coolsculpting at Gulf Coast Institute of Rejuvenation

(941) 753-0600

Gulf Coast Institute of Rejuvenation

Dermal Fillers


What are they and how and where are they used?


All fillers serve one primary function. They replace volume (fat) that everyone loses as we age. Gen­er­ally fat loss begins to occur in our early 30’s but envi­ron­ment (sun exposure) and health habits (smoking, drinking & drug use) can cause a faster onset of fat/volume loss.

The more fat we lose the more the face begins to take on a less youthful look. The face typ­i­cally loses the largest amount of fat in four primary areas. The areas at the sides of the nose called Nasolabial folds which develop lines that can be very deep, the cheek & temple areas, lips and the areas under & to the side of the lower lip which cause a person to look a bit unhappy.

Other areas can also be injected as every person ages dif­fer­ently and we can lose fat in other areas as well. The picture below depicts the most common areas treated on the face with fillers


If patients desire the longest lasting cor­rec­tion and want to rebuild the most Col­la­gen & Elastin pos­si­ble, we use Platelet Rich Plasma (PRP) in con­junc­tion with fillers. Another pop­u­lar media term is “The Vam­pire Face-lift”. Well, that’s what this is… PRP contains large amounts of dif­fer­ent types of growth factors which when injected and over time, rebuild Col­la­gen & Elastin fibers. By com­bin­ing PRP & fillers you receive the best of both world in an imme­di­ate cor­rec­tion as you use your own bodies natural ability (with PRP) to re-build the most Col­la­gen & Elastin pos­si­ble.

Fillers come in two primary classifications.

Hyaluronic Acid (HA) based fillers which include Resty­lane, Juve­d­erm, Per­lane and Belotero which on average last 6 months to a year and Calcium hydrox­y­la­p­atite (CaHA) filler which is known as Radiesse which last 12–18 months.

Let’s examine HA based fillers first. The two most common are Resty­lane and Juve­d­erm are both excellent and offer about equal results. They are used pri­mar­ily for lip aug­men­ta­tions and to round out the volume below the lips as well.

  • Belotero is an excellent new FDA HA filler that is dif­fer­ent than both Restylane and Juvederm.
  • Belotero allows us to inject much closer to the skins surface so we can now inject in areas that we could only use Col­la­gen before. The other huge advantage of Belotero is that unlike Resty­lane and Juve­d­erm, it does not have the Tyn­dall Effect which causes super­fi­cially treated areas to take on a blue tint. This is why Belotero is now the best filler for treating under eyes in the tear trough area.
  • Radiesse is used where deeper cor­rec­tions are needed such as temples, cheeks and jaw­line and provides both the longest lasting cor­rec­tions and studies prove that Radiesse also promotes more col­la­gen production than any other filler. Now that we’ve discussed the dif­fer­ent fillers let’s find out how they are used together to pro­vide even better results.

A common question is how many syringes of fillers will I need? The answer as you would suspect varies greatly patient to patient. One patient may just need a few syringes to correct the Nasolabial fold areas while another patient may need that plus their cheeks, jaw­line & temples.

We have many tools at our disposal but like all tools they need to be used by someone who knows best how to use them. Cheryl Gian­grante, ARNP, is an out­stand­ing injector that has received numerous com­ple­ments from her patients she has injected over the years. Yes you can prob­a­bly find someone less qual­i­fied to inject Botox and fillers but what will you get back when looking in the mirror.

We don’t just dabble in medical aes­thet­ics. It’s all we do each and every day of the year. Many physician & dental practices have added Botox & fillers to augment their practice incomes. Injecting Botox and Fillers is a medical art form that should be done by properly licensed, ded­i­cated, trained and skilled practitioners.

When you do something full time, all the time you tend to get very good at it. Settling for anything less could result in poor results or even facial deformity and injury.

Call to schedule your com­pli­men­tary consultation (941) 753-0600

The diagram below shows a deep fold that extends deepest into the face followed by a wrinkle which is not as deep followed by a line which is closest to the surface of the skin.

Skin Cross-view

Pro­vid­ing for fat loss is not a one size fits all equation which is why we need dif­fer­ent fillers.

We use an advanced injection technique called lay­er­ing in which we use Radiesse in the deeper folds & Resty­lane or Juve­d­erm on top of that cor­rec­tion.

This technique allows for a fuller more natural cor­rec­tion and longer lasting results. If any very fine lines remain we can then add Belotero.

The terms non-surgical face lift, liquid face lift have received a lot of media cov­er­age. These terms all mean the same thing. Its’ the use of a com­bi­na­tion of Botox and dif­fer­ent fillers to pro­vide a cor­rec­tion that was not pos­si­ble without a facelift until very recently.

This does not mean however that a patient who truly needs a face-lift can get a facelift type of result using Botox and fillers. This type of procedure can however delay the need for a face-lift for years especially when combined with the Exilis for skin laxity.