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Dermal Fillers

Introduction

Introduction to Dermal Fillers

Injectable dermal fillers can be used to enhance facial structures, such as cheeks or lips, to give a fuller, more youthful appearance. With two convenient locations in Carmel and Greenwood, Hamilton Facial Plastic Surgery is led by double-board-certified facial plastic surgeon Mark M. Hamilton, M.D., F.A.C.S., and offers dermal fillers and injectables with our advanced nurse injectors to men and women who live in and around Indianapolis, IN, as well as from across the Midwest, the nation, and abroad.

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What are Dermal Fillers?

Dermal fillers are composed of hyaluronic acid (HA), a natural component of the skin, similar to collagen or elastin. Hyaluronic acid attracts water to the skin, resulting in a plumper appearance and a reduction in the visibility of wrinkles, fine lines, and folds. Collagen and elastin are the natural materials in skin that help to support tissues and provide a youthful appearance.

Men and women can visit Hamilton Facial Plastic Surgery to have dermal fillers improve the following folds and wrinkles:

  • Cheek Enhancement
  • Jawline Enhancement
  • Lip Enhancement
  • Vertical lip lines
  • Marionette lines
  • Corner lines
  •  Smile lines (Nasolabial folds)
A woman with dark hair, wearing a white shirt, gently touches her forehead and looks thoughtfully off into the distance. The lighting is soft and the backgroud is a neutral, light gray. - Diamond Glow in Carmel, IN

Discussing Fillers

Hamilton Facial Plastic Surgery offers the following dermal fillers:

  • Juvederm® Ultra XC and Juvederm® Ultra Plus XC

    These fillers are designed to soften wrinkles and creases around the mouth, nose, and cheeks. Results typically last between nine and 12 months. Additionally, Juvederm Ultra XC and Ultra Plus XC are now FDA-approved for lip augmentation.

  • Voluma®

    Voluma® also uses Vycross™ technology. Vycross™ is a gel-like substance that can quickly permeate the skin to fill crevices and contours. Within a short period, this will result in firmer, more elastic skin. Voluma is approved to treat skin volume issues in the cheek and mid-face regions

  • Radiesse

    is specifically formulated to treat moderate to severe creases and wrinkles in the skin by increasing elasticity, fullness, and volume in the outer layer, while also supporting it from within. The injectable delivers an underlying microspheric structure to the deeper layers beneath the skin’s surface, lifting and supporting the outer layer. The structure also promotes collagen production, which helps build elasticity, suppleness, and volume. The collagen produced fills in the microspheric lattice, making the texture of your skin smoother and giving it a younger appearance.

  • Restylane®

    Restylane®: Restylane® restores the skin’s supply of HA, thereby promoting optimal hydration in the skin’s deepest layers. This increased hydration plumps up your skin, improving its volume and reducing the appearance of the most common signs of aging.

  • Restylane® Lyft

    Restylane® Lyft has been approved by the FDA to treat volume loss in the cheeks and nasolabial folds at the corners of the mouth. Unlike many other fillers that use pre-made doses, our advanced injector can calibrate every injection to meet the unique needs of each patient. Patients will immediately begin to notice results, with fuller skin and fewer wrinkles. In addition to volume expansion, this product helps increase skin elasticity, creating a more youthful appearance. Restylane® Lyft also increases skin hydration around every injection site to augment the initial effects.

  • Restylane Refyne and Defyne

    These fillers are used to correct mild facial folds and wrinkles. It can also be injected for lip augmentation in patients over 21, as well as for the treatment of vertical lip lines and fine lines in the lower face. This product is also ideal for those who want to promote the natural hydration process with minimal signs of swelling through a minimally invasive injection.

  • RHA® Fillers

    RHA® fillers are made with resilient hyaluronic acid (RHA), which is designed to respond and adapt to your natural facial movements. RHA® fillers are primarily designed for application around the midface, nose, and mouth. These fillers may be effective for restoring lost volume by filling the nasolabial folds, marionette line, and laugh lines.

  • Sculptra

    This filler is designed for patients experiencing loss of skin volume and elasticity due to low collagen levels. When compared to many other fillers, the primary benefit of Sculptra is its longevity of results. Patients who opt for alternative fillers may require additional maintenance injections as early as six months. Those who receive Sculptra injections, however, can enjoy their youthful new appearance for two years or longer.

What Are the Benefits of Dermal Fillers?

Dermal filler injections are designed to restore structure, smooth, and plump facial wrinkles and folds, providing results that last from 6 months to 2 years, depending on the filler. We can also use dermal fillers to enhance a patient’s facial appearance by injecting them into acne scars or adding volume to the lips or cheeks. Treatments can be performed at either of our Hamilton Facial Plastic Surgery offices in Carmel or Greenwood, IN, with minimal downtime. In many cases, dermal fillers are the first cosmetic procedure requested by a patient wanting to reduce the early signs of aging on their face.

