Dermal Fillers


Beauty is based upon proportions and symmetry. As we mature,the dimensions of what is considered beautiful remain the same, but the dimensions and proportions of our bodies do not. This is most apparent on the face where every nuance of change is magnified through movement of facial expressions and communication.

Through history, men and women have looked to restore the youthful appearance they remember. The concept of looking as young as one feels is not new. As medical technology has advanced men and women are feeling younger and younger at a more mature age. This has forced researchers and scientists to develop options that are both safe and effective. Hence, the birth of injectable cosmetic fillers.

The search for the perfect cosmetic filler has been ongoing for over 20 years. Collagen was the first and only FDA approved injectable filler for two decades. Introduced into the market in the early 80’s as Zyderm and Zyplast, it was composed of highly purified bovine (cow) dermal tissue. It was immensely popular but required skin testing four weeks prior to the initial injection. This turned many patients off to collagen and allowed for the development of its later predecessors, Cosmoderm and Cosmoplast. Their development touted “no skin testing required.” These new fillers were developed using human collagen and only had a 1% rejection rate. Another popular filler during this period was Silicone. However, with the FDA banning silicone breast implants in 1993, this filler soon disappeared from the market.

Now, in the dawn of a new century, hyaluronic acid based fillers seem to be the most popular. Hyaluronic acid is a substance naturally found in the body and does not require skin testing. It is made from bacterial proteins and is a transparent gel that is injected into the facial tissue to smooth wrinkles and folds. Restylane was one of the first of these fillers that entered into the European market in 1996. It then received FDA approval to be used in the US market in 2003. Other similar formulations such as Perlane were soon to follow. It wasn’t long before the cosmetic filler market was being flooded with new fillers such as Juvederm, Juvederm Ultra, and Ultra Plus. Each company touting that they were better than the other. The newest hyaluronic acid filler is Juvederm Voluma, which is a more robust version of Juvederm, design to add volume to the mid-face and the cheek area.

Through the years and new development evolving , a number of other fillers came on the market which were now calcium-based instead of hyaluronic acid based. Some of these new fillers including Radiance/Radiesse marketed that their fillers were longer lasting and superior to the hyaluronic acid fillers. In addition, their research showed these new calcium-based fillers stimulated new collagen production. Radiesse, for example, is FDA approved and lasts up to 18 months.

The world of cosmetic fillers have come full swing in the past 25 years. Each new cosmetic filler has paved the road for the newest advancements in technology and product safety. With the quest of looking as young as one feels, the perfect cosmetic filler may finally be here.

Check out our Dermal Filler Before & After Gallery!

Dr. Brian Feinstein is a Diplomat of the National Board and Double Board-Certified in Dermatology & Family Medicine. He served as Chief Resident for the Department of Dermatology and again as Chief Resident for the Department of Family Medicine. He has lectured nationally and published multiple articles in archived medical journals. He was awarded Resident of the Year for Dermatology and recipient of the prestigious Clinical Service Award from his graduating class. Specializing in Cosmetic and Surgical Dermatology, including skin cancer and laser surgery. Offering a full line of cosmetic services, such as Botox, Juvederm, Radiesse, BLU-U, and cosmetic laser procedures.

~ Atlantic Ave Magazine

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