Injectable Facial FillersDr. Cook and the Whole Beauty® Institute hold over 15 Years of Experience with Three-Dimensional Facial Voluminization.
Injectable Fillers to Restore Soft Facial Curves and Reduce Creases
Under the direct guidance of Dr. John Q. Cook, the experienced clinical team at the Whole Beauty® Institute maintains a leadership position in the field of injectable filler rejuvenation.
We offer our patients a wide range of techniques and filler materials so that we can tailor a treatment plan that suits each patient’s needs and aesthetic preferences.
Hyaluronic Acid (HA) fillers are available in a wide range of consistencies, so that we can use different fillers for different purposes. Just as a structural engineer or architect selects different materials for the foundation of a house than she would use for ornamental surfaces, we make use of different HA fillers for different levels of the face.
Our portfolio of HA fillers includes: Voluma®, Juvederm®, Juvederm Ultra®, Restylane®, Perlane®, and Belotero®.
Due to our extensive experience with each of these fillers, we know the best application of each one.
We also make use of stimulatory fillers, which trigger the body’s own repair mechanism to restore volume in hollow areas. Radiesse® and Sculptra® have specific uses in our practice.
Over 15 years ago Dr. Cook realized the potential of fat transfer to restore deep facial volume. The technique of facial fat transfer that he developed serves as the reference point for all of our techniques of facial volume restoration.
Patients Who Come to the Whole Beauty® Institute for Injectable Fillers have Three Advantages
The first advantage that we offer is Dr. Cook’s extensive experience with fat transfer to restore volume in all areas of the aging face. He has transferred this experience to rejuvenation with the HA fillers and taught these techniques to his clinical team. Patients who come to us for injectable fillers benefit from Dr. Cook’s 15-year experience with facial volumization. Many clinicians in the United States have only recently developed a familiarity with the use of blunt cannulas for injecting facial fillers, but for our team this is an established and fundamental technique.
The second advantage is the long experience that our team has with injectable fillers. Dr. Cook understood the potential of fillers such as Restylane and Sculptra before they were available in the United States. By traveling to Europe he was able to learn the techniques of leaders and to get a sense of the best applications of different filler prior to their introduction in the United States. Our patients obtained the benefit of Dr. Cook’s experience when these fillers achieved FDA approval. Since that time we continue to monitor each new filler as it comes to market, so that we can define its best use. The third advantage is the highly developed sense of beauty that Dr. Cook has developed over his lifetime.
It takes many years to develop an aesthetic framework, but once it is achieved it is enhanced through careful study of great art, whether a painting by Caravaggio or an Avedon photograph of an interesting face. Coupled with this sense is a strong bias toward naturalistic results, and our clinical team shares this bias.
Hyaluronic Acid Fillers are Versatile, Soft, and Reversible
Patients at the Whole Beauty® Institute benefit from a growing array of hyaluronic acid fillers. HA is a simple sugar molecule that forms long strands that can be connected to each other with bridges that are known as cross-linking.
In general with greater cross-linking and larger particle size comes greater firmness, which can be useful particularly for deeper volume restoration in areas such as the cheek and temple. One the other hand, relatively “thin” formulations of HA can be useful for finer surface lines. Intermediate thickness HA fillers work well for filling in hollows under the surface of the skin, such as below the corner of the mouth or the crease between the upper lip and the cheek (nasolabial fold).
We have found that each filler has specific mechanical and handling characteristics that make it well-suited for specific applications. For this reason we offer our patients a complete portfolio of HA fillers from several manufacturers. We have extensive experience with each of these fillers. This allows us to design a custom portfolio of products that specifically suit each individual patient’s needs.
One advantage of HA fillers is that they are reversible. An enzyme known as hyaluronidase can be injected into an area where HA has been placed, and the filler will dissipate.
Patients are also reassured when they learn that HA is a natural part of the body’s structure. It is present in the deeper layer of the skin and makes the skin moist and supple. One reason that aging skin thins out is that HA content diminishes as we age.
