With ageing, the loss of fat below the skin,the reduction in its hyaluronic acid, collagen and elastin can cause wrinkles, fine lines and sagging. Dermal fillers are temporary, semi-permanent and permanent substances injected into the skin to smooth wrinkles, stop sagging, make lines less visible, and sometimes add volume to the skin.
How do dermal fillers work?
Dermal filler injections fill out the lines and creases in the skin; give volume to the face to reduce sagging, and fold in the face to sculpt and restore its volume.
Some filler products, albeit temporary, can stimulate collagen production during the period they are under the skin. Thus, since the skin renews itself, the treated area looks much better than it looked before the treatment, even after the filler is dissolved.
How are the dermal fillers done?
Dermal fillers are injected into the wrinkle line, the area which needs reshaping, and the area which is recommended by your doctor in small amounts using a needle or a cannula with a blunt tip. The treatment usually takes between 20-30 minutes. The results are visible immediately after injection.
What types of dermal fillers are available?
Fillers used for aesthetic purposes can be classified as temporary, semi-permanent and permanent.
The most common temporary filler is a hyaluronic acid-based dermal filler. The most common semi-permanent products are calcium hydroxy apatite, polycaprolactone (PCL) and polylactic acid. These fillers can last for 1 to 4 years. Permanent fillers are not preferred due to their side effects.
What are the advantages of hyaluronic acid-based fillers?
Hyaluronic acid is an FDA-approved, safe, natural, and non-animal origin product which gives volume to the injected area. Natural-based hyaluronic acid increases skin moisture, which helps maintain the firmness of a young person's face. With different concentrations of 100 % pure form of hyaluronic acid Improved appearance, hydration, protection and regeneration of the face, neck, cleavage and hands can be achieved. Injection of hyaluronic acid into the skin can stimulate natural collagen production, which is essential for young-looking skin. It is also proven that hyaluronic acid in the skin can fight harmful chemicals by acting as an antioxidant. The results are visible immediately, which can last from 4- 18 months depending on a chosen concentration.
What is calcium hydroxyapatite-based filler?
These fillers consist of laboratory-made CaHA micro-particles and water-based gels. The structural components of CaHA are calcium and phosphate ions. It is and naturally occurring substance in human tissue. It is also 100% biocompatible and non-irritant to the body. Therefore, there is no need for any allergy testing. This product can be injected into the skin using a hypodermic needle under local anaesthetic. The procedure takes less than an hour. After the injection, CaHA will act as a scaffold end trigger and support the body's collagen production. By that time the body will break down CaHA into its components and it will disappear naturally. The results can last up to 18 months or longer, but they're not permanent. The expected result can be achieved with one application. A top-up treatment within 2-3 months of initial dermal filler treatment may be necessary to achieve long-lasting results.
What are the advantages of polycaprolactone-based fillers?
These types of dermal fillers have effects on correcting wrinkles and mimic problems as well as stimulating collagen production by using the natural response of our bodies. Collagen is one of the most important structural proteins in our skin which helps maintain the firmness, elasticity and softness of the skin. There are four different versions of PCL fillers lasting from 1 to 4 years which avoids frequent applications end allows you to decide how long you want the fillers to last.
What are the characteristics of polylactic acid-based fillers?
This type of dermal filler is an injectable product with straightening microparticles that stimulates the skin to produce collagen to reduce fine lines and wrinkles. It is injected into the skin where fat tissue loss is observed. It helps restore facial volume and plump the skin without paralysing the facial muscles or losing the natural look. As it has a volume effect, it will help restore facial volume resulting in a fuller and younger-looking face. The result is often a natural-looking improvement that happens gradually. He does not correct the underlying causes of volume loss; it helps to improve the appearance of skin by increasing thickness in the treated areas.
Around three treatments are required to achieve the nature of looking improvement, which is visible after about 3-6 weeks. The clinical studies show that the results can last up to two years.
Where on the face can polylactic acid be used?
· Sculpting cheekbones
· Correcting nasolabial folds
· Reducing under-eye hollowness and dark circles
· Lifting the sagging skin
· Reducing the lines around the corner of the mouth
· Enhancing the appearance of the jaw and jawline
· Shaping lips and adding volume
· Fitting the lines around the mouth
· shaping eyebrows
· Correcting minor nose deformities end lifting the tip of the nose
· Reducing the frown lines between eyebrows
· Treating acne and scars
Do filler injections hurt?
Many people report that the injections do not hurt. An anaesthetic / numbing cream can be applied before filler treatments to reduce pain sensations For those with low pain threshold.
How does the face look after the treatment?
The treated area may be a bit red, sore and swollen, but it should settle down in 15 to 20 minutes. Bleeding on and around the injection can rarely happen, but it will disappear within 5 to 7 days.
How long does the treatment take?
Filler treatment, when done by an experienced injector, is a fast and easy procedure. There is no need for allergy testing and it takes around 10 to 15 minutes.
How long do the fillers last?
It varies depending on the type of filler product, treatment area and the speed at which the patient's bodies metabolise the filler product.
What are the side effects of fillers?
Temporary redness, swelling, bruising, and tenderness can be seen in the treated area. These side effects usually go away in a short time. Concealers can be used for bruises.
How long does the filler treatment affect work and social life?
Immediately after the procedure, the patient can continue their daily activities.
What to do before and after filler treatment?
It is recommended to avoid taking painkillers, aspirin, blood thinners, ginkgo Biloba, drinking green tea and consuming garlic end herbs like ginseng and echinacea about 5-7 days before the treatment as these may cause an increased risk of bruising on the injections areas.
Patients should avoid strenuous exercise, and food that causes too much chewing, talking, and laughing for four hours right after the treatment. Excessive touching and massaging should also be avoided. The treated areas should not be exposed to extreme heat and cold until the swelling or redness completely subsides.
Can dermal fillers and other cosmetic treatments be combined?
Dermal filler treatment can be done together with other injection treatments such as PRP, Botox, and mesotherapy.
