Dermal Fillers

What are dermal fillers?

Dermal fillers are substances injected into skin to diminish facial lines and restore volume and fullness in the face.

RHA® by Revance and Revanesse Versa are FDA approved dermal fillers made of hyaluronic acid using the latest technology and a gentler process for more natural results.

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How do they work?

There are several different types of dermal fillers available. The most common are made from hyaluronic acid (HA) which is a sugar molecule that is naturally present in your skin and helps retain moisture and plumpness. As we age, our production of hyaluronic acid decreases which contributes to skin laxity and volume loss. Hyaluronic acid dermal fillers not only add volume to skin but can also promote collagen production. They are mainly injected in various locations in the face as well as other body parts that have volume loss such as the hands. The beauty of HA fillers, unlike others, is that they are reversible and can be dissolved if needed.

At Reniu MedSpa safety is our priority therefore, a high frequency ultrasound device, is utilized to map out your blood vessels prior to your procedure to ensure proper and safe placement of dermal fillers. The ultrasound device can also be used to dissolve fillers with more precision when needed.

Before & After

Tell me more...

The following fillers are used at Reniu Medspa:

RHA® by Revance are the latest in HA technology designed to maintain their integrity during dynamic facial movement for a more natural look. The gentle manufacturing technique results in a filler that is designed to resemble natural HA. The collection features three types of fillers at different stretch and strength parameters to meet the unique needs of each area treated.

Revanesse Versa is a next generation HA using technology resulting in a product that is both safe and efficacious.

According to the FDA, dermal fillers can be used for people 22 and older to:

Correct moderate to severe facial wrinkles and skin folds
Add volume and shape to lips, cheeks, chin, under-eye hollows, jawline, and back of hand
Improve the aspect of marionette zone, frown lines, vertical lip lines, and glabella lines
Reduce nasolabial folds
Improve appearance of scars on the cheeks

Frequently Asked Questions

Is this new service painful?

You betcha! 😉
When will I see results?

Results are generally visible at 3-4 weeks and continue to improve gradually over the next three to six months
What about aftercare?

Apply ice packs to scalp as needed. Avoid sun exposure to the area, heat and strenuous activity that involves excessive sweating. Avoid touching or scrubbing the area for a minimum of 12 hours after treatment. You can generally resume regular activities on the day following your procedure
How long does it take?

About 45-60 minutes
What are common side effects?

Scalp tenderness, tightness, minor bleeding, and headache are the most common side effects, directly following the procedure. These generally subside after 1-2 days. All risks will be discussed in detail during your consultation
Is it painful?

There is some discomfort associated with the injections. To minimize discomfort your provider can apply topical numbing agents and use a small vibrating anesthetic tool near area of injections
Who is not a good candidate?

People who experience complete baldness will not respond to this treatment. Procedure may not be safe for those with active scalp conditions/infections, uncontrolled diabetes, active cancer/chemotherapy, pregnancy and breastfeeding
How long does it last?

Results may last 18-24 months. Once your results are achieved yearly maintenance treatments will be required to maintain your results
How much will I need?

Generally, three treatments are advised spaced at one month apart, however, more may be indicated for some individuals
How many treatments will I need?

A series of 3-6 treatments spaced one month apart is necessary for optimal results. In one study, a series of three PRF injections resulted in significant rejuvenation of the face skin at 3 month follow up 1
How long does it last?

6-12 months depending on skin quality and skin care routine/maintenance
What are common side effects?

Minimal swelling and possible bruising
How long does it take?

The whole process should take about 30-60 minutes
What is the aftercare?

Don’t touch or rub treatment area or apply makeup on day of procedure. Avoid strenuous activity, and do not touch, rub, or apply makeup for 24 hours following the procedure
Who is not a good candidate?

Women who are pregnant. Also those with poorly controlled diabetes, active herpes in treatment area, any condition causing a suppressed immune system (active cancer, autoimmune disease, on auto immune medications) active cystic acne, open skin wounds, skin infection or other active skin condition in treatment area
When will I see results?

