Fillers

Restylane, Radiesse, Juvederm, Evolence & Sculptra in Baltimore, MD…

Skin rejuvenation has come a long way since its humble beginnings. The advancement in technology alone has provided the industry with a much broader range of non-surgical options. One of the most significant advances is in the use of “filler” substances. Filler substances are based on the principle of replacing or enhancing soft tissue with biologically similar components. Our soft tissues are made of substances that help your skin retain its soft and elastic qualities.

Because of a terrible car crash in 1995, I have been unable to breathe correctly and I have not looked like myself for a long time. My breathing became unbearable and then I was so lucky to have found Dr. Summers. My rhinoplasty surgery has changed me so much. My breathing is so much better now and I finally have a bridge on my nose again. I used to think my lungs were not working properly. It is so amazing how much better I can breathe now. I am very happy about my nose, too. I have felt very ugly inside but never let it get me down or change me but now it feels good to look like my old self again. It’s a blessing that I met Dr. Summers and I am so very grateful that I was so lucky to have him as my surgeon. I found out that all the research I did on Dr. Summers is better than I expected…I found that he was the best around, but in my eyes’, he is the best ALL AROUND! Thank you! You have changed my life…

– Lailani R. Verified TrueReview®

Lailani R.
Dear Dr. Summers, I can’t thank you enough for what you have given me…You have given me much more than a facelift. You have given me a spirit lift, a lift for my soul and heart. Is it possible to operate on one’s soul? I feel that you have. You put in much more than sutures… you have added a lightness, a joi de vivre, and, perhaps more importantly, a thrill of adventure and self-appreciation that years of psychiatric help would fail to accomplish – and all of this flows to my family and friends and those around me. Critics of plastic surgery fail to take this into consideration. My facelift has given me the freedom to concentrate on others without fear or self-consciousness of my looks (or lack of). As humans, sometimes it’s hard to look past outer beauty to see the beauty inside of all of us… Thank you for one less worry!

– Fran F. Verified TrueReview®

Fran F.
Dr. Summers was recommended to me by a friend who had breast implants and a tummy tuck at the Maryland Plastic Surgery Center. She was delighted with the results. When she learned that I was interested in some facial work, she immediately told me that the best cosmetic surgeon in town is Adam Summers. She showed me the work he had done for her and I couldn’t believe how incredible she looked. I couldn’t even find her scars. I asked around some more and it turns out that Dr. Summers has quite a reputation for facelift surgery and is one of the few real experts for injections around the face. After my visit with him today, I had to let everyone know that if you are interested in any type of cosmetic procedure or surgery, you MUST visit Dr. Summers at his beautiful medical spa. He offers a complimentary appointment and was right on time. He spent an entire hour with me reviewing my concerns. Although it was late in the day and I know he had been working all day, he was kind and funny (and cute!) and made me feel very comfortable. I had some injections done and I look great. No, I look better than great! Truly, I’m thrilled with the results. This was the first time I had ever had anything done, and Dr. Summers made sure I was comfortable and that it was painless and that I looked just the way I wanted!

– Kathy S. Verified TrueReview®

Kathy S
I came to Dr.Summers 2 yrs ago and had a tummy tuck, the procedure turned out great. A year later I came back for a fat transfer to the butt and It was an success. My pants and bottoms fit perfectly and my spouse love that i have curse and i looks great. I would definitely come back for more treatment in the future. Thinking about getting more fat transfer to my bottom.

– Daronda W. Verified TrueReview®

Daronda Watkins
I can’t believe how incredible my skin looks after Dr. Summers did laser resurfacing for me. Love, love, love it!

– K. V Verified TrueReview®

K. V
I love Dr. Summers and Staff!! I recently had and breast augmentation and lift. I love the results and the staff is very helpful and wonderful. My nurse has been the best I could ever ask for, she really did a great job explaining and going over everything with me and my husband. The staff is very thorough from checking in to accommodating each patient for follow up appointments. The facility is very clean, quiet, and comforting. Thank you all so much!! I would recommend using Dr. Summers and staff to anyone interested in this type of cosmetic surgery.

– D. Valenzia Verified TrueReview®

D.Valenzia
This was my second major procedure with Dr Summers, having had a major tummy tuck in 2005 with which I was thrilled! The breast lift and aug was as pain-free as possible, I was prepped accordingly with information, risks and self-care…and when a fear arose afterwords that I wasnt healing in the manner I THOUGHT I should be, Dr Summers put my mind at ease immediately, as did the entire staff, by giving me the facts I needed to proceed with confidence.

– Beth H. (Frederick, MD) Verified TrueReview®

Beth H. (Frederick, MD)
Dr. Summers and the MD Plastic Surgery staff were incredible. Dr. Summers made me feel very comfortable about my procedure, as I was very nervous about having it done. The staff was warm and welcoming, caring, and I could tell they were genuinely interested in my well-being, satisfaction with the results, and recovery. As for the procedure, Dr. Summers did an excellent job, my recovery and results, quite amazing! I recovered fast and now it’s been 7 months and I am SUPER happy with my neck! This procedure has allowed me to feel so much better about myself and given me a new sense of confidence. Thank you MD Plastic Surgery!

