Injectable fillers provide facial enhancement without the time, expense or risk involved with surgery. Dr. Lapuerta suggests facial fillers to help reduce the appearance of fine lines, wrinkles and shadows on the face. He carries a number of filler brands including Restylane, Juvederm, Radiesse and Sculptra. Injectable fillers, when combined with other anti-aging treatments, such as BOTOX®, have been labeled the “liquid facelift” of our time. These procedures are considered outpatient and are performed right inside our Houston, Pearland, and Katy, Texas plastic surgery centers.
"Dr. Lapuerta performed Kybella on my chin. I could not be happier with my RESULTS! He was very honest, professional and caring to my concerns and my goals. HE is the BEST!"- B.C. / Google / Aug 31, 2016
"This review only contains a rating"- H.G. / Google / Nov 17, 2016
"I want you to know that Dr. Lapuerta and hist patient coordinator, Brandi and his entire staff are phenomenal. He did a full tummy tuck, implant replacement during a hysterectomy. The surgery was long. He gave me his cell and he couldn't have been more caring. His bed side manners make you feel so..."- M.G. / Healthgrades / Nov 16, 2016
"I want you to know that Dr. Lapuerta and hist patient coordinator, Brandi and his entire staff are phenomenal. I was recommended to them by my Obgyn, Dr. Baden ( also amazing) to see him after discussing needing a hysterectomy and wanting to do a tummy tuck as well if I was going to do that. And My Obgyn highly recommend Dr. Lapuerta to do the surgery with him and do it all together. I was very nervous of course. But, I went and met with Lapuerta and Brandi and was INSTANTLY comfortable and felt they were the perfect fit for me. My Case was long. It was 7.5 h our surgery. I would say I am in pretty good shape, just had 5 babies in 5 years that did a number on my body. The surgery and recovery ( i am 4 weeks out) was in NO WAY easy. But, Dr. Lapuerta took wonderful care of me. I had his cell number and he answered as soon as I would call. He also replaced my 15 year old implants along with the full tummy tuck and I am THRILLED! I would not use anyone else but Dr. Lapuerta for future surgeries. His bed side manner is kind, warm and you NEVER feel rushed. Brandi is just as fabulous and again, never feeling rushed or like your asking stupid questions. And with as much surgery I was having , I ask a ton of questions. I have no doubt if you use him for surgery you will be so happy. You, will love his patience and kindness. He truly cares about you and your over all health and well being. I want to thank him and Brandi for making my experience as easy as it could be. AMAZING! I still have a ton of swelling and healing, however, I am already in love with the way i look! Dr. Lapuerta did EXACTLY what he said he would do. He made me look a million times better. I want to thank Dr. Lapuerta for making me a new women with confidence again. And Thank you Brandi for your kindness throughout the whole process."- H.H. / Facebook / Nov 16, 2016
"Wow.... I love Dr. Lapuerta. He is never in a hurry and always listens to me. His staff is also awesome! I look forward to my appointments."- C.M. / Google / Nov 15, 2016
Types of Injectables@headingTag>
Technological advances have made it possible to manufacture a variety of fillers. Most fillers are derived from natural substances (such as collagen) while others are artificially produced. The patient’s skin condition and aesthetic goals will decide which type of filler will be best to use.
Fat transfer is the harvesting of excess fat from a donor site on the patient’s body. The fat is extracted using liposuction. These fat tissues are then purified and reinjected gradually into an area of skin with layering precision. The doctor will massage the skin and ensure that the intended contour is achieved. The body naturally absorbs fat and the results often last up to 6 months.
Collagen is a naturally occurring protein in human and animals. Skin, bone, cartilage and teeth are rich in collagen. These are harvested and converted into a sterilized liquid form and used as a derma filler. It is a popular filler for lip augmentation procedures. Some collage is derived from animals. Patients using a derma filler of this nature will require allergy testing ahead of the procedure to ensure that they will not have any complications.
Usually found in the bones and teeth of humans, calcium hydroxyapatite is also harvested and processed to use as a liquid filler. It is considered as one of the heavier substances and ideal in adding volume to deep creases. This particular filler product usually lasts longer than some of the others on the market.
Hyaluronic acid is another substance that is sourced from humans. Rich deposits of this substance are commonly found in ligaments and connective tissues. As with other natural substances, when used as a derma filler, the results are natural and effective, but they are not long lasting as the body reabsorbs the solution over time.
Polylactic acid is an artificial substance. When injected, it doesn’t just add volume underneath the skin, but it also triggers the production of collagen, which helps in skin renewal. The contours will be visible immediately and the skin quality will be evident after several months. This filler can last up to a year or longer for most patients.
This is a popular derma filler as it lasts longer compared to fillers that are made only from natural substances. PMMA is a hybrid of microspheres mixed with a collagen solution. The result is a more solid, heavy filler that works well for deep creases and for reconstructive purposes when a good amount of tissue is absent. This filler is considered longer lasting, meaning it has the potential to work for several years or longer.
During/After the Procedure@headingTag>
Injectable fillers are performed in the doctor’s office with the use of local anesthetic creams if necessary. Almost pain-free, the patient will only feel a prick from the injection. The substance will be injected gradually in even layers to make sure a natural looking result and contour is achieved. Sometimes, it may take more than one full syringe depending on how much volume is needed. There may be slight swelling, bruising and redness on the treated area but this usually subsides after a few days. Patients will be able to return to a normal routine a few hours after treatment.
The cost for an injectable filler treatment varies per full syringe. Some treatments may require more than one syringe in a specific target area. In addition, there may be several target areas per session. Fees range from $350 to $1,500 per session.
Plan Your Procedure
- Average Cost
- $500 - $1,500
- Recovery Time
- Average Procedure Time
- 30 Minutes
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Injectable Filler FAQs@headingTag>
How Safe Is It?@headingTag>
All derma fillers are FDA approved, meaning they have passed comprehensive testing to prove that the product is safe and effective to use. The majority of fillers are made with a natural substance so if the result is not as the patient desired, the good advantage is that the filler, at some point, will be reabsorbed by the body, and the results are temporary.
Do I Need Reinjection?@headingTag>
Most likely. Natural fillers are absorbed by the body in an average of 6 months to 12 months. When this happens, there will be a loss of volume similar to the condition prior to treatment. Reinjection is recommended to maintain the desired results. Some patients find this high maintenance but feel its worth the natural feel of their cosmetic treatment.
Is BOTOX Better?@headingTag>
The benefit between a BOTOX injection and a derma filler is weighed with the patient’s skin condition. BOTOX is a muscle relaxant that temporarily paralyzes muscles underneath the skin preventing them from contracting, which causes wrinkles. This results in smoother skin and significant decrease with wrinkles. However, if the patient also has loose skin and/or hollow contours, volume may also be an issue and this is when a derma fillers works best. Today, a large majority of patients intermix the use of BOTOX with an injectable filler. Some include other treatments such as chemical peels and laser treatments, which essentially provides the patient with a “liquid facelift.”