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No one can avoid aging and its effects. Wrinkling saggy skin, creases and deep lines in the face are unavoidable symptoms of aging. We would all love to look young and beautiful for as long as possible. Gone are the days when the only solution was surgery. Today you can get rid of your wrinkles and lines without anesthesia or “going under the knife.” There are many types of injectable fillers in Columbus that are effective in re-contouring the face. To learn more about your non-surgical options for rejuvenating your appearance, reach out to our team today.

What are Facial Fillers?

Facial Fillers are collagen materials injected into the skin for aesthetic reasons. They are a soft injectable gel that is based on hyaluronic acid which exists naturally in all living things. Hyaluronic acid helps in transporting nutrients to the skin. It plays the role of lubricant and shock absorber in joints. It also plays an important role in maintaining the water balance in the body. Dermal fillers resemble the natural hyaluronic acid present in the body. Facial (Injectable) Fillers can be classified into various types depending upon the main component used.

  • Volbella XC
  • Vollure XC
  • Voluma XC
  • Ultra Plus XC
  • Ultra XC

Our Columbus plastic surgeon will work with you to decide which type of facial filler is suitable for you.  We take into account various factors like age, skin texture, condition, etc. before recommending the course of action. Choosing the right medical professional is of paramount importance if you want to get the maximum results with the minimum of side effects.


RHA® (Resilient Hyaluronic Acid) is the only FDA authorized hyaluronic acid filler for helping reduce wrinkles and folds drastically. The filler is a clear injectable gel that corrects facial wrinkles. The RHA Collection is formulated to keep your facial movement and create a naturally youthful look. This filler was created to closely resemble the natural hydraulic acid found in your skin.

Folds and wrinkles appear in locations of the face that move repetitively. Micro movements such as scrunching of the nose and eyes, frowning, laughing, and talking cause wrinkles and folds. These imperfections can be difficult to treat because other facial fillers may create the location to look unnatural and stiff. The RHA Collection is the latest filler to adapt to your facial movement, designed for your face to be flawless in motion.

Check out the results of patients who have been treated with the RHA® Collection of fillers. The before and after photos are striking!

Please schedule a consultation with Dr. Bernacki at Ohio Plastic Surgery Specialists to determine if RHA® fillers are suitable for you.


Juvederm is one of the hyaluronic acid based Facial Fillers. It is an FDA-approved treatment. It is developed by using Hylacross technology. This technology is helpful in producing soft and smooth gel. The soft and smooth consistency of the gel makes sure that the gel flows freely into the skin. It is formulated with local anesthetic lidocaine to reduce the discomfort of the patient. Lidocaine creates numbness in the area within a few seconds. This prevents the need for use of additional anesthesia. Juvederm adds volume to lift and contour the face. While it remains for a longer period of time it is not permanent.

Juvederm is safe to use, but it should be avoided in people who have a history of severe allergies like allergies to gram-positive bacterial protein etc. It should not be injected if the patient has an infection in the area to be injected. It is not advisable to pregnant and lactating women. There are no severe side effects to Juvederm. There may be redness, pain, bruising or tenderness in skin for a few days ranging from 1-7 days.

The Juvederm family of fillers includes:

  • JUVÉDERM VOLUMA® XC: the first and only FDA-approved filler to correct age-related volume loss in the midface for up to 2 years. Corrects age-related volume loss in the midface for lift.
  • JUVÉDERM VOLLURE™ XC: the first and only FDA-approved filler to correct moderate to severe facial wrinkles and folds for up to 18 months. Adds subtle volume to smooth moderate to severe facial wrinkles and folds
  • JUVÉDERM® Ultra Plus XC: a highly cross-linked gel with distinct formulations for filing moderate to severe facial wrinkles and folds.
  • JUVÉDERM VOLBELLA® XC: the first and only filler FDA approved to increase lip fullness and correct perioral lines for up to 1 year. Softens the appearance of perioral lines and adds subtle volume to the lips.
  • JUVÉDERM® Ultra XC: the first and only filler FDA approved to increase lip fullness and correct moderate to severe facial wrinkles and folds for up to 1 year. Used to plump the lips and correct moderate to severe facial wrinkles and folds.


Restylane is also made from hyaluronic acid. The difference between Restylane and Juvederm is that the latter is used to lift and contour the face and Restylane is used to get rid of moderate lines and wrinkles in the face. Restylane was approved by FDA in the year 2003. It is most recommended for people in the age group between 35-60 years.

Restylane is a clear liquid non animal-based gel. The injection is administered in our office under local anesthesia. It does not contain lidocaine and it can sometimes be more painful than Juvederm. However, the duration of the treatment is only a few minutes. It is a quick and easy office visit procedure.

