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FillersDermal Fillers can either create a younger, balance, and more refreshed look, or turn out flat. With the appropriate application of facial fillers by an experienced facial plastic surgeon like Dr. Shah, a patient can achieve their desired visual impact.
Procedures » Facial Fillers

Facial Treatment & Facial Fillers Chicago

Table Of Contents
  • Dr. Shah Philosophy
  • Face Fillers treatment Map
  • Guide To Hyaluronic Acid
  • Real Patient Testimonial
  • Frequently Asked Questions

Face fillers are a variety of materials which can be injected into the face to help add volume in specific locations. While it may sound odd to add volume to the face, loss of volume is one of the first signs of facial aging. The addition of volume helps restore a more youthful and attractive contour to the face.

Not all injectors have the same degree of skill. Merely filling in lines, will lead to a mediocre result at best. Dr. Shah’s focus is on the face. As such, he adds volume throughout the face, so that the face is enhanced in a global and more attractive way. This unique way of injecting was learned from several of the world’s top injectors.

Safety is dependent on a skilled injector and utilization of appropriate injectable materials. Specific skin types often have improved results with specific types of dermal fillers. Dr. Shah utilizes a conservative approach in dermal fillers. He utilizes fillers which have a proven track record of safety and minimal complications. Lip augmentation is another application of dermal filler placement in the face.

Dr. Shah Philosophy

Many physicians from a variety of fields inject dermal fillers. However, there is an art to successful use of dermal fillers. An analogy can be made between hair stylists and application of dermal fillers. A successful hair cut brings new life into not just the hair but the entire face itself. With dermal fillers, standard applications of fillers can lead to flat results which do not create the desired visual impact. With the appropriate application of fillers, the entire face appears younger, balanced, and more refreshed.

Under Eye filler, Chicago IL
Under Eye Filler before and after

Dr. Shah has learned from several master injectors of the face including a world famous facial plastic surgeon in Beverly Hills. This approach is known to a handful of surgeons in the world and is heavily guarded. Dr. Shah does not describe any of these techniques on this website or in the scientific community due to the strict confidence in which these techniques have been taught.

Face Fillers treatment Map

Juvederm, Radiesse, Restylane and other use
Map of the face illustration

Here you will find a map of the face illustration where each filler is used. Dr. Shah evaluates each person’s facial anatomy as well as the patient’s individual concerns to determine which filler and which areas should be treated.

1. Temples (all)

2. Number 11’s (all fillers except for Radiesse)

3. Nose (Juvederm, Restylane, Perlane, Juvederm Ultra Plus)

4. Smile Lines (all fillers except for Sculptra)

5. Cheek hollowing (Juvederm Ultra Plus, Perlane, Radiesse, Sculptra)

6. Prejowl sulcus (Radiesse, Juvederm Ultra Plus, Perlane, Restylane)

7. Nasojugal sulcus (Juvederm, Restylane, Perlane)

8. Lower eyelid cheek interface (Juvederm, Radiesse, Restylane)

9. Lip Augmentation (Juvederm, Perlane, Restylane)

10. Fine lines (Restylane)

Guide To Hyaluronic Acid

Facial Fillers, Hyaluronic Acid Diagram
Dr. Shah only utilizes dermal fillers which have been studied extensively and minimize any risk to the patient.

There are a large number of injectable fillers available for patients to utilize. Not all injectable fillers are the same, even injectables approved by the FDA may not have an excellent safety record. Dr. Shah only utilizes dermal fillers which have been studied extensively and minimize any risk to the patient.

Philosophy

Safety is dependent on a skilled injector and utilization of appropriate injectable materials. Specific skin types often have improved results with specific types of fillers.  Dr. Shah utiilzes a conservative approach in fillers. He utilzies fillers which have a proven track record of safety and minimal complications.

Many physicians from a variety of fields inject dermal fillers.  However, there is an art to successful use of face fillers.  An analogy can be made between hair stylists and application of fillers.  A successful hair cut brings new life into not just the hair but the entire face itself.  With dermal fillers, standard applications of face fillers can lead to flat results which do not create the desired visual impact.  With the appropriate application of dermal fillers, the entire face appears younger, balanced, and more refreshed.

