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Dermal fillers such as Juvederm®, Restylane® and Radiesse®, which are used to soften or ablate facial lines, creases and folds as well as to add needed volume to select areas of the face, are among the most popular and common plastic surgery procedures being done. The results can be quite excellent and rewarding, particularly when performed by an experienced practitioner such as a plastic surgeon.


Though they are not intended to replace skin tightening procedures such as a facelift, blepharoplasty or a forehead lift, dermal fillers can provide an affordable option for improvement in one’s appearance. Given the economic disaster that our country has endured over the last many years, this lower cost alternative is even more important.

An appropriate question to consider is: “Are dermal fillers safe?”

Fortunately, there is a substantial amount of data and an extensive history of their usage. An article recently published in JAMA – Facial Plastic Surgery clearly delineated the risks and their rate of occurrences. This retrospective study evaluated the combined results of two physician’s practices over a five year period that involved a total of 2089 dermal filler injections. Of this total, 1047 were of hyaluronic acids (Juvederm® and Restylane®) and 231 were calcium hydroxylapatite (Radiesse®).

What were the findings?

Over the 5 year period, there were only 14 complications of which 7 were nodules (firm lumps) or inflammation and 4 were infections. When categorized by injection material, the complication rate associated with Juvederm® and Restylane® was a microscopic 0.2% while the Radiesse® was at 2.6%. There were no disastrous issues. These numbers would be adversely affected by less-skilled, poorly trained injectors.

So, when compared with facelifts and other invasive plastic surgery procedures of the face, the complication rates associated with the dermal fillers are very low AND there is essentially no down time. Of course, Juvederm®, Restylane® and Radiesse® are not intended to be replacements for facial rejuvenative surgery. Instead, they can serve either as adjuncts to these surgical procedures or as more affordable, less invasive choices for those who want to look better but who don’t want or need or aren’t in the financial position to pursue the surgery options.

For more information on dermal fillers such as Juvederm®, Restylane® and Radiesse® or on any plastic surgery procedure that I perform, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

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A Message Regarding Coronavirus/COVID-19

As always, our highest priority is to ensure YOUR safety and well-being.

With coronavirus/COVID-19 still a health issue, we want you to know that we are continuing to take extreme infection control measures in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. This also means that only patients will be permitted to come into our office and everyone will have their temperature checked.

In an abundance of caution, we are requesting that if you are experiencing a fever, cough, chills, fatigue or any type of respiratory illness, please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment. You may also want to contact your healthcare provider for further evaluation.

We do offer Virtual Consultations and Telemedicine through doxy.me. This is best used for specific situations including postoperative questions and as a substitute for some postoperative office visits relating to certain procedures. However, if you are planning to proceed with surgery, an in-office evaluation will be required.

We are all in this together and really appreciate your cooperation. If you have any questions, please feel free to contact us by phone or email.