Dermal fillers such as injectable hyaluronic acid fillers rejuvenate the wrinkling face with a goal of restoring a more youthful look. They are used to fill lines and wrinkles, such as those found near the nose and mouth (nasolabial and marionette lines). They are injected at varying depths into the skin and soft tissues.

Treatment
Injections
The area where you will receive the injection must first be thoroughly cleaned. Make-up must be removed and alcohol pads are used to clean the area before treatment. Pain management is handled in a number of ways including applying ice to the area or utilizing a topical anesthetic cream such as our Super Numb lidocaine creams.
Once your treatment area is numbed, your doctor will make injections in multiple locations, placing the dermal filler where correction or volume enhancement is desired. Your doctor may massage or manipulate the area where the filler has been placed The treated area may be cleansed again You may be given ice or cold packs to place on the treated area to minimize swelling and bruising
The entire treatment process may take 20 to 30 minutes or more
Aftercare
Your enhancement will be visible immediately after your injections. However, due to swelling, you may look a little fuller than you might expect. This will improve rapidly over the next few days.
You may experience mild swelling or bruising from any type of injection. Ice or cold packs can help to minimize swelling or discomfort
You can generally apply make-up over the treated area immediately
Hyaluronic acid fillers may result in 3 to 7 days of swelling, redness and post-injection bruising.
Results
The improvement from hyaluronic acid type dermal fillers can be variable since the concentration of hyaluronic acid in each product differs. Results with Restylane, Juvederm, and Perlane typically last between 6-12 months while the results with Prevelle Silk may be slightly less
Studies have shown that the improvement with some HA fillers can be enhanced if you get treated again between 6-9 months after your first treatment. Restylane has shown longevity to 18 months with re-treatment.
If you do not repeat treatment once your results have begun to diminish, or as directed by your doctor, your appearance will return to its pre-treatment state.
Commonly injected sites
The approved indications for the hyaluronic acid dermal fillers are all identical: For injection into the mid to deep dermis for the correction of moderate to severe facial wrinkles and folds (such as the nasolabial folds). Nasolabial folds are creases that develop from the nose to the outside corners of the mouth.
HA fillers are often used to enhance the lips and to add volume and shape to the midface, the jawline and chin. These fillers can also be used to improve hollows and depressions below the lower eyelid, often called the tear trough. Although less common, dermal fillers can provide temporary correction to a pinched or asymmetric nasal tip, or fill depressions at the nasal bridge.