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Natural Image Orange County Cosmetic Dermatology and Cosmetic Surgery

fillers & injectables

Restylane & Perlane

Restylane and Perlane are cosmetic dermal fillers made of non-animal based hyaluronic acid FDA-approved in 2003 for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, the lines between the nose and mouth. Restylane gel products integrate into dermal tissue then attract and bind to water molecules to help maintain volume. Restylane is gradually degraded by the body's own mechanism and disappears without any residue. Results can be seen immediately following treatment and last six months, or even longer. read more about Restylane... | read more about Perlane...

JUVÉDERM® Injectable Gel

JUVÉDERM® Injectable Gel is a hyaluronic acid-based product used in the temporary treatment of facial wrinkles. Hyaluronic acid is a natural substance present in all living cells throughout the body and helps maintain skin volume. Injected just below the surface of the skin, the products add volume to the skin, smoothing unwanted lines and wrinkles. The body naturally absorbs JUVÉDERM® Injectable Gel over time. No skin test is necessary before treatment and immediate results can be seen. JUVÉDERM® Injectable Gel has been FDA-approved for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

Try JUVÉDERM® Injectable Gel at Natural Image OC MedCenter
Photo Source: Allergan JUVÉDERM® Injectable Gel USA
Treatment: JUVÉDERM® Injectable Gel. Treatment unspecified

JUVÉDERM® Injectable Gel comes in two formulations – JUVÉDERM® Injectable Gel Ultra and JUVÉDERM® Injectable Gel Ultra Plus. read more about JUVÉDERM® Injectable Gel...

Sculptra Collagen Stimulator

Sculptra is substance known as L-Poly Lactic Acid which is similar to the material used to make a type of dissolvable suture that is used to close lacerations. This material does not require allergy testing. Following injection the body produces new collagen in the area injected. The reaction is not immediate but increases over the next 3-4 weeks after injection. Usually several treatments are required for full volume replacement. FDA approved for facial volume deficiency.

Sculptra Before and After Pictures
Photo Source: Natural Image OC

Sculptra can be used in ways other fillers cannot. As a global collagen stimulator, the end results are a product of your own collagen production. Volume deficiencies in the cheeks, prejowl and temples can restore youthful facial volume with Sculptra. read more about Sculptra...


Radiesse contains calcium based microspheres suspended in a water based gel. Since skin testing is not required treatment may be received on the same day as consultation. The thickness of Radiesse allows it to be used in some very novel ways, including rebalancing of the nose, nasal bridge, and as injectable “implants” for chin or cheek.

Radiesse Before and After Pictures
Photo Source: Natural Image OC

Radiesse was initially approved by the FDA for correction of nasolabial folds and is used extensively for this purpose. Radiesse lasts longer than collagens and hyaluronic acids. read more about Radiesse...

Silikon Silicone

Silicone oil droplets have been used for many years by surgeons for filling wrinkles and plumping the lips. Although not FDA approved for this purpose, it is still popular for its permanent results. Silicone oil is traditionally used for eye surgery.   As a filler, Silikon causes collagen formation around the micro-droplets creating a very soft-feeling result. read more about Silikon...

Silicone Lips Before and After Pictures
Photo Source: Natural Image OC


Artefill contains polymethyl methacrylate (PMMA) synthetic microspheres suspended in a bovine collagen gel and lidocaine. A skin test is required and must wait at least one month following the skin test for injection. The advantage is its longer duration of effect since the body does not reabsorb the synthetic PMMA microspheres. Artefill microspheres do not degrade and as such this filler is considered permanent. read more about Artefill...

Artefill Before and After Pictures
Photo Source: Natural Image OC

Fat Injections

Fat transfer, also called autologous fat transplantation or micro-lipoinjection, plumps up facial features with a patient's own fat, and is a popular alternative to other wrinkle treatments. Fat transfer to the face is a safe, natural non-allergenic procedure, designed to re-contour your face, and can provide definition to your cheeks and chin. It can also be used to correct facial deformities. Since fat transfer uses your own fat cells, you can never have an allergic reaction, because it's from your own body. read more...

BOTOX® Cosmetic

BOTOX® Cosmetic injections are used to weaken the fine muscles around the eyes and forehead that are responsible for the frown lines and deep wrinkles that occur in these areas. By selectively weakening the proper muscles, the surgeon can eliminate the wrinkles without disturbing normal function.

BOTOX® Cosmetic Before and After Pictures
Photo Source: Natural Image OC

Treatment consists of a number of tiny injections made through a very fine needle directly into the muscle. Effects of the injections begin to appear within a few days. The results generally last around four to six months, after which time, the injections must be repeated. read more...

BOTOX® Cosmetic for Hyperhidrosis

More information on this use of BOTOX® Cosmetic at a later date.


Dysport is the latest neurotoxin for relaxing contraction-caused wrinkling and lines. Very similar to BOTOX® Cosmetic with probable faster onset (some patient reports within 24 hours). Dysport can be used in all the same areas for the same indications including forehead lines, worry and frown lines, brow asymmetry, neck bands. read more about Dysport...


Who is a Candidate?

  • Facial fillers are administered over a wide age range.
  • Younger patients seeking fuller, plumper lips
  • Older patients seeking wrinkle reduction and fuller lips.
  • Men who wish reduction of folds around the mouth to look younger.

Procedure Description

  • This procedure is usually performed in the office.
  • Most surgeons use a topical anesthetic cream and also administer local anesthetic injections prior to injecting fillers.
  • Ice may be applied before and after injection.
  • Immediate swelling may create the appearance of over treatment - his swelling generally resolves in several hours.

Recuperation and healing

  • For most patients, fillers can be injected in the lips or wrinkles and they can return to work the next day.
  • Occasionally a patient swells dramatically, especially in the lips. A first time patient may want to schedule the initial injection on a Friday.
  • Bruising may occur but can usually be covered with makeup. It is a good idea not to schedule filler injection right before an important social function.

Other options

  • Lipotransfer: the use of your own fat taken from one area and re injected into facial lines and wrinkles after preparation
  • Volume restoration through cheek or chin implants
  • Forehead and facelift
  • Eyelid surgery (blepharoplasty)
  • Chemical peel
  • Laser resurfacing

Starting Point To Learn What's Right For You

Not sure where to start? Give us a call and chat with our patient coordinator Michelle. Call the office at (949) 448-0487 or Request a callback through this online form.

Natural Image Orange County MedCenter Cosmetic Dermatology, Medical Dermatology, and Cosmetic Surgery

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