What should I know if I'm considering a wrinkle-filler?

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Debra Jaliman, MD
Dermatology

There are perks and drawbacks to the diffferent types of wrinkle-fillers. Dermatologist Debra Jaliman, MD discusses what they are in this video.

Anthony S. Youn, MD
Plastic Surgery

Wrinkle-fillers can erase years from your face. In this video, plastic surgeon Dr. Anthony Youn discusses what you need to know before you go under the needle.


Dr. Mehmet Oz, MD
Cardiology (Cardiovascular Disease)
The most popular wrinkle fillers are made of hyaluronic acid, a normal constituent of your skin. This is one of the few procedures that reliably gives a "wow" reaction even before leaving the office. Wrinkle fillers are done with the aid of cream anesthetics or lidocaine injected into facial nerves. While current forms of hyaluronic acid last about a year, scientists are hard at work to improve their longevity. For deeper folds like those between the nose and mouth, fillers containing calcium hydroxylapatite last nearly two years. This generation of fillers is helping cut the numbers of facelifts.

Hyaluronic acid can be injected into lips for that Angelina Jolie look and can even lessen the appearance of jowls when injected between the jowl and chin. Why not permanent fillers such as silicone or plastic? We've learned from the mistakes of the 1960s that any substance that doesn't dissolve eventually needs to be removable in the event of infection or if it drifts to an unwanted position. Permanent fillers can't be removed, so if they become infected, the entire piece of skin needs to be cut out. Now that ain't pretty, is it? Gel or cream fillers treat the wrinkles below the midnose level. They work best around the mouth, cheeks, and chin. Deeper fillers can smooth out jowls and fill dents in the nose. Many docs feel they're too dangerous to inject around or between the eyes, however. They can cause blisters, blindness, or even strokes in these areas. A little too much pain for the gain.
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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.