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As our skin ages, we begin to notice folds, wrinkles, fine lines, and loss of volume. The fat deposits, responsible for plump cheeks and skin, begin to diminish as we age; once-taut skin then begins to sag and loosen. Collagen and elastin fibers are responsible for providing the fullness and even texture in youthful faces. Exposure to UV light (sunlight) breaks down the connective tissue in collagen and elastin fibers. Repetitive facial expressions (even smiling) create indentations in muscle tissue and over time these indentations become permanent, revealing fine lines and wrinkles. Science also shows our facial skeleton, and its soft tissue changes as we age, causing a loss of definition.
How do we treat age related volume loss?
RHA Line of Dermal Fillers:
RHA 2: A flexible dermal filler that is FDA-approved for correcting the appearance of moderate folds. RHA 2 is ideal for smoothing the surface of the skin as well as treating radial cheek lines, AKA accordion lines, and peri-oral or lipstick lines. This filler can also be used for patients seeking lip augmentation.
RHA 3: Firmer than RHA 2, this is used to treat moderate to severe facial folds. Dr. Kate Ernst, DNP, ARNP will use RHA 3 to address the corners of the mouth and into the superficial fat pads of the cheeks to restore the "apple" volume.
RHA 4: The firmest of the three. It is designed to be injected into the deep dermis and even the superficial subcutaneous tissue. This filler addresses deep wrinkles and severe folds, including cheeks and to build out the chin and jawline.
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Juvederm Line of Dermal Fillers:
Juvéderm ULTRA® XC: Dermal hyaluronic acid-based gel filler that instantly smooth moderate to severe facial wrinkles in areas such as the nasolabial folds and marionette lines. If you simply want to make your lips significantly fuller, we recommend ULTRA® XC. It has a much thicker consistency than VOLBELLA® and adds significant volume.
Juvéderm VOLBELLA® XC: Dermal hyaluronic acid-based gel filler that instantly provides fullness that appears the most natural of all the injectable fillers. VOLBELLA® is a great choice for those who have smaller lips and want to gradually add a little volume over time, or for those who want to make subtle changes to the structure and size of their lips. This filler creates a natural looking, subtle increase. It is a very thin, lightweight formulation that is also commonly used for minimizing perioral wrinkles, which develop around the mouth.
Juvéderm VOLUMA® XC: Intended to correct age-related volume loss in the face, specifically to reduce wrinkles and improve the appearance of the cheeks. As you age, the cheek area sheds its vibrant shape, sagging and sinking over the years, increasing the deepness of the wrinkles along the mouth, eyes, and nose. The cheek eventually begins to droop. Juvederm Voluma XC temporarily reverses these natural signs of aging. The gel is injected directly into the cheek to raise and smoothly contour the skin to make the patient appear more youthful and vibrant.
Juvéderm VOLUX® XC: This is the first and only FDA-approved HA filler for improving lost definition in the jawline—with lasting results. JUVÉDERM® VOLUX® XC can help achieve the look you want from all angles, with more definition in the jawline. Add volume to improve the shape and structure of the lower face and achieve a smooth, more defined look in the jawline with results that last up to 1 year with optimal treatment.
Juvéderm SKINVIVE
Galderma Sculptra