One of the newest dermal fillers that American dermatologists are eagerly anticipating is Prevelle Lift. A sibling of Prevelle Silk, which was FDA approved in May 2008 for the treatment of moderate to severe facial folds and wrinkles, Prevelle Lift is a new hyaluronic acid filler with powerful lifting properties. Already approved for use in Canada, Prevelle Lift addresses deeper facial lines and wrinkles.
Different categories of fillers can address different types of folds, lines and wrinkles, "The way I divide up dermal fillers is: high G Prime fillers which are Radiesse and Prevelle Lift. Next, you have medium-high G Prime fillers such as Restylane and Perlane. And last, you have the low G prime injectables, which include the Juvederm family, Prevelle Silk, and Belotero when it is approved for use in the U.S."
Dr. Sundaram stresses the importance of differential placement, choosing different fillers for different parts of an individual's face to ensure the patient gets the best possible results. She often pairs a lifting filler with a softer contouring filler to achieve the most effective rejuvenation. Another technique that Dr. Sundaram employs is layering different injectables in the same location but in different layers of the dermis and beneath the dermis to maximize the patient's results. "For example, an initial injection of Radiesse, Prevelle Lift or Perlane in the sub-dermal layer would provide maximum lift. Layering an injection of Belotero, Prevelle Silk or slightly diluted Restylane on top of that, in the superficial dermis, would smooth out fine lines."
Dr. Sundaram says the emergence of new injectables can only benefit physicians and providers by enabling fine-tuning for patients. "We have a palette of fillers and adding new fillers just allows for more tailoring and refining to individualize results for each patient."