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R.S.B. Dermatology, Inc. & Cosmetic Surgery Center
Robert S. Bader, M.D. Board Certified in Dermatology • Ivy League Trained Physician • Fellowship Trained in Cosmetic Surgery and Mohs' Surgery Official Dermatologist & Dermatologic Surgeon for the Florida Panthers NHL Hockey Team • Voted one of America's Best Dermatologists 2004-2006
Lip Rejuvenation |
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Collagen has been used for decades with excellent success and virtually no downtime. With the newer human collagen now available, allergy testing does not need to be performed and patients can be treated immediately. Collagen works well to create fuller lips, reduce lip lines or wrinkles, and reduce bleeding lipstick. Results vary, and most patients can expect benefits to last several months or longer (average 3 months). Restylane® has been used since the late 1990’s in Canada and Europe and was FDA approved for use in the United States in 2004. As this product is a carbohydrate, there is little risk of allergy. Results may last six months or longer. Fat transfer utilizes one’s own fat that is usually taken from the hips or buttocks and injected into the lips to create fuller lips. Depending upon the desired result, more than one treatment may be needed. Chemical Peels are used to reduce wrinkles. Depending upon one’s needs, lighter or deeper peels may be suggested. Depending upon which peel is used, results can be long-lasting Dermabrasion is a procedure in which the skin is sanded to improve wrinkles. Results are usually long-lasting. Laser resurfacing
has been used for over a decade and is a safe procedure
with predictable results to improve wrinkles with long-lasting results. OTHER PROCEDURES (the procedures listed below are not performed by Dr. Bader) Artefill® is a product that is made of tiny microscopic Plexiglas beads that has long-lasting, if not permanent, result. Currently, this product is not FDA approved in the United States and therefore is not used legally in the U.S.A. This product is licensed under the name Artecoll® in both Europe and Canada, where it has been used since the 1990's. Although uncommon, the development of nodules under the skin has been reported and may develop years after injection (reference: Hruza GJ. Radiance FN, Long-Term Soft Tissue Filler. Journal Watch Dermatology 2004 Sept; 12(9):73.) Radience® is a produce made of calcium hydroxylapatite crystals, a derivative of human bone that has been used recently for cosmetic purposes. This product is not FDA approved for any cosmetic indication, although has been used successfully for months or years. Although results are long-lasting, there have been recent reports of lumpiness or hardness under the skin, especially when used in the lips. A recent report indicated that over 50% of patients developed these lumps required surgery to remove them. (Reference: Taikas TL. Evaluation of the Radiance FN soft tissue filler for soft tissue augmentation. Arch Facial Plast Surg 2004 July/Aug; 6:234-9.). Other surgeons (personal communication) have reported a risk as low as 2% when used in the lips. For this reason, Dr. Bader does not use nor recommend Radience® for lip augmentation. Cymetra® is a product derived from human cadavers that is injected into the skin and has been used for several years with great success. There is considerably more discomfort and swelling with this product compared to collagen, although results are usually longer than that of collagen. This product has been largely abandoned since the introduction of Restylane® Silicone is a permanent filler that is not FDA approved for any cosmetic purpose in the United States. It can be used to make the lips fuller, fill in smile lines or frown lines, or to reduce acne scarring. In the past, there have been numerous reactions to injected silicone, which appears to be from the use of an unpurified form that is no longer available. In the recent years, the use of silicone appears to be safe and long-lasting with little risk of reactions previously seen. Although, as this is a permanent filler, a bad result is permanent as well. For this reason, Dr. Bader does not use liquid Silicone for any cosmetic purpose. |
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Whether you want fuller lips or want to restore your
lips, there are multiple different options available.