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Dermal Fillers and Volume Enhancers for Facial Rejuvenation

Brennan, Connie RN, CPSN, CPC

doi: 10.1097/PSN.0b013e3182a5df0d

Minimally invasive injectable dermal fillers and volume enhancers for facial rejuvenation are effective tools in the aesthetic provider's armamentarium to combat the ravages of aging. The anatomy of facial skin, fat, and bone and how these key structures change with aging is provided. This article focuses on the Food and Drug Administration–approved products for use in the United States market. A review of the polymeric characteristics, strengths, limitations, history, mechanism of action, when, where, and how to use each class of dermal filler/volume enhancer is intended to aid the aesthetic provider in clinical decision making. Practical techniques of how to treat clients with dermal fillers/volume enhancers, what to watch for in terms of adverse events, and how to address potential adverse events are discussed to ensure that the aesthetic provider is well informed and equipped to deliver optimal clinical outcomes with these impactful products.

Connie Brennan, RN, CPSN, CPC, is currently the Director of Medical Aesthetic Education at the Center for Advanced Aesthetics at Life Time Fitness and the President/Founder of Aesthetic Enhancement Solutions, LLC. Connie is a licensed registered nurse in 10 states and has earned advanced certifications in aesthetic injectables, laser physics/safety, laser resurfacing, skin care, sclerotherapy, and perioperative nursing over the course of 25 years in aesthetic medicine. Connie has worked as an expert alongside the ASPSN task force in creating the first Certified Aesthetic Nurse Specialist Exam.

Address correspondence to Connie Brennan, RN, CPSN, CPC, 5905 Troy Lane, N, Plymouth, MN 55446 (e-mail:

The Author is a Consultant to Allergan, Inc., Medicis Aesthetics/Valeant Pharmaceuticals, and Nordson Micromedics, Inc.

Copyright © 2013 by American Society of Plastic Surgical Nurses