Fillers are derived from collagen, hyaluronic acid, or synthetic material. Collagen (human derived) typically
lasts between three to six months.

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Hyaluronic acid (e.g., Restylane, Juvederm, Perlane) is very popular; it is approved by the Food and Drug Administration for correction of moderate to severe
facial wrinkles and folds. This gel compound serves many purposes including filling the space between collagen and elastin fibers providing cushioning; transporting
nutrients from the blood to the skin; and retaining water within the cell promoting volume and protection. Hyaluronic acid is biodegradable with results lasting six
to 12 months. Placed in the Nasolabial folds, Marionette Lines, Oral Commissures and Lips.

A synthetic material such as Radiesse is made from synthetic calcium composite and lasts two to five years. Radiesse is often placed in the cheek area to regain
the volume lost due to aging.

Which filler is right for you? There is no one filler that is ideal for all sections of the face. Different fillers work better in certain areas and have various
durations. Your physician will recommend the filler based on what will best meet your needs.

doctorAsk the Surgeon

I would like to improve the skin texture of my face, what are my options?

Your facial plastic surgeon may recommend rejuvenating the tone and texture of your skin through topical creams with antioxidants, retinoid (vitamin A derivative),
or vitamins C or B5, which can offer slight improvement with regular use. Additionally, there are minimally invasive treatments such as fractional laser resurfacing.
Fraxel Laser resurfacing is effective for fine lines, sun damage, and age spots.

Fractional laser skin resurfacing uses a precision laser to target only a fraction of the skin at a time. Small wounds are created deep in the dermis, which prompts
your body’s natural response system to heal those wounds by rebuilding collagen and elastin. This results in tighter, more youthful-looking skin.

Health Tip

Despite warnings about melanoma risk, young women and teens still prefer to tan. According to a survey by the American Academy
of Dermatology, among almost 4,000 girls ages 14 to 22, the vast majority (81 percent) said they sunbathe outdoors either frequently or occasionally.

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Recent recommendations from the International Agency for Research on Cancer, a subsidiary of the World Health Organization, state, "Policymakers should consider
enacting measures, such as prohibiting minors and discouraging young adults from using indoor tanning facilities, to protect the general population from possible additional
risk for melanoma."

Currently, at least 32 states regulate the use of tanning facilities by minors. Some counties also regulate the use of tanning devices, including Howard County, Md., which
is the first jurisdiction to ban indoor tanning for all minors under age 18. Tanning is not safe. Sunscreen or sunblock should be applied at least 30 minutes before going
outside with reapplication every two hours during peak times, 10 a.m. – 2 p.m. Avoid tanning beds entirely.