The Best Dermal Fillers, an Investigation

Dr. Simon Ourian, a newly minted member of the American Academy of Cosmetic Surgery (AACS), is the Medical Director of Epione Medical Corporation and a substantial part of his daily practice is treating fine lines and wrinkles. Dr. Ourian is a Black Diamond provider of Botox (given only to the top 1% of Allergan, Inc. Botox accounts) and one of the busiest Radiesse and Juvéderm injectors in the country. This experience gives him a unique insight to the pros and cons of the dermal fillers available on the market today.

For the uninitiated, Radiesse, Juvéderm and Restylane, known collectively as dermal fillers, are used to reduce signs of aging on the face. “Another basic explanation is necessary, ” says Dr. Ourian. “There are two types of wrinkles: static wrinkles and dynamic wrinkles. You can see a static wrinkle when your face is at rest. They are often visible in the nasolabial folds. Dermal fillers injections can be used to correct static wrinkles. Dynamic wrinkles occur when you use your facial muscles to smile or frown. Crow’s feet are a good example of dynamic wrinkles. For dynamic wrinkles Botox injections are the treatment of choice.”

As we grow older wrinkles, sags and lines begin to emerge. Many men and women want a more youthful appearance and look for ways to reduce the signs of aging that they see on their faces. Surgery is one way to address these issues. Surgery cost is generally higher than minimally invasive options, may have a long recovery time and includes the risks of general anesthesia. Dermal filler injections offer are a minimally invasive method to reduce the signs of aging.

“What is the best dermal filler?” asks Dr. Ourian. “The one that’s most suitable to meeting your aesthetic goals. Every patient needs to be examined and their needs, goals and budget discussed before I can make a recommendation. What I offer is my ten plus years of experience, it’s really a collaborative process.”

Dr. Ourian offers a variety of dermal fillers for his patients. Some of those include:

  • Restylane: Manufactured by Medicis Pharmaceutical Corporation; Medicis claims that Restylane is the best selling dermal filler in the world. Is made from one of the structural components of skin, hyaluronic acid. It is considered a semi-permanent filler and will last six to twelve months. Typical Restylane side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Restylane before and after photos are available on www.epionebh.com. Restylane cost is a function of the number of areas treated and the extent of treatment required.
  • Radiesse: Formerly known as Radiance and Manufactured by Bioform Medical Inc., Radiesse is composed of calcium based microspheres suspended in a water based gel. Bioform has published clinical data to support their claim that Radiesse may last two years or more. Radiesse is also reported to stimulate the body to produce new collagen, a process called collagenesis. Typical Radiesse side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Radiesse before and after photos are available on www.epionebh.com. Radiesse cost is a function of the number of areas treated and the extent of treatment required.
  • Juvéderm: Manufactured by Allergan, Inc. (the makers of Botox), Juvéderm is an FDA approved hyaluronic acid filler that lasts up to a year. According to Allergan, Juvéderm is the first hyaluronic acid dermal filler that the Food and Drug Administration (FDA) has approved as being effective and safe for persons of color. Typical Juvéderm side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Juvéderm before and after photos are available on www.epionebh.com. Juvéderm cost is a function of the number of areas treated and the extent of treatment required.

In the words of L.B., an Epione patient that received Radiesse injections, “The Radiesse treatment was quick and painless. It appears that the results are immediate.” Adds patient G.G.: “Thank you!!! Great staff—(I) am really happy that Dr. Ourian is so experienced and reasonably conservative that he does not over-do the treatments—i.e. he adds a little Radiesse the next time he sees you to achieve the results he wants-Great work!!”