Fillers | Mark Jewell, M.D.
Cosmetic Procedure

Fillers

Tissue fillers are used to restore facial volume, smooth away moderate to severe facial wrinkles and folds such as the lines from your nose to the corners of your mouth, and restore youthful contours to the skin. There are many options also available with FDA approved fillers some have smaller molecules to fill lip lines and smaller superficial wrinkles and others have larger molecules that are placed deeper in folds. They are the hyaluronic acid-based fillers such as Restylane® www.restylaneusa.com Perlane® www.restylaneusa.com Juvederm Ultra/Ultra Plus® www.juvederm.com and Prevelle® www.prevelle.com. Some fillers are compounded with lidocaine to reduce discomfort during injection. Other synthetic injectables that are used include Radiesse® www.radiesse.com and Sculptra® www.sculptra.com. Dr. Jewell also offers Selphyl® www.selphyl.com, a new tissue filler that is made from components found in your own blood. Your own fat (autologous fat grafting) is another option, but requires a surgical procedure (liposuction) to collect fat and prepare it for injection.

Who will be performing the treatment?

Dr. Jewell performs the injections for tissue fillers himself. Remember to be off aspirin and/or aspirin-containing medicines prior to injection to reduce the possibility of bruising.

Is Selphyl® a newer filler?

Using your own Blood is the latest anti-ager. The innovative Selphyl® System www.selphyl.com borrows upon the notion of platelet rich plasma (PRP). PRP has been around for the last decade used to repair damaged knees and ankles which is now being applied as a facial-tissue filler. Blood platelets contain growth factors that regenerate damaged tissue. A small amount of your own blood is drawn, and the platelets and fibrin are separated into a concentrate known as the matrix which is then injected into the skin depressions, acne scars, wrinkles and folds. Upon injection the platelet releases growth factors that trigger the fibroblast proliferation which in turn creates volume and rejuvenation of the skin.

Are permanent fillers a good idea?

Dr. Jewell and the Physicians Coalition for Injectable Safety believe that while permanent fillers seem like a good option, there are substantive drawbacks and late term risks that occur years following injection. Permanent fillers such as Artefill® www.artefill.com or injectable silicone when used off-label have been associated with late-term complications such as infections, granulomas and scarring. Permanent fillers can produce permanent, devastating complications years after injection.

 
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Mark L. Jewell, MD
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Eugene, OR 97401
Phone: (541) 683-3234

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