The visible signs of facial aging occur over time as a result of sun exposure, heredity and life style. One of the earliest signs of aging is a loss of facial fullness and the development of wrinkles. Softening of these facial lines and the restoration of volume and fullness in the face often can be achieved non-surgically with injectable fillers. At PeaceHealth Medical Group, Dr. Gabriel and Dr. Champaneria use Juvéderm® XC and Juvéderm Voluma® XC. Both Juvéderm and Voluma (made by the same company as BOTOX) use hyaluronic acid as the active ingredient, which is a natural substance found in our bodies to restore facial contours and reduce the appearance of lines and creases for their patients in Southwest Washington and the Portland metro area. Non-surgical rejuvenation treatments such as injectable fillers cannot achieve the same results as a surgical facelift, but may help delay the time at which a facelift becomes appropriate. The initial treatment will include a complete consultation before a treatment plan is created and performed. Subsequent follow-up procedures may take only a few minutes, as the full process of consultation is not necessary to repeat, although consent is required at each visit.
"This review only contains a rating"- A.B. / Facebook / Oct 02, 2015
"Dr Gabriel is an amazing surgeon his staff is awesome they totally care and love how much of a perfectionist Dr Gabriel is ! He took good care of my daughter and she looks amazing I had Botox done and love it !!! Can't live without it ??Hands down best surgeon in the area!"- C.P. / Facebook / Apr 20, 2017
"Thank You is Not Enough... - I am forever grateful to Dr. Gabriel and his team. My decision to have skin removal surgery after losing almost 100 pounds was not an easy one. I felt ugly and embarrassed, but from the very first visit his entire staff made me feel beautiful and worthy of such a surgery. Dr. Gabriel and every person that I have come into contact with along the way have been absolutely amazing. Yes, Dr. Gabriel is a wonderful surgeon, but more than that he is a caring and gracious man with a genuine commitment to women and women's health. I am 3 weeks post-op and when I reflect on my experience with Dr. Gabriel and his entire staff am a brought to tears. I can never thank them ALL enough. "- J. / RealSelf / Apr 14, 2017
"Dr. Gabriel is the best! I am so happy with the results of my breast augmentation. From my initial consultation to my post operative check ups, the experience has been the best possible. I cannot say enough good things about Dr. Gabriel and his staff!"- A. / Healthgrades / Apr 05, 2017
"Could not be more pleased ?? - My experience with Dr. Gabriel has been wonderful! I had a breast reduction procedure and couldn't be happier with my results and my mother in law had a double mastectomy and reconstruction after a struggle with breast cancer. He makes you feel very comfortable and is as professional and courteous as they come! I would highly recommend using him ??"- M. / RealSelf / Mar 30, 2017
Types of Derma Fillers@headingTag>
Technological advances have made it possible to manufacture a variety of fillers. Most fillers are derived from natural substances (such as collagen) while others are artificially produced. The patient’s skin condition and aesthetic goals will decide which type of filler will be best to use.
Fat transfer is the harvesting of excess fat from a donor site on the patient’s body. The fat is extracted using liposuction. These fat tissues are then purified and reinjected gradually into an area of skin with layering precision. The doctor will massage the skin and ensure that the intended contour is achieved. The body naturally absorbs fat and the results often last up to 6 months.
Collagen is a naturally occurring protein in human and animals. Skin, bone, cartilage and teeth are rich in collagen. These are harvested and converted into a sterilized liquid form and used as a derma filler. It is a popular filler for lip augmentation procedures. Some collage is derived from animals. Patients using a derma filler of this nature will require allergy testing ahead of the procedure to ensure that they will not have any complications.
Usually found in the bones and teeth of humans, calcium hydroxyapatite is also harvested and processed to use as a liquid filler. It is considered as one of the heavier substances and ideal in adding volume to deep creases. This particular filler product usually lasts longer than some of the others on the market.
Hyaluronic acid is another substance that is sourced from humans. Rich deposits of this substance are commonly found in ligaments and connective tissues. As with other natural substances, when used as a derma filler, the results are natural and effective, but they are not long lasting as the body reabsorbs the solution over time.
Polylactic acid is an artificial substance. When injected, it doesn’t just add volume underneath the skin, but it also triggers the production of collagen, which helps in skin renewal. The contours will be visible immediately and the skin quality will be evident after several months. This filler can last up to a year or longer for most patients.
This is a popular derma filler as it lasts longer compared to fillers that are made only from natural substances. PMMA is a hybrid of microspheres mixed with a collagen solution. The result is a more solid, heavy filler that works well for deep creases and for reconstructive purposes when a good amount of tissue is absent. This filler is considered semi-permanent, meaning it has the potential to last for several years or longer.
During/After the Procedure@headingTag>
Injectable fillers are performed in the doctor’s office with the use of local anesthetic creams if necessary. Almost pain-free, the patient will only feel a prick from the injection. The substance will be injected gradually in even layers to make sure a natural looking result and contour is achieved. Sometimes, it may take more than one full syringe depending on how much volume is needed. There may be slight swelling, bruising and redness on the treated area but this usually subsides after a few days. Patients will be able to return to a normal routine a few hours after treatment.
Plan Your Procedure
- Procedure Recovery Location
Injectable Filler FAQs@headingTag>
How Safe Is It?@headingTag>
All derma fillers are FDA approved, meaning they have passed comprehensive testing to prove that the product is safe and effective to use. The majority of fillers are made with a natural substance so if the result is not as the patient desired, the good advantage is that the filler, at some point, will be reabsorbed by the body, and the results are temporary.
Do I Need Reinjection?@headingTag>
Most likely. Natural fillers are absorbed by the body in an average of 6 months to 12 months. When this happens, there will be a loss of volume similar to the condition prior to treatment. Reinjection is recommended to maintain the desired results. Some patients find this high maintenance but feel its worth the natural feel of their cosmetic treatment.
Is BOTOX Better?@headingTag>
The benefit between a BOTOX injection and a derma filler is weighed with the patient’s skin condition. BOTOX is a muscle relaxant that temporarily paralyzes muscles underneath the skin preventing them from contracting, which causes wrinkles. This results in smoother skin and significant decrease with wrinkles. However, if the patient also has loose skin and/or hollow contours, volume may also be an issue and this is when a derma fillers works best. Today, a large majority of patients intermix the use of BOTOX with an injectable filler. Some include other treatments such as chemical peels and laser treatments, which essentially provides the patient with a “liquid facelift.”