– G.D. Verified TrueReview®

G.D.
I wanted to take a moment to thank you for your kindness, support and relaxed demeanor over the past several months. You made me feel at ease about my surgery. In the operating room I remember you holding my hand as I was “put to sleep”. As you said, combined surgeries add time, this can create more nausea, prolonged recovery and higher risk of infection. In 6 hours, you performed a breast reduction, abdominoplasty, and liposuction. My recovery although difficult as you said, was uneventful. Six months later, I am so happy, so trusting in you with what I have seen, that I am now considering a lower body lift.
Erin
I am 5’6″ tall with long blond, curly hair. I work for a real estate company in Maryland as a Lease Administrator. Prior to that, I worked for a Minnesota Senator on Capitol Hill. Even though I work out at the gym frequently, I had a few problem areas, which would not go away. Thanks to Dr. Summers’ cosmetic surgery team at the Maryland Plastic Surgery Center, I’ve had liposuction on my outer thighs, hips and stomach. Now my saddlebags are gone and I was able to buy a pair of hip hugger jeans! I’ll be 45 next month and will almost wear a size 6. I’m planning to return to have my inner thighs done very soon.

– Lynn F. Verified TrueReview®

Lynn F.

One of the first filler substance commercially available was bovine (derived from cow protein) collagen. Because of problems with allergic reactions, companies eventually began offering human based collagen (derived from donors). However, these collagen injections tend to be absorbed fairly quickly. More recently, porcine collagen (Evolence®) has been developed which lasts 6-12 months. Evolence® is superior in its ability to minimize swelling and bruising, while providing a very soft, natural result.

Hyaluronic acid is also a naturally occuring component of our skin. Utilizing modern technology, we can now create hyaluronic acid. Unlike collagen, which requires animal donor sources, hyaluronic acid is created through a fermentation process, thus there is no risk of transmission of viral particles or of an allergic reaction.

The most commonly used hyaluronic acid fillers include: Restylane, Juvederm and Perlane

Each of these is manufactured slightly differently, resulting in variations in side effects and in longevity. Based on our experience, the following guide is useful in distinguishing the differences among these substances:

SubstanceSwellingLongevityCost
Restylane++4-6 months+
Juvederm+5-8 months++
Perlane+6-9 months+++

Restylane, Juvederm and Perlane are gels consisting of hyaluronic acid, a substance which all living things produce. Wrinkling is often caused by a reduction of hyaluronic acid as we age. Therefore, replacing hyaluronic acid with injections is an excellent way to reverse the effects of aging. The gel is injected into the skin in tiny amounts with a very fine needle. The result is instantaneous and produces a long-lasting, natural enhancement, gentle and safe to your skin.

 

Treatment Goals:

Skin wrinkle treatments with injectable fillers can:

  • reduce the appearance of laugh or smile lines
  • smooth out facial creases or furrows
  • “plump up” sunken areas of skin
  • fill-in depressed scars
  • The results of Restylane, Juvederm, and Perlane injections can be seen immediately after treatment. However, the effects of these treatments are not permanent and will need to be repeated from time to time to maintain their results. For severe wrinkle problems, a face lift may be recommended in place of non-surgical wrinkle treatments.

 

What Is The Procedure Like?

Typically, a novocaine injection is given first. This will completely numb the area to be injected with filler. In this fashion, you will not feel any of the filler injection. The numbing wears off in about an hour. The injections are made with a very fine needle at various points in the wrinkled areas. Usually, there is no bruising, but, as with any injection, a bruise is possible. The injections take less than an hour and, in some cases, can be completed in just a few minutes.

 

What Can I Expect After The Procedure?

  • You may return to work and resume all normal activities immediately.
  • No bandages are required.
  • You may experience some minor swelling for a few days after the procedure.
  • There is a slight possibility of bruising – cold compresses can help avoid this.
  • The effects last approximately six months, but vary from person to person.
  • Over time, your body will gradually absorb the filler.
  • Your skin will be more sensitive after the injection – protect yourself with sunscreen and lip moisturizers.

 

Other Fillers and Injections:

At the Maryland Plastic Surgery Center, we offer a variety of fillers and injections for permanent, semi-permanent and temporary facial rejuvenation and enhancement. In addition to Juvederm, we offer the following treatments:

  • Sculptra – a volumizing agent that adds bulk to sunken tissues
  • Radiesse – a long lasting filler containing a gel of calcium particles
  • Botox – a muscle paralytic that prevents wrinkling of the skin
  • Fat Transfers – volumizing and enhancing treatments for the face and lips

Frequently Asked Questions About Fillers:

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How do I know which filler is right for me?
Does it matter how old I am?
How long will it take to recover from my injection?