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 Dermal Fillers

What are dermal fillers?

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow's feet become more apparent.

The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.

Dermal fillers can be used to:

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars


Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

What dermal fillers won't do

For some patients, surgery such as a facelift, brow lift, or eye lift may be the best approach. Non-surgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results, but may help delay the time when consideration of a facelift becomes appropriate.

Dermal fillers cost

The average cost of dermal fillers vary. The following is a list of the average cost of several popular types of dermal fillers, according to 2014 statistics from the American Society of Plastic Surgeons:

The fees listed above are averages only. Dr. Diamantis will determine what you need and what it will cost. 

Health insurance does not cover dermal fillers, but many plastic surgeons offer patient financing plans, so be sure to ask.

Be safe: Choose a professional

Although tissue augmentation is a quick, in-office procedure that can produce a marked improvement in restoring facial fullness and a more youthful appearance, effective and safe use requires a physician with specialized training and a thorough understanding of facial anatomy to recommend and inject an appropriate filler.

Choosing a plastic/cosmetic surgeon to treat your face with injectable fillers means that your treatment will be performed by someone who not only has training in injection therapy, but in all types of non-surgical and surgical facial rejuvenation.

Dermal fillers candidates

You may be a good candidate for dermal fillers if you:

  • Are physically healthy
  • Don't smoke
  • Have a positive outlook and realistic goals in mind for the improvement of your appearance

For some patients, surgery such as a facelift, brow lift, or eye lift may be the best approach.

Non-surgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results, but may help delay the time when consideration of a facelift becomes appropriate.

Dermal fillers recovery

There is no downtime with dermal fillers. You can resume most activities right away. Your initial appearance after treatment with any dermal filler may include:

  • An "over-filled" appearance to treated areas
  • Mild swelling or bruising
  • Temporary numbness or redness

These conditions can be alleviated with topical icing and will improve within a matter of hours or just a few days.

For more information please refer to contact us box located on top of web page.



Dermal Filler's | Hyaluronic Acid | Juvederm® | Restylane® | Volbella® | Perlane®

Hyaluronic acid fillers act like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple.

What are Hyaluronic acid fillers?

If you want to reduce facial wrinkles and lines, Hyaluronic acid may be a good choice as a dermal filler because of its compatibility with the human body. In fact, this substance is found in almost every single living thing. In humans, it acts as a network that transfers essential nutrients from the bloodstream to skin cells.

Hyaluronic acid (HA) is a natural substance found in your body. High concentrations are found in soft connective tissue's and in the fluid surrounding your eyes. It's also in some Cartlidge and joint fluids, as well as skin tissue. It's new formulation is the most popular injectable filler. If the term sounds familiar, it's because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning.

Current Hyaluronic acid brand names used at Cleveland Cosmetic Surgery include:

  • Captique
  • Juvederm
  • Restylane
  • Esthelis
  • Elevens
  • Hylaform
  • Perlane
  • Prevelle
  • Puragen
  • Galderma
  • Volbella

What is hyaluronic acid derived from?

Hyaluronic acid is not derived from animal sources. When this gel is injected it acts to support facial structure and tissues that may have lost volume or elasticity due to normal aging. In the last few years, various synthetic forms of Hyaluronic acid have been developed and used to correct disorders in the field of rheumatology, ophthalmology, and reconstructive surgery. More recently, synthetic forms of Hyaluronic acid are being manufactured for use in facial augmentation.

Hyaluronic acid candidates

Hyaluronic acid treatments will help to improve your appearance temporarily, but it's not a permanent solution and they won't stop the aging process.

Some people opt to have Hyaluronic acid injections – often called a liquid facelift – to delay the time when a surgical facelift is more appropriate. It's a great way to see some impressive changes and improvements in your appearance.

It's key to know that the injections last between 6 to 9 months depending on your lifestyle, body chemistry in the rate at which you are naturally aging. To maintain there youthful appearance most people have new Hyaluronic acid two times a year.

If you decide not to retreat, your appearance will return to its original condition. Wrinkles and scars will return, and plump lips will lose volume.

Hyaluronic acid recovery

You can resume most activity immediately following injections with Hyaluronic acid skin treatment.

Most people tolerate injectable hyaluronic acid therapy without irritation or complication. Almost everyone is a good candidate for Hyaluronic acid therapy.


JUVEDERM® is an injectable gel treatment Dr. Diamantis uses to instantly smooth away deeper lines and wrinkles along the sides of your nose and mouth. For most people, treatment means natural-looking results for up to 1 year with optimal treatment. No wonder it's the #1 selling filler in the US.

It's time to DEFY LINES with JUVEDERM XC


*Provides instant results
*Is a nonsurgical treatment
*Delivers natural-looking results
*Lasts up to 1 year with optimal treatment
*Is the #1 selling filler in the US

The Fine Lines With Juvederm®

Defy Lines With Juvederm®

There are several types of lines that can form around your nose and mouth. These include parentheses, vertical lip, corner, and marionette lines. As you age, these lines may become more noticeable. Juvederm® smooth's away these wrinkles.








"Radiesse® a Voluminizing Filler"

Radiesse® | Calcium Hydroxylapatite | Dermal Filler

Calcium hydroxylapatite is used to fill the moderate to severe creases such as laugh lines, marionette lines and frown lines. It's also used to enhance fullness of the cheeks and other facial contours.

What are calcium hydroxylapatite injections?
Calcium hydroxylapatite is the heaviest of facial dermal fillers. And example of this is Radiesse®. Calcium hydroxylapatite is found naturally in human bones and is a mineral like compound. It's often use to fill:
• Moderate to severe nasolabial folds, marionette lines and frown lines
• Enhance fullness in the cheeks and chin

Calcium hydroxylapatite is biosynthetically produced, which means that no animals are used. This lowers your risk of an allergic reaction and no skin testing is required.

