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Injectable Facial Fillers Treatment

Here at North Shore Aesthetics, we believe that only a plastic surgeon should perform injections.  After all, they are the ones with the specialized training and in depth knowledge of the muscular skeletal features of the face. Today’s injectibles market is filled with products that target different areas of the face with regard to non-invasive wrinkle reduction.  Toxin, such as BOTOX, Xeomin, and Dysport all function to release the wrinkles in the forehead, between the eyebrows and in the outer corners of the eyes (also referred to as the Crow’s Feet). These toxins last roughly 3-4 months depending on the way the rate the body metabolizes.

With dermal fillers, there is a wide variety that target various areas of the face.  Juvederm Ultra and Ultra Plus, Restylane, and Radiesse are all hyaluronic acid fillers that offer immediate reduction of creases in the nasal labial folds (aka the parentheses around the mouth or the smile lines) and the creases down the corners of the mouth (aka the Marionette lines or frown lines).  These fillers last about 9-12 months, again depending on the body’s metabolic rate.

Voluma and Restylane Lyft are also a hyaluronic acid filler, but have more viscosity so they tend to last longer than those just mentioned.  Voluma and Restylane Lyft can injected onto the cheekbone or the jawbone to restore the youthful contours of the face by lifting the skin and camouflaging the look of early jowling.  The Voluma results can last up to 2 years with optimal correction.  Sculptra is another filler that promotes one’s own collagen building.  The effects are not immediate, but with optimal treatment can last just over 2 years.  There are also fillers designed to create fuller lips and to reduce the look of vertical lip lines for approximately 6 months.  These are Juvederm Ultra XC, Restylane Silk and Belotero.  The latest injectable to hit the market is Kybella, formulated to derstroy the submental fat that causes the look of having a double chin.

JUVÉDERM Ultra XC and Ultra Plus XC (with Lidocaine)

Juvéderm® is made of hyaluronic acid— a naturally occurring substance in your skin that helps to add volume and hydration.  In appropriate candidates, injections place Juvéderm® injectable gel, a smooth consistency gel under the skin to instantly restore your skin’s volume and smooth away facial wrinkles and folds.  This includes, nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth also called “smile lines” or “parentheses.” Juvéderm® provides a smooth, natural look and feel—so everyone will notice (but no one will know)!

Voluma XC

The loss of midface volume is one of the hallmarks of facial aging. This occurs in varying degrees of severity, and can lead to significant changes in the facial appearance. One of the most noticeable changes is the loss of cheekbone definition. Volumizing fillers can be used to provide a ‘lift’ without surgery. The goal is to restore volume in the midface (cheekbones) to create a natural, youthful face. Voluma XC is the first filler formulated with lidocaine that is FDA approved to restore age-related volume changes in the cheeks. Voluma XC lasts almost twice as long as other fillers.


Sculptra Aesthetic is not an overnight miracle nor a quick-fix. It is the first facial injectable that gives you subtle results over time and is long lasting by replacing lost collagen. Giving you a more natural-looking appearance, without giving you away. A full treatment of Sculptra Aesthetic takes an average of three injection sessions over a few months and can last up to two years.*  It corrects facial wrinkles and folds that appear with aging by replacing lost collagen.

*Individual results and treatment sessions may vary.

Restylane – Perlane – Restylane Silk

Restylane® and Perlane® are also made from non-animal stabilized hyaluronic acid (NASHA) gel. This means that Restylane® and Perlane® contain no animal products. The hyaluronic acid increase the body’s natural supply, which becomes depleted with age. Restylane® and Perlane® are biodegradable so the effects are not permanent. The results of a Restylane® and Perlane® filler treatments tend to last six months to a year. Since hyaluronic acid is a natural substance found in the skin and other tissue, there is no need for a skin test when using Restylane® and Perlane® fillers.  Restylane Silk is thinner molecule ideal for the fine lines around the lips.


Ideal wrinkle reduction is achieved by replenishing your skin’s lost volume. You will see results immediately, while providing the volume and lift needed to diminish the signs of aging.  But what’s unique about RADIESSE® Volumizing Filler acts as a scaffold under the skin, providing structure and stimulating your own natural collagen to grow. This process continues for several months after your injection, which extends the initial effect of RADIESSE® Volumizing Filler. Best of all, the natural results are clinically proven to last a year or more in many patients.


Belotero is great for wrinkles above your lip, fine lines on your cheeks, or shallow scars on your face, even if your skin is thin and delicate. Belotero® is an injectable gel filler that’s made of hyaluronic acid, and plump. It’s the same main ingredient that’s found in Juvederm® and Restylane®  with a different formulation. It’s most effective in fine lines and superficial wrinkles above the upper lip. It’s also a good choice for crow’s feet and fine lines on the forehead and cheeks, as well as shallow acne scars anywhere on the face. Belotero® spreads between the collagen fibers of your skin, giving a soft, smooth result.

BOTOX, Xeomin and Dysport are used to relax the muscles in the area between the eyes, forehead and crow’s feet. These preparations are not considered to be fillers, but are called neuromuscular blocking agents.


Kybella is the only FDA approved non-surgical treatment of submental fullness, which we call our double chin.  Kybella is an acid that naturally occurs in our body, aiding in breakdown and absorption of dietary fat.  Here at North Shore Aesthetics, Kybella is administered by our surgeons.  It typically is a 15-30 minute appointment, a series of injections are placed in the fat under your chin.  The amount of treatments vary, it is dependent on your examination, typically 2-4 treatments.

Am I a Candidate for Injectable Fillers?

Injectable fillers are safe, and most people who are unhappy with their signs of aging are good candidates. There are many options available, it is possible to find a dermal filler that is appropriate for any patient. During your initial consultation, be sure to let your doctor know about any health conditions you may have and any medications you are taking. Patients taking aspirin are at a higher risk of bruising. It is recommended that aspirin be stopped about 10 days prior to a treatment.

How Do Injectable Fillers Work?

Injectable fillers are administered on an outpatient basis by Dr. Schlechter. Treatments are fast, and there typically is no need for any type of anesthesia each treatment takes only a few minutes. Upon completion of your treatment, our spa staff ensures that you are not experiencing major discomfort and provides camouflage makeup, if needed.

Recovery from Injectable Fillers

Recovery is minimal. Most patients are able to return to daily activities.  You might have mild swelling or bruising.  Fillers can last anywhere from nine months to two years. As they wear off, follow-up treatments are recommended to maintain your best results.