Wrinkle and skin fillers have been around for years, but many of the products in the past have been very short lasting or even unsafe like silicone injections (silicone injections are illegal but can still be found at underground filler parties).  Lately there have been some great advancements in the lip and wrinkle filling field – hyaluronic acid.  Hyaluronic acid is an actual compound that exists in the human body, so there are no allergies, immune system problems or undesirable long term side effects.  It is also very long lasting (one treatment lasts up to six months before needing to be repeated) and relatively cheap in comparison to other treatments at around $400 to $600 per treatment (its still considerably more than a TCA peel which can be bought for in home use at around $30).

To properly talk about wrinkle fillers like hyaluronic acid, we must first discuss what causes the wrinkles themselves.  Wrinkles can be caused by numerous things like natural aging, UV damage caused by too much sun (this is more prevalent in sunny areas like Florida and Arizona and it can actually make a 20 year old look like a forty year old), smoking, and dehydration or improper hydration, etc…  Basically a wrinkle is caused by a loss of pliability, thinning of the skin and hydration which causes sagging and fallows.  This sagging will tend to accumulate at certain points and cause a wrinkle.  Wrinkles can be big and pronounced like forehead wrinkles or they can be fine and small like crows feet at the sides of the eyes. 

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The sun (UV damage), smoking and even regular wind and cold exposure (seen in Indians and Eskimos) can cause thinning of the skin and loss of pliability or hydration.  Now, treatments for this thinning and less pliable skin can consist of moisture rich creams and emulsions that when applied plump up the skin and cause it to temporarily thicken and hydrate.  This makes it look like the wrinkle has gone away.  But this is only very temporary.  As soon as the cream wears off or is washed off the skin will go right back to its sagging and aged looking state.  Regardless what the TV ads say, products that are applied to the exterior of the skin (except for TCA peels) will only have a very minimal and temporary result (usually 4-6 hours at best).  To get a long lasting result, a sort of injectible filler must be introduced subcutaneously to the afflicted area. 

Hyaluronic acid is special in that it is an extreme moisturizer and holds over 1,000 times its weight in water.  This will not only fill the low lying areas that cause wrinkles, but plump them up and make it look more natural without the hard mass lumps that can be felt and even seen with opther fillers.  Due to these properties of bio-similarity (hyaluronic acid is already found in the human body), and its ability to moisturize and hold water make it the most ideal and longest lasting filler currently on the market.  And it does not work by paralyzing muscles like Botox (which only lasts 1-2 months).  Hyaluronic acid has also seen a lot of use as a lip filler for people wanting fuller more rounded lips.  The main name brand is Restylane and they even have different types for shallow or deeper injections.  This will help ensure the desired outcome.  Restylane injections (just like TCA peels) can be found at most dermatologist and plastic surgeon offices.