Specific applications of fillers can be used to augment the malar region (also known as the cheekbone) to create a subtle but discernable difference in cheekbone height creating a more youthful appearance.  There is little to no downtime with dermal fillers and they serve an important role in rejuvenation of the aging face.

Dr. Shah has learned from several master injectors of the face including a world famous facial plastic surgeon in Beverly Hills.  This approach is known to a handful of surgeons in the world and is heavily guarded.  Dr.  Shah does not describe any of these techniques on this website or in the scientific community due to the strict confidence in which these techniques have been taught.

NameDate Approved by FDAMain ComponentSkin Testing Required?Allergy ComponentsSide EffectsHow long does it last?Onset of results
RadiesseAugust 2006Calcium HydroxyapatitenominimalPossible, Not reversible, can not be used in lips or nose,8 months -3 yearsimmediate
ElevessJuly 2007Hyaluronic
Acid
noNot to be used in patients with lidocaine sensitivity, gram positive bacterial proteinsLocal reaction, swelling4-6 monthsimmediate
Juvederm Ultra PlusJune 2006Hyaluronic
Acid
noGram positive bacterial proteinsLocal reaction, swelling4-6 monthsimmediate
Juvederm UltraJune 2006Hyaluronic
Acid
noGram positive bacterial proteinsLocal reaction, swelling4-12 monthsimmediate
PerlaneMay 2007NASHA
(non-animal hyaluronic acid)
noGram positive bacterial proteinsLocal reaction, swelling4-12 monthsimmediate
RestylaneDecember 2003NASHA
(non-animal hyaluronic acid)
noGram positive bacterial proteinsLocal reaction, swelling4-6 monthsimmediate
SculptraAugust 2004 Poly-L-
Lactic Acid
noPossiblegranuloma formation, possible nodule formation, not reversible8 months- 2 yearsimmediate
Cosmoplast2003collagen derived from humannoNot to be used in patients with lidocaine sensitivityallergy1-6 monthsimmediate
HydrelleLate 2009Hyaluronic
Acid
noSulfites
(Red wine derviatives )
local reaction swelling, granuloma4-12 monthsimmediate

Real Patient Testimonial

  • Dear Dr. Shah & fabulous Staff. Wanted to send you a small little thank you & something…

    • 5 stars
    • Real patient

Frequently Asked Questions

What is Dr. Shah’s philosophy on dermal fillers?

In order to treat a patient with facial aging, one must understand how we age and the anatomy of aging. Soft, subtle changes are preferable to harsh, obvious contours. In the African-american face, I inject in order to provide even volumetric balance to the face and provide a slight lift to the entire face. Most injectors, essentially, try to fill in the lines. However, this approach does not adequately address facial aging including the midface, malar region, perioral region and entire face. Often times, patients are treated with a series of injections to slowly transform the face.

How long does the face filler last?

It depends on the type of fillers utilized. The filler used in the photographic example should receive benefit from one to three years.

What is my downtime?

Typically you can return to work immediately.

Can anyone inject a facial filler?

Dr. Shah believes injection of a facial filler is an art form and should not be underestimated. Some of the newer dermal fillers last longer than traditional fillers, as such application of these fillers demands appropriate placement of the fillers. In addition, knowledge of the latest fillers allows for the right filler for the right patient. Dr. Shah has a unique application of fillers based on his experience from world renowned plastic surgeon in Manhattan and a facial plastic surgeon in Beverly Hills.

Can I keloid with a facial filler?

There have not been any reports of a keloid after use with a facial filler. A facial filler is typically placed in an atraumatic approach and thereby effectively eliminating facial keloids.

Is Restylane effective in African American patients?

Generally speaking, I do not utilize Restylane in African American patients. I have found the longevity, visual impact and longevity not to be much less effective than its counterparts. I have treated a number of patients who have told me that Restylane does not work. Restylane is highly effective product when used with the right candidate and the appropriate location.

Related procedures: Under Eye Filler, Lip Augmentation.


Author

This article was written by Dr. Anil Shah, MD, FACS. Last Modified: 11/16/2020

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