Dermal Fillers

Dermal fillers:  Juvéderm® Ultra Plus XC, Juvederm Voluma™ XC, Juvederm Volbella® XC, and Sculptra®)  easily flow into the skin to instantly bring back facial skin volume and smooth away your wrinkles and folds for a soft, natural look. Popular treatment areas include smile lines (nasolabial folds), vertical lip lines, marionette lines, and forehead and chin wrinkles. Skin depressions and blemishes like acne scars, thinning lips, and shallow cheeks are also treated and results last anywhere from  6 months to over five years.

* Results and patient experience may vary.

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  • What to Expect
  • How it Works
  • Patient Experience
  • FAQs
  • Safety and Product Information

What to Expect

Results of your filler treatment will be evident immediately and last at least six months and could last much longer depending on which fillers you select.  Juvederm® Voluma XC and Sculptra last for about two years. Juvéderm® Ultra Plus XC & Juvederm® Volbella lasts for about a year. Filled lines and folds will return back to their pretreated appearance as filler materials themselves break down and additional aging occurs. Some filler effect lasts longer than the filler itself as you create your own collagen around the filler substance.

Hotchandani Laser, Vein, and Cosmetic Surgeries Patient Comments

I really recommend Dr. Hotchandani to anybody who is thinking about having fillers and Botox. He truly is awesome :) Once again, I am happy! Thanks so much

  • B.S.

Dr. Hotchandani and staff gave my life back to me. I feel beautiful not only on the outside, but also beautiful on the inside too. My self-esteem is now 100% and I am sooo excited to enjoy every day as my new person. I catch my husband looking at me with a twinkle in his eye. Now, does it get any better than that! My procedures included Botox, Thermage, and Radiesse. Believe me, their procedure and professionalism were worth every penny. How does one put a dollar sign on how one looks and feels. I took a chance. I’m grateful for a new beginning!

  • K.M.

How Does it Work?

The procedure consists of one or more injectable gels being gently eased into the dermis near the subcutaneous layer via injections that then support the space between collagen and elastin fibers. The amount of gel injected and careful selection of which types of fillers are used will help get the results you desire. Each brand of filler is based on a unique natural or synthetic composition, which the experts at Hotchandani Laser, Vein and Cosmetic Surgery  would be happy to discuss in detail during a complimentary no-obligation private consultation.

Fillers options offered at Hotchandani Laser, Vein, and Cosmetic Surgery:

  •  Juvéderm® Ultra Plus XC –  smooth gel made of hyaluronic acid, which naturally occurs in the human body
  • Juvéderm Voluma XC ™ – With age, cheeks lose volume, which can give your face a sunken look. Juvederm Voluma™ XC is the first and only FDA-approved filler used to correct this problem. The results are instant, providing a smooth-natural looking appearance. Results are clinically proven to last up to 2 years.
  • Perlane-L® – is a clear gel formulation of hyaluronic acid that is specifically formulated to act like your bodies own hyaluronic acid, adding volume and fullness to the skin.
  • Restylane-L® – used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). By combining lidocaine with Restylane, Restylane-L can help reduce discomfort during and after treatment.
  • Restylane® Silk – designed specifically for lips and the lines around them. It’s the first and only FDA-approved product specifically designed for subtle lip enhancement and the smoothing of wrinkles and lines around the mouth in patients over 21 years of age.
  • Radiesse® – calcium hydroxylapatite (CaHA) microspheres, which also generates collagen formation
  • Sculptra™ – poly-L-lactic acid gel (PLLA) FDA cleared for treatment of lipoatrophy, or facial fat loss and cosmetic treatment
  • Belotero® – a hyaluronic acid filler similar to Juvéderm® Ultra Plus XC & Restylane. Hylauronic acid is normally found throughout your body giving Belotero® a higher safety profile. We at Hotchandani Laser, Vein and Cosmetic Surgery use Belotero® for fine lines to avoid lumpiness and tyndall effect (blue-ish skin discoloration).

Patient Experience

Dermal filler procedures usually take less than 30 minutes. The injections are relatively painless and can be compared to receiving a tetanus shot or donating blood, and any slight discomfort usually subsides within seconds. Sensitivity and feeling in treatment areas are completely retained, and any minor swelling from the injections typically disappears within 24 hours. Most clients are able to return to normal activities immediately after the procedure.

FAQ

Are dermal fillers safe?

In years of rigorous clinical testing and use by millions of patients worldwide, dermal fillers have been proven to be safe and effective.  We will also ask you a series of questions to determine if fillers will work for you.

Are dermal filler injections painful?

