Our exclusive magazine issue on Dermal Fillers covers:
- Facts of Fillers
- 7 Myths Of Fillers
- Fixing Dark Under Eye Circles with Fillers
- Fillers and Rejuvenation
MEDICAL SPA CLUB’S
Myths about Dermal Fillers
We ask Dr. Pinkhasik to debunk these myths.
There are many myths regarding
dermal fillers that seem to only be
perpetuated as time goes on. Let Dr.
Pinkhasik dispel these myths for you.
“Myth #1: Botox and Fillers are
While they both lessen the appearance of wrinkles, Botox and dermal
fillers do not function in the same way.
Botox relaxes the muscles that create
wrinkles while dermal fillers restore
and add volume to facial tissue.
“Myth #2: Fillers require a lot of
Fillers require little to no downtime.
The injection procedure can result in
minor swelling and bruising, but your
doctor can recommend ways to alleviate and prevent that.
SEE THE BEAUTY OF SOUND
“Myth #3: The more, the merrier.“
“Myth #5: It is noticeable.“
When it comes to fillers, more is
definitely not better. While some people
may worry that dermal fillers will result
in swollen lips, the so-called ”duck
look”, you can reduce the likelihood of
that happening by not overfilling.
I’ve had clients ask ‘will I look like I’ve
been worked on?’ and his response is not
if it is done tastefully and correct facial
proportions are maintained.
“Myth #4: Dermal fillers stretch
your tissues out. Once you start
getting the treatment, you’ll have
to continue forever or else your
face will deflate and sag.“
The discomfort is minimal. Local anesthetic (”freezing”) is mixed with the
dermal fillers to numb the areas being
This is not even slightly true. You can
stop worrying about it. Remember that
dermal fillers nourish your skin and
stimulate collagen production. Even
after your body metabolizes it, the
residual effect is rejuvenating.
“Myth #6: It is painful.“
“Myth #7: Dermal Filler Treatments Are
Many dermal fillers today are reversible.
Hyaluronic Acid fillers for example, can
be dissolved with a simple injection of
hyaluronidase. Talk to your doctor to
make sure the dermal filler that you are
getting is reversible.
Get back the neck you knew
Ultherapy – the only FDA-approved
non-invasive neck lift – tighten loose
skin on the face and neck.
Single ultrasound treatment
No surgery, no downtime
Gradual, natural, yet noticeable
What are they?
7 Myths about
We ask Dr. Pinkhasik
Remove The Dark
Circles Under Eyes
Tired of concealing? Fix it
with Dermal Fillers
Dermal Fillers and
See examples of what can
Available at Medical Spa Club
Call 604-284-5501 for your
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What are dermal fillers Which Dermal Fillers
should I use?
An overview – What you need to know.
CaHA dermal fillers (Radiesse) is a
suspension of Calcium microspheres
in a gel carrier. It is designed to
stimulate collagen production in
addition to its’ immediate volume
restoring effect. As it gets metabolized
away, new collagen remains, accounting for a longer duration of effect than
HA fillers and a residual benefit which
with repeated use may decrease the
amount of filler required for future
We ask Dr. Pinkhasik of Medical Spa
Club common questions he gets from
his patients about dermal fillers.
What types of Dermal
Fillers are there?
Most broadly, dermal fillers can be
divided into temporary and permanent, with temporary fillers being
much safer to use.
Temporary dermal fillers can be
further divided into 3 groups: Hyaluronic Acid (HA) gel based fillers,
Calcium Hydroxyapatite (CaHA)
containing fillers (Radiesse), and
Poly-L-lactic acid(Sculptra). All these
dermal fillers, besides their immediate
volumizing effect, nourish skin and
stimulate collagen production to
collagen production resulting in
volume effect over 4-6 weeks. It
requires 2 to 4 sessions spaced 4 to
6 weeks apart to produce the desired
volume correction. The effect of
Sculpta, which takes several months
to reach, usually lasts longer than
either Radiesse or any of the HA
The only place you can’t use Radiesse
and Sculpta is the lips because
collagen stimulation in lips can
produce a lumpy effect. So, in lips we
Poly-L-lactic acid dermal fillers
(Sculptra) is a pure collagen stimulator have to use one of the HA dermal
rather than a filler. It stimulates
Where can I use Dermal Fillers?
Areas for Dermal
HA dermal fillers, such as Juvederm,
Restylane, and Revanesse, are gels
made from polymerized sugar
molecules and last anywhere from 3-9
months, depending on the product
and on how your body metabolizes it.
Some people metabolize HA slower
than usual, and in those cases we had
How the face changes with aging
Cheek – for higher cheek bones
Under Eye Hollows
Mental crease and Chin
Face gradually sags with
lower part becoming wider.
Who is a Good Candidate for Dermal Fillers?
Fortunately these signs of aging can be minimized
and the triangle of beauty restored with strategic
injection of dermal fillers.
All dermal fillers nourish skin and
stimulate collagen to some degree,
thus slowing down the aging
processes in the skin.
The choice of filler depends on
individual preference, age, and the
area to be injected. If you are younger
than 60, your collagen production is
likely to be strong and Radiesse may
be a good choice. However, after the
age of 60 the collagen production
slows down and Radiesse offers less
advantages over HA fillers.
Can I have an Allergic
Most of the fillers we use are made
from ingredients that are found
These products work well and are safe naturally in the body. Hence, allergic
for nearly anyone who is interested in reactions to dermal fillers are uncomerasing wrinkles around the face or
mon. However, there are some excepadding volume to the lips, cheeks, or tions, so it is best to speak to your
Dermal Fillers and
Case Study 1
Here, Radiesse was injected into
Zygomatic (cheekbone) areas,
Maxillary areas (under eyes), Nasolabial folds, Marionette lines (at
corners of mouth), and chin.
A youthful face has 3 unique features: high cheekbones, full cheek
an upside-down with the basese
by the cheek bones and chin.
As we age, the skin loses elasticity with loss of colla-lagen and hyaluronic acid, and becomes lax. The supporting bone and subcutaneous tissues shrink, and
the downward pull of gravity causes descent, distortistorting the triangle of beauty. Thus, the youthful
becomes inverted or widens (See the Aged
flatten and jowls appear.
Narrow lower face compared
to the mid-face (cheeks).
Besides enhancing facial features
such as small lips and weak chins,
and correcting defects, fillers are good
for producing a lifting effect by restoring facial volume which we start to
lose in our 30’s. As the cheek bones
shrink, the facial skin draped over
them will sag with the downward pull
of gravity, creating hollows under the
eyes, Nasolabial folds, Marionette
Lines, and Jowls. The chin also
retracts as it shrinks, exacerbating the
Marionette lines and Jowls. These
changes and more can be reversed or
diminished with skillful use of dermal
Radiesse Dermal Filler Augmentation of Mid-Face and Chin
Here, a soft tissue filler had been
injected into nasolabial folds and into
In the example above, dermal fillers
were used to remove dark circles.
using dermal ﬁllers
Dermal fillers conceal the dark circles
by bridging the gap between the infra
orbital fat pad and the mid-face fat pad
which descended due to the loss of
volume in supporting structures. The
gap between the two fat pads creates a
trough, which gives the appearance of
dark circle (shadow in the trough). By
filling the trough and making the two fat
pads contiguous, the “dark circles” are
removed. This will also remove the
appearance of “bags under the eyes” -in
many cases. Additionally, injecting fillers
along the very important support stru
ctures in the mid-face will restore the
required support and produce a lifting
effect on the tissues that had sagged,
often reducing the Jowls, Marionette
lines, and Nasolabial fords.
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