Fillers that are commonly used in our practice:

·         Radiesse®

·         Various types of Juvederm®

·         Voluma®

·         Belotero®

What do tissue fillers do?
Simply – fillers fill –
A popular use for fillers is to fill wrinkles, depressions, folds and
other depressions in the skin, especially around the nose and mouth.
Fillers add volume to facial tissue and can restore a smoother appearance
to the face.

How long do they last?
Most patients need one treatment to achieve significant wrinkle smoothing
and the results last about six to nine months. Some fillers have been known
to last even longer – up to five years! These are unusual but they have
been reported. Doctor Capuano and his staff will discuss what filler would
in their judgement be best suited for your needs.

Please see our comments about off-label use of fillers. It is important that
you realize that the FDA has not, in all cases, allowed the use of fillers in
all areas. This does not mean that, after discussion, the filler cannot be used
in those areas.

What do I expect after injections?
There will be minimal pain, swelling, black and blue or redness. It
should feel relatively “normal”, but you may feel a little firmness.
It might also feel bumpy, which means it may need to be massaged. Call
the office with any questions regarding your injections.

Is there any reason why I shouldn’t receive tissue fillers?
Our office will ask you about your medical history to determine if you
are an appropriate candidate for treatment. Tissue fillers should not
be used in patients who have the following: Severe allergies marked by a history of
anaphylaxis or history or presence of multiple severe allergies. Patients with a
history of allergies to Gram-positive bacterial proteins.

What is the cost of the treatment?
Discuss your goals with Dr. Capuano and our experienced staff. They will
record the areas to be treated. Remember that more than one treatment may
be needed. An estimate of cost will be given to you.

1. The safety and effectiveness of tissue fillers for areas other than
wrinkles and folds (such as lips) have not been established in controlled
clinical studies and would be considered “off-label” use of tissue filler.

2. Patients who are using substances that can prolong bleeding, such as
aspirin or ibuprofen, as with any injection, may experience increased bruising
or bleeding at the injection site. You should inform your physician before
treatment if you are using these types of substances.

3. If laser treatment, chemical peeling, or any other procedure based on
active dermal response is considered after treatment with tissue fillers,
there is a possible risk of an inflammatory reaction at the treatment site.

4. Tissue fillers should be used with caution in patients on immunosuppressive
therapy or therapy used to decrease the body’s immune response, as there may
be an increased risk of infection.

5. The safety of tissue fillers during pregnancy, in breastfeeding females,
or in patients under the age of 18 years has not been established.

6. The safety of tissue fillers in patients with a history of excessive
scarring (e.g., hypertrophic scarring and keloid formations) and pigmentation
disorders has not been studied.

1. Avoid exercise and alcohol for six hours post-treatment.
2. Evidence shows that having a follow-up treatment before the product has fully
dissipated will enhance the lasting effect. Please be sure to consult Dr. Capuano
about recommendations for touch-up or follow-up treatments.
3. One week prior to your next treatment, avoid taking aspirin, non-steroidal
anti-inflammatory medications, St. John’s Wort, and high doses of Vitamin E
supplements. These agents may increase bruising and bleeding at the injection site.
4. Immediately after the treatment, the most commonly reported side effects
are temporary redness and swelling at the injection site. These effects typically
resolve within two to three days. Cold compresses may be used immediately after treatment
to reduce swelling.
5. Avoid touching the treated area within six hours following treatment. After that,
the area can be gently washed with soap and water.
6. Until the initial redness and swelling have resolved, avoid exposure of
the treated area to intense heat (  sun lamp or sunbathing).
7. If you have previously suffered from facial cold sores, there is a risk that the
needle punctures could contribute to another recurrence. Speak to Dr. Capuano about
medications that may minimize recurrence.