Fillers and Soft Tissue Atrophy
The most common areas affected by soft tissue atrophy are the nasolabial folds (the crease that runs between the nose and the side of the mouth), the corners of the mouth (or marionette lines), the tear trough (lines under the eyes), cheeks, chin, and lips. We now have a number of cosmetic "fillers" to help treat underlying soft tissue atrophy. It requires an experienced physician to make the right choice of filler for the type of wrinkle being treated.
Restylane, Perlane, and Juvéderm®
Restylane, Perlane, and Juvéderm® are naturally occurring hyaluronic acids that provide excellent, natural appearing results, and last from 6-12 months. These treatments are ideal for treating wrinkles, improving scars, and to shape and augment the lips and cheeks. Topical and or local injections can be used to make the injections more comfortable. The injection of fillers is very technique dependent and is only injected by experienced, well-trained physicians at Georgia Skin Cancer & Aesthetic Dermatology. Dr. Campbell has conducted and has participated in several national clinical trials with cosmetic fillers and is able to make the most appropriate treatment for you to look your very best.
Cosmoderm and Cosmoplast
Collagen is a natural substance present in the skin and is particularly helpful for improving fine facial lines such as the vertical lines around the lips. Cosmoderm and Cosmoplast are a human-derived collagen product and do not require a skin test before injection. This is an ideal filler because it can be injected superficially to treat fine, etched lines. We often use collagen in conjunction with deeper fillers such as the hyaluronic acids to treat the remaining remnant of a wrinkle. Although this filler does not last as long as the hyaluronic acids, it is much better suited for treating these etched lines since many of the other fillers have unwanted side effects when injected superficially.
Radiesse® is made from calcium hydroxylapatite and is a long-lasting filler. It is useful for more significant facial contouring and deep wrinkles. It may last from 12-18 months. It is useful for correcting the nasolabial folds as well as non-invasive rhinoplasty (nasal contouring).
Sculptra is another long-lasting treatment used to restore facial fullness of the facial folds, creases, and cheeks. Sculptra is a synthetic, injectable material, known as poly-l-lactic acid and is biocompatible and biodegradable. The results with Sculptra are seen after 3-6 treatment sessions performed every 3-4 weeks. Sculptra gradually restores volume to the areas where it was injected and has lasted up to 2 years in one clinical study.