Facial Fillers

Best Filler For Smile Lines

Smile lines are a result of volume loss and shadowing in the nasolabial and melolabial folds. The nasolabial folds run from the corner of the nostril to the mouth in an oblique line. Shadowing in the nasolabial folds can make the face appear drawn and tired. The melolabial folds as commonly called marionette lines. Deep melolabial folds create shadows at the corners of the mouth and can convey sadness or a negative emotional state. Smile lines respond to a number of different injectable fillers:

Good filler options for very superficial smile lines:

Allergan products: Volbella. Galderma products: Restylane Silk

Good filler options for moderate depth smile lines:

Allergan products: Juvederm, Vollure. Galderma products:  Restylane, Restylane Refine.

Good filler options for very deep smile lines:

Allergan products:  Voluma. Galderma products:  Restylane Lift, Restylane Define, Sculptra.

Dr. Kolstad does not use the following products for smile lines:  Radiesse.

Lip Fillers San Diego

Easily our most popular injectable service is lip augmentation.  Full, luscious lips are a very flattering feature for many women. Conversely, having very fine, thin lips can artificially age the face. Achieving a perfectly natural result is the most important goal for every treatment Dr. Kolstad offers.  Lip enhancement requires an artistic application and an eye for detail. Uneven injection of fillers can lead to lumpy, palpable knots or an over-inflated appearance.  There are different types of lip implants or lip lift surgeries available for patients seeking longer lasting results.  For the majority of our patients injectable fillers offer a minimally invasive solution to achieve their ideal lip shape and volume.

Good filler options for lip augmentation: Allergan products: Volbella, Juvederm.  Galderma products:  Restylane, Restylane Silk.

Dr. Kolstad does not use the following products for lip augmentation: Voluma,  Restylane Lift, Restylane Define, Sculptra and Radiesse.

Cheek Fillers San Diego

As we age we lose volume and fat underneath the zygomatic (cheek) bone.  This can create a hollowed and gaunt appearance.  Sometimes a sculpted cheek appearance can look overdone if there is too much hollowing under the cheek bone.  To address lower cheek hollowing volume is added to the soft tissue above and under the zygomatic bone.  By adding roundness to a hollowed area the cheeks appear fuller and more youthful.

Good filler options for infracheek cheek augmentation:

Allergan products:  Juvederm, Voluma, Volbella, Vollure.

Galderma products:  Restylane, Restylane Lift, Restylane Refine, Restylane Define, Restylane Silk, Sculptra.

Dr. Kolstad does not use the following products for infracheek augmentation:  Radiesse.

Under Eye Filler In San Diego

Dr. Kolstad frequently comments “When the eyes look tired, everything looks tired”.  By far the most powerful feature on your face is your eyes.  Under eye bags, tired eyes, puffy eyes, dark circles under the eyes, all convey the same message: a tired, sleep-deprived appearance. Are you tired of people asking you “Are you tired”?  Eyelid bags or puffiness are typically from lower eyelid fat.  As lower eyelid fat pushes outward it creates a bulge under they eyelid.  Underneath the bulge a depression is created casting a shadow.  Make-up and concealers do not cover shadows.

Volume correction to the tear trough, lateral orbit, central cheek and midface are required to blend in eye bags.   Volume must be added to a wide distribution for the eyes to look perfectly natural.  Focusing all of the volume in one area, the tear trough for example, leads to an unnatural, over-filled appearance.

Lipstick Lines

Fine wrinkling around the mouth is termed perioral rhytids. More commonly these wrinkles are referred to as lipstick lines or smoker lines. Dr. Kolstad typically advises his patients that lipstick lines tend to be some of the most challenging wrinkles on the face to correct.  For most patients, a realistic goal is to make the lines softer or less deep rather than erasing them completely. The goal of treating lipstick lines is to improve perioral rhytids while preserving the natural contour of the lips. The challenge lies in reducing the appearance of the lines without over-volumizing the upper lip or creating an overfilled, excessively projected result.

Newer HA fillers are thinner and tend to work best for the very superficial lines.  Dr. Kolstad’s filler preference is currently Volbella.  When placed appropriately a few units of Botox can improve the upper lip creasing as well.    Deep wrinkles around the mouth respond best to skin resurfacing methods like CO2 lasers and dermabrasion.

Good filler options for very superficial lipstick  lines:

Allergan products: Volbella. Galderma products: Restylane Silk.

Liquid Rhinoplasty

One of the newest and most versatile applications of fillers is used for nasal contouring.   Injectable rhinoplasty is the ideal solution for someone looking to avoid the cost or downtime of surgery.  Unheard of only a decade ago liquid rhinoplasty has become an essential part of our practice.  Before jumping into liquid rhinoplasty it is important to know that the nose is one of the perilous places to inject facial fillers. Injectable rhinoplasty should only be performed by an expert. There are many arteries that supply blood to the nose and surrounding skin. Dr. Kolstad’s experience as a rhinoplasty surgeon helps him to achieve desired outcomes and avoid catastrophic complications.

The following changes can frequently be achieved with injectable rhinoplasty:

• Adding height to an underprojected bridge.
• Straightening a bridge hump on profile view.
• Straightening a crooked bridge on front view.
• Filling an asymmetric nasal tip.
• Filling a nasal tip cleft.

Fillers For Men

A combination of injectable fillers was used to restore volume to the facial hollows that create unwanted shadows, resulting in a smoother and more youthful appearance.

The area between the eyebrows, known as the glabella, often develops deep frown lines over time. In this patient, these creases were treated with a combination of Botox to relax the underlying muscles and Juvederm to lift and fill the volume deficit.

The smile lines (nasolabial folds) were softened using multiple syringes of Juvederm. When treating male patients, Dr. Kolstad generally prefers improving the nasolabial folds rather than adding volume to the central cheeks, preserving a stronger, more masculine facial contour while achieving natural-looking rejuvenation.

Forehead Filler

As we age, gradual volume loss occurs throughout the face. In the forehead, the loss of subcutaneous fat can lead to hollowing and increased prominence of the underlying bony contours.

Dr. Kolstad can restore volume and elevate these depressions with strategically placed injectable fillers, creating a smoother, more youthful forehead while maintaining a natural appearance.