How do calcium hydroxylapatite injections work?
Calcium based microspheres are suspended in the water-based gel to form calcium hydroxylapatite. This dermal filler was used in dentistry and reconstructive surgery and has a long safety record.

Radiesse® is a semi-permanent dermal filler containing small particles that act as a scaffold. Your own collagen then grows on that scaffold. Over time, the particles are slowly dissolved into calcium and phosphate ions through normal metabolic processes.




Collagen Fillers | Zyplast® | Cosmoplast® | Silk®

We all want to maintain that fresh, glowing face we first saw in the mirror as youths. Collagen injections may be one way to rejuvenate sun damaged or aging skin.

What are collagen injections?

Your skin contains multiple layers. Just below the outer layer (epidermis) is the second layer called the dermis. This layer has blood vessels, nerves and hair follicles, but it's mostly made up of a protein called collagen. Collagen is a key support structure in your skin with its network of fibers that provides a framework for the growth of cells and blood vessels. Collagen also is found in cartilage , teeth and bones.

Medical science has harnessed the value of this natural protein and surgeons now use a variety of collagen fillers to ease the signs of aging, fill scars and add volume to enhance the appearance of your face. Collagen fillers were the first type of dermal fillers on the market to be used in aesthetic procedures. One of the most popular treatments is collagen lip injections.

Collagen fillers are derived either from human skin or animals, including cows or pigs.

Several collagen injections available at Cleveland Cosmetic Surgery:

  • Cosmoderm®
  • Cosmoplast®
  • Zyderm®
  • Zyplast®
  • Artecoll®
  • Evolence®

Another key source for collagen fillers is your own body. Autologen® is collagen from your own skin, which is harvested during a previous operation and processed into liquid form. If you have a facelift or another operation in which skin is removed, your skin can be used to extract collagen. It's then sterilized and prepared for re-injection. Your processed liquid collagen can be safely stored for five years and used as needed.

Isologen® injection is collagen that also takes from your own skin, but in this method, it's cloned in the lab and processed into liquid form. A piece of skin the size of an eraser is all that's needed. It is sent to a lab and returned to Dr. Diamantis within a few weeks. A minimum of three injections are recommended at 2 week intervals. Because live cells are injected, improvement may continue for several months after the last injection.

One final option available at Cleveland Cosmetic Surgery is Dermologen®, a form of collagen from human cadaver skin which has been sterilized and processed into liquid form. 2 to 3 collagen injections are recommended at 1 to 2 month intervals to achieve the best results.

Collagen injection recovery

Generally you can expect the effects of collagen injection will last about three months. The results of collagen injections are not permanent. Your body will eventually resorb the collagen. If you decide not to retreat, your appearance will return to its original condition. Wrinkles and scars will return, and plump lips will lose volume.

Collagen injection results

Collagen fillers will result in a natural look, improving wrinkles, lines and scars. A collagen lip injection will produce a fuller appearance.





Polyalkylimide is a semi permanent dermal filler and is often used by Dr. Diamantis for deeper wrinkles such as nasolabial folds or depressed scars. It can also be used to plump lips.

Polyalkylimide fillers has another special use for H I V positive people who suffer from facial  lipoatrophy, also known as facial wasting, which is a side effect of anti-retro viral medication. Several studies have found that Polyalkylimide is particularly helpful for this condition.

This filler has specific advantages. Read the following web pages for more information.

Polyalkylimide Fillers | Dermal Filler's | Facial Fillers

Polyalkylimide are injected under your skin after Dr. Diamantis delivers a local anesthetic, then it can be molded into place. After the injection, a thin layer of collagen slowly forms around it over the course of about one month. The gel is eventually surrounded. A single procedure can inject a large volume.

Some advantages of Polyalkylimide as a dermal filler:

  • there is no reaction with human tissue
  • no allergy test required
  • it's radio transparent, meaning it won't interfere with x-rays
  • it can be combined with other fillers

Polyalkylimide filler cost

Cost is always a consideration in elective procedure or treatment. The cost of Polyalkylimide fillers may vary based on the expertise and qualification of the person performing the treatment, the type and amount of filler used, time and effort the procedure requires, as well as geographic office location. Dr. Diamantis believes cosmetic procedures should be available to all and offers the most competitive pricing.





Polylactic acid is a synthetic dermal filler that is injected into your face, causing your body's own production of collagen. This type of dermal filler is known as a stimulator. This substance is unlike other dermal fillers because it doesn't produce immediate results. Instead, it stimulates your own body’s collagen production, so results appear gradually over a period of a few months.

You'll need about three monthly treatments to achieve your desired results. With each treatment, there is re-stimulation of your own collagen. While this type of dermal filler is considered semi permanent, you may still need occasional touchups.

Ask Dr. Diamantis if Sculptura® is the right semi permanent filler for you.

Sculptura Aesthetic® | Polylactic Acid | Semi – Permanent

Polylactic acid is a synthetic substance that stimulates your own body's collagen production, with results appearing gradually over a period of a few months.

What is the cost?

Cost is always a consideration in elective procedure or treatment. Into 2009 the American Society of Plastic Surgeons estimated national surgeons average fees were $1060 for polylactic acid. Dr. Diamantis offers patient financing plans.

Your satisfaction involves more than a fee. When choosing a cosmetic surgeon for polylactic acid injections, remember that the surgeons experience and your comfort with him are just as important as the final cost of the procedure.


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