Most patients see improvement in 2- 4 weeks, with greater success after multiple treatments
Is it painful?

There is minimal discomfort with PRF. A cannula is used most of the time to inject PRF which causes less discomfort, skin trauma, and risk of bruising
What is the aftercare?

Avoid applying makeup for 24 hours following the procedure. Keep skin moisturized, avoid sun exposure for 2-3 few days
Who is not a good candidate?

Dermaplaning is generally safe for everyone. However, if you have an active skin condition, inflammation, or infection, you should wait until the issues are resolved before getting the procedure or consult with your medical professional
When will I see results?

Benefits are immediate
What are common side effects?

Skin may become dry and red on day of procedure. Dryness may last for a couple of days so it is important to keep your skin moisturized. Small incidental abrasions may also occur during the procedure
Is it painful?

This procedure is completely painless
How often should I get it done?

Every 4-6 weeks for maximum benefits
How long does it take?

45-60 minutes
What is the aftercare?

Patients are advised to refrain from strenuous activity for 12-24 hours post injection
Is it painful?

There is minor discomfort. Some describe it feeling like a bee sting
How long before I see results?

You may see results in as little as 2 days; however, it takes up to 14 days for full effects
How much will I need?

That depends on number of areas treated and wrinkle depth. The amount will be determined during your consultation
How long does it last?

Studies have shown results may last up to 5 months or more. On average they last 3-4 months after which additional treatments will be necessary to maintain results
Who is not a good candidate?

Those with allergies to any ingredients in the product are not good candidates. Patients who are pregnant or breastfeeding, or who have active facial skin infections or neuromuscular conditions (ALS, Myasthenia Gravis, Lambert Eaton Syndrome) are also not good candidates
What are common side effects?

Side effects are minimal. Most common are minor swelling and bruising at the injection site which is temporary. You provider will have a thorough discussion about all possible side effects during your consultation
Can I insert an image, video, or gif in my FAQ?

Yes. To add media follow these steps: 1. Enter the app’s Settings 2. Click on the “Manage FAQs” button 3. Select the question you would like to add media to 4. When editing your answer click on the camera, video, or GIF icon 5. Add media from your library.
How do I add a new question & answer?

To add a new FAQ follow these steps: 1. Click “Manage FAQs” button 2. From your site’s dashboard you can add, edit and manage all your questions and answers 3. Each question and answer should be added to a category 4. Save and publish.
How do I edit or remove the “FAQ” title?

You can edit the title from the Settings tab in the app. If you don’t want to display the title, simply disable the Title under “Info to Display”.
What are common side effects?

Light peels may cause mild itching and dryness Medium peels cause skin redness, tenderness, itching, skin peeling. Your skin will peel for up to 7 days
When will I see results?

Light peels results will be noticeable the following day. Your face will glow Medium peels you will see results after 7-10 days
Who is not a good candidate?

Those with open wounds, skin infections, sun burn, active cold sores. Allergies to peel ingredients or Aspirin, weakened immune system, problems with excessive scarring and hyperpigmentation also lead to poor candidacy. Use of Accutane in past 4 months, recent cosmetic surgery, laser skins procedures, or dermabrasion are also associated with poor candidacy for peels. This can be discussed further during your consultation.
How long does it take?

20 minutes
How often should I get it done?

Light peels can be performed every 2 weeks Medium peels can be performed every 4 weeks. Although you can obtain great improvement with one treatment, a series of peels is recommended for optimal results
Is it painful?

There may be minimal discomfort which may feel like light tingling or stinging upon application. This resolves within 15 minutes
What is the aftercare?

Light peel: Avoid makeup, excessive sweating on day of peel. You may return to regular skin care and makeup routine on day three. Wear sun protection. Medium peel: You will be given a post-care home kit which is an essential part of the peeling and healing process. Each patient should carefully follow instructions given in post peel kit
When will I see results?