Most patients feel minimal discomfort during the procedure itself. We minimize discomfort by using cold spray and adding lidocaine with the products if they don’t include lidocaine already.

What is the recovery time I should expect?

You may resume all normal activities immediately, though patients should refrain from strenuous exercise for a day. Any minor swelling from the injections typically disappears within 24 hours and some patients experience dramatic reduction of swelling within hours.

What if I am taking medication?

Please inform us if you use blood thinners, ibuprofen, aspirin or herbal preparations and other medications prior to your procedure. You may need to discontinue certain other nutritional supplements a few days prior to treatment.

Do dermal filler injections leave scars?

No. However, if you are prone to thick hypertrophic scarring formation or excessive keloid scarring, you may not be a good candidate for treatment with dermal fillers.

Safety and Product Information

JUVÉDERM® XC and JUVÉDERM VOLUMA® XC Important Information

INDICATIONS

JUVÉDERM® XC injectable gel is indicated for injection into the mid-to-deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

JUVÉDERM VOLUMA® XC injectable gel is indicated for deep (subcutaneous and/or supraperiosteal) injection for cheek augmentation to correct age-related volume deficit in the mid-face in adults over the age of 21.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS
JUVÉDERM® XC and JUVÉDERM VOLUMA® XC should not be used in patients who have severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies, and should not be used in patients with a history of allergies to gram-positive bacterial proteins or lidocaine.

WARNINGS
  • JUVÉDERM® XC injectable gel and JUVÉDERM VOLUMA® XC injectable gel must not be injected into blood vessels and should not be used in vascular-rich areas. Use in these areas, such as glabella and nose, has resulted in cases of vascular embolization, occlusion of the vessels, ischemia or infarction, or blindness. Symptoms of vessel occlusion and embolization include pain that is disproportionate to the procedure or remote to the injection site, immediate blanching extending beyond the injected area, and color changes that reflect ischemic tissue such as a dusky or reticular appearance
  • Product use at specific sites in which an active inflammatory process or infection is present should be deferred until resolved

 

PRECAUTIONS
  • The safety for use in patients under 18 years for JUVÉDERM® XC, and for patients under 35 years or over 65 years for JUVÉDERM VOLUMA® XC, has not been established
  • The safety and effectiveness of JUVÉDERM® XC for the treatment of anatomic regions other than facial wrinkles and folds, and of JUVÉDERM VOLUMA® XC for regions other than the mid-face, have not been established
  • The safety for use during pregnancy, in breastfeeding females, and in patients with known susceptibility to keloid formation, hypertrophic scarring, and pigmentation disorders has not been studied
  • Use with caution in patients on immunosuppressive therapy
  • Patients who are using products that can prolong bleeding (such as aspirin, nonsteroidal anti-inflammatory drugs, and warfarin) may experience increased bruising or bleeding at treatment sites
  • If laser treatment, chemical peel, or any other procedure based on active dermal response is considered after treatment, or if the product is administered before the skin has healed completely, there is a possible risk of an inflammatory reaction at the treatment site
  • Patients who experience skin injury near the site of implantation may be at a higher risk for adverse events
  • Dermal filler implantation carries the risk of infection. Standard precautions associated with injectable materials should be taken
  • The safety of JUVÉDERM VOLUMA® XC injectable gel for use in patients with very thin skin in the mid-face has not been established
  • The long-term safety of repeat treatments with JUVÉDERM VOLUMA® XC has not been established
  • Patients may experience late onset nodules with use of dermal fillers including JUVÉDERM VOLUMA® XC
  • JUVÉDERM VOLUMA® XC should only be used by physicians who have appropriate experience and who are knowledgeable about facial anatomy and the product for use in deep (subcutaneous and/or supraperiosteal) injection for cheek augmentation

ADVERSE EVENTS
The most commonly reported side effects for JUVÉDERM® XC injectable gel were temporary injection-site redness, swelling, pain/tenderness, firmness, lumps/bumps, bruising, discoloration, and itching. They were predominantly mild or moderate in severity, with a duration of 7 days or less.

Side effects for JUVÉDERM VOLUMA® XC injectable gel in > 5% of subjects were temporary injection-site tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. They were predominantly moderate in severity, with a duration of 2 to 4 weeks.

To report an adverse reaction, please call Allergan Product Surveillance at 1-877-345-5372.

For more information, please see the About Safety page at www.juvederm.com or call the Allergan Medical Information line at 1-800-433-8871.

JUVÉDERM® XC and JUVÉDERM VOLUMA® XC injectable gels are available by prescription only.