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Although millions of patients each year confer with Plastic Surgeons, many are reluctant to undergo invasive surgery to improve their appearance. New York City-based Facial Plastic Surgeon Dr. Oleh Slupchynskyj methodically evaluates the surgical and non-surgical treatments for facial aging to achieve each of his patient’s unique aesthetic needs.

Injectables or Dermal Fillers are an idea accompaniment to Facelift Surgery and are an excellent option for patients who are not ready to undergo a Facelift.

What are Injectable Dermal Fillers?

Injectable Dermal Fillers give texture and volume to skin by diminishing wrinkles. The injection may be comprised of either natural substances, such as fat or biocompatible artificial substances. Many patients choose to have Injectable Dermal Fillers instead of surgery, since the general recovery time involved in an injection session is significantly less than that of a surgical procedure; however, Dermal Fillers cannot provide the same long lasting, natural results that a Facelift or Dr. Slupchynskyj’s SLUPlift™ provide.

What is a Liquid Facelift?

A Liquid Facelift is a non-surgical procedure that is administered with temporary dermal or injectable facial fillers such as: BOTOX^®, Juvéderm^®, Restylane^®, Radiesse^®, or Sculptra^®. There is virtually no downtime immediately after a Liquid Facelift, which makes this facial rejuvenation option extremely attractive to many patients seeking to turn back the hands of time. While a Liquid Facelift might be an ideal treatment for some, the benefits are temporary. Consequently, recurring treatments are necessary, which can become costly.

A Liquid Facelift will cover up the adverse effects of aging; however, this procedure does not supersede a Facelift or mini facelift surgery, which achieves an authentic and permanent structural repositioning of aging tissues. Face Lift Surgery corrects skin laxity or excess skin, muscle position and fatty deposits, while a Liquid Facelift does not.

Fat Grafting, also referred to as Fat Transfer, can restore volume to the cheek area, hollowed lower eyelids, also called orbital hollows, and can reduce lines and deep wrinkles on the face. Contrary to a Liquid Facelift, which uses injectable fillers to provide temporary results, the results of Fat Grafting can be permanent.

Researchers at the Feinberg School of Medicine at Northwestern University in Chicago led a review of Injectable Dermal Fillers for patients looking for a quick, effortless way to restore a younger appearance. The review examined the effectiveness of injections and compared different methods to each other, as well as to the Traditional Facelift procedure. The review, published in the Journal of Plastic, Reconstructive & Aesthetic Surgery in 2009, stated that it was “imperative” that the operator or doctor performing the injections “understands these agents when treating patients with cosmetic complaints.”

How do Dermal Fillers for Liquid Facelift work?

The kind of Dermal Filler Dr. Slupchynskyj will administer to the patient’s problem areas depends highly on the needs of the individual patient; however, the patient must understand that the treatment of wrinkles through a Liquid Facelift with Injectable Dermal Fillers is only a temporary measure. The skin usually reabsorbs the filler material in the span of a number of months.

How safe are Dermal Fillers for Liquid Facelift?

In 2008, the U.S. Food and Drug Administration (FDA) indicated that out of the millions of procedures performed over the last 10 years, most patients who had undergone the injections from non-licensed medical personnel, instead of from Board Certified Facial Plastic Surgeons, reported complaints from side effects.

Why should I select a Facial Plastic Surgeon to perform a Liquid Facelift with Dermal Fillers?

As part of their intensive medical education, Facial Plastic Surgeons receive rigorous training about the underlying anatomical structure of the face. They also possess more experience with both the benefits and risks of injectable procedures.

Which substances are used as Dermal Fillers for Liquid Facelift?

Both natural and artificial Dermal Fillers are FDA-approved for Liquid Facelifts. Dr. Slupchynskyj will recommend to his patients the material is ideally suited to his or her needs and desired results.

Body Fat

To perform a Liquid Facelift with Body Fat, Dr. Slupchynskyj harvests a portion of fat from another area of the patient’s body, cleans it, and then injects it into the areas of the face that would most benefit from the treatment. Since the fat comes from the patient’s own body, the risk of rejection or allergic reaction is virtually nonexistent. The only drawback is that the body will reincorporate the fat cells away from the injection site. This means that the patient may require repeated Liquid Facelift treatments to attain the final desired result. Some doctors have even injected more than what is required during the initial treatment to compensate for the eventual loss.

