Juvéderm®, Restylane®, and More in San Francisco

Facial Filler and Injectables (Juvederm, Voluma, Restylane, Radiesse and Sculptra) for Patients in the Bay Area, including San Francisco, San Jose and Palo Alto

Find Out About Voluma®, Radiesse®, Sculptra®, and Other Dermal Fillers

Dermal fillers have recently seen a dramatic increase, and the reason is simple: The power of dermal fillers to sculpt and contour facial features, as well as improve skin texture, is revolutionary. Our For the Face medical staff specializes in dermal fillers, such as Juvéderm®, in the San Francisco Bay Area, and knows exactly how each product works on different areas of the face and levels of facial tissue. During your consultation, our staff will help you decide on a personalized treatment plan to achieve your desired goals.

All dermal fillers — Juvéderm®, Juvéderm® Voluma®, Restylane®, Radiesse® and Sculptra® — are done in our comfortable office setting using only a topical local anesthetic. You will be awake the entire time so that you can see the results as they happen. There is also no down time and minimal to no bruising post treatment.

Injectable fillers, especially Restylane® and Juvéderm®, are an excellent non-surgical treatment for correction of deepening creases, fine lines and wrinkles, and facial volume loss leading to a hollow or skeletal appearance. If done well, this type of treatment (sometimes referred to as "collagen injections") can lead immediately to a more youthful and refreshed look. Why not trust a specialist of the face to accomplish such an important facial treatment?

*Individual patient results may vary

We know how personal this process is for each person, since the same plan does not work for everyone. Some patients want a single area addressed, such as the folds around the mouth or the fine lines around the lips. Others want to treat their face more comprehensively. There are now multiple ways to replace volume. Dermal fillers, such as Juvéderm®, Juvéderm Voluma®, Restylane®, Radiesse®, and Sculptra®, are important tools for the facial plastic surgeon. As experienced facial plastic surgeons, we'll design a treatment plan tailored to each patient based on their specific needs and desires. Sometimes the best result can be achieved using different fillers that complement each other. Volume loss can also be replaced using fat transfer or fat grafting from one part of the body to another.

We work exclusively on the face and have extensive experience with Juvéderm® and other non-surgical and surgical facial rejuvenation. Just as importantly, we will take the time to understand your goals, create a specific treatment plan, and work toward a result that matches your desires and expectations.

*Individual patient results may vary

What can I accomplish by choosing Juvéderm® or other dermal fillers?

A youthful face has volume and subtle contours. As we age, we lose fat in certain areas like over the cheeks, temples and around the mouth. This volume loss produces a sunken appearance and a wrinkled texture to the skin. Injectable fillers are a minimally invasive treatment to correct many of the signs of aging. They can make a dramatic improvement with minimal downtime.

Dermal fillers at the San Francisco Bay Area's For the Face do more than smooth wrinkles.
Filers for under eyes and lifting cheek
The For the Face team uses dermal fillers to help San Francisco-area patients fill in hollows that can create shadowing under the eyes or the appearance of sunken cheeks. By temporarily replacing lost collagen, fillers restore a more contoured, youthful look to the area.

We offer treatments with Juvéderm®, Juvéderm Voluma®, Restylane®, Radiesse®, and Sculptra®. We also offer Botox® Cosmetic and Dysport® depending on the needs and goals of the patient. Because we have a unique understanding of complex facial anatomy, developed through training and experience as facial plastic surgeons, we think about the face as a three-dimensional structure comprised of layers of skin, complex facial muscles, connective tissue, and bone. It is not simply about filling lines and wrinkles, but rather about achieving harmony and balance in the contours of an attractive face.

We also offer the innovative microcannula injection method. These blunt ended microcannulas pierce fewer arteries and veins when inserted through the skin, resulting in less bruising, swelling, and downtime.

Brilliant Distinctions Program for Juvéderm®, Voluma®, BOTOX Cosmetic® and other Allergan products

Did you know you earn points and save money by joining the Brilliant Distinctions® rewards program? It’s free to register, and every time our office treats you with Juvéderm®, Juvéderm Voluma®, BOTOX Cosmetic® or any other Allergan product, you'll earn points for savings on future treatments or purchases. Start earning with the Brilliant Distinctions Program.

Brilliant Distinction Reward

What areas are treated with Juvéderm® or other injectables?

