HealthMatters 2010
“We’re not here to change a patient,”
Spitz says. “We’re bringing them back to
Face Time
where they were f_i ve or 10 years ago.”
Fillers are ef_f ective, but not cheap, Van
Zelst notes. A treatment may cost $350 to
$700. Regular use can create more dramatic
improvements, she says, as a base is created
Injectable fi llers can temporarily smooth out
with one formulation of f_i ller and then sup-
plemented with additional injections.
wrinkles or resculpt your face, but beauty
“We’re not using just one f_i ller,” Van Zelst
says. “We’re layering dif_f erent f_i llers to get a
doesn’t come cheap.
specif_i c look.”
BY SCOTT R. WEINBERGER
Know Your Filler
T_h ere are a number of injectables currently
approved by the FDA, including those
listed below. More are being considered,
including one that is permanent thanks to
silicone oil.
RESTYLANE, JUVEDERM (ULTRA AND
ULTRA PLUS), PERLANE, CAPTIQUE AND
HYLAFORM: Hyaluronic acid f_i llers. Perlane
is denser.
ARTEFILL: Polymethyl methacrylate sus-
pended in collagen with anesthetic.
COSMOPLAST/COSMODERM, EVOLENCE
AND ZYDERM/ZYPLAST: Collagen f_i llers.
FAT: Can be harvested from elsewhere on
your body and used to f_i ll facial creases.
ELEVESS AND PREVELLE SILK: Hy-
G
RAVITY IS A BITCH. Exposure to sun and pollution? Not good. Time robs aluronic acid with added anesthetic.
the face of soft tissue and causes other anatomical and cellular changes. But RADIESSE: Calcium hydroxylapatite. Ap-
what age taketh away, facial f_i llers may restore – temporarily, at least. proved for treatment of loss of facial fat due
“Injectable f_i llers can plump thin lips, enhance shallow contours, soften facial to HIV.
creases and wrinkles, or improve the appearance of recessed scars,” according to the Web SCULPTRA: Poly-L-lactic acid. Approved
site of the American Society of Plastic Surgeons. for treatment of loss of facial fat due to
ANEW Skin and Wellness in Brookf_i eld of_f ers a handful of facial f_i llers, including HIV. ✚
Radiesse, Restylane, Perlane, Juvederm Ultra and Juvederm Ultra Plus, all approved by the
FDA. “T_h ere are dif_f erent f_i llers for dif_f erent areas of the face,” says CEO Carol Van Zelst,
who has a doctorate in natural medicine and is a certif_i ed laser technician.
OTHER APPROACHES
ANEW might use Restylane to plump lips, or Juvederm to f_i ll in and f_i rm the eyebrow
area and earlobes or to hide severe acne scars. Perlane is the same material as Restylane but
GAIL COLEMAN is a board-certifi ed physi-
with larger molecules for longer-lasting plumping. Van Zelst and nurse practitioner Kim cian assistant, certifi ed laser technician and
Spitz say they’ve tried other f_i llers but have narrowed their selection to the ones they believe owner of Estetika Skin & Laser Specialists
work best.
in Mequon.
Proper assessment of facial skin is essential, Van Zelst says. And with experience comes
“The reason patients want facial fi llers is
the ability to predict results based on the type and quantity of f_i ller, the area of the face and
for the immediate satisfaction,” she says.
Coleman herself is not a fan of fi llers for
the particular patient.
healthy individuals. She prefers other routes
“We can predict outcomes of the f_i llers we use and the longevity of the f_i ller,” Spitz says.
to similar results, particularly Thermage and
“A lot of these products last longer than people expect them to. And f_i llers require minimal
fractal laser.
or no down time.” It’s common for clients to go six, eight or 12 months before a ref_i ll is “Thermage uses radiofrequency waves
necessary, she says. T_h e area of the face on which products are used also af_f ects longevity.
to stimulate new cells called fi broblasts to
Where there is more movement – around the lips, for instance – the f_i ller is more quickly
build our own collagen,” she says, “while
absorbed and needs to be repeated more frequently.
fractal resurfaces the epidermis to remove
Restylane is also a nice way to get rid of that tired look, according to Van Zelst, by
fi ne lines, areas of pigmentation and acne
scars.
plumping up the lower eyelid area. She says f_i llers can provide a “liquid facelift,” elevating
“We also use other lasers and deep
cheekbones without invasive surgery.
chemical peels to build new DNA,” Cole-
Injecting f_i llers is both an art and a science, as practitioners seek to make patients look man continues. “We try to fi x the source of
youthful but not “over-plumped.”
the problem rather than fi ll it.” ✚
30 › Milwaukee Magazine › HealthMatters 2010 ›
milwaukeemagazine.com
1109_HM_SkinCosmetic.indd 30 9/21/09 2:20:42 PM
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