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Facial and Wrinkle Fillers

Orange County Facial and Wrinkle Fillers

Dr. Hootan Daneshmand

Facial fillers are materials that are injected under the skin to improve the wrinkles and abnormal scars. The most common area injected is the face and currently the most common injected materials are the synthetic (man made) fillers in comparison to natural substances such as fat. One size does not fit all. Experience in performing such procedures is essential for achieving the desired results.
Fat Injection
Fat injection is the most common natural material used and is usually taken from another part of the patient’s body, processed and injected into the desired location. One of the problems with fat injection is its high rate of absorbsion and migration. It is a useful process in conjuction with other facial procedures such as facelifting and eyelid surgery. It is a somewhat more time consuming process and as a result it is not as popular as the other fillers.
Collagen was formerly the most popular injectable material. It is present all over the body, from skin down to and including bone and blood vessels. The main source is from highly purified bovine (cow) collagen. Zyderm and Zyplast are products that contain Lidocaine as an anesthetic and are injected under the skin. Zyplast contains more collagen and is used to treat deeper wrinkles. Since these products are derived from a non human protein, skin testing to detect sensitivity and allergy is required prior to treatment. Longevity is about 3 to 4 months. CosmoDerm and Cosmoplast are human derived collagen products produced with dermal fibroblasts harvested from bioengineered human skin cells. Cosmoplast is more effective for the treatment of deeper wrinkles. No skin testing is needed since these products have no animal proteins.

Hyaluronic Acid Fillers:

Hyaluronic Acid
Hyaluronic Acid fillers are now the most popular and widely used fillers. They last longer than collagen and no skin pre testing is required. Hyaluronic Acid is present in our skin and is the one of the components in normal tissues. Its volume and quantity diminishes with time.
Restylane, Perlane & Prevelle Silk
Restylane, Perlane, and, Prevelle Silk are products that are used to treat wrinkles around the mouth, nasolabial folds, cheeks, acne scars, and frown lines with Perlane being used in deeper wrinkles. Restylane is used in the lips for increased fullness.
Juvederm Ultra & Juvederm Ultra Plus
Juvederm Ultra and Juvederm Ultra Plus are also Hyaluronic acids used to improve wrinkles and may last longer and up to a year for the Ultra Plus form. The XC type includes Lidocaine.

Calcium Hydroxyapatiete:

Radiesse is a filler composed of smooth calcium hydroxylapatite particles similar to the compounds found in bones and teeth, and suspended in a gel. It may have a more lasting effect since it stimulates an increased buildup of collagen for up to two years.

Poly(L-lactic) acid (PLLA):

Sculptrais a product that contains poly (L-lactic) acid based formulation which causes a gradual foreign-body reaction stimulating production of new collagen. It is approved by the FDA to restore facial volume loss seen in patients with HIV. Several sessions are needed and in general it is more painful that other injections. It needs to be repeated on the average every two years.

What you need to know before choosing a treatment:

Beautiful skin is healthy skin, so why trust the health, protection and appearance of your skin with just anyone? During a time when many practitioners trained in other medical specialties are simply taking a few select short courses in skin care before making medical skin diagnoses and performing cosmetic facial procedures in order to generate new revenues, patients need to remember how important it is to choose a highly-educated and qualified skin care specialist with extensive years of experience, who is committed to compassionate care and has undergone a thorough evaluation of clinical skills and bed-side manners.
If you are considering skin care treatment, board certified plastic surgeon Dr. Daneshmand can help you achieve your goals. He offers his patients a full range of nonsurgical cosmetic enhancements, including injectable fillers and skin services such as peels and microdermabrasion and several other skin care treatments that can help your skin feel healthy and look youthful once again. Please contact us online or call our office at (949) 727-9099 to schedule a consultation and find out which skin rejuvenation procedure may be best for you.

Our practice is based on honesty, integrity, and a dedication
to excellence in plastic surgery.

Breast Procedures

Breast Augmentation

Breast Lift (Mastopexy)

Breast Reduction

Breast Reconstruction

Breast Revision

Capsular Contracture Repair

Male Breast Reduction

Face Procedures

Face Lift

Nose (Rhinoplasty)

Eyelid (Blepharoplasty)

Forehead Lift

Body Procedures


Tummy Tuck

Other Procedures

Laser Hair Removal


Lip & Dermal Fillers

Face & Wrinkle Fillers


News and Events
Dr. Daneshmand's Humanitarian Trip
Doctor Daneshmand's trip to Sohag Egypt
more information on this event
Volunteer Work
Doctor Daneshmand, in partnership with Rotaplast International, has been traveling to underpriviledged countries for the past 26 years. During those missions he has treated hundreds of children with the cleft lip and palate anomaly who would otherwise not receive surgical intervention.
These Past Missions Include:
1983, 1984: Mexico;
1994, 1995: La Serena, Chile;
1996 Tunuyan, Argentina;
1997: Nuevo Progressivo, Guatemala;
1998: Cumana, Venezuela;
1999: Cumana and Maracaibo, Venezuela;
2000: Santa Cruz, Bolivia;
2001 and 2002: Caracas, Venezuela;
2005: Guatemala;
2006: Maracaibo, Venezuela;
DR. D's Blog
This Plastic Surgeon blog is designed to provide real-time information about this rapidly evolving field, and allow for the exchange of ideas through questions, answers, and comments. View Blog...
Surgery Center
All procedures are performed at the Foothill Ranch Surgery and Medical Center, conveniently located off the 241 Toll Road and Portola, and at the Laguna Hills Surgery Center, located 5 minutes off the 5 freeway in Laguna Hills Read More...
Contact Our Main Office
Phone: (949) 727-9099
27462 Portola Pkwy
Foothill Ranch, CA 92610
Dr. Hootan Daneshmand specializes in cosmetic plastic surgery, including breast augmentation & breast lift, breast reconstruction, breast reduction, facelift, liposuction, tummy tuck, Botox® and other non-surgical options and plastic surgery for Orange County and Bakersfield area. Click for directions to our Orange County plastic surgery fully accredited surgical facility centers.