Many men and women could enhance their appearance with fillers such as Restylane and Juvéderm; however, they shy away from these treatments because of the needle. At Donaldson Plastic Surgery in Columbus, Ohio this is less of a concern now because the latest generation of fillers has arrived!

Several weeks ago, the company Allergan launched a new and improved version of Juvéderm that contains lidocaine — a numbing medication similar to novocaine. Their studies have shown that 9 out of 10 patients are more comfortable with the lidocaine than without, and so far Dr. Donaldson’s patients agree. Procedures that might have otherwise required a nerve block (direct numbing of a facial nerve) can now be done safely and comfortably with the new filler alone.

In the last several days a competitor, Medicis, announced the availability of their latest products: Restylane-L and Perlane-L. These next-generation fillers also contain lidocaine for a more pleasant cosmetic experience. Dr. Donaldson is one of the first plastic surgeons in the country to have them available for his patients.

Restylane Columbus OH Juvéderm Columbus OH
Whether you have had Juvéderm or Restylane in the past or are curious to try one of them for the first time, you will most likely benefit from the addition of lidocaine to the filling material. Columbus, Ohio plastic surgeon Dr. Donaldson believes that increased comfort is a major advantage, and Juvéderm XC, Restylane-L and Perlane-L are important breakthroughs in cosmetic medicine.

Filling, roundness, softness, plumping are all desired goals within the latest volumetric philosophy that has permeated plastic surgical literature and discussions.

In the past decade, a new generation of plastic surgeons has turned upside down the traditional thinking about aging, beauty and the aesthetic ideal. It used to be assumed that aging effects were due to gravity and stretching, and that tissues sagged and fell over time. While this may be true to a certain extent, there is another fundamental process at work: loss of volume.

Technological breakthroughs in 3-D imaging, CAT scanning and MRI’s clearly demonstrate a decrease in the amount of bone, size of fat pads, quantity of muscle fiber and thickness of skin over time. In contrast, high-definition photographs show that skin landmarks such as moles and freckles do not descend appreciably as a person ages. These studies suggest that the wrinkling and hollowness that characterize old age are similar to a grape becoming a raisin, or a helium balloon that has deflated — it is due to volume loss from deeper within the body, and not just sagging of the skin itself. 

This new understanding has major implications for the treatment and prevention of aging. The face lift provides an excellent example. The old mantra was to lift, tighten, stretch and smooth the skin, but now we know that the skin is merely redraping over less underlying tissue. If only the skin is tightened, the effect may appear as if a patient is standing in a wind tunnel — the skin is swept back smooth and tight, but overlying a hollowed and sunken framework. The more pure anatomic approach is to rejuvenate the face by restoring inner volume where it has faded. This may include the addition of fat grafts,duplication of underlying fascia and muscular tissue, placement of implants, and/or injection of hyaluronic acid filler such as Restylane and Juvéderm in combination with a face lift. When the deeper tissues are filled, then the skin is pushed out and wrinkles smooth more naturally. 

Dr. Jeffrey Donaldson is a champion of this new volumetric philosophy. He uses fat transfer, fillers and advanced multi-plane surgical techniques to restore volume and create youthful, soft, natural effects in the face and body for patients in Columbus, Ohio. Cosmetic surgery has rapidly evolved with these recent discoveries, and Donaldson Plastic Surgery offers you the most up-to-date results.


*Earned by Dr. Donaldson

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