Our Restylane patients resume normal activities immediately, provided they do not expose their face to sunlight. The treatment has produced positive results in 80% of the people. It is not a permanent treatment and follow-up treatment may be needed after a year or two to maintain your results.

The common side effects of Restylane are redness and pain in the injected area, nausea, and flu-like symptoms. These symptoms will recede in a few days. If the symptoms persist for more than a week or if the pain is unbearable, doctor’s attention should be sought immediately.

Restylane Silk

Restylane Silk FAQs:

Q: What is Restylane Silk?

A: Restylane Silk is a brand new dermal filler, from the makers of Restylane. It is a unique, silky smooth formulation of hyaluronic acid that will subtly enhance lips and treat lines around the mouth in patients over 21 years old.

Q: What is the difference between Restylane and Restylane Silk?

A: Restylane Silk has all the benefits of regular Restylane, with the added bonus of 0.3% lidocaine. The addition of lidocaine, a local anesthetic, means the virtual elimination of discomfort during any Restylane procedure.

Q: How long does a Restylane Silk procedure take?

A: The injection is administered right here in our office. The duration of the procedure can take anywhere from five to thirty minutes, depending on how many areas of the face are to be injected. It is a quick and easy office visit.

Q: How long does it take to see results and how long do they last?

A: Most patients will see results immediately, although it may be a couple of days before you will see full results. While results depend on the patient, Restylane Silk can last from six months to one year.

Q: What are the side effects of Restylane Silk?

A: Restylane Silk is an extremely safe procedure with only minimal side effects. After the treatment, you might notice some swelling, redness, pain, bruising, or tenderness. This is typically mild in severity and normally lasts a couple of days.

Q: Does the Restylane Silk procedure require much downtime?

A: No, there is minimal downtime required. There may be some temporary swelling or numbness, but this will typically disappear after only a couple of hours.

Q: Is Restylane Silk allergy tested?

A: Allergy testing is not needed for Restylane Silk, a hyaluronic acid filler. Hyaluronic acid filler is found naturally in your skin, connective tissue, and joints. Allergic reactions are very unlikely. This procedure treats all skin types.

Q: Can you combine this product with other anti-aging techniques?

A: Yes, you may have additional filler or Botox on the day of your Restylane Silk treatment. However, as with any filler treatment, all laser treatments, peels, or microdermabrasion should be spaced two weeks apart from your Restylane Silk treatment.

Q: When should I schedule a follow-up appointment?

A: After your initial treatment, it is best to return for a follow-up appointment in 1-2 weeks.


Radiesse is another FDA approved Facial Filler. It is a non-toxic and non-allergic filler injection. Radiesse is a compound of calcium hydroxyl apatite microspheres. It consists of calcium and phosphate ions that exist naturally in the body. It also contains carbon, hydrogen, oxygen, glycerin and sterile water. The procedure is done in our Columbus plastic surgeon‘s office and will not take more than 15 minutes. Our patients can go home immediately. Radiesse results start to show in a week and the effects of the injection remain for more than two years. Follow up treatments are needed to maintain the benefits of Radiesse.

While there are no general side effects there may be mild swelling and redness in the region for a day or two. Intolerable pain must be reported to the doctor immediately.


Restylane-L® is a crystal-clear injectable gel composed of hyaluronic acid, a natural substance that already exists in the body. Restylane-L is non-animal-based and free from animal protein. Allergy pretesting is not necessary. Restylane-L contains 0.3% lidocaine. The lidocaine in Restylane-L has been added to reduce the discomfort associated with the treatment.

Restylane-L is injected into the skin with an ultrafine needle to plump the skin to smooth away wrinkles and folds such as the lines from your nose to the corners of your mouth (nasolabial folds) or into your lips for patients over the age of 21 for lip enhancement.

Restylane-L effects generally last about six months and gradually disappears from the body.

Restylane Lyft

Over time, natural fat begins to deteriorate, resulting in sagging skin, more prominent wrinkles, and a reduction of volume. Restylane Lyft, formerly known as Perlane-L®, is an injectable hyaluronic acid gel used to correct volume loss and treat wrinkles in the face and hands. Through nonsurgical injections, Restylane Lyft is specifically designed to add fullness to the cheeks, midface area, and the back of the hands to help complete your aesthetic look — for face and hands.

Restylane Lyft is the first and only hyaluronic acid filler FDA-approved to treat your face and hands. Help complete your aesthetic look with natural-looking volume in your cheeks and hands for a smoother, fuller appearance. Restylane® Lyft is a safe, effective and dissolvable HA filler. Treatment can be administered in your hands and face at the same appointment — and can result in a more youthful-looking appearance.

Discuss Injectable Fillers in Columbus During an Initial Consultation

To learn more about your options for injectable fillers in Columbus, give us a call at Ohio Plastic Surgery Specialists. We will listen to your goals and help you understand which procedures could be a good fit for you.