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Dermal Filler Injectable Treatments

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Dermal fillers are a popular cosmetic treatment designed to rejuvenate and enhance facial aesthetics without the need for surgery. These injectable substances work by filling in wrinkles, fine lines, and deep creases, as well as adding volume to areas that have lost it due to aging. Dermal fillers can also be used to contour the face, define lips, and improve the appearance of scars. Made from various substances, including hyaluronic acid, calcium hydroxylapatite, and poly-L-lactic acid, dermal fillers are chosen based on the specific needs and goals of the patient. Safe, effective, and minimally invasive, dermal fillers offer immediate results, helping individuals achieve a more youthful and refreshed appearance with minimal downtime.

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Personalized Breast Implant Surgery with Dr. John Aker and Dr. Di Beckman—Breast Implants Designed Around Your Shape, Proportions, and Goals

Whether you want to restore fullness or enhance your proportions, breast augmentation can be tailored to your desired outcome and unique anatomy. At My Plastic Surgery Group, Dr. John Aker and Dr. Di Beckman provide personalized breast augmentation for patients in Carmel, Indianapolis, and throughout Central Indiana.

From implant selection to surgical technique, your procedure is carefully planned around you. Options include our Hidden Scar Breast Augmentation technique, which avoids an incision on the breast, as well as the inframammary fold approach.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that uses implants to increase breast volume. It can enhance small breasts, replace volume lost after pregnancy or weight changes, improve breast proportions, and improve symmetry.

Because every patient is different, your surgeon will consider your breast and chest measurements, existing tissue, skin, lifestyle, and cosmetic goals when developing your treatment plan.

Who Is a Candidate for Breast Augmentation?

Breast augmentation candidates must be in good general health, have fully developed breasts, and have realistic expectations for the procedure’s outcome. Since pregnancy and breastfeeding can affect breast size and shape, patients often choose to wait until their family is complete to undergo this surgery to avoid compromising their results and a potential need for a revision procedure. 

If breast sagging is a concern, implants alone may not provide the result you are looking for. In those cases, your surgeon may recommend a breast lift or discuss combining a lift with augmentation.

A consultation with one of our surgeons is the best way to find out if you are a candidate. In addition to learning about what you want to achieve, answering any questions you may have, and performing an examination, your surgeon will review your health history and medications to determine if breast augmentation is the right option for you.

Unique Approach

Why Choose MPSG for Dermal Fillers?

My Plastic Surgery Group’s four aesthetic providers collectively care for hundreds of patients each year, performing injectables and other aesthetic treatments in schedules that consistently remain in high demand. Our Carmel injectors approach dermal fillers as a personalized facial treatment, selecting the product, amount, and placement according to each patient’s anatomy rather than following a standard injection pattern. Patients from Indianapolis and throughout Central Indiana benefit from the resources of a comprehensive plastic surgery practice whose surgeons regularly evaluate facial balance and aging. This collaborative perspective supports subtle enhancement, balanced proportions, and results designed to complement the patient’s natural features.

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Combination Procedures

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Dermal Fillers Before and After Results

We invite and encourage you to view some before and after photos on our website.

Patient A

Actual Patient | Carmel, IN | Before & After Injectables

Patient B

Actual Patient | Carmel, IN | Before & After Injectables

Patient C

Actual Patient | Carmel, IN | Before & After Injectables

Questions & Answers with Dr. Aker

What are dermal fillers, and what areas can they enhance?

Dermal fillers are injectable products used to restore volume, soften folds, or enhance facial contours. Common areas include the lips, cheeks, chin, jawline, and lines around the mouth.

How long do dermal filler results typically last?

Results may last from several months to more than a year, depending on the filler, treatment area, metabolism, and amount used. Maintenance treatments can help preserve the desired effect.

What is the difference between dermal fillers and Botox?

Dermal fillers add or restore volume beneath the skin. Botox temporarily relaxes targeted muscles that create expression lines, so each treatment works differently.

What should I expect after receiving dermal filler injections?

Temporary swelling, tenderness, redness, firmness, or bruising may occur. Many effects improve within several days, although lip swelling and certain other reactions may take longer to settle.

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The Specifics

Dermal Filler Details

Juvederm

Juvederm is a hyaluronic acid injectable gel that is injected under the skin to smooth out the wrinkles and folds on your face. The results are immediate. It is used to smooth away moderate facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds).
  • The results are seen immediately, and although they vary by individual, can last up to 1 year.
  • As with all injections, you may experience discomfort. To increase your comfort, your doctor will assess your need for pain management and determine what technique is right for you.
  • After the Juvederm injections have been delivered, the targeted regions will be massaged. Massaging ensures that the product is distributed evenly and reduces any post-treatment swelling.

Volbella

Volbella is a Juvederm injectable used to enhance and augment the lips. The aging process can cause lips to become thin and lose definition. Volbella is an effective lip filler that restores definition. Additionally, this filler can be used to resolve perioral lip lines (also called lipstick lines or smoker’s lines).
  • Volbella is a gel with a soft consistency that is often said to resemble the natural feel of the lips.
  • The results of Juvederm Volbella last for around 1 year.

Voluma

Voluma is another specialized injectable in the Juvederm family of dermal fillers. During the aging process, the cheeks naturally lose their youthful volume due to tissue loss from the underlying facial fat layer. This gel filler is used to restore volume to gaunt, hollow cheeks.
  • Due to its cross-linked nature, Juvederm Voluma’s results can last for up to 2 years. Maintenance treatments will be available.
  • This dermal filler is injected at a deeper level in the tissues than many other injectables. Because of this, it contains lidocaine, a local anesthetic, to ensure patient comfort.
  • After the Juvederm injections have been delivered, the targeted regions will be massaged. Massaging ensures that the product is distributed evenly and reduces any post-treatment swelling.

