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Primary goal: Fill in wrinkles and grooves caused by loss of natural dermal collagen and fat
Technique: The tissue filler (either liposuctioned fat or a commercial filler) is placed into a syringe and injected through a needle into the middle of the dermis in the area of the skin depression (fat can be injected much deeper).
Multiple injections to achieve a layering effect may be used, as well as gentle massage to smooth out any obvious "beading".
Comments: It started with collagen but in recent years the field has grown more crowded. The commerical fillers most commonly used around the eyes include Restylane ®, Juvederm ®, and Radiesse ®.
A whole new "crop" of tissue fillers will soon be available in the United States. As with all such materials, each has its own set of advantages and disadvantages.
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