staff.

#92024-04-03

We liked everything. Great experience, and we've been to many dermatologists in the past. You are the best!

#102011-05-26 09:34:01

What can we do better?

(answers:373)

less waiting time in the room

#12024-01-16

nothing just keep up the good work.

#22023-11-09

less waiting time in the room

#32024-02-19

Please send out paperwork in advance for pediatric patients

#42024-05-16

Provide some written information for questions asked. I can't remember everything said.

#52024-02-18

Only the 30 minute wait time really should be shortened.

#62023-10-03

Magazines in the examining room to read while I waited for the doctor (I get bored easily).

#72024-06-04

I had requested an email for appointment purposes. Was never sent. Other than that - Excellent!

#82024-03-22

I can't think of anything at this time.

#92024-01-04

everything was great, i don't have any suggestions

#102010-10-25 11:08:34

Customer Rating : 4.6

Based on 537 ratings
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