Sculptra

Approved by the FDA in 2004, Sculptra is an incredibly effective injectable treatment for folds, creases, deep lines, and lipoatrophy (facial fat loss). This product stimulates collagen production to gradually create subtle and natural-looking results.
  • While Sculptra is sometimes referred to as a dermal filler, it is more accurately categorized as a collagen stimulator. Rather than creating immediate volume, it creates very natural volume over time.
  • Sculptra is composed of poly-L-lactic acid (PLLA), a substance that encourages natural collagen production.
  • The results of Sculptra can last for up to 2 years.

Skinvive

Skinvive by Juvéderm is a smooth hyaluronic acid (HA) gel that’s injected as microdroplets below the surface of the skin, increasing hydration to improve cheek smoothness.
  • In clinical studies, patients who were treated with SkinVive reported high satisfaction with how glowing, hydrated, refreshed, and healthy their skin looked through 6 months.
  • As you age, your skin loses HA and overall smoothness. Skinvive is a modified form of HA that helps the skin retain its natural moisture, which improves skin smoothness and fine lines of cheeks.
  • One treatment session lasts about 15 minutes on average, and results last up to 6 months.

Revanesse

Revanesse® is a line of revolutionary cross-linked Hyaluronic Acid (HA) dermal fillers optimized to provide natural, long-lasting results.
Revanesse® is a non-invasive aesthetic treatment that leverages state-of-the-art production methods, optimal ingredients and rigorous quality testing to provide remarkable results.

Revanesse® is tried and tested with over 3 million syringes used worldwide.

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Explore Your Dermal Filler Options

Ready to take the next step? Schedule a consultation to discuss your goals, explore your options, and receive a personalized treatment plan designed around your unique needs.

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Breast Augmentation FAQs

How much does breast augmentation cost in Indianapolis?

The price of breast enhancement in the Indianapolis area varies based on the specifics of the procedure. When determining total breast augmentation cost, we factor in the cost of the implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery. A detailed cost estimate will be provided during your consultation once your surgical plan has been created. 

Financing is available through Cherry, CareCredit, and PatientFi for qualified patients.

What is “rippling”?

It is common to feel a slight “crinkly” sensation along the breast fold where the implant comes closest to the surface. In very slender women, there may be visible wrinkling on the skin surface. It is more commonly observed with saline than with silicone gel implants and can occur in different areas of the breast.

Is over-the-muscle or under-the-muscle breast implant placement better?

The breast implant pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker prefers to place the implant behind the pectoral muscle to give the upper breast a more natural slope and graceful appearance.

Will breast augmentation improve sagging breasts?

While limited breast sagging is frequently corrected by breast augmentation, a breast lift may be required for greater degrees of drooping.

What are the most common complications after breast augmentation?

A common short-term issue is temporary changes in nipple sensation. A temporary tight sensation in the armpit may also occur when the endoscopic technique is performed.

Breast implants are not considered lifetime devices and may need to be replaced after 10 to 15 years. Regular follow-up with your surgeon can help monitor your implants and address any issues if they occur.

How do I choose the right breast implant size?

Choosing the right implant size depends on your body proportions and desired outcome. We guide you through the process to ensure a natural, balanced result.

What is the difference between silicone and saline implants?

Silicone implants are filled with a cohesive silicone gel, while saline implants are filled with sterile salt water. We help you select the option that best fits your goals and anatomy during your consultation.

Is it possible to combine breast augmentation with other procedures?

Absolutely. Breast augmentation surgery is frequently combined with tummy tuck surgery or breast lift surgery for a “mommy makeover” to address pregnancy-related changes in breast and body contours.

Do saline implants last longer than gel implants?

The failure rate over time is about the same.

Could I lose nipple sensation after my breast augmentation?

It is very unlikely to permanently lose sensation. It is common to have temporary increased or decreased sensation.

If I gain weight, will my implants look different?

This varies from woman to woman. Some women experience significant changes in breast size with weight fluctuations, while others notice very little change.

I’ve heard my implants might “settle”. What does that mean?

Shortly after surgery, the implants tend to “ride high” due to spasm of the muscle. Over the weeks following surgery, the muscle and breast tissue relax, allowing the implant to descend into a more natural position. This process is called “settling”.

How soon will I be able to return to work?

For less physical job requirements, patients can usually return to work after 3–5 days, while those with more physically demanding jobs may need 5–7 days.

Will my breast implants interfere with a mammogram?

Women with breast implants can continue to have routine mammograms. Because implants can make some breast tissue more difficult to see, additional views or special imaging techniques may be used to obtain a thorough examination. Be sure to let the mammography facility know that you have breast implants when scheduling your appointment so they can plan accordingly.

Will my scars be noticeable after my surgery?

If the endoscopic technique is used, there will be no scar on the breast at all. With the inframammary approach, there will be visible scars in the crease under the breast, though they fade significantly over time.

Can I breastfeed after I have breast augmentation surgery?

Many women are able to breastfeed after breast augmentation. However, it is not possible to predict with certainty how breastfeeding will be affected. Your surgeon can discuss this with you in more detail based on your procedure and future plans for pregnancy and breastfeeding.

Explore Breast Augmentation Options at Our Carmel,
IN Plastic Surgery Practice

If you are considering breast augmentation surgery in Indiana, contact MPSG to schedule a consultation with Dr. John Aker or Dr. Di Beckman at our Carmel office to discuss implant type, size, profile, placement, and incision options. We proudly serve patients from Indianapolis and throughout Central Indiana, including Westfield, Fishers, and Zionsville.