The results are immediate and may improve over time
What are the common side effects?

Swelling and bruising are most common which subside within couple days to a week. Using topical and oral supplements as well as cold packs can diminish these side effects. All potential side effects will be discussed at time of your consultation
How much will I need?

This depends the amount of volume loss and your overall treatment goals in terms of how many areas you wish to treat (i.e.., lips, cheeks, chin…). This can be discussed during your consultation
Who is not a good candidate?

If you have active infection or skin inflammation. Known allergies to HA fillers or their ingredients. Also if you are pregnant or breastfeeding
How long does it last?

Typically fillers last up to 15 months or longer. However that depends on the individual and location treated
How long does it take?

That will all depend on the number of areas treated but in general it can take up to 45 minutes. If topical numbing cream is used that will be an additional 20 minutes.
What about aftercare?

Avoid any activities that make you red and sweaty (exercise, tanning, hot baths/showers) for 24 hours. Do not touch or apply pressure or makeup to area treated for first 24 hours. You will receive detailed post care instructions outlining restrictions.
Is it painful?

There is some discomfort when injecting dermal fillers however many contain a numbing agents. In addition, the use of cannulas, which are blunt round devices, instead of needles to place filler results in much less tissue trauma which significantly decreases pain, swelling and bruising. In some cases, needles are still used when precision is required, however topical numbing agents and vibrating devices can be used to decrease discomfort
What about aftercare?

You will be given a post care instructions and skincare kit. It is imperative that you stay out of the sun or wear sun protection during the healing process
How long does it last?

Greatly depends on amount of treatments, lifestyle and preventative skin care. Since aging is a progressive process maintenance treatments will likely be recommended
When will I see results?

Many patients see results just after one treatment. Skin will continue improve in texture over the next month. In order to get optimal results from these procedures, it is recommended that they are done in either a series of 3 or 6 treatments, spaced one month apart
What are common side effects/downtime?

Downtime will vary depending on device and depth of needles used. Because microneedling/microchanneling penetrates the skin, it’s common to experience redness, tightness, dryness, burning, swelling, bleeding and some pain. You may also experience some peeling several days post procedure. Although these symptoms may take 2-7 days to resolve completely, they should diminish within a few hours after treatment
Who is not a good candidate?

Poor candidacy includes patients who are pregnant, or patients with poorly controlled diabetes, active herpes/cold sores in treatment area, any condition causing a suppressed immune system (active cancer, autoimmune disease, use of autoimmune medications), active cystic acne, open skin wounds, skin infections, sun burn, or other active skin condition in the treatment area. Current or recent (within 6 months) use of Accutane®, extremely dry/cracked skin, or allergy to steel lead to poor candidacy. Neurotoxins and fillers can be used 2 weeks prior to or 2 weeks after your CIT procedure
How long does it take?

About 60 minutes. If numbing and PRF used treatment time may be longer
How many treatments will I need?

Depends to skin quality and treatment goals. Many people see great results in as little as one treatment. Optimal results require 3-6 treatments spaced one month apart then, 1-2 treatments per year for maintenance. Number of treatments can be further discussed and determined with provider at time of consultation
Is there anything I do to prepare for treatment?

If you are on blood thinners such as Aspirin or high dose no-steroidal anti-inflammatory (NSAIDS) you should stop them 10 days prior to treatment. If you have a history of cold sores you may need pre-treatment with antiviral medications. Also discontinue topical vitamin A/Retinoids or other skin irritants 5 days prior to treatment
Is it painful?

There is some discomfort depending on needle depth used. Numbing cream can be used although it is not always necessary

Still have questions? Call us and we would be happy to discuss your concerns!

References

Papakonstantinou E, Roth M, Karakiulakis G. Hyaluronic acid: A key molecule in skin aging. Dermatoendocrinol. 2012;4(3):253-258. doi:10.4161/derm.21923

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