Common indications for dermal fillers/injectables:

  • Deepening of the folds around the mouth (nasolabial folds)
  • Deepening of folds that run from the corners of the mouth toward the chin (marionette lines)
  • Downturn of the corners of mouth that creates a permanent frown or unhappy look
  • Deepening of the hollow in front of the jowls
  • Fine lines around the mouth (smoker's lines)
  • Scars that have created depressions as they have healed
  • Creases in the brow and forehead
  • Acne scarring
  • Hollowness and shadowing under the eyes
  • Volume loss at the cheeks and cheekbones
  • Sinking in at the temples
  • Lip augmentation (lip injections)/lip enhancement

Please find information about Juvéderm® and other various types of fillers below.

Hyaluronic Acid Fillers: Juvéderm®, Juvéderm Voluma®, Restylane®, Perlane®, Belotero Balance®

  • Hyaluronic acid is a naturally occurring substance that is found in all parts of our own body
  • These fillers are soft and easy to inject at various depths in the skin
  • Safe with very low allergy potential
  • There is an antidote - this is the one class of filler that is reversible
  • Results tend to last nine to 24 months depending on where the injection is given and which filler is selected
  • Common areas: fine lines around the mouth, lips, enhancement to the cheek area, under eyes, tear trough, folds around the mouth

Facial Fillers & Injectables by Dr. Lieberman and Dr. Parikh

Achieving excellent results from your Juvéderm® and other facial fillers and injectables requires unique skills and qualifications from your provider. Drs. Lieberman and Dr. Parikh, along with our cosmetic injector, Moira Ljungquist, RN, have spent their entire careers understanding the anatomy of the face and are able to provide unparalleled service and expertise to each patient. The collaboration among our providers, along with our licensed aesthetician, affords our medical staff opportunity to act as sounding boards for one another when determining a holistic treatment plan for each patient. Our patients benefit from their combined skills and specialization exclusively on natural-looking facial rejuvenation.

Why choose Lieberman & Parikh Facial Plastic Surgery for Juvéderm® and more?

  • Specialized Training
  • Focus Exclusively on Facial Rejuvenation
  • Education & Research
  • Humanitarian Outreach
  • Unparalleled Patient Care
  • Natural-looking Results
Partner

Calcium Hydroxylapatite: Radiesse®

  • Naturally occurring substance found in bones
  • Excellent structural filler, used for filling in deeper folds and hollows
  • Safe - very low allergy potential
  • Lasts 18 months on average
  • Common indications: deeper folds around the mouth, hollows in front of the jowl, sunken cheek bones, hollowing at the temples

Injectable Poly-L-Lactic Acid: Sculptra®

  • Indicated for volume loss and hollowing along the cheeks, midface, and temples
  • Works by stimulating your own collagen, restoring fullness to volume-depleted areas and deeper wrinkles
  • Can last well over two years after complete correction is achieved
  • At least two sessions are required. The best results are achieved with two to four sessions

What are the differences between Juvéderm®, Restylane®, and other fillers?

This is a very common question during a consultation. All the fillers, from Juvéderm® to Sculptra®, work in the same way: They are injected beneath the skin wrinkles and hollows caused by the natural aging process. They help rejuvenate and replenish the skin helping those areas that lie flat to regain natural contours and thereby decrease shadows and concavities. Fillers also have a lifting capability. Each filler has its own applications in different parts of the face.

While there are benefits unique to each of the various brands noted above, there are also variations within a single family of fillers. Juvéderm®, for instance, has a formula used primarily for treating lines and wrinkles around the nose and mouth (Juvéderm® XC), a formula for restoring volume to the apple of the cheeks (Juvéderm Voluma®), and a formula designed to augment lips that are thinning or just need a boost to appear fuller (Juvéderm® Ultra).

During your visit, we will determine which fillers, from Juvéderm® to Sculptra®, will address your unique needs.

What should I expect from an injectable dermal fillers treatment session?

Once you decide to proceed with treatment with Juvéderm® or other dermal fillers, we will carefully analyze your face and devise a comprehensive treatment plan that takes on a global approach. Our philosophy is to never have our patients look "over-filled" or "over-done." It is always better for our patients to age gracefully and appear natural. It is vital to us to obtain a result that balances all your facial features in harmony. We will suggest very specific refinements to enhance your beauty without the worry of surgery or downtime.

