Facial Fillers

Conveniently located to serve the areas of Marin and San Francisco

Some of the most popular facial rejuvenation techniques are dermal fillers, which our Marin, Napa, and Sonoma County patients use on a regular basis. These simple treatments are safer than surgical procedures; they can be performed during an office visit; the needles that deliver the fillers are so small it may suffice to have a topically applied anesthetic (or no anesthetic at all); they can have little to no recovery time; and they cost significantly less than surgery. The downside is that the effects of injectable fillers are not as long lasting as those of surgical procedures.

Men and women interested in dermal fillers come to our Greenbrae practice from Corte Madera, Mill Valley, San Rafael, and throughout Marin County. Request a consultation with one of our board certified plastic surgeons, or call our office at (415) 925-2880 to schedule an appointment.

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Facial Fillers, Including Fat Transfer

It is a cruel irony of aging; as we grow older, we seem to accumulate fat around our middles, but lose it from our face. Think of a youthful face, and you’ll most likely picture a face with full, rounded cheeks. That’s because fat plays a large part in filling out the skin and keeping our faces looking smooth and supple. Aging also results in a loss of collagen, which our bodies stop producing around age 25. To a lesser degree, our facial appearance is also affected by the loss of muscle and bone that accompanies the aging process. The combination of these factors add up to an overall decrease in facial fullness. More and more doctors and patients are seeking to improve the appearance of the aging face not through stretching the skin tighter, but filling it.

Dermal Fillers for Facial Rejuvenation

Fillers as a choice for facial rejuvenation techniques make sense for many reasons:

    Facial Fillers Model

  • Safer than surgical procedures
  • They can be performed during an office visit
  • Needles delivering the fillers are so small procedure often done without anesthetic
  • Little or no recovery time
  • Significantly less expensive than surgery

The only downside is that the effects of injectable fillers are not as long lasting as a surgical procedure. Men and women interested in dermal fillers come to our Greenbrae practice from Corte Madera, Mill Valley, San Rafael, and throughout Marin County. 

Best Candidates

Injectable fillers are especially popular with patients who are just beginning to show the signs of aging. Older patients often find that facial fillers in combination with other procedures can reverse virtually all signs of aging.

As we age, gravity and genetic and environmental factors cause the breakdown of the underlying tissues that keep our facial skin looking youthful and firm. Eventually, folds and wrinkles appear. By injecting fillers into these creased areas, the experts at Plastic Surgery Specialists can soften lines significantly, and restore volume.

For example, women and men whose cheeks have sagged and flattened with age are excellent candidates for JUVÉDERM VOLUMA™ XC, a filler designed to restore volume to the cheeks. The lift and volume this filler adds can last between 18 months and 2 years. This is just one example of how different fillers can be used in different areas of the face. Please see the diagram below as a quick reference for filler placement, formulation, and duration.

Center of Excellence

  • Over 40,000 procedures performed
  • Over 40 years of combined experience

Our experienced team of surgeons combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.

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Which Injectable Filler Is Right for You?

There are many injectable fillers available, and our staff at our beautiful, state-of-the-art surgery center in Marin County can help you determine which ones would work best for your needs. Your particular facial concerns will ultimately dictate the choice you and your doctor make together. 

The soft tissue fillers work not only to smooth out fine lines on the surface of the skin and to fill out deeper lines, but also to augment the soft tissue of the lips. Applied properly by skilled doctors with complete knowledge of facial anatomy, dermal fillers manipulate the structure of the face to produce great results.

A Liquid Facelift is the lifting, plumping, filling, smoothing and/or re-contouring of the face through the use of injectable dermal fillers, such as JUVÉDERM, JUVÉDERM Voluma™ XC, Radiesse, Sculptra or fat transfer. As the workhorses of facial fillers, JUVÉDERM Voluma and Volbella are popular in the San Francisco Bay Area. Skillfully injected by board-certified plastic surgeons, these fillers can minimize lines and add to facial volume, creating a more rested and youthful appearance.

The doctors will recommend the filler that best fit your needs for the effect you would like to achieve. For some it may be slightly fuller lips. For others it might be diminishing nasolabial folds, or rebuilding the cheek plane to look less deflated. Please see the diagram below for a quick overview of filler choices and duration of the product. With the exception of Sculptra (a Poly-l-lactic acid base, which acts differently from Hyaluronic acid) all the fillers are formulations of hyaluronic acid. Sculptra’s formulation acts somewhat differently by building collagen from the inside out, and therefore takes longer to see results.

FILLER CHOICES

Juvéderm Voluma™ XC

One of the most exciting fillers to come on the market in recent years is JUVÉDERM VOLUMA XC. At our San Francisco Bay Area practice, we are excited to offer this remarkable product to patients who want to restore volume and lift to the mid-face for a younger appearance.

VOLUMA XC is the first filler approved specifically for the cheeks and is an excellent alternative to surgical procedures like a facelift. Marin County residents are quickly discovering the benefits of JUVÉDERM VOLUMA XC.

Best Candidates for VOLUMA XC

Plastic surgeons have known for years that the appearance of facial aging is accentuated by the loss of volume in the cheeks. VOLUMA XC is formulated to not only restore smooth, plump cheeks, but to also provide a lifted appearance to the mid-face. As a non-surgical treatment, VOLUMA XC is suitable for virtually anyone whose mid-face area is starting to appear flattened, saggy, or gaunt. Since it is made using hyaluronic acid – a substance found naturally in the body – it does not require allergy pre-testing. When performed by skilled aesthetic surgeons, VOLUMA injections result in a youthful, refreshed appearance.