Stimulatory fillers work by turning on the body’s repair process, so that cells that produce collagen go into overdrive. This can improve the texture of the overlying skin and fill in hollow areas.
Sculptra® Restores Fullness to Hollow Zones of the Face
Sculptra® is a suspension of poly-L-lactic acid, a material that has been used in medical applications for decades. When injected under the skin or in deeper locations it stimulates the body’s natural repair mechanism so that collagen is formed. This can soften creases and fill in hollow areas.
Several treatments 4 to 6 weeks apart are necessary and the results last for the better part of two years in most people. Often patients return for refresher treatments around 18 months after the original treatment.
Areas where we have found Sculptra® helpful include the cheeks, the chin, the temples, and the hollow area that may develop in front of the ear.
Sculptra® is best suited to patients who appreciate subtle, naturalistic effects. Unlike other fillers it will not provide immediate correction, since the fluid in which it is suspended is quickly absorbed. Sculptra® provides a progressive gradual rejuvenating effect that takes 6 months to fully express itself. This can be an advantage for a patient who desires a very discreet rejuvenation.
Radiesse® is an injectable filler that is made up of tiny spheres of calcium hydroxylapatite floating in a gel carrier. The spheres and the gel provide an immediate fill to the area. They also provide a scaffolding into which fibroblast cells migrate. The fibroblasts are stimulated to produce collagen, which gradually replaces the spheres and the gel. Results typically last 12 to 18 months.
We have found Radiesse® to be useful for restoring volume in the cheek and temples and for softening deep expression lines.
Radiesse® works very well in the hands. As people age, the skin on the back of the hands becomes thinner. This makes the deeper structures of the hands much more visible. If a patient has undergone facial rejuvenation surgery, her hands may look considerably older than her face. Injection of Radiesse® under the skin of the hands leads to a more youthful and supple appearance of the skin of the hands. This allows the hands and face to have a similar look.
Facial Fat Transfer is the Ultimate Filler
For over 15 years Dr John Q Cook has incorporated fat transfer into his facelift surgeries. Dr Cook was ahead of most of his peers when he realized that lifting alone only solved half of the problem of the aging face. For many patients the loss of fat in key zones such as the cheek, the temple, the chin, and the framing zone around the lips must be addressed if a rejuvenation is to be complete. It makes sense to replace the missing fat with a patient’s own fat, especially if there is a zone of excess fat somewhere in the body.
Fat transfer can also be done by itself in both our Chicago and Winnetka offices. The procedure involves a gentle liposuction from a zone of excess fat, concentration of the fat, and injection of the fat through microcannulas. Fat is in many ways the most versatile filler available.
Over the years Dr. Cook developed techniques for the reliable transfer of fat to all major zones of the face. These techniques serve as the basis for our methods of facial volumization with injectable fillers at the Whole Beauty® Institute.
For many of our patients facial fat transfer is the foundation on which all other injections are based. One common pattern is for the patient to have a fat transfer every few years supplemented by other injectable fillers between the fat transfers.
Permanent Facial Fillers
Over the years a number of materials have been marketed as permanent fillers for the face. Examples include medical grade silicone and polymethylmethacrylate microspheres.
We have avoided the use of these materials at the Whole Beauty® Institute for several reasons.
Since these materials are permanent, they become a very difficult problem if they are ever infected.
As the face ages, these materials may move to locations that are undesirable. As knowledge of medical aesthetics continues to advance patients are locked in to what may have become an outdated treatment method.
A Comprehensive Facial Evaluation Is the Starting Point for Treatment with Fillers at the Whole Beauty® Institute
Patients who come to the Whole Beauty® Institute benefit for a comprehensive facial evaluation. We review all aspects of your health and activity patterns as well as any treatments you may have previously experienced. We discuss your goals and provide individualized solutions that respect your natural identity.
All of our treatments follow the artistic principles and techniques of Dr. John Q. Cook, a recognized leader in aesthetic plastic surgery.