Who Are the Best Candidates For Dermal Fillers?

The best candidates for dermal fillers are patients above the age of 21 who are experiencing age-related volume loss, have fine lines and wrinkles, and are seeking to restore firmness to their skin texture.

Soft tissue augmentation, specifically the placement of dermal filler, is an elective procedure that may not be suitable for all patients seeking this treatment. It is essential that we consider and address the potential complications that may arise from treating patients with pre-existing conditions, which can occur at any stage.

Introduction

Please notify your provider if you have a history of any condition or medication use listed below:

  • Multiple or severe allergies, a history of anaphylaxis, or an allergy to lidocaine.
  • An active infection of the ear, nose, throat, dental abscess, periodontitis, gastroenteritis, or a urinary bladder infection.
  • A recent dental procedure, including cleaning and bleaching (last 2-4 weeks).
  • Recent immunizations/vaccinations (last 2 weeks).
  • A recent history of Influenza, COVID-19, or other viral infection.
  • Have taken aspirin, nonsteroidal anti-inflammatory agents (Advil, Aleve, Ibuprofen, Motrin, Naproxen), salmon oil, vitamin E, gingko biloba, ginger, and garlic within the past week.
  • History of Coumadin, Rivaroxaban, Apixaban, Pradaxa, Plavix, Heparin, Edoxabana, or any other blood-thinning agent. You will need to consult with your prescribing physician to discontinue these products at least 1 week prior to injection.
  • It is recommended that alcohol/red wine and dark chocolate be avoided at least 24 hours prior to treatment. Please notify the provider if you have had either in the last 24 hours.
  • Recent use of Retin-A.
  • A history of facial implant surgery.
  • A diagnosis of Crohn’s disease or ulcerative colitis.
  • Thin facial skin or skin atrophy.
  • Recent or a history of corticosteroid use on the face.
  • An active Infection on the skin, such as Impetigo, herpes simplex, active acne, facial warts, allergic contact dermatitis, sensitive skin syndrome, seborrheic dermatitis, active lichen planus, active acne rosacea outbreak, scleroderma, pyoderma, or psoriasis.
  • A history of diagnosis of mixed connective tissue disease, such as Morphea, systemic lupus, Marfan’s syndrome, Ehlers-Danlos syndrome, or stabilized morphea.
  • A history of being immunocompromised, such as having a near or far diagnosis of Graft versus host disease, bullous diseases, transplant of the heart, kidney, liver, or bone marrow, and currently taking Immunosuppressive drugs.
  • A history of lupus erythematosus, rheumatoid arthritis, or dermatomyositis/polymyositis.
  • A history of thyroid disease or active Hashimoto’s disease.
  • A history of diabetes or porphyria.
  • A history of melasma or post-inflammatory hyperpigmentation.
  • A history of Vitiligo and or albinism.
  • A history of Tuberculosis or HIV.
  • A diagnosis of Hemophilia, hemoglobin disease, or thalassemia.
  • The Botox injection was less than 2 weeks ago.

*You are not a candidate if you are pregnant or breastfeeding.

Dermal Fillers First Step

What’s the First Step?

To find out which dermal filler treatment is most appropriate for you, please schedule a consultation at either Hamilton Facial Plastic Surgery location in Carmel, IN, or Greenwood, IN. One of our advanced injectors will meet with you to review your medical history and evaluate the condition of your skin. After a thorough evaluation, they will be able to make a recommendation for which dermal filler or combination of dermal fillers will best address your skin concerns. Our advanced injectors have extensive experience with facial anatomy and can offer expert advice on where to inject dermal fillers for optimal results. You will receive a customized dermal filler treatment plan, which you are welcome to begin that day itself or schedule at a later time.

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What to Expect on the Day of Dermal Fillers Treatment

For a typical filler appointment, please allow for 30 minutes of numbing before injecting. Prior to beginning the dermal filler treatment, the patient’s skin tissue is sanitized to eliminate pathogens. In some cases, our advanced injectors will smooth the skin tissue near the injection site with gentle fingertip strokes to assist in dispersing the dermal filler. All fillers contain a small amount of lidocaine, which helps numb the skin and underlying tissues, thereby preventing pain during and after treatment.

As soon as the procedure is completed, patients are free to resume their normal activities at home or work, and most experience minimal discomfort. Patients should refrain from any strenuous activity or intense sunlight for 24 hours. If a patient experiences any problems after returning home, they should contact our office immediately for assistance.

Dermal Fillers
Recovery

After undergoing one or more injections of dermal fillers, patients can return to normal activities but should avoid direct sunlight, hot temperatures, and strenuous exercise. Most patients notice an immediate improvement in their appearance, as tiny lines and deep folds around the mouth and near the nose are reduced, with full results at the two-week mark. Patients should avoid rubbing the injection site for 24 hours to give their facial skin time to adjust and heal.

