2010 was another tough year for fillers… Allergan Corporation who was the only manufacturer of bovine and human collagen stopped manufacturing both of them. It was strictly a business decision having nothing to do with the quality or efficacy of the products. You might ask that with all the other filler products being advertised, like Resylane, Perlane, Juvaderm and Sculptura…what’s the big deal?
It’s a very big deal because Allergan’s two collagen fillers were the thinnest fillers available which means they were the gold standard for filling fine lines and wrinkles. And not only were they the gold standard, but they were the only game in town since the next “thinnest” fillers, Restylane and Juvederm, are too thick for fine lines. In fact, they can cause little lumps if you try to inject really fine lines using the appropriate syringe and needle supplied by the manufacturer.
Necessity, being the mother of invention that she is, came up with a “work around” that allows Restylane and Juvaderm Ultra, both fairly thick, viscous fillers in comparison to fine lines and wrinkles, to be used effectively for those subtle but pervasive fine lines. And by the way, those fillers work great for medium lines, which is what they were designed to do.
By transferring a very small amount of either of those fillers to a tiny insulin syringe capable of holding only 3/10 of a cc and using it with its pre attached very tiny 31 gauge needle, it’s again possible to effectively fill fine lines and wrinkles. I’ll show you how I do this so you can see the significant difference in size between these two syringes.
Obviously with the smaller syringe I can do finer injections.
There is definitely a learning curve involved so you don’t inject too much, but the next time your dermatologist says he or she “can’t fill those lines because they’re too thin for the filler”, tell him or her to watch DermTV, of just find a cosmetic dermatologist who knows how to do it.
In another episode I’ll demonstrate and show you the actual difference of both injection techniques.