Using a very small needle, the chosen filler is injected into targeted areas. There is rarely much discomfort. Redness at the injection sites should subside within an hour. Bruising is infrequent but when present can last for a few days. This can be camouflaged with makeup. Patients can return to work immediately after treatment. The treatment begins to take effect right away and results can last between three months to over a year, depending on the type of filler used. Juvéderm® and other dermal fillers are a safe, easy and effective way to restore volume to the face and minimize or even erase wrinkles. Treatment should be performed by an experienced professional you trust.



Why are these treatments sometimes referred to as collagen injections?

There are two main reasons Juvéderm® and other dermal fillers may be known as "collagen injections," even though they contain no collagen.

  • Injectables designed to add volume to the face were primarily collagen-based in years past. The active ingredient in these injections is derived either from human skin or from large, domesticated animals: cows and pigs. Bovine and porcine collagen require that patients get allergy testing, so when hyaluronic acid-based fillers, like Juvéderm®, arrived, patients gravitated toward them due to their ease of use, as well as longer-lasting results.
  • Dermal fillers serve as a stand-in for collagen, temporarily providing the same benefits as the valuable protein after it diminishes in the skin. Some fillers, like Juvéderm®, essentially replace collagen for a time where it is needed. Other fillers, like Restylane®, physically stimulate the growth of new collagen in addition to providing volume.

Why are collagen and other skin components important?

As an abundant protein in the body, and the skin in particular, collagen serves to provide support where structural stability is needed, making structures both strong and elastic as necessary. In the skin, collagen creates a framework for other vital components and keeps tissues lifted into youthful contours.

Our bodies naturally make collagen, though the protein breaks down over time and can be damaged and destroyed by ultraviolet radiation, toxins and pollutants, and other elements. When we are young, collagen is quickly replaced, so our skin maintains its structure well. As we get older, however, collagen production tapers off, so the protein grows increasingly scarce in our skin. Its absence leads to problems from small-scale fine lines and wrinkles to large-scale facial contour shifts as once-rounded areas flatten and sag.

Hyaluronic acid's role in healthy skin is to keep it moist, as it retains water very well. It also works to fill space, keeping contours round. Like collagen, hyaluronic acid levels in the skin drop over time. As skin dries out and loses its filler, wrinkles form, laxity increases, and structure diminishes.

A third element, elastin, allows skin to stay pliant and resilient, moving back into its proper place after being pulled by muscles while forming expressions. In this way, its role as a structural support is closely related to collagen. As elastin diminishes, skin loses its ability to stretch and move with ease. Wrinkles begin to develop, then stay and become increasingly pronounced.

The collective loss of collagen, hyaluronic acid, and elastin intensifies the signs of aging.

What can complement my dermal filler results?

Botox® Cosmetic and fillers are often combined to make subtle enhancements to your face. Their collective, temporary effects have been referred to as a "facelift." Botox® Cosmetic can improve wrinkles caused by movement of the facial muscles, while Juvéderm® and other dermal fillers can enhance a wider variety of areas of the face by increasing volume and thereby eradicating wrinkles, shadows, creases, and depressions of the face.

Since dermal fillers focus on adding volume to the face, patients who want to revitalize their skin by addressing uneven pigmentation that has developed over time due to the natural aging process and sun exposure can choose skin resurfacing via lasers, a chemical peel, dermaplaning, or microneedling. These treatments complement Juvéderm® and other fillers by removing the outermost layers and reducing the appearance of irregularities in coloring, as well as fine lines and some scarring.

The lift from a Juvéderm Voluma® session may inspire some patients to improve other contours on their face. Ultherapy uses ultrasound therapy to tighten sagging tissues on the face and neck, while the injectable Kybella® ruptures unwanted fat cells that cause a double chin and obscure a defined jawline. A surgical facelift is also available for men and women seeking long-term results in their efforts to maintain youthful facial contours.

Our core objective is to provide a safe, comfortable surgical experience that aspires to restore your appearance and aims to produce natural results. We have provided before and after photos of our Juvéderm® and other patients to help you visualize the possibilities.

  • Discover what dermal fillers can do for you, and learn more about Radiesse®, Restylane®, and Juvéderm® in the San Francisco Bay Area. Request your consultation online or call 650-327-3232 to schedule an appointment to see us in our Palo Alto or San Jose offices.