Dermal Fillers
What are injectable dermal fillers?
Injectable dermal fillers are injectable gels made from naturally-occurring substances, including collagen and hyaluronic acid. Dermal fillers are injected just under the skin in order to add volume to aging skin, lips and to fill and lift wrinkles and folds. Dermal fillers add volume for a more natural youthful appearance.
The majority of dermal fillers contain hyaluronic acid as their main active ingredient. Hyaluronic acid based dermal fillers include Restylane and Juvederm. Hyaluronic acid is a natural component of the skin.
Injectable dermal fillers are used to fill wrinkles, lines, folds, and scars (eg. acne scars). Dermal fillers are also commonly used to give a fuller appearance to the lips.
The most common areas treated with injectable dermal fillers are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, and acne scars.
The skin is made of two layers, an outer layer called the epidermis and an inner layer called the dermis. The area between these two layers contains a jelly-like substance called hyaluronic acid. When we are young, our skin contains plenty of hyaluronic acid. However, when we age the hyaluronic acid between the layers of our skin diminishes. This decrease in hyaluronic acid causes the skin to lose its natural volume and fullness and creates wrinkles or folds. Dermal fillers replace the natural hyaluronic acid and add volume and firmness to the skin.
Before the procedure begins, some clinics and most patients prefer to numb the face with a topical anaesthetic cream. If the procedure is for lip augmentation, anaesthetic injections can be used.
During the procedure, the dermal filler gel is applied under the skin in tiny amounts using a very fine needle. The procedure can be uncomfortable.
The dermal filler treatment procedure can take up to an hour to complete. However, most treatments only take 5 to 10 minutes.
If the procedure is on a smaller area many people can resume their regular daily activities right away. If larger areas are treated longer recovery times may be required, up to a couple of days. The gel produces volume under the wrinkle, which is lifted up and smoothed out. When enhancing lips or facial contours, Fillers add volume and shape to the treated area.
Cosmetic procedures involving dermal filler treatments are usually very quick and easy. Most dermal filler treatments take from 5 to 30 minutes. The time to complete the procedure differs somewhat, depending on the type and extent of the correction that you wish to have performed.
This answer to this question depends on the person. Some people have much more sensitive pain responses compared to other people. The level of discomfort also depends on the areas being treated. Treatments around the lips and nose tend to cause the most discomfort. The use of topical anesthetic creams or ice packs before the procedure can greatly reduce the level of discomfort.
The results of a dermal filler procedure can be seen right away. The results do tend to improve for a few hours after treatment.
The Results obtained with dermal fillers typically last 6 to 9 months. The results may last up to a year in some people. How long results last varies from person to person. Dermal fillers are gradually broken down and absorbed by the body, so the lines, wrinkles or lips will ultimately return to their previous appearance without follow up treatments.
Some side effects of dermal fillers include:
Hyaluronic acid: (Restylane, Perlane, Juvederm, Juvederm Plus) The synthetic hyaluronic acid dermal fillers are the most common fillers in use today. If you see the term NASHA, this stands for Non-Animal Stabilized Hyaluronic Acid. The hyaluronic acid products used today are made by genetically copying human hyaluronic acid.
Fillers can be used for smoothing out folds and wrinkles, lip enhancements and shaping facial contours. Commonly treated areas are the nasolabial folds (from the root of the nose to the angle of the mouth), the glabellar lines (between the eyebrows), the droopy mouth corners, and thinning lips, although other sites can also be treated.
You should expect to see some redness and swelling. This is quite normal with dermal filler treatments. If you are having a lip augmentation treatment done with dermal fillers your lips may be swollen for a few days afterwards.
Juvederm and Restylane fillers utilized by all doctors in-house.
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