Non-Surgical Procedures

Dr. Andrew B. Denton, Facial Plastic Surgeon

Soft Tissue Augmentation

Smooth skin and full lips with well-accentuated borders are associated with youth and beauty. As your body's natural collagen begins to wear out due to aging, wrinkles and creases begin to appear. With time, the muscle and soft tissue that give lips fullness and definition gradually diminish in bulk, making them appear thin and indistinct.

Several injectable and implantable products are available to fill facial wrinkles and scars and to enlarge lips.

Soft Tissue Injectables

Purified collagen products (Zyderm™ and Zyplast™) were first introduced in the 1980's but in Canada and Europe have since been replaced by longer lasting materials that do not require allergy skin testing prior to treatment.

Hyaluronic acid is a naturally occurring material that exists in all animal cells including our own. Currently, the most popular type of injectable soft tissue filling agents are composed of hyaluronic acid. They provide a natural and long lasting result with an exemplary safety profile.

Several hyaluronic acid based fillers are available including Restylane™, Restylane Fine-Lines™, Perlane™, Hylaform™, Hylaform Fine-Lines™, Hylaform Plus™ and Juvederm™. When injected into the skin they work with the body's own hyaluronic acid to create the volume needed to lift lines and wrinkles. They can be used to correct frown lines, deep smile lines and to enhance the lips. The results are a healthy, vital appearance that can last up to 9 months for some individuals. The treated areas remain slightly red and swollen for 24 hours. On rare occasions, patients have experienced temporary swelling, redness and tenderness at or near the injection site several weeks after treatment.

All soft tissue augmentation injections are performed by Dr. Denton.

Soft Tissue Implants

Advanta™ lip and nasolabial fold implants may be appropriate for individuals seeking a more permanent soft tissue augmentation solution. Advanta™ implants are composed of a soft, pliable synthetic material called ePTFE. This material has been safely used in more than 3.5 million people in an extensive range of medical and surgical procedures over many years.

Under local anesthesia, the implant is inserted below the surface of the skin through a small incision. Swelling and bruising usually settles over the first 7 to 10 days. Continued softening of the implant is anticipated over the first 3 to 4 months. Rarely, infection or migration can occur necessitating implant removal or replacement.

For more information, view November 2003 article in The Seattle Times: Fighting wrinkles: New products fill the lines of time