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What are the best fillers to use?

What are the best fillers to use? - Jessica C Laguna Beach, CA

The answer to your question depends on what we are trying to achieve.  Over the years, many different substances have been tried as fillers. Today, the most commonly used fillers at Orange County Plastic Surgey are the various hyaluronic acid products (e.g. Juvederm®, Resylane®, Voluma®, Belotero®, etc), microfat grafts (utilizing the patient’s own fat) or Sculptra Aesthetic®.    Hyaluronic acids are naturally occurring polysaccharides and substances, which can be purchased in syringes and can be used to fill lines, plump lips, increase cheek fullness, fill temple hollows, smooth the tops of hands, etc. Sculptra®, poly-L-lactic acid, gradually replaces collagen, lasts over a year and is most useful for temporal hollows or to achieve cheek fullness.       From a patient’s perspective, you should not be able to tell which filler was used – the external results will look the same.   The hyaluronic acids vary by how tightly cross linked the chains are – the tighter the cross link, the longer the product will last and the more expensive it will be.  Your own fat may take as a graft and, while some may absorb in the process, a sizeable portion of the transferred fat will take as a graft and last forever. Thus, my preference is to use a patient’s own fat, but in order to inject fat, one has to first harvest it from a belly or other area of fatty excess, and this process is painful and difficult to do in an office setting, making this a better procedure if a patient is already asleep in an operating room.  Many of our patients requesting other procedures such as a facelift, breast augmentation or body contouring, have us perform a microfat grafting at the same sitting – this takes but a few minutes and does not add to the patient’s cost. But I do not like putting a patient asleep to harvest fat if someone only wants a microfat grafting procedure (by the time you pay for anesthesia and the operating room, would not be cost effective). If a patient comes in solely for a filler, it makes more sense to open a syringe with a manufactured filler like Juvederm®.

Example 1

Female in her 20’s, before and after Voluma® lip injections.  Actual patient of Dr. Bunkis of Orange County Plastic Surgery in Newport Beach, CA – your results may vary.

If you have any specific questions about cosmetic procedures, your best bet would be to see a qualified plastic surgeon to review your options. Please feel free to contact our office at 949-888-9700 to set up an appointment with Dr. Bunkis or our Physician Assistant, Crystal Osborn; you may also check out our website at www.orangecountyplasticsurgery.com  to see further examples of similar patients.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.