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Wrinkle Fillers: An 
Alternative to Plastic 
Surgery
Curious about wrinkle fillers, which hold the promise of smoother skin and a younger 
look without surgery? 
Don't confuse fillers with Botox and its competitors, Dysport and Xeomin. These are 
injectables that help smooth so-called dynamic lines -- such as forehead furrows and 
crow's feet caused by frowning and smiling -- by blocking muscle contractions under the 
skin. Instead, the half dozen FDA-approved cosmetic (or dermal) fillers on the market help 
restore the contours of the face by padding folds and wrinkles and replacing lost volume.
Fillers don't replace a facelift because they won't lift skin that has a lot of sagging, says 
plastic surgeon Hatem Abou-Sayed, MD, FACS, who practices in West Palm Beach, Fla. 
"But if there's not a lot of skin laxity, fillers can replace lost volume, and that will 
contribute to a younger, more well-rested appearance." Here's a look at some of the most 
popular types.
Hyaluronic acid fillers are made of a sugar that occurs naturally in the body. Popular 
brands include Juvederm, Restylane, Perlane, Belotero Balance, HylaForm, Elevess, Prevelle 
Silk, and Captique. These gel formulations come in thin and slightly thicker consistencies. 
They can fill both shallow areas, such as fine lines above the lips, and deeper folds, like 
those around the nose and the so-called marionette lines, creases that run downward from 
the corners of the mouth.
Hyaluronic fillers can also plump up thinning lips, restore volume to cheeks, fill under-eye 
hollows, and add definition to a slackening jawline. The effects remain visible 
anywhere from four months to a year, depending on the area treated. Results vary from 
person to person. If you don't like the result, hyaluronic acid fillers can be reversed with 
an injection of the enzyme hyaluronidase. 
Calcium hydroxylapatite microspheres, a compound similar to minerals found in the body, 
make up the main ingredient in Radiesse. Thicker than hyaluronic acid, it's most effective 
where more volume is needed -- to build up a weak chin, strengthen a jawline, pad 
sunken cheeks, or fill deep wrinkles. Results last a year or longer. 
Poly L-lactic acid, known by the brand name Sculptra, is a biodegradable synthetic 
material also used in stitches. It doesn't provide the kind of instant plumping that other 
fillers do. Instead, it gradually stimulates the body to regenerate its own collagen. You'll 
need a series of three to six injection sessions, about a month apart, for results lasting up to 
two years.
Collagen fillers -- such as ArteFill, CosmoDerm, Evolence, Fibrel, Zyplast, and Zyderm -- 
often comes from cows (bovine) or human cells. The body slowly absorbs the collage over 
time so regular injections may be needed to maintain results. 
Article: http://www.webmd.com/beauty/facial-fillers/wrinkle-fillers-an-alternative-to-plastic- 
surgery 
Image: http://www.mybotique.com.au
Curious about wrinkle fillers, which hold the promise of smoother skin and a younger 
look without surgery? 
Don't confuse fillers with Botox and its competitors, Dysport and Xeomin. These are 
injectables that help smooth so-called dynamic lines -- such as forehead furrows and 
crow's feet caused by frowning and smiling -- by blocking muscle contractions under the 
skin. Instead, the half dozen FDA-approved cosmetic (or dermal) fillers on the market help 
restore the contours of the face by padding folds and wrinkles and replacing lost volume.

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Wrinkle Fillers: An Alternative to Plastic Surgery

  • 1. Wrinkle Fillers: An Alternative to Plastic Surgery
  • 2. Curious about wrinkle fillers, which hold the promise of smoother skin and a younger look without surgery? Don't confuse fillers with Botox and its competitors, Dysport and Xeomin. These are injectables that help smooth so-called dynamic lines -- such as forehead furrows and crow's feet caused by frowning and smiling -- by blocking muscle contractions under the skin. Instead, the half dozen FDA-approved cosmetic (or dermal) fillers on the market help restore the contours of the face by padding folds and wrinkles and replacing lost volume.
  • 3. Fillers don't replace a facelift because they won't lift skin that has a lot of sagging, says plastic surgeon Hatem Abou-Sayed, MD, FACS, who practices in West Palm Beach, Fla. "But if there's not a lot of skin laxity, fillers can replace lost volume, and that will contribute to a younger, more well-rested appearance." Here's a look at some of the most popular types.
  • 4. Hyaluronic acid fillers are made of a sugar that occurs naturally in the body. Popular brands include Juvederm, Restylane, Perlane, Belotero Balance, HylaForm, Elevess, Prevelle Silk, and Captique. These gel formulations come in thin and slightly thicker consistencies. They can fill both shallow areas, such as fine lines above the lips, and deeper folds, like those around the nose and the so-called marionette lines, creases that run downward from the corners of the mouth.
  • 5. Hyaluronic fillers can also plump up thinning lips, restore volume to cheeks, fill under-eye hollows, and add definition to a slackening jawline. The effects remain visible anywhere from four months to a year, depending on the area treated. Results vary from person to person. If you don't like the result, hyaluronic acid fillers can be reversed with an injection of the enzyme hyaluronidase. Calcium hydroxylapatite microspheres, a compound similar to minerals found in the body, make up the main ingredient in Radiesse. Thicker than hyaluronic acid, it's most effective where more volume is needed -- to build up a weak chin, strengthen a jawline, pad sunken cheeks, or fill deep wrinkles. Results last a year or longer. Poly L-lactic acid, known by the brand name Sculptra, is a biodegradable synthetic material also used in stitches. It doesn't provide the kind of instant plumping that other fillers do. Instead, it gradually stimulates the body to regenerate its own collagen. You'll need a series of three to six injection sessions, about a month apart, for results lasting up to two years.
  • 6. Collagen fillers -- such as ArteFill, CosmoDerm, Evolence, Fibrel, Zyplast, and Zyderm -- often comes from cows (bovine) or human cells. The body slowly absorbs the collage over time so regular injections may be needed to maintain results. Article: http://www.webmd.com/beauty/facial-fillers/wrinkle-fillers-an-alternative-to-plastic- surgery Image: http://www.mybotique.com.au
  • 7. Curious about wrinkle fillers, which hold the promise of smoother skin and a younger look without surgery? Don't confuse fillers with Botox and its competitors, Dysport and Xeomin. These are injectables that help smooth so-called dynamic lines -- such as forehead furrows and crow's feet caused by frowning and smiling -- by blocking muscle contractions under the skin. Instead, the half dozen FDA-approved cosmetic (or dermal) fillers on the market help restore the contours of the face by padding folds and wrinkles and replacing lost volume.