Fillers & Neuromodulators
Many of the procedures performed for the enhancement of appearance are not surgical, but rather involve injections. These are performed in our office. Plastic Surgeons like Dr. Fielding are intimately familiar with the anatomy of the areas which are treated with the various injectables. Many patients benefit from the use of both fillers and neuromodulators in various sites.
Fillers are injectable solutions which can be used to replace the loss of volume which is part of facial aging. This helps to soften or reduce creases, and to restore a more youthful appearance. Dr. Fielding uses various materials in his practice, but all are composed of Hyaluronic Acid, which is a naturally-occuring substance manufactured for this purpose by pharmaceutical companies. Fillers vary in their viscosity, and the type, placement and volume used are decisions which we assess at the time of consultation. No filler is permanent, and regular re-injection is needed to maintain the best effect. The interval between injections varies from three months to a year or more.
Neuromodulators are injected materials which block the activity of various muscles temporarily. They are based on botulinum toxin, and are manufactured by pharmaceutical companies. They include Botox and Dysport. Variable amounts of the solution are injected into the desired areas, to reduce the creases and overactivity caused by the muscles of facial expression. These materials are temporary, and usually some loss of effect is noticeable by three months.