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Using Combination Fillers for Optimal results

Posted: 6:00 a.m. Sunday, April 9, 2017

By Anita Mandal, M.D.
Question: I have lots of lip wrinkles which look worse when I speak. I also have deep nasolabial smile lines and creases at my mouth corners. Which fillers should I use to get the longest lasting results?

Answer: With the numerous injectable fillers on the market, it can be confusing and overwhelming how to decide on the best options. First, it’s important to remember that not all wrinkles are the same. Very fines lines and aging skin texture require lasers or Infini RF. Wrinkles that mainly worsen with facial expression typically require Botox to relax the underlying muscles. Injectable fillers work best for wrinkles and lines that don’t get significantly worse with facial expression and are deep enough that they can be filled.

In addition to assessing the type of wrinkles and lines one has, when considering injectable fillers, one should also decide if they prefer a temporary filler that may only last up to a year or a long-term filler like Bellafill which is not only very safe but lasts 5 years. Bellafill is injected deeper so it is primarily used for deeper lines, wrinkles and grooves as well as facial volume loss. The benefit of Bellafill is a significant reduction in maintenance treatments and greater cost effectiveness in the long run.

Usually fine lip lines around the upper and lower lip as well aging skin texture is most effectively treated in my office with Infini RF. Infini RF not only softens fine lines and smoothes out rough skin texture, but also treats sagging skin of the face and neck. For lines and wrinkles that are too deep for Infini RF but too shallow for a deeper filler, temporary fillers such as Restylane and Juvederm can be effective. Deep facial lines and grooves as well as volume loss in the cheeks, temples and lower eyelid hollows can be effectively treated with Bellafill, the 5 year filler, for a long-term result.

Not all wrinkles are the same and that is why wrinkle treatments vary. It is important to have a thorough consultation with a board certified Facial Plastic Surgeon who can assess your unique wrinkle needs and create an individualized treatment regimen.

Look 9 Years Younger in 90 Minutes or Less

Laser WhisperLift™, 90 Minutes: 1 cm micro-incision surgery, laser lifting to tighten sagging neck & jowls, local anesthesia, minimal downtime.

Bellafill, 60 Minutes: The 5 Year Filler – Dr. Mandal is a BellaDiamond physician in the top 1% of expert Bellafill injectors in the world

Infini RF, 40 Minutes: Non-Surgical Facelift for sagging jowls and neck, no downtime

SculpSure, 25 Minutes: Permanent, non-invasive body fat reduction

Kybella, 10 Minutes: Permanent, minimal invasive neck fat removal


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