Fillers fill. That’s what they do. When a crease or fold is created by laxity because of age or heredity, fillers ‘fill the gap’ between the immediate problem and a surgical cure. Are fillers temporary? Sure, but that’s a good thing, because the proper filling volume and placement in early 2007 may not be proper in 2010. So the temporary duration of fillers, such as Restylane® is advantageous, not disadvantageous.
The alternative to filling creases is using Botox Cosmetic to prevent the lines from forming in the first place. This is usually my recommendation for lines and creases from the cheekbones upwards. Botox® impairs the muscles that cause lines and as a result, the lines fade into memory. Botox® is one of the most common plastic procedures performed today.
There are other fillers besides Restylane®. They include your own fat, Radiesse®, Juvederm®, Captique, Hylaform, collagen, Dermologen, silicone and others. Which one is best for you? I’d have to examine you to say. But often times the patient’s own fat, another Hyaluronic Acid Filler or collagen (a protein) are recommended. The duration, reliability and side effects of all the alternatives are always discussed.