Facial Fillers for Wrinkles

Restylane® is an FDA-approved cosmetic filler made in Sweden and designed to eliminate wrinkles and folds in the skin of the face and the lips. Introduced in 1996, Restylane® is still manufactured in Sweden by pharmaceutical company Q-Med and widely used there as well as other European countries, South America , and the United States . Figures from the manufacturer estimate that over a million people have successfully been treated with Restylane®.

The active ingredient in Restylane® is derived from hyaluronic acid, which is a natural sugar found in the skin. Its function in the skin is to maintain volume and pliability. The unique property of this acid is its ability to bind with water molecules up to 1000 times its original size, making it an excellent choice for a filler. Because it can bind with water, it is extremely safe when eliminated with regular body waste over time.

There are three versions of this product: original Restylane®, which is intended for wrinkle correction and lip enhancements; Restylane® Fine Lines, for correcting thin superficial lines, around the mouth, forehead and smile; and Perlane®, for shaping facial contours, such as cheeks and chin, correcting deep folds, and for volume augmentation of the lips. Restylane® is injected into the fine lines of the face or the lips with a very small syringe and results are instantaneous and pain-free. Patients have been much more satisfied with Restylane® than collagen because it can last up to 60% longer. Clinical trials showed results from Restylane® injections to be effective for up to 6 months for lips and 12 months for facial grooves.



Juvederm® is a "next generation" smooth gel, non-animal dermal filler offering a natural look and feel, and long-lasting results for up to six months or longer.

Why does Juvederm® last longer? Because it's the only dermal filler currently available with the highest concentration of hyaluronic acid and a special formulation process. This process creates a smooth gel that flows easily into the skin, creating smooth, natural looks.

Other currently approved hyaluronic acid dermal fillers use a gel particle suspension formulation, which can be visibly seen, as opposed to the smoother formulation used in Juvederm®. The smooth consistency of Juvederm® dermal filler also may help to minimize the discomfort that can sometimes occur during the injection procedure.

Radiesse FN™ is a cosmetic filler applied through injection for recontouring and lifting cheeks, smoothing the jawline, lifting the brow, and straightening the nose. The main advantage of this product is the long lasting effects it maintains compared to other fillers.

Radiesse FN™ consists of calcium hydroxylapatite suspended in gel (carboxymethycellulose). Because calcium hydroxylapatite is a normal constituent of bone, in most cases it should not elicit an immune response or allergy.

Although it sounds intimidating, calcium hydroxylapatite has been used for prosthetic implants in dental, facial, and orthopedic surgery. The longest term studies come from Italy and suggest that Radiesse FN™ shows promise as a new agent for facial contouring with no serious side effects and reasonable efficacy and durability.Perlane® is the newest member of the Restylane family of products. The primary difference between Restylane and Perlane® is that the hyaluronic acid gel particles in Perlane® are larger than those found in Restylane. Perlane®'s larger gel particles offer enhanced volume and lifting power, ideal for wrinkle and fold correction in deeper layers of the skin.

Perlane® is commonly used for lip enhancement, wrinkle correction, moderate to severe facial folds, smile lines and thin superficial lines around the eyes, mouth and forehead.

Perlane® is made by Medicis, which also makes the wrinkle filler Restylane. Both products contain hyaluronic acid. Perlane's larger gel particles can reach the deep layers of the skin, offering enhanced volume and lifting power. Perlane® has been used safely by dermatologists and plastic surgeons since 2000 outside the U.S. According to Medicis, the maker of Perlane®, the effects last for about six months.

Evolence® dermal filler represents a breakthrough in treating the effects of aging by replacing the collagen you've lost with collagen that lasts. A truly novel dermal filler, Evolence® can immediately improve and refresh your appearance by smoothing out and softening unwanted wrinkles and folds, and restoring structure and facial contour in volume-depleted areas. The visible, natural-looking results are achieved immediately, with minimal-to-no downtime, so you can get right back to your daily activities. These immediate results last for at least 6 months, so you can avoid the costly repeat treatments often associated with other fillers.

Evolence® dermal filler is made of natural collagen, one of the most prevalent materials in your body. The advanced collagen in Evolence® has been naturally cross-linked, so it mimics the 3-dimensional structure of your skin's own collagen. This allows it to integrate beautifully and support your skin's own existing collagen network by adding structure, strength, and volume for a natural look and feel that last.

Prevelle®, a new and exciting hyaluronic acid (HA) gel, is injected just under the skin’s surface to temporarily fill wrinkles for a more youthful appearance.

Prevelle® has proven to be effective in smoothing lines and wrinkles with minimal irritation. Prevelle® does not contain animal products and no pre-testing is necessary before use. Prevelle® consists of hyaluronic acid, which is a natural substance already found in your body. In most cases, you can be treated with Prevelle® during your very first visit.

There’s never been a better time to seek treatment for the correction of facial lines and wrinkles due to aging.

  • Non-surgical treatment for wrinkles
  • Soft, natural results
  • Convenient, same day procedure
  • Immediate results
  • Ideal for delicate skin areas
  • Little to no downtime


About Dr. Kim

Dr. Michael K. Kim offers a full-range of cosmetic surgery procedures. If you are seeking a more youthful face or shapely figure, the solution to a problem area or method to help beautify and rejuvenate your skin, our practice can make your dreams a reality!

Dr. Kim is a Board Certified Plastic Surgeon.

Office Locations & Phone Numbers

Associates in Cosmetic Surgery

3700 Central Avenue

Fort Myers, FL 33901

tel. 239-939-5233

fax. 239-939-9225

Email Dr. Michael Kim

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