VOLUMA XC Procedure

At the beginning of the treatment, a special topical numbing cream is used to enhance your comfort. VOLUMA is formulated with a local anesthetic, which means you should be comfortable during and after the injections. The treatment itself takes between 15 and 30 minutes, but may take longer if you choose to add BOTOX® Cosmetic or other dermal fillers to enhance your facial rejuvenation.

After Your VOLUMA XC Procedure

Most of our patients take the remainder of the day off from work after the treatment and return to their routine daily activities the following day. If you experience any side effects, they are typically mild and include tenderness at the treatment site, swelling, redness and bruising. VOLUMA XC instantly adds volume where it’s injected and you’ll notice a subtle, lifted appearance right away. The results are clinically proven to last up to 2 years.

JUVEDERM

Many women in Marin County get Juvederm lip Injections to restore fullness, Juvederm can be used successfully to reduce nasolabial folds, improve the lip fullness, reduce hollowness around the eyes, brows and cheekbones, and improve the contour of the jaw and chin. It can also improve depressions that are the result of acne or other skin irritations. The medical team at Plastic Surgery Specialists’ beautiful Marin County surgery center will help you decide which product is likely to work best for you.

Best Candidates

Even though the Juvederm filler present a low risk potential for allergic reactions, candidates will want to consult with PSS staff before receiving treatment. Likewise, those seeking Juvederm filler should be aware that the effects of Juvederm are temporary, lasting approximately one year — though the exact time differs with each individual; therefore, they will need to undergo additional treatments to maintain their youthful appearance. People who frequently get cold sores around their mouths should know that cold sore outbreaks are possible after Juvederm injections. Women who are pregnant or nursing should wait for treatments. Those who bruise extremely easily many want to let PSS know in advance; fillers may not be good for them.

The Treatment

A Juvederm treatment takes only about 15 minutes. However, most people opt to have a topical anesthetic, which can both ease discomfort and decrease the chance of bruising, applied to their skin about a half hour before their treatment time. Once the Juvederm is complete, you will be able to resume normal activities. However, you may want to avoid sunlight and any vigorous exercise that might cause you to sweat. An ice pack should be sufficient to quell any swelling. Some patients experience temporary redness or lumpiness in the area of the injection.

How long does Juvederm last?

There is great variation among patients but generally 4-6 months. An on going treatment plan of 2-3 injections per year will be required to maintain this result. These products require injection at an exact level within the skin. If appropriate levels are maintained, visible or palpable nodules are very rare. In addition, there is an agent called hyaluronidase, which can essentially liquefy and remove injection of this material. In our experience, this is rarely utilized but does have a margin of safety to injections.

JUVÉDERM Volbella

New Treatment! – Juvederm Volbella

volbella-bna-2
• New long-lasting filler for subtle volume & fine lines
• Volbella is thin and flexible, allowing a subtle transformation of fullness, and reduction of peri-orbital lines, and more.
Contact Us to learn more!

Now there is another Juvederm product specially formulated for more subtle, softer improvements for the lip area: Juvederm Volbella. Volbella is a thinner formulation to be used for reduction in fine peri-orbital lines, and a more subtle fullness.

BELOTERO BALANCE®

BELOTERO BALANCE® is similar to Volbella in that it is thinner than most other dermal fillers and is often used for very fine lines around the mouth and eyes. The results last about 6 to 9 months.

Radiesse

RADIESSE® is a dermal filler clinically proven to last more than a year and often up to 18 months. It is similar to JUVÉDERM and the choice is best made after consulting with a board-certified plastic surgeon who can assess your specific needs. Feel free to contact our Bay Area office today to see if Radiesse is the right filler for you.

Sculptra® Aesthetic

Sculptra® Aesthetic is a longer-lasting filler that provides subtle but long-term results, and helps gradually replace lost collagen—an underlying cause of facial aging over time. It is made of poly-L-lactic acid and is designed for shallow and deep folds and wrinkles, such as the nasolabial folds. The results are more gradual, but profound. The best part is the appearance of aging seems to stop and reverse itself, and it’s hard to pinpoint exactly why the face looks so refreshed. This is a great choice for women who want a more subtle but completely natural-looking transformation to looking rested and younger.

What is the PSS Beauty Plan?

Please check with our Board-Certified Plastic Surgeons to see what can be achieved with this tool in the arsenal of facial volume loss. We offer a unique payment and maintenance plan, called our “Beauty Plan”.

Plastic Surgery Specialists wants to help you budget and schedule your beautiful self. Sign up for a plan:

  • We help determine your plan to target your concerns
  • Plan may include Botox, fillers, laser treatments, skin care, or more
  • Skincare products delivered to your door when you need them
  • Reminders are sent when your next treatment is due
  • Your charges are spread out over 12 months (easier on the budget)
  • No large bill for for one treatment, no finance fee
  • Change your plan at any time
  • Stop at any time
  • End of year bonuses for being a member

Ready to Learn More?

5Steps to
Facial Rejuvenation

Keeping your face youthful and beautiful goes beyond visiting us for a treatment. You’ve already started the learning process. Now, take the next step by checking out our e-learning guide that breaks down the science of aging and the ways you can combat it.

Check Out the Guide

How to Find Us

Plastic Surgery Specialists is known throughout the Bay Area for our excellence and expertise. Choose your area below to get accurate, easy-to-follow directions to our center.

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