Tag Archives: Restylane

Dermal Fillers

shutterstock_116911600Injectable dermal fillers have emerged as one of the most popular anti-aging non-surgical treatments for the face. The treatment involves almost no downtime, and produces desired aesthetic results in a simple, outpatient procedure.

Dr. Landon D. McLain provides proven and effective FDA approved dermal fillers such as Restylane and Juvederm.

Aesthetic Treatment around the Eyes

Eyes are the most delicate and sensitive external organ of the body. Therefore, any aesthetic treatment around the eyes must be performed with great care by an experienced professional. Eyes can appear old and tired with age or due to other factors, and it can impact the overall appearance of the face.

Fillers for Treatment below the Eyes

Dermal fillers such as Restylane and Juvederm are approved by the FDA for cosmetic reduction of wrinkles, fine lines and folds in specific areas on the face. Most of the dermal fillers are effective in the reduction of naso labial folds. Juvederm Voluma is specially designed for volumizing of cheeks. However, there is no specific dermal filler that is designed just for eye rejuvenation.

Only Restylane is a dermal filler treatment that is considered to be tremendous, remarkable, and salient for aesthetic rejuvenation below the eyes. Applying stronger or longer lasting dermal fillers under the eyes may not be advisable, considering the risk of potentially negative results.


Many cosmetic experts are of the opinion that Restylane is the only injectable facial filler that can be used safely and successfully in the tear trough area. The outcomes with Restylane are more natural, more consistent and more predictable compared to other fillers. The safety profile of Restylane is quite high. However, it is important that the Restylane injectable treatment must be administered by an experienced healthcare professional. Results with Restylane in the tear trough region can last for about six to 12 months.

The key to success with Restylane lies in proper injected of the filler in the targeted area under the eye. With proper injecting of the gel at the appropriate depths in the skin and within the anatomical safety boundaries, the results can be very effective and last longer. Restylane is based on hyaluronic acid, which is biocompatible in nature, and does not pose any risk of allergic reactions.

The outcomes with hyaluronic acid based gel of Restylane will closely resemble the natural skin tissue. Tear trough area is sensitive because the skin is very thin here, and any lumping will show easily. The treatment provider must have the expertise in filler injections and an outstanding knowledge of the eye area anatomy.

McLain Surgical Arts is a leading cosmetic surgery practice headed by Dr. Landon D. McLain MD, DMD, FACS in Huntsville, AL. Dr. McLain is a double board certified cosmetic and oral & maxillofacial surgeon, offering a variety of procedures such as dental implants, wisdom teeth extraction, breast augmentation, liposuction, rhinoplasty, tummy tuck, facelift, Botox, and laser skin resurfacing. For more information or to schedule a consultation call 256.429.3411 or click here.

Now taking patients from Huntsville, Scottsboro, Decatur, Madison, Athens, Florence, Cullman, AL and surrounding areas.

Let me “Fill You In” on Dermal Fillers!

Cosmetic fillers have revolutionized the modern cosmetic surgery practice.  And despite the ever increasing cultural acceptance to cosmetic enhancements and abundance of industry advertising and branding… still, many patients are confused about fillers and what they can and cannot do.  As we age not only does gravity and sun damage affect the quality of our skin, but we lose volume in key areas of the face.  Much like a grape becomes a raisin, volume loss significantly contributes to wrinkle formation.

Facial aging areas

Let me take a moment to clear the air and “fill you in” on the most common fillers used in my practice here at McLain Surgical Arts…

 1. Hyaluronic Acid (HA) Fillers:

The most commonly HA fillers are Belotero, Juvederm, Restylane and Perlane.  These types of fillers have been used in the US since 2004 and have a proven safety and performance record.  Hyaluronic Acid (HA) is a normally occurring substance in the human body, primarily found in skin, joints and neural tissues.  Interestingly, when skin is exposed to excessive UVB rays from the sun over time, the skin loses hyaluronic acid and begins to lose volume and vibrance.  This results in premature aging.  Fortunately, HA can be produced in a laboratory which nearly eliminates the potential for severe allergic reaction that was common to older collagen based fillers.  Although very similar each of the types of HA fillers have specific differences based primarily on molecule size and/or the amount of crosslinking between the molecules.  I personally prefer Restylane in the tear trough areas due to its ease of molding, while I prefer Juvederm in the lips because it seems to last longer.

2. Calcium Hydroxyapatite Fillers:

In 2006, the FDA approved calcium hydroxyapatite for cosmetic injection. This cosmetic filler is made of the minerals that give bone its strength and texture. These minerals are ground into tiny particles and suspended in an aquesous solution, which is injected under the skin. In the trial that led to its approval, calcium hydroxyapatite worked significantly better and lasted longer than collagen injections to reduce severe wrinkles.  This filler is white and is best used at deeper levels of facial atrophy.  Radiesse is my preferred filler for lower facial and cheek large volume replacement.  It has perhaps the most natural result of any of the dermal fillers and has the added benefit of stimulating your skin to form its own collagen.   It is not useful for lips and tear trough areas due to the need to place at very superficial levels in these areas.

Most popular facial dermal filler locations

3. Autologous Fat:

Fat grafting to fill soft tissue deficits has been around since at least the late 19th century and has gained increasing popularity in the past 20 years for facial and body volume restoration.  The primary advantage of fat is that it is autologous and there is zero risk of transmittable disease or allergic reaction.  It is considered semi-permanent because only a portion of the total fat grafted survives permanently, but with improvements in harvesting and application techniques one can expect about 50-60% of the transplanted fat to remain.  In addition to volume restoration of the face, fat is very popular in treating body contour defects;  the buttocks for example, otherwise known as a Brazilian buttock lift.

Hopefully this gives you a bit of information on the most popular fillers used here at McLain Surgical Arts.  There are obviously other options, but these three forms have become the worhorses in reversing age related atrophy and wrinkles in my practice.

For more information on dermal fillers in Huntsville, Al, please visit us online or call 256.429.3411 for a complimentary consultation.