DERMAL FILLERS

Dermal Fillers

Dermal fillers are one of the mainstays of non– surgical facial treatments used today giving excellent corrective aesthetic results ‘a refreshed and more youthful look’. Approval on certain dermal fillers by the FDA (Food and Drug Administration USA) has been endorsed for facial cosmetics since 2003.

Hyaluronic Acid (HA) which is a natural occurring sugar made within the body is essential for every cell and occurs in high concentrations when we are young with almost 50% of HA found in the skin tissue. HA and collagen are vital to maintaining the skin’s layers and structure. It is the collagen that gives the skin its firmness and the HA that nourishes and hydrates the collagen. Collagen must be kept moist so that it keeps its elasticity yet unfortunately as we age the body’s ability to maintain the same concentrations of HA decreases. With decreasing levels of HA in the skin, so goes the ability of the skin to hold water and the skin will become drier, withered and wrinkled. Hence wrinkles, lines and folds of the skin become more prominent as the face loses its fullness and youth.

What can be done?

Unfortunately we cannot stop the natural ageing process yet we can slow down the signs of ageing on your skin. Replacing Hyaluronic Acid using a synthetic non–animal gel will assist in hydrating the skin as well as filling, supporting and smoothing out an area of volume deficit.

Dermal fillers are injected into the skin or just underneath. They are biodegradable, which means that the gel is broken down overtime and naturally eliminated by the body.

No allergy test is required as dermal fillers are derived from a non–animal substance, completely biodegradable and biocompatible

Dermal fillers can be made from a permanent or non–permanent substance. We choose to only inject non–permanent dermal fillers due to the good tolerability and reduced capability of producing bodily reactions.

Dermal fillers come in different ‘gel’ thicknesses and will be chosen according to the overall aim of facial rejuvenation and volume correction that is required. This means that treatments can be offered from one end of the spectrum ‘by simply hydrating the skin to improve skin tone & elasticity’ to the other end ‘complete restoration of facial volume’.

The lifespan of each type of dermal filler will depend on the site of injection and the thickness of the ‘gel’ used (range of dermal fillers used will last approximately 6 – 18 months).

Dermal fillers are used to revitalise, lift and define areas on the face and will:

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Hydrate and revitalise the skin by improving skin texture and tone

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Smooth out wrinkles, folds and lines on the face

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Emphasise a contour of an area on the face e.g. lip border

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Add volume to shape the contours of the face particularly in the cheeks and chin

Common areas on the face treated are:

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Cheeks (flattened cheeks, depressions)

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Nasolabial lines (nose to mouth lines)

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Marionette lines (lines from corners of the mouth downwards)

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Lips (volume loss and lack of lip definition– border of lip)

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Peri–oral lines (vertical lines around the mouth)

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Jaw line (areas of volume loss seen on the jaw)

Recommendations prior to treatment:

To help avoid bruising it is advisable not to take aspirin or anti–inflammatory medications (unless already being prescribed by a physician) for one week prior to treatment.

Dermal fillers will not be injected if:

  • You have an active skin infection
  • An outbreak of cold sores around the mouth
  • Known allergy to a previous dermal filler
  • Known allergy to Lidocaine or contraindications to its use
  • During pregnancy
  • Untreated epilepsy or any contraindications medically
  • Before two weeks following aesthetic facial treatments (laser, peels, dermabrasion etc.)

Your comfort is our top priority:

To minimise any discomfort a topical numbing cream can be applied to your skin before any treatments. This may not be needed as nearly all dermal fillers now contain a small amount of Lidocaine, a very quick and effective local anaesthetic.

Dermal filler treatments:

Your concerns and aims of treatment will be fully discussed with the performing medical practitioner as well as other options that might be available. A full medical history and facial assessment will be undertaken prior to treatments. They can only be performed once full consent has been gained and it is deemed suitable for you. It is important to take pre and post photos so that they can be kept in your personal record file as clear documentation of the changes made.

The area or areas to be treated will firstly be cleansed with a topical antiseptic solution and then marked using a white cosmetic pencil before the dermal filler is injected. An ultra–thin needle or blunt micro–cannula is used to inject the gel under the skin by the medical practitioner. The gel will lift out lines, wrinkles and add subtle volume which you will be able to see the effect immediately (unless the dermal gel is being used for hydration and results will then be seen at a later stage). The Hyaluronic Acid within the gel retains moisture attracting at least 1,000 X its molecular weight in water and will replenish the Hyaluronic Acid deep within the skin –HA is seen as nature’s moisturiser.

Dermal fillers offer immediate improvement and are versatile enough to be used everywhere on the face

Common side–effects and realistic expectations are fully discussed:

You will be provided with sufficient information about the treatment in order to make an informed decision and given the opportunity to ask questions about the treatment and these will be answered to the best of the professional’s ability. In terms of perceived results you will be provided with full costing and any treatment plans that may be necessary.

There are common side–effects that can be expected from having a dermal filler treatment which are transient and will resolve within the first few days to approximately two weeks following treatment such as possible:

  • Redness
  • Swelling
  • Some injection areas are more prone to bruising
  • Stinging sensation, itching or slight discomfort

Rarely more serious complications have been reported and having appropriate medical training and accreditation is vital to perform these treatments and prevent these rare occurrences.

Aftercare advice:

    It is important…….

  • Not to touch the treated area or apply make up for twelve hours to reduce the risk of infection at the injection site
  • To avoid extreme facial expressions and alcohol consumption for the next twelve hours
  • To avoid extreme sun exposure, UV light, freezing temperatures and saunas for two weeks afterwards

In terms of managing any common side–effects the following advice may prove to be useful:

  1. Redness – a light make up can be applied to cover any redness
  2. Swelling–a clean cool pack can be applied directly to the treated area
  3. Bruising– if you are taking aspirin or similar medication the likelihood of bruising may increase. It has been reported that Arnica cream or tablets help to minimise bruising.
  4. Discomfort–following treatment the area can feel tender from the injection and non–prescription analgesia can be taken
  5. Itching–following treatment the area may feel slightly itchy for approximately 7– 14 days and non–prescription anti–histamines may reduce itching

Dermal fillers are wonderful treatments aimed specifically at addressing the ageing and rejuvenation process – you will be amazed at how refreshed and youthful you can feel.

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