Julia Injectables Combo Botox Juvederm Kybella Treatments at Medical Day Spa of Chapel Hill NC

Many of the facial manifestations of aging are due to the combined effects of progressive bone resorption, decreased tissue elasticity, and redistribution of subcutaneous tissue due to gravity.  The most common problem we encounter in patients is volume loss in the face resulting in lines, folds, and sagging. Even lips are prone to loss of volume and definition.  Dermal fillers are one way we can replace lost volume and help restore younger-looking, firmer skin and appearance.

In the 1800’s, shortly after the invention of the syringe, chemical agents were used to replace lost volume in the face – with pretty unpleasant results.  Paraffin was the first injectable filling agent to be used, but was discontinued due to severe complications and side effects.  In 1981, bovine collagen became the first FDA approved agent for cosmetic injection.  Since then, dozens of injectable agents have been approved for use as cosmetic dermal fillers.  However, there are important differences worth noting.  Let’s discuss the three most commonly used  types of dermal fillers:

Calcium hydroxylapatite (Radiesse)

Calcium-based fillers use calcium hydroxylapatite, a compound found naturally in human bones, which has been added to an aqueous solution for injection. Calcium hydroxylapatite is bioproduced so it is not actually a human product (and no animals were injured to make it!).  Radiesse is the most common type of calcium-based filler. It is an excellent product for replacing volume loss since it stimulates collagen production.  There is, however, an important downside to its use.  Radiesse cannot be dissolved if a patient does not like the results or, more importantly, in a situation where a small amount of the filler enters or compresses a blood vessel.  The blockage of blood flow is an emergency situation. It can result in tissue necrosis if not treated by removing the product which may require surgery.

Polylactic acid (Sculptra)

This synthetic dermal filler also stimulates your body’s own production of collagen.  This process occurs slowly over a month and typically requires more than one treatment.  As with calcium-based fillers, Sculptra cannot be dissolved once it has been injected.

Hyaluronic Acid Fillers (Juvederm, Restylane, Belotero, Versa)

Hyaluronic acid (HA) is produced naturally in our bodies and is the main precursor of collagen.  HA dermal fillers are gel-based formulas that can replace volume loss in the cheeks and improve deep lines that run from the nose to the mouth (nasolabial folds) or from the mouth to the chin (marionette lines).  HA fillers can also be used to define the lip border or add subtle volume to the lips.

Collagen Cosmetic Dermal Filler Before and after at Medical Day Spa of Chapel Hill

As with any dermal filler, there are risks of bruising and swelling after injection with HA fillers.  These are temporary.  The particular advantage of HA fillers is that they can be dissolved quickly with an enzyme (hyaluronidase).  This is important if a patient does not like the result or, more urgently, in the unlikely event of a vascular blockage.  Watch here to see a demonstration about how different types of dermal fillers disolve.

Adverse events associated with dermal filler injections can occur even in experienced hands.  Having a skilled injector and using a product that allows for correction is the safest approach when using dermal fillers. Patient safety is our primary concern at Medical Day Spa of Chapel Hill, so we use only HA fillers.

To learn more, schedule an appointment to discuss what dermal filler is best for you, please call Medical Day Spa of Chapel Hill at 919-904-7111.

If you live in Raleigh, Durham, Chapel Hill, Cary, Apex, Morrisville, Hillsborough or anywhere in the Triangle area of North Carolina come on in and experience our new 5 Star HydraFacial Exfoliation Treatment today!

Enjoy The Experience. Delight In The Results!

  • Everyone is amazing! I have been coming here for years not only because of the customer experience but also because of the competency level of the staff. Ericka, Julia, and Stephanie are AMAZING!!!!

    Fatimah Patterson
  • What a beautiful medical day spa. I got an infusion there yesterday and the infusion room is so tranquil and I truly felt cared for. I'm looking forward to returning for additional infusions at Medical Day Spa in Chapel Hill. Thanks so much!

    Laura C. Tlusty
  • 5 star rating Great customer service, professional and polite I have been a patient for three years and would not consider going any where else. Dr Berger and his staff are polite and professional.

  • I had a beyond wonderful experience at the Medical Day Spa of Chapel Hill! The providers and front desk staff are extremely professional, friendly, and welcoming. I enjoyed my entire experience at the spa and highly recommend it!

    Stephanie Sanchez
  • Julia was great! She went beyond and offered me samples to try to improve my skin. I loved them so much that I actually bought full-sizes. Highly recommend her.

    Christina Sze
  • I have received several procedures at the Medical Day Spa of Chapel Hill. Each time the staff has been very courteous and very helpful. Dr. Berger is very good at describing the procedures to you in detail, and at answering any questions you may have. I am very pleased with my results, and I would highly recommend this spa to anyone. .

    K Roberts
  • 5 star rating Comfortable and Professional This was my first experience with Botox and I found the staff and Dr. Berger to be professional and accommodating. I will be going back and will recommend to friends and family.

  • I am grateful to Medical Day Spa for giving me the best advise and treatment regarding my skin.

    Dr. Amanda Tumusiime
  • After meeting the staff at Medical Day Spa I was very impressed with the attention to detail that these professionals showed me. they are all very kind and this will definitely be my new medical spa!

    Miriah Walters
  • From the moment you walk into Medical Day Spa of Chapel Hill you get a feeling of peace and tranquility. It is very clean and the staff is friendly and make you feel welcome! Dr. Gary Berger and his staff makes you feel as if you were the only patient and they have your safety and well-being in mind. They spend time with you to identify your needs and create a treatment that will be best for you. This is without a doubt the BEST MediSpa in Raleigh, Durham, Chapel Hill and I recommend you give them a call.

    Robert Newhart Jr
  • I love coming here for everything. As I try more treatments I really appreciate their skill, knowledge, approach and caring service. The team here really gets me and my goals, they know their stuff and are helping me look as good on the outside as I feel on the inside. Thank YOU!

    Darcy Tyrrell
  • This place is amazing. Had laser hair removal and it went very well! Five stars! Clean environment, very relaxing, and definitely got the job done. I would definitely recommend this spa for your needs.

    MeMe Manigoe
  • I have been a regular client of Jennifer for a year or more and she is a true delight. Erica at the front desk is always very helpful, kind and professional. I would definitely recommend the services of the Medical Day Spa of Chapel Hill to anyone!

    Kyle Yamakawa
  • I've been going to this Spa for a few years now for various treatments, facials, hair removal, etc. The staff is exceptionally friendly and professional. I especially like that there is a real doctor (Dr. Berger) at the helm here so when you want more intense treatments, you know it will be handled by a doctor and is safe.

    Amy Stern
  • I love this spa. I just had Botox done by Jen and had a great experience. The staff was lovely! I was a little nervous since I never had Botox before. But everything went great. I would definitely recommend this spa to anyone looking to improve their skin.

    Beth Akers
  • One of the best medical spas I have visited. This place is so clean and the staff is very professional and friendly. When asked if I will return the answer is a YES. I cannot wait until my next appointment (which is already booked). If you are interested in a great experience I highly recommend this place. Be sure to call for the appointment and check out the most current specials. Private, clean and courteous.

    Lisa Roberti