Dermal fillers such as Restylane and Juvederm are used to fill in facial creases, plump up the lips, and sculpt the cheeks. These fillers can soften the signs of aging by sculpting the jaw line and softening the jowls. The effects are immediate and patients can return to work that same day.
As the face ages, the youthful areas of fat become thinner and droop. One important area of fat lies just under the cheekbone in a young person. With age, this area of fat thins out and moves lower and closer to the mouth. It creates a roll and a crease that runs from the nose to the corner of the mouth. The area under the cheek bone begins looking hollow. This is called a “tear trough deformity”, as if a tear drop from the eye would run through this trough as it rolls down the cheek. These rolls and hollow areas create shadows that can make a patient look older and tired. By filling these areas of lost fat, the patient can achieve a more youthful, rested appearance.
The skin can be anesthetized prior to the procedure with numbing cream or even with a nerve block (dental block). The entire procedure usually takes about a half an hour, and the effects are immediate. Although some patients can have bruising, it is typically mild and most people return to work the same day.
Dermal Fillers FAQs
This depends on the patient and the area injected. The results can last up to a year, and some recent studies have shown that when the area is retreated at 4 1/2 months, the effects can be still be seen at 18 months.
Skin testing was required in the past when collagen injections were being used, but not with these products. It depends on the particular patient, but most people can be injected on the first office visit. Patients with severe allergies (anaphylaxis) are not good candidates for dermal fillers.
Latisse is a prescription medication and, as with all new medications, you and your doctor should discuss potential benefits and risks before your start it for the first time. Your doctor will also discuss the application techniques to achieve the best possible results.
I can't say enough good things about Dr. Swartout. Upon meeting with him the first time he quickly and easily earned my trust and confidence. He took a lot of time to explain the procedure he would be performing and what I could expect in regard to the healing process. I appreciated his patience and the time he spent with me to make sure I understood the procedure. Most notably is Dr. Swartout's ethic of care and concern for me as a patient. He stayed after the surgery to check in on me, he responded to my phone calls personally and promptly, and rather than making me schedule additional follow-up appointments with him at his office, he made arrangements to meet me at my appointments at my primary surgeon's office. He did this multiple times during the initial weeks after my surgery. Dr. Swartout is great!
Why choose Dr. Swartout
- Fellowship trained sub-specialist in Facial Plastic surgery who attended college at Harvard University.
- Attended medical school at Albert Einstein College of Medicine in New York.
- Interned in general surgery at New York University, followed by a specialty residency in Otolaryngology – Head & Neck surgery at New York University.
- Completed a fellowship in Facial Plastic & Reconstructive Surgery at the University of Illinois at Chicago where he worked with Dr. Dean Toriumi.
- A member of the American Academy of Facial Plastic & Reconstructive Surgery, the American Academy of Otolaryngology – Head & Neck Surgery and the American Rhinologic Society.
- Teaches nasal surgery to residents at Harbor UCLA both to contribute to the education of future doctors and to give back to an underserved community.
- Special interests include the development of rhinoplasty techniques to create long lasting, favorable nasal shape and good nasal breathing.