Facial Plastic Surgery, Ear, Nose and Throat

Facial Plastic Surgery

including Cosmetic and Reconstructive Surgery, Injectables, Chemical and Laser Peels, IPL, and Cosmetic Dermatology

Otolaryngology

including Ear, Nose, Sinus, Throat, Voice, Snoring and Sleep Apnea, Thyroid and Parathyroid, and Skin Cancer

What Works Best to Restore Volume and Facial Fullness?

John M. Roesler, M.D.
Los Angeles Facial Plastic Surgeon

Excellent results can be achieved by –

  • Injectable fillers
  • Fat injections
  • Implants
  • Sculptra
  • Facelift surgery

The ideal solution will vary depending on the individual. The patient’s age, skin tone and elasticity, weight, facial bone and muscle structure, as well as their individual goals and tolerance for down-time will all play into the decision making process of an experienced facial plastic surgeon.

That being said, in a single 1 – 2 hour session, injectables (including Botox) are a safe, minimally invasive option that can deliver truly amazing results for augmentation and/or revolumization of the frown lines (glabellar furrows), under eyes (tear troughs), cheeks, nasolabial folds, marionette lines, lips, and chin / jaw lines.

By location, the best injectables are –

  • Frown lines / Glabella: combination of Botox and Juvederm or Radiesse for temporary correction, Artefill for permanent correction (off-FDA label use).
  • Under eyes / Tear Troughs: only for experienced injectors! Restylane, Juvederm, or Radiesse for temporary correction, implants or fat injections for permanent correction.
  • Cheeks: Juvederm Ultra Plus or Radiesse for temporary correction, implants or fat injections (requires multiple sessions) for permanent correction.
  • Nasolabial Folds / Marionette Lines: Combination of Juvederm and Radiesse for temporary correction, Artefill for permanent correction.
  • Lips: Restylane or Juvederm for temporary correction, fat injections for permanent correction.
  • Chin / Jaw lines: Radiesse for temporary correction, implants or facelift for permanent correction.
  • Moderate to Severe Cheek Hollowing / ‘Crepey’ Wrinkles: Sculptra (may require 5 injection sessions).

As always, experience counts!

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