Dermal Fillers


What are Dermal Fillers?

Dermal fillers based on hyaluronic acid gently replace what has been lost in the skin due to the aging process. Hyaluronic acid is a sugar compound that occurs naturally in the human body, aiding in the lubrication of joints and eyes, and moisturizing the skin. Although the body produces this acid naturally, production diminishes with age, and the skin shows signs of sun damage, stress, and other factors. Applying hyaluronic acid in areas where lines and creases have formed fills lines immediately while also encouraging ongoing production for months of beauty.

Beginning at about age 30, men and women lose approximately one teaspoon (that five ml or the equivalent of five syringes) of volume – fat, muscle, bone, and collagen – from the face annually. Your skin doesn’t stretch or get loose; you simply lose some of the infrastructure that keeps it in place. By the time you are 40 or 50 years old, it becomes noticeable. As your face begins to deflate, you look drawn. Lines and wrinkles appear. In these cases, dermal fillers can be a terrific solution.

You can hear Dr. Bucay discuss fillers for facial contouring with Dermcast.TV here.

Benefits of Facial Fillers

While most of these products were originally approved as “line fillers,” in the hands of a trained, experienced dermatologist they are extremely effective in replacing lost facial volume to restore a natural foundation for your skin.

Dermal Fillers | Facial Fillers | San Antonio TX

What to Expect During Treatment

This treatment can take anywhere between 15 to 30 minutes in duration, so be prepared to sit still for a little while! The injections are performed with small amounts of filler applied in specific locations on the face. Dr. Bucay will utilized a very small needle to perform these injections.

Do not worry about pain; injections are reported to feel like small pinches. However, you will have the option to have a topical anesthetic applied prior to your procedure.


Facial Filler Recovery

After the procedure, some patients report a redness or swelling in the treatment area for a period of 1-3 days. While rare, bruising can occur in some cases, and if it does occur it will typically resolve within one week.

Be sure to stay away from Vitamin E products or aspirin based painkillers. Consuming either can lead to increased bruising to the treated area.

Results of dermal fillers are usually visible right away. You should notice a more plump, youthful look to your face. Most fillers can last from 6 months to a year in terms of results.



Bucay Center for Dermatology & Aesthetics is proud to announce the arrival of Restylane Refyne


Restylane, Juvederm, and Belotero

Products with brand names like Restylane, Juvederm, and Belotero are composed of hyaluronic acid, a sugar derived compound. This stable, bio-identical form of HA is created in a medical laboratory; not derived from animals, so there is little risk of allergic reaction. It is just like the HA that keeps skin supple, lubricates joints, and comprises eye fluid. HA has the amazing property of holding 1,000 times its weight in water. As you age, your body produces less HA, contributing to the development of wrinkles around the nose and mouth (called nasolabial folds) or “marionette” lines that run from the corners of the mouth to the chin. Hyaluronic acid fillers can significantly reduce the appearance of these wrinkles. Usually only one injection session is needed for amazing results.


Radiesse is a biocompatible calcium hydroxylapatite gel. It replenishes volume immediately, and stimulates gradual collagen production to give skin additional structure. Radiesse yields natural looking, long lasting results.


Facial Fillers San Antonio TX | Skin RejuvenationDr. Bucay finds Sculptra Aesthetic’s poly-L-lactic acid formulation to be one of the most effective injectable fillers, or more precisely, a biostimulator. She even uses it on herself! The main ingredient is a powdered form of the material used for absorbable sutures. Sculptra is for the “patient patient” – injections trigger the body to produce natural collagen, discreetly over time. These results are long lasting, making Sculptra ideal for temples and cost effective anywhere a larger amount of volume replenishment is needed.

Skin tightening techniques such as Pellevé and Ultherapy can further enhance the results of Sculptra.


LaVív by Fibrocell Science is the latest advancement in dermal fillers. We take a small biopsy from behind your ear. At a laboratory tissue bank, millions of your own bio-engineered cells are grown. In a series of three treatments, this tissue is injected to create more collagen. Enhancement is very long-lasting.

Schedule a Consultation

Dr. Bucay applies her experience to revitalize your existing features. Ethically and artistically, she refuses to give you what Mother Nature did not – it would result in an unnatural appearance. Her patients look refreshed and rejuvenated, not “done.”

Call Dr. Vivian Bucay at (210) 692-3000 in La Casita or (210) 370-9995 in Sonterra to schedule your rejuvenation consultation!

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