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DR. MINAS CONSTANTINIDES: As we get older, we lose volume in the face. And if you've never had a filler before, I always like to start with restoring that volume with something temporary. And so, in my practice, that means Juvederm Ultra, Juvederm Ultra Plus, Restylane or Perlan.

These are all fillers that are comprised of hyaluronic acid, which is a complicated sugar molecule that we make naturally in our bodies. Well these companies have basically purified this molecule.

They made it in a laboratory, but it’s the same stuff that’s in our bodies. And then we can inject it through little needles to provide volume. Now the most common area for injection is around the nasal labial folds, or that little folds between the check and mouth.

In fact, some of these fillers are only approved by the FDA for use in those areas. However, we often will inject, with the patient’s permission, other areas that we have a lot of experience injecting with

And this is called off-label, which is completely legal and safe. But you should understand that it’s not been looked at by the FDA. So off-label uses of fillers is great around the eyes.

We inject around the eyelids. Instead of doing a lower eyelid lift to create fullness or redistribute fat, we can actually put fillers around the eyelids that give great improvement, great smoothening of the eyelid.

Commonly, the lips also loose volume. Now I don’t really love over injecting the lips. And the truth is that if your lip doesn't normally look like Angelina Jolie’s, it’s not going to look that way after fillers.

However, we can enhance your lip by creating a better platform for lipstick to sit on so that the little lines around the mouth are smoothened out and your lipstick won’t track up.

Or if you're upper lip is turned in a little bit so that it’s not as pouty as it was when you were younger, a little filling in that to produce just a little bit of poutiness, really restoring what you had when you were younger, is really a great way to go.

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