Dermal Fillers: Liquid Face Lift

An attractive youthful face is characterized by smooth, round contours, high cheekbones and a thin, well-defined jaw line. These features, together, comprise the ‘triangle of beauty’ or ‘heart of face’, with its base at the top and summit below.

As we age, facial fat, bone and collagen loss, gravity and loss of the skin’s natural elasticity lead to reversal of this triangle’s composition, leading to a narrower, less youthful forehead and temple area, and a wider, heavier jaw line. In experienced hands, dermal fillers are artfully used to sculpt the face and restore balance and proportions by subtly adding volume to areas where this is lacking. The result is a restoration of the triangle of youth back to its original form and a softer and more youthful appearance.

Dermal fillers can be divided into ‘passive fillers’ that are made from hyaluronic acid (Juvederm® and Restylane®) and restore volume without stimulating collagen production, and ‘active fillers’ such as Radiesse®, Sculptra® and Bellafill®. Active fillers replace lost volume and stimulate patient’s own collagen production. The longevity of each dermal filler depends on its composition and properties and area of placement.

Different fillers have specific qualities that make them ideal for different areas of the face. In the delicate eye area, dermal fillers can be a powerful rejuvenation tool to improve the appearance of eyelid bags and dark circles, drooping eyebrows or asymmetric appearance. Extensive experience with the use of dermal fillers in the eye area is required to achieve the best results and avoid complications.

You should always look for a physician injector with the best qualifications and experience. This will translate into better cosmetic results with the least risk of complications.

Dr. Levin uses all commercially available fillers in her practice. She is a physician trainer and member of the physician advisory council for Suneva, the manufacturer of Bellafill®. Her experience is used in education, training and development of FDA research protocols.

What takes place during dermal filler injections

During the consultation, Dr. Levin will listen to your concerns, discuss your individual goals and design a treatment plan based on your needs and her examination. For some dermal fillers, treatment can be done on the same day (Juvederm®, Restylane®, Radiesse®) whereas for others (Sculptra® and Bellafill®), they may need to be scheduled on another day. A numbing cream is placed on the face for 15-20 minutes for comfort. Many fillers include anesthetic solution in them as well. After the numbing cream is removed, the face is cleaned with an antiseptic (anti-bacterial) solution. The areas to be injected may be marked with a skin marker. Dr. Levin uses a micro-cannula for most injections. This technique minimizes pain and bruising and can provide added safety. The injections can be completed in a matter of minutes. After the procedure, the markings are cleaned off and ice may be placed on the treated areas. You can resume normal activities right away and will receive post-procedure instructions pertaining to your specific treatment.

We discuss a number of dermal fillers in more detail below. If you would like to learn if you are a candidate for dermal fillers please contact us or call us today at (203) 557-6464.

To learn more about dermal fillers read this article, “11 things to know if you’re thinking about dermal fillers.”

Restylane® Lyft (formerly Perlane) is a hyaluronic acid filler used to augment and replace lost volume in the face. Its stabilized, engineered formula is best for deep creases rather than shallow lines because of its large particle structure. Lifting the cheek area results in improvement of nasolabial folds and jowls, restoring youthful facial appearance. Restylane® Lyft is a very versatile product with a long, proven history of providing safe, precise and predictable results. The results are immediate and, in most patients, last up to 12 months.

Radiesse® dermal filler consists of calcium and phosphate ion particles, substances that occur naturally in the body. Radiesse® restores lost volume and support in the mid-face, creates a smoother jaw line without a surgical procedure and gives you immediate, visible improvement of folds and wrinkles. The treatment also stimulates the body to produce new collagen. In many patients, the effects may last a year or more.


Please call us today at (203) 557-6464 or request a consultation.