Facial aging is caused by a thinning of boney facial structure (osteopenia) and shrinkage of natural subcutaneous fat and deep fat pads that support the skin. This loss of volume and structural support alters a youthful smooth “V” shaped face with high cheekbones and attention up to the eyes towards an “A” shaped face with hollowing of temples and cheekbones and fullness in the lower face. This results in areas of fullness separated by hollows or shadows.
Dr. Kashyap tailors dermal filler injections to blur these transitions and created improved global facial beauty. With a natural eye for aesthetics, her aim is to restore the lost volume in multiple layers of the face and smooth the contours to minimize shadows, creating a youthful look.
Dr. Yogita Kashyap is dedicated to providing a natural-looking result that is not overdone.
To accomplish this, she asks patients to provide an old photo so she can create a treatment to help re-create your younger self. Then, she often breaks up the treatment into two sessions.
This allows her to wait until the result of the first session (after any residual swelling has resolved) before adding more filler, if necessary, avoiding the potential for adding too much.
The goal is to help you look like a refreshed, and younger version of yourself so that no one knows you have had fillers.
Some patients opt to have facial fat grafting, which is a procedure that extracts fat from the thighs or belly and injects it into the face to replace lost volume. In some cases, a combination of facial fat grafting and dermal fillers may be advantageous. Botox® is often used along with dermal fillers to correct the lines and wrinkles caused by muscle activity rather than volume loss.
Candidates for Dermal Fillers
Dermal fillers can improve many different signs of aging:
- Thinning lips
- Decreased facial volume
- Fine to severe creases, folds, lines, and wrinkles
- Hollowed or flattened cheeks
- Hollowed temples
- Dark circles (tear troughs)
- Nasolabial folds from the nose to the mouth (laugh lines)
- Marionette lines from the mouth to the chin
- Vertical lines on the upper lip
During your consultation and thorough examination, Dr. Kashyap will evaluate you to see if you are a good candidate for treatment. Dermal fillers are minimally invasive, making them a safe and effective option for most healthy people. However, you should let Dr. Kashyap know if you have a history of cold sores. During the consultation, she will also recommend which fillers would work best for you.
The primary consideration is whether fillers will provide you with the results you want.
In cases of severe signs of aging, particularly around the eyes, Dr. Kashyap may suggest a combination of dermal filler, Botox® and chemical peels. In some cases, she may suggest a lower eyelid blepharoplasty.
Prior to your treatment, Dr. Kashyap will ask you to avoid aspirin and ibuprofen for two weeks before your appointment. She will also ask you to take oral Arnica and Bromelain three days before the treatment. These preparations will help to prevent bruising from the injections.