Soft tissue fillers can be administered to a number of facial areas for exceptional results in facial rejuvenation. Depending on your cosmetic goals, these minimally invasive treatments are typically utilized to improve the appearance of fine lines and facial folds, or for natural-looking volume enhancement. To learn more about dermal fillers and the brands offered by Dr. Tong, please visit our page on the different categories of soft tissue fillers.
Dermal Fillers for Fine Lines, Wrinkles, and Folds
The nasolabial folds (smile lines) are the most common areas for soft tissue fillers. Usually one to three syringes of product are required to obtain the best correction. Dr. Tong typically utilizes volumizing HA fillers (hyaluronic acid), or CaHA (calcium hydroxyapatite) fillers for this area. Selphyl® or micro fat grafting is an alternative for patients that seek a purely natural filler source.
The “marionette lines” occur at the corners of the mouth. They are associated with downward drooping mouth corners. Fillers can lift the corners of the mouth and soften these lines. Volumizing HA fillers (e.g. JUVÉDERM®, Restylane®) or CaHa fillers (e.g. RADIESSE®) are used most often here.
Lips (for Smoker’s Lines)
Lines around the mouth make a person look aged. Women are commonly concerned with lipstick bleeding into these lines. These lines may be caused by smoking, aging, weight loss, or sun exposure. Dr. Tong recommends the use of an HA filler for delicate areas (e.g. Restylane® Fine Lines or JUVÉDERM VOLBELLA® XC) to help correct the appearance of the lines. Other options for “smoker’s line” correction include dermabrasion (for deeper lines), and BOTOX® Cosmetic (for more shallow lines).
Frown Lines (Glabella)
The frown lines between the eyebrows are usually treated with BOTOX® Cosmetic. This is very effective when the lines are mild to moderately deep. If the lines are very deep or the lines have been present for a long time, they may be “etched” into the skin. In these cases, using a soft tissue filler may be beneficial as an additional treatment to fill in the depressed folds. A volumizing hyaluronic acid (e.g. JUVÉDERM®, Perlane®) is recommended by Dr. Tong in these cases. Other surgical options for frown line treatment include fat transfer or Corrugator removal.
Dermal Fillers For Volume Enhancement
Lips (for Increasing Volume)
You may have thin lips due to age or genetics. Soft tissue fillers placed in your lips can enhance fullness, creating a youthful pout and shape. Dr. Tong generally recommends a volumizing HA filler (e.g. JUVÉDERM® Ultra, Restylane®, Perlane®) for lip augmentation.
Sunken or flat cheekbones may be due to aging, weight loss, or something you are born with. Enhancing the volume of the cheeks is a simple procedure using soft tissue fillers. Dr. Tong generally recommends a volumizing HA filler (e.g. JUVÉDERM®, JUVÉDERM VOLUMA™, Perlane®) or CaHa filler (RADIESSE®). Sculptra® is recommended when there is a significant amount of volume restoration needed (i.e. gaunt-looking faces). Selphyl® often works well for patients looking for a more moderate and gradual degree of enhancement, coupled with improvement to the quality of skin. Another option for a more permanent improvement is fat transfer to the cheeks.
Under the Eyes
A noticeable trough or line can form at the junction between the lower eyelid and cheek. Patients with either hollowness in the lower lids, or fat bags in the lower lids, can have this condition. Lower lid blepharoplasty is often the best way to correct this problem, but fillers can camouflage this by filling in the area so that there is a smooth transition from the lid-to-cheek region. Dr. Tong uses a HA filler specifically designed for filling delicate areas.
If you have mild jowling, the appearance of the jowls can be camouflaged by placing soft tissue fillers along the jaw line, directly in front of the jowls. This area is called the pre-jowl sulcus. A volumizing HA filler (e.g. Perlane®, JUVÉDERM®) or CaHa filler (e.g. RADIESSE®) is typically used with good results. Patients with moderate or severe degrees of jowling will likely require a facelift or extended neck lift in order to obtain optimal results in jowl correction.
Acne scars can be treated a number of ways, including fractionated laser therapy, surgical dermabrasion, and soft tissue fillers. Soft tissue fillers are commonly used in conjunction with the other modalities mentioned. Dr. Tong uses a special technique called subcision to first release the scarred tissues, followed by injection of a volumizing HA filler (e.g. Perlane®, JUVÉDERM®), CaHa filler (e.g. RADIESSE®), or PRFM filler (e.g. Selphyl®).
“Liquid Nose Job”
Small imperfections of the nose can be improved by using fillers. The most common applications are in Asian patients who want to elevate the height of the bridge, or (typically) a non-Asian patient who wants to hide a bump on the bridge. Sometimes, patients use fillers to hide small imperfections after rhinoplasty as an alternative to doing a revision procedure. This is especially suitable when the imperfection may not warrant another surgical procedure. One notable feature about fillers in the nose is that the duration of the effects tend to be much longer than fillers in other areas. Lasting improvement in the nose for 12 months is not uncommon. The nasal tip is not as well-suited for filler injection, as it tends to give a rounded, fatter appearance rather than providing a sharper, thinner look as some patients mistakenly assume.