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1250 South Tamiami Trail, Suite #302
Sarasota, Florida 34239
Monday, 28 March 2016 17:10

Which Fillers Look the Most Natural?

FillersThis is a question I hear all the time.  It’s an understandable question, especially since some fillers tout their “natural” look in ads.  There are differences among the various fillers, but with rare exceptions, how natural they look has almost nothing to do with the filler and everything to do with the technique of the doctor injecting the filler.

Every face is different, and most faces are different from one side to the other.  That’s why it’s absolutely imperative that your physician has an artistic eye, a passion for detail and the thorough, in-depth knowledge of facial anatomy that come only with years of training. 

Also, some fillers work better in one part of the face, while another may be more appropriate for another part of the face.  That’s one of the reasons why we may use different fillers on the same face in different areas.

A major difference among fillers is their longevity.  Fillers can last a few months, many months – and up to many years.  Some fillers are essentially permanent, and they require faultless technique and an eminently conservative approach.   However, when done properly and with an eye to future structural changes in the face, they can be a godsend to people, particularly after trauma.

So remember, the soft, natural and beautiful improvement that we can have with the optimal use of fillers is all about the knowledge, skill, artistry and integrity of your doctor.  The claims of a more natural look by ads trying to sell you their own brand is, to put it kindly, a bit misleading.

Published in Blog
Monday, 11 July 2016 08:31

Jowls: Facelift or Fillers?

liftWhat to do about those dreaded jowls??
Early on, they’re often caused by volume loss in the face, especially some of that 20% of skull mass that we eventually (and quite normally) lose over our lives.  This is how it works:
There’s a little ligament, about ½ inch wide, on each side of the chin just where those “marionette lines” form.  It’s very tight between the bone and the skin – and it stays tight as our skull starts to become smaller, a process that generally begins after about age 25.  This is mostly what creates that first indentation of a marionette line and also the indentation on either side of our chin at the jawline that makes the area just next to it look like a jowl.  This is what we call a “pseudo-jowl” and it usually can be smoothed out nicely with a filler. 
As we proceed to age not only does that process continue, but we also accumulate some fat at the jowl, and other tissues stretch and slide down to form a real, live standard issue, pseudo-no-more jowl.
Sometimes people attempt to keep filling the indentation up as the jowl enlarges.  That’s when the face can look boxy and distorted – we’ve all seen it – because the actual cause hasn’t been addressed. This is when gravity has superseded the volume loss issue and a facelift is indicated.  The volume still needs to be addressed or people can look windblown, but the important thing is for your doctor to know the difference, address the proper condition and do it safely, skillfully and with artistic vision.

If you need help deciding between a facelift or fillers, click here to contact us for an appointment.


Published in Blog
Monday, 14 April 2014 20:24

Product Description: Artefill

A long lasting filler with immediate results. It works with your body's own collagen to give volume that will last years instead of months. artefill

For people who tend to "burn up" filler, Artefill offers a solution for both needle- and credit card-fatigue. This revolutionary volumizer has been around in its present form since 2006, but I have been watching it all these years to make sure of its safety profile.

Twenty per cent of each syringe-full of Artefill is made up of microspheres -- each one being 40 thousandths of a millimeter in diameter -- of polymethylmethacrylate (known by its acronym, PMMA). PMMA is an inert substance that has been used for decades in medicine, for instance in bone glue and the intraocular lenses that are put in the eyes at the time of cataract extractions.

The other 80% is bovine (cow) collagen, which is what most collagen injections were made of back in the 90's. The reason we don't use bovine collagen anymore as a filler is because it doesn’t last more than a few months.

However it has an ionic charge that suspends the PMMA microspheres the perfect distance from each other while they stimulate the body to form its own collagen around them. PS: For those of us who try to live cruelty-free, I've been assured by the company that the collagen is procured from trimming the hooves of this closed herd of cows - a pedicure, if you will.

For those of you who seem to metabolize away anything, take comfort in knowing that 20% of each Artefill treatment just can't be metabolized, so you get to keep it. Some people ask for multiple sessions over time so that the percentage of filler they retain becomes more and more of the entirety of the volume they want.

Published in Blog

Dr. Barbour,


I'm so very happy with the results of my fillers! You took several years off my appearance. I want to look at myself in the mirror again and my self-confidence has been raised to a new level. An added bonus: my make-up goes on a lot smoother!


Thanks so much,

Donna J. Perry


dr barbour

Oculofacial Plastic Surgeon,
Sarasota, Florida

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