Wrinkle Fillers!

Hyaluronic acid fillers, such as Juvaderm(Allergan) and Restylane(Medicis) have been used for some time for facial rejuvenation. These products have been subjectively thought to provide excellent results with good safety, longevity by many plastic surgeons and dermatologists. Objectively, however, longevity of these products have not been well documented.
A recent study in a major peer-reviewed journal of plastic surgery has demonstrated excellent persistence of these fillers in the tear trough area ( the depression between the lower eyelid and cheek) through use of 3-dimensional imaging.
This is an area where patients may look tired and aged with bagginess of the lower eyelids and loss of soft tissue volume of the cheeks over the years. Although, there may be other surgical options such as an eyelid lift (blepharoplasty), for those more interested in nonsurgical treatments , hyaluronic acid fillers continue to represent an excellent option with good longevity, particularly in the tear trough area.
Stephen Delia, m.d.