How Much Do Dermal Fillers Cost in Indianapolis, IN?

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The cost of dermal fillers in Indianapolis will be based on the type of dermal filler(s) selected, the number of sessions necessary to deliver optimal results, and facility fees. These costs will also vary from patient to patient. Cosmetic treatments, such as dermal fillers, are not considered medically necessary, so your insurance is unlikely to cover the cost of the procedure. Please call our Carmel or Greenwood office today if you have questions regarding the price of your dermal filler treatment.

Why Choose Hamilton Facial Plastic Surgery?

At Hamilton Facial Plastic Surgery, our team of Advanced Nurse Injectors is highly trained and deeply experienced in the field of aesthetic medicine. Each injector brings advanced clinical skills, a strong foundation in facial anatomy, and a commitment to achieving safe and natural-looking results. We prioritize continuing education and hands-on training to stay at the forefront of industry techniques and innovations. Our injectors are either certified as Certified Aesthetic Nurse Specialists (CANS) or actively pursuing this respected credential, which demonstrates a rigorous standard of knowledge, skill, and ethical practice in aesthetic nursing. You can trust that you’re in expert hands with a team dedicated to excellence, precision, and patient-centered care.

Dr. Mark Hamilton, F.A.C.S., is a double board-certified plastic surgeon specializing solely in facial plastic and reconstructive surgery. As a recognized leader and one of the top physicians in America in his field, Dr. Hamilton has authored multiple publications and lectured widely to his colleagues on all aspects of facial plastic surgery. Dr. Hamilton has been selected by his peers as one of Indianapolis Monthly Magazine’s “Top Docs” annually for over a decade and has been recognized by Castle Connolly as one of the “Top Physicians” in America for his work in Facial Plastic and Reconstructive Surgery. Consumers Research Council of America has also recognized him as one of the “Top Physicians” in America for his work in Facial Plastic and Reconstructive Surgery. He is actively involved in resident teaching at the IU School of Medicine and serves as a clinical assistant professor there.

Dr. Hamilton graduated Phi Beta Kappa from Indiana University, where he also received his MD degree. He received a merit-based scholarship during his medical school years and was recognized nationally for his research. He completed his residency in Otolaryngology-Head and Neck Surgery at Saint Louis University and followed this with a fellowship in Facial Plastic Surgery at Indiana University. Dr. Hamilton is board certified by both the American Board of Otolaryngology (ABO) and the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). He recertified in Facial Plastic Surgery in 2019 and received the highest score in the nation on the written exam.

Dr. Hamilton has served in various leadership positions within the American Academy of Facial Plastic Surgery, including Chairman of the Emerging Technologies Committee, as well as the Young Physicians, Credentials, and Public Information committees. In 2009, he was awarded the 1887 Award, a national recognition of his commitment to the AAFPRS Foundation. Dr. Hamilton has been an Expert trainer and speaker for Allergan (the makers of Botox and Juvederm) for the past decade, traveling all over the US to instruct and demonstrate best practices with injectables. He has served on the board of directors of the American Board of Facial Plastic and Reconstructive Surgery and has been selected to author questions for the exam, as well as to serve as an oral examiner. He is also a former President of the Indianapolis Medical Society.

Dr. Hamilton provides his Indianapolis patients with exceptional skills and results that last. For more information on rhinoplasty or to schedule a private consultation at Dr. Hamilton’s Carmel or Greenwood office, please contact us.

Dermal Fillers FAQ’S

  • Enjoy the friendly, professional, knowledgeable staff at Hamilton Facial Plastic Surgery.

    Dr Hamilton and his staff’s expertise will help you to look years younger without letting everyone know your secrets.

    Enjoy the friendly, professional, knowledgeable staff at Hamilton Facial Plastic Surgery.

    More reviews – K.M.

  • All personnel very kind and considerate.

    All personnel very kind and considerate.

    Dr Hamilton extremely informative and forth right. I was recommended to this practice and would highly recommend the same to others.

    More reviews – P.P.

  • I highly recommend Dr. Hamilton and his staff.

    The staff is professional and highly knowledgeable. I leave the office feeling fully informed. I feel confident in both Dr. Hamilton and the staff’s abilities. I highly recommend Dr. Hamilton and his staff.

    More reviews – C.P.

Schedule Your Consultation

If you live in Indianapolis and you’ve started to notice lines and wrinkles on your face and want to counteract these visible signs of aging, dermal fillers can help by restoring skin volume. Contact Hamilton Facial Plastic Surgery in the greater Indianapolis area today for your consultation. You may call us at 317-614-0639 (Carmel) or 317-210-4339 (Greenwood), or please complete our online booking form.

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