Injectable Fillers

At her cosmetic surgery practice in Connecticut, board-certified plastic surgeon Dr. Ellen Mahony uses injectable fillers to fill wrinkles and lines for her Wesport and Fairfield, CT patients. She also can use these fillers to restore shape and contour to your face by adding volume to soft tissue.

In addition to traditional fillers, Dr. Mahony is one of the very few woman plastic surgeons in Connecticut with the skills, experience, and training needed to perform fat transfer procedures as a natural alternative. As with other cosmetic injectable fillers in Connecticut, a fat transfer procedure uses tiny injections to fill wrinkles and lines or fill out aging hollows in areas such as the cheeks.

At your consultation, Dr. Mahony will explain all your choices to you, and then recommend the most appropriate treatment to meet your aesthetic goals, your lifestyle and your budget. Sit down with Ellen, and she’ll discuss the pros and cons of these Connecticut injectable fillers. There are two main types of fillers – those that are absorbable and those that are permanent:

    • Hyaluronic acid fillers such as JUVÉDERM®, Volbella®, Voluma®, Vollure®, Restylane®, and PREVELLE®. A naturally occurring, smooth soft gel, hyaluronic acid adds volume by hydrating soft tissue, smoothing away superficial wrinkles, and filling in hollows. Ellen often prefers these fillers for the lips and lower eyelids, where the skin tends to be thin.
    • Longer-acting fillers such as RADIESSE®, Perlane® and Sculptra®. These have greater substance and structure, making them ideal for deeper tissue planes. Ellen may recommend these to help sculpt your whole face: To lift your cheeks, contour the jawline, or blend in the jowl.
    • Liquid face lifts. These offer an even more comprehensive approach to nonsurgical rejuvenation. Ellen customizes a selection of neurotoxins, such as BOTOX® Cosmetic and Dysport®; hyaluronic acids, and long-acting fillers for an elegant rejuvenation solution for select patients.
  • Fat transfer procedure is also a great option that uses your body’s own biologic material, fat, for sculpting. Dr. Mahony removes fat from areas such as the thighs, abdomen or buttocks, and precisely injects it into areas that need it, such as facial wrinkles or cheeks and lips.
  • Your fat is processed and the smaller-sized fat cells are carefully selected as they are better to inject and include more regenerative material, providing double the benefit. Read more about ALMI procedures.
  • To maximize volume and provide you with the greatest benefits, a fat transfer can be enhanced by adding dermal tissue to the fat. This is called a “dermal fat graft,” and is now available at her Connecticut plastic surgery practice.

In addition, if your skin has lost elasticity and suffered sun damage, Ellen may recommend a cosmetic treatment plan that combines injectable fillers with other skin care procedures, such as a chemical peel, spa services or a face lift.

FAQ

Is it possible for my lips to get over-stretched or thinned out by using too much filler?

The short answer is: yes however there are many things to consider such as what type of filler used and how much filler was injected. Permanent fillers such as Bellafil, Silicone and Radiesse don’t give you as many options if you are over-injected. And because these are permanent, as you age and your facial skin and bone shifts, it can appear that the lips are overstretched because the skin sags and the filler stays put. Not. A. Good. Look. We take a very artistic and careful approach to filler, especially for the lips, so that our patients do not end up with results they’ll regret later.

I’ve read that lip filler sometimes “migrates” after injection. How do I know that the results I see won’t change over time?

First off, this is a pretty rare occurrence found mostly in young people who have stronger facial muscles that can “pull” the placed filler to a different spot. When this happens, we gently massage the area (non-permanent fillers are malleable for about a month after injection) to coax it back into place. If massage doesn’t fix the issue, a small amount of dissolving material can be used to dissolve the original filler.

Where on the face can dermal fillers be used?

There are a plethora of areas on the face that can be greatly enhanced by dermal fillers. One area that is often a homerun for many patient’s is the cheeks. Dermal fillers can restore volume and shape the mid face, which is particularly prone to lose volume with aging. Dermal fillers can also be used to fill in smile lines, marionette lines, vertical lip lines, as well as eye hollows. Dermal fillers look great in the lips to make them appear fuller or to achieve a pouty look. A small amount of dermal filler can even be used to fill in indentations caused by large acne scars.

Will dermal fillers slow down or prevent facial aging?

Although fillers help with the loss of facial volume that is inevitable with aging, our skin continues to age and filler does not impact on the quality of the skin. This is why we are diligent about skincare with our injectable patients. We recommend using sunscreen daily, as well as using our antiaging skincare products and getting chemical peels regularly. Regular Platelet-Rich Plasma (PRP) procedures are also a great way to keep your skin in great shape. A dual sided approach to facial aging is the most effective!

Once I start using dermal fillers can I ever stop?

There is a good chance you may never WANT to stop using fillers once you see how millimeters of volume can make huge difference in your look! If for some reason you wish to discontinue fillers (as an example: you may move forward with a face lift), the product will eventually be absorbed by your body. Over time, you’ll notice that your ‘look’ returns to your previous status.

Is there any way to prevent bruising with fillers?

Any time you use a sharp needle to inject a substance into the skin there is a risk for bruising. The face is a highly vascular area and it is easy to injure a small blood vessel during the injection process. The good news is there are many steps you can take to minimize your risk for bruising. These include avoiding blood thinning medications like Advil, Aspirin and Aleve a week prior to treatment. Also skipping your wine with dinner the night before treatment is a good idea. Applying an ice pack post injection is another trick we use to reduce bruising. Lastly, using our product that contains Arnica, Tissue Repair Gel, following treatment can expedite healing of the tissue and encourage bruises to disappear quicker. Unfortunately bruises can sometimes be inevitable, but the good news is a good concealer makeup works wonders to cover them up!