A safe, non-surgical approach to smoothing facial lines, collagen replacement therapy uses a natural, nontoxic substance.

BEFORE & AFTER: Collagen replacement therapy on lip lines, marionette lines, and smile lines

Your natural collagen forms the fibers that provide the support structure for the outer layer of skin. Years of smiling, frowning, squinting and exposure to sunlight weaken this support. The skin sags and facial lines appear.

How is it replaced? A filler is injected beneath the epidermis to replace lost volume. This gives the appearance of removing years by smoothing the skin and plumping the wrinkles. Restylane, Perlane, Juvederm, Radiesse, Sculptra, and Fat Transfer are examples of fillers used by the Cosmetic Surgery Center. Other fillers are available as well.

Restylane
Restylane is Hyaluronic acid, a safe and natural cosmetic dermal filler, which is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin.  Restylane is free from animal proteins.  Restylane lasts eight to nine months.

Perlane
Like Restylane, Perlane is also hyaluronic acid, but the difference is in the particle size.  Perlane gel particles are larger and designed for deeper injection than Restylane.  Perlane lasts nine to twelve months.

Juvederm
An injectable gel produced through hylacross technology creating a high degree of cross-linking and promoting duration for nine-twelve months.  Hylacross technology results in a smooth consistency gel which is a primary factor in the long-lasting, smooth, natural look and feel that is a hallmark of the Juvederm wrinkle correction.  Juvederm is a hyaluronic acid which is a natural complex sugar found in all living cells, and one of the major components of the dermis connective tissue matrix, along with collagen and elastin.  Your doctor can tell you which Juvederm formulation is right for you.  Juvederm Ultra injectable gel was optimally formulated for versatility in contouring and volumizing wrinkles and folds.  Juvederm Ultra Plus is a robust formulation for volumizing and correcting deeper wrinkles and folds.  Look smooth and natural with Juvederm injectable gel.

Radiesse
A safe, FDA-approved dermal filler that restores a natural, youthful look and lasts up to two years.  A calcium-based microsphere suspended in a natural gel that is injected into the skin through a simple, safe and minimally invasive procedure. They gradually break down and are safely and naturally absorbed by your body with none of the risks associated with a permanent implant.  Radiesse rebuilds your skin’s foundation and restores your youthful look.  Results are immediate.

Sculptra
An injectable product that is intended to restore and correct the signs of facial fat loss.  It is different than other fillers in that it increases the thickness of the skin and surrounding  soft tissue where volume has been lost, helping to restore fullness to the face for a more natural appearance.  It makes the skin appear smoother and firmer, enabling it to resemble its previous elasticity.  Sculptra is not made from human or animal sources and does not require a skin test.  It is composed of poly-L-lactic acid, a synthetic product.  Ploy-L-lactic acid (PLLA) is biocompatible, does not harm the body and is biodegradable, able to be broken down by the body.   It lasts up to two years.  Results are not immediate but provide a gradual increase in soft tissue and skin thickness.  Usually more than one treatment is required.

Fat Transfer
Fat cells taken from your own body, also called autologous fat transplantation or microlipoinjection, plumps up skin with a patient's own fat and is a popular alternative to other wrinkle treatments. Fat transfer to the face, hands or other areas is a safe, natural, non-allergenic procedure designed to recontour your face or body and can provide definition to your cheeks or chin. It can also be used to correct facial deformities.