The Latest News in the World of Injectable Fillers

Today’s dermal filler choices proceed to develop with new merchandise, new indications and new FDA approvals. Here’s what to learn about the newest in the world of fillers.

Volume Boosters

Although all of them fall below the umbrella of “filler,” not all injectables work the identical. Each product has its personal distinctive traits— from what they’re made of and the way lengthy they final, to the place you possibly can place them—and there’s lots to learn about every one and the way they handle particular facial considerations.

The First FDA-Approved Under-Eye Filler

While under-eye filler has been out there off-label for years, there hasn’t been an FDA-approved product to be used in that space till now, and Juvéderm Volbella will get the honor of being the first. “There are a handful of fillers we’ve been using off-label to treat the under-eye area, but this is the first one to be approved by the FDA,” says New York dermatologist Marina Peredo, MD. “It is highly cross-linked, so patients should know there is a risk of nodules forming.

Be sure to consult with your expert injector on what will work best for you.” The under-eyes are thought of an injectable “danger zone” as a result of the danger of vascular occlusion, which occurs when dermal filler is both injected into an artery or round an artery to the level that the blood stream is diminished or fully stopped. “Tear troughs are an advanced area for treatment, and you must see an expert injector with ample experience to avoid getting blue discoloration called the Tyndall effect, puffiness or other undesired results,” explains Campbell, CA dermatologist Amelia K. Hausauer, MD. “If you find a boardcertified aesthetic doctor or another highly credentialed provider who is familiar with this region, you can achieve the most elegant and refreshed results.”

Sculptra Aesthetic’s New Indication

The FDA just lately expanded Sculptra Aesthetic’s accepted use for treating high quality traces and wrinkles with a brand new indication that enables for much more potentialities for facial rejuvenation.

“Sculptra is a non-dissolvable filler made of poly-L-lactic acid, which is a substance similar to that of dissolvable sutures that works to amplify the body’s own collagen production mechanisms,” explains Dr. Hausauer. These modifications happen over six to 12 weeks and should require a number of periods, however by inserting stimulatory filler below the pores and skin, it may slowly enhance tone and texture.

“While we are excited for this development, we have used Sculptra Aesthetic off-label for full facial contouring for more than a decade,” provides New York oculoplastic surgeon Irene Gladstein, MD. “We love working with collagen stimulants—they are the future of nonsurgical aesthetics.”

There are a handful of fillers we’ve been utilizing off-label to deal with the under-eye space, however that is the first one to be accepted by the FDA.” — Dr. Marina Peredo

Radiesse (+)

Long-lasting Radiesse is made of calcium hydroxyapatite gel that may final from a yr to 18 months in the physique. A brand new companion filler Radiesse (+) is now out there with a slight distinction than the unique. “Radiesse is approved to treat deep wrinkles, like nasolabial folds, and the newly approved Radiesse (+), which comes with lidocaine, is best suited for use along the jawline,” says Dr. Hausauer. “Just as collagen declines over time, we also lose bone mass, including in the jawline and chin, meaning the tablecloth, or our skin, can become too large for the table or the bone structure. While I do like using robust hyaluronic acid fillers, it makes sense to build back and contour the jawline with a calcium-based filler, as it is stiff enough to look natural and also has biostimulatory effects, which amplify the body’s production of collagen and elastin.”

RHA Redensity for Lip Lines

Adding to the group of well-liked lip enhancement choices is RHA Redensity, the newest FDA-approved remedy for perioral rhytides, or lip traces, with outcomes lasting as much as a yr. “I love the RHA collection of fillers,” says Dr. Peredo. “I typically use RHA 2 for lip lines, but the newly approved Redensity will be better suited for this. The company is also changing the syringe design to make for better application.” Expect RHA Redensity to be out there at medical doctors’ places of work throughout the second half of this yr.

“This is a good product to smooth the barcode lines around the lips,” provides West Palm Beach, FL dermatologist Kenneth Beer, MD. “It has a nice duration, it’s soft and it looks natural.”

Skin Boosters Arrive Stateside

Popular abroad, extremely anticipated pores and skin boosters are lastly stateside, and Allergan’s new SkinV and Profile are pending FDA-approval. “Skin boosters are not concentrated, very thin and many times will have vitamins added,” says Dr. Beer. “They’re not meant for anything except stimulating collagen. They don’t fill, lift or sculpt. They just boost the appearance of the skin.”