Hyaluronic Acid

Hyaluronic Acid is another natural substance that is an optimal Dermal Filler for Liquid Facelift procedures. This substance is found in the fluids that lubricate the joints and cartilages, and acts as a healing agent in damaged skin. When Dr. Slupchynskyj injects the Hyaluronic Acid Gel, it acts like an air cushion that lifts and supports facial tissues that may have experienced reduced volume or elasticity attributable to normal aging or skin damage. Hyaluronic Acid also brings water to the skin’s surface and restores a fresh and supple appearance to the face. Several synthetic forms of hyaluronic acid have become popular materials for facial fillers, with brand names like Juvéderm^®, Restylane^®, and Perlane^®.

Collagen

Collagen is a protein that comprises a major component of human skin. Collagen fibers deliver an essential support system for skin cells and the blood vessels that feed them nutrients. Collagen was also one of the key ingredients used in early Dermal Fillers. Currently, the Collagen injections that surgeons dispense can come from humans, cattle, or pigs. Occasionally, manufacturers mix Collagen derived from such sources artificial materials to maintain structural integrity and to prolong the time between follow-up visits.

Artefill (PMMA)

A new kind of filler blends 80% Collagen gel with 20% polymethyl-methacrylate (PMMA) as a semi-permanent filler to fill in medium to deep wrinkles. A major ingredient in surgical implants, the FDA recently approved PMMA for use as a Dermal Filler for Liquid Facelift. Within a few months, the Collagen in the injection breaks down, and the PMMA enables the body to produce its own natural Collagen to fill in the wrinkles. The major disadvantage of PMMA is that it may require numerous Liquid Facelift treatments, and may take up to 3 months to see the final results.

BOTOX^® Cosmetic

BOTOX^® Cosmetic is the brand name for Botulinum toxin type A, nature’s most powerful nerve impulse blocker. BOTOX^® is expensive because it is difficult to manufacture and because no generic substitute is available. BOTOX^® is a registered trademark of the Allergan Corporation.

Juvéderm^®

Juvéderm^® made its first appearance on the market in January, 2007 as the latest weapon in lip enhancement and wrinkle reduction. This smooth, cross-linked hyaluronic acid-based clear gel is injected into the skin with an ultra-fine needle.

Radiesse^®™ (Calcium Hydroxylapatite)

Another semi-permanent Dermal Filler used for Liquid Facelift is Calcium Hydroxylapatite, a compound found in human bones. Dr. Slupchynskyj may use this material in a Liquid Facelift procedure to fill in the nasolabial folds, in addition to providing more fullness to the cheekbones. Dr. Slupchynskyj injects a solution of Calcium Hydroxylapatite in a water-based gel into the affected area. The calcium particles support the growth of new collagen proteins and restore a youthful look to the skin. The particles are hypoallergenic, do not migrate, and seldom cause any harmful side effects.

Restylane^®

Restylane^® is the first Dermal Filler in the U.S. derived from NASHA™ gel, Non-Animal Stabilized Hyaluronic Acid.

Polylactic Acid

Formerly used as a suturing material, studies and previous treatments have proven Polylactic Acid’s effectiveness at filling in lines around the lips and nose. Many doctors have used the material to create fuller lips and to decrease the folds between the nose and lips. The patient usually has a monthly Liquid Facelift treatment for 3 months, as the solution stimulates collagen growth at the injection site.

What about BOTOX^®?

Many patients rely on BOTOX^®, a form of neurotoxin, to smooth out wrinkles. BOTOX^® acts to suppress the nerves around the injection site to stop the facial muscles from contracting and producing wrinkles; however, because BOTOX^® is a nerve agent, patients should not have this procedure without first consulting with a qualified surgeon and should never have the procedure done by an unqualified provider, particularly when used for Liquid Facelift treatments.

Liquid Facelift treatment areas:

1. Lip Augmentation
2. Nasolabial Folds
3. Tear Trough (Below lower eyelid, or lower eyelid hollow)
4. Marionette Lines
5. Nose Augmentation (Non-Surgical Rhinoplasty)

How can I avoid Complications from Dermal Fillers for Liquid Facelift?

The best way to avoid complications from Dermal Fillers is to have the procedure performed by a Facial Plastic Surgeon with experience and training in the process. While many cosmetic practitioners might be familiar with how Dermal Fillers work, they might lack the qualifications or experience necessary to understand the delicate structures of facial anatomy. A Facial Plastic Surgeon will be extremely knowledgeable regarding any possible complications involved in Liquid Facelift via Dermal Fillers, and will use his medical expertise to avoid delicate nerves, ligaments, and blood vessels around the injection site.