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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

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to 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.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.