Advanced Dermatology Care    by board-certified dermatologists               

FILLERS                        Restylane    Juvederm    Perlane     Radiesse   Evolence        
Loss of facial volume is due to prior sun damage, smoking, acne scarring and genetic predispositions. The resultant static wrinkles are seen as valleys and divots, prominently displayed along lower half of the face such as our smile lines along nasolabial folds, tear trough areas beneath the lower eyelids (causing dark circles due to optical shadowing), and marionette lines around the corners of the mouth.  These static wrinkles can be softened by replenishing the lost volume with fillers.


Rejuvenation of lower eyelids achieved with Restylane injection of tear trough areas

  • Non-animal stabilized hyaluronic acid (NASHA) such as Restylane or Juvederm is a versatile filler for nasolabial folds, marionette lines around corners of the mouth, lip augmentation, vertical ridges along lips and tear troughs under the eyelids. These NASHAs typically last 4-9 months. Restylane has been shown to stimulate collagen production over time. 
  • Perlane and Juvederm Ultra Plus are also NASHAs of slightly thicker caliber and are useful for facial contouring and reverse aging and discolored appearance of photodamaged hands. These NASHAs may last 6-12 months.
  • Radiesse is a good option for individuals in need of cheek augmentation and/or more volume along nasolabial folds. Radiesse is made of calcium-based microspheres that are suspended in a natural gel and serves as a scaffold for further collagen production. Radiesse provides more volume than NASHAs and may last 9-18 months but has slightly greater potential for transient swelling and/or bruising.
  • Evolence is the latest FDA-approved filler based on porcine collagen. The advantage is that it is a true collagen-based filler cross-linked with sugar, more amenable to molding with less risks of swelling and bruising. Evolence typically lasts 6-12 months.
  • Dr. Ting and Dr. Tomcik does not endorse permanent or long-term fillers such as Artefill or Sculptra due to long term nature of potential adverse events, though rare, and that people's preference of certain facial contour may change over time.
  • Filler injection is absolutely operator and technique-dependent and one should not shop by price alone. Filler injections should be performed by a board-certified dermatologist or plastic surgeon.




Softening of Nasolabial Folds and Marionette Lines with Restylane injection

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101 Park Place, San Ramon, CA 94583    Tel: (925) 743-1488   Fax: (925) 743-1277
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