Aug 26, 2015

Interview Transcript

Announcer: We're your daily dose of science, conversation, medicine. This is the Scope. The University of Utah Health Sciences Radio.

Interviewer: Broadcasting live from Be Well Utah at South Jordan tonight. I heard of a brand new thing called liquid facelift and this sounds interesting to me. We're going to learn more about it right now. Dr. Karen Stolman is a dermatologist at University of Utah Health Care here at the South Jordan Center. Liquid facelift.

Dr. Stolman: Liquid facelift is referring to the use of fillers, which are substances that we inject under the skin. They're used to stimulate new collagen and elastin, healthy and attractive collagen and elastin and fair skin. Which is helpful as we age because when we age, just normal ageing changes can result to bone resorption and fat loss on our face, which creates hollows. In addition to that, our skin is changing with lots of collagen and elastin and hyaluronic acid. The concept is to fill those hollows and to lift the skin, which is going to fall with gravity if it doesn't have its original youthful turgor. The turgor is created by the healthy collagen and elastin along with the structure underneath like the healthy fat and bone.

Interviewer: Completely safe?

Dr. Stolman: Yes. Fillers have been around many, many years. The original filler is collagen and collagen needed an allergy test, which made it a little bit harder for some people. We would have patients come in and do their tests and they come back a month later. And then, after that, they'd find out their collagen only lasted a few months and so it was very frustrating. We used to joke that it would be gone by the time they got out to the parking lot.

Interviewer: Well, that's not good.

Dr. Stolman: Yeah. In 2004, Restylane as the first hyaluronic acid filler to get FDA approved for use for facial aesthetics. And ever since then, it's been like a booming field in cosmetic medicine with more and more fillers and choices coming out. The hyaluronic acids are still the leaders in the field. There are some other excellent fillers that are also safe. Most of the fillers have been shown with years of studies and research to stimulate new collagen and elastin and to be safe for most people. There are still the small risks of injection, like local site reactions, irritation, rarely allergy because the collagen was taken from bovine or cow origin whereas the new fillers are done in a way that they're hypoallergenic or are manufactured in a way that's hypoallergenic.

Interviewer: You talk about it stimulates collagen growth so it's actually stimulating your body to produce the filler.

Dr. Stolman: Yes. We think the fibroblasts, which are the cells in our dermis that are responsible for making collagen and elastin, we think that they're being stimulated by the presence of the filler to make new collagen and elastin. We're not sure if it's just the inflammation of the injection, we don't know exactly why, but the studies have shown an increase in the collagen elastin when we did biopsies before and after in our patients.

Interviewer: And how long does this particular treatment you mentioned the collagen didn't always necessarily last as long as maybe you would have liked it to.

Dr. Stolman: Yeah. The nice thing, we have a diversity of choices with fillers. Many of them will last a minimum of nine to twelve months and then there are some newer ones that are lasting as long as two years. The nice thing though about the two-year fillers is they're still reversible if they're hyaluronic acid, meaning there is an enzyme that can be used to dissolve it. So if you're not happy with the result or there's some small portion that you're not happy with, it can be modified. So they're quite forgiving.

Interviewer: All right. And patients are pretty happy with the results so far?

Dr. Stolman: Yeah. Getting back to the whole concept of the liquid facelift, the cosmetic physicians noticed that with aging we got these hollows and sagging of the skin and we noticed that it happens in certain places in women and in certain places in men. So we know the right places to go with the fillers to bring you back 10 to 20 years. We're seeing wonderful results, very natural when done well with expert injectors and well-trained providers.

Interviewer: Hit the wrong button there. Very nice. So you offer those services here at The South Jordan clinic?

Dr. Stolman: Yes, we do. We carry a lot of choices in fillers. You can have one that lasts only six months if you like or if you would like to go for gusto and get the one that lasts for two years, which I highly recommend for certain locations in the face. That's a choice too. We have all the popular brands. We recommend a consult, that you come in and meet with us first and we'll assess if you're a good candidate for it. If you have questions about what fillers are and what the difference is between fillers and Botox, that's a very popular question and a good one, it's something that we can answer in person and explain because some people do better with both or with one or the other.

Interviewer: Got you. Well, thank you very much. Is there anything that I should have asked? Did we cover it all?

Dr. Stolman: I think we covered most of it. Yeah, that was great.

Interviewer: All right. Thank you very much.

Dr. Stolman: Yeah.

Interviewer: And it sounds less invasive than a traditional facelift by far, right?

Dr. Stolman: Yeah, that's true. And you've just reminded me. Some of the common side effects with fillers are just related to injections compared to surgery, it's very different.

Interviewer: You're quite a bit safer.

Dr. Stolman: Right. And we can use local anesthesia. We can use numbing cream. Some people worry about needles and they get a little afraid and say, "I hate needles. I pass out all the time." If you just tell us that, we'll make you as comfortable as possible. We can give you numbing cream and we can even give you Valium if you need it.

Interviewer: Okay. Thank you very much. Appreciate your time.

Dr. Stolman: Sure.

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