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Facial Fillers
-WHAT IS HYALURONIC ACID?
Hyaluronic acid is the basic structural material of ligament which present in our body. Liveliness, brightness, humid, color, tightness of skin are effects of hyaluronic acid. High amount of presence of hyaluronic acid in baby skin is a good example for understanding the subject.
-Facial fillers are products such as collagen, hyaluronic acid and calcium hydroxyl apatite that rejuvenate facial skin by reducing or eliminating wrinkles, raising scar depressions, enhancing lips and replacing soft-tissue volume loss through facial injections. With age, our skin becomes more susceptible to wrinkles and sagging. Exposure to sun and years of muscle movement ( squinting, chewing, smiling ) contribute to tissue breakdown of the skin.
Facial fillers are temporary to long-lasting solutions administered through a few tiny facial injections on specific areas of the face. Various types of facial fillers are available; each is designed with one or several purposes, such as wrinkle reduction and lip augmentation. A qualified dental or medical professional can help you determine which facial injections and what injectable fillers treatments are right for you. Facial fillers will volumize creases and folds in the face in areas that have lost fat and collagen as we age. Hyaluronic acid is the natural filler substance in your body. The face starts to lack volume and appears aged with deeper nasolabial folds, unaesthetic marionette lines, a deeper mentalis fold, the lips start to thin, and turning down the corners of the lips. Hyaluronic acid fillers such as Restylane and Juvederm® are then injected extraorally right underneath these folds to replace the volume lost which creates a younger look in the face. Dermal fillers can be used for high lip line cases, asymmetrical lips around the mouth, lip augmentation, and completing cosmetic dentistry cases by creating a beautiful, young-looking frame around the teeth
-HERE ARE SOME MORE WELL KNOWN OF THE BEST DERMAL FILLERS:
Juvederm® Facial Filler: Made of a hyaluronic acid gel, Juvederm® is a naturally-occurring substance in the skin that contributes to volume and hydration. Juvederm® is designed to temporarily correct moderate to severe facial wrinkles and folds. Juvederm® is made by Allergan, the same makers of Botox®.
Restylane Facial Filler: A non-animal, biodegradable gel composed of hyaluronic acid, Restylane is a soft tissue dermal filler that adds volume to the skin through tiny injections; smoothing facial folds and wrinkles in areas around the mouth and eyes.
-IN ADDITION THERE ARE SOME LESSER KNOWN DERMAL FILLERS:
Collagen (Zyplast/ Zyderm): A soft-tissue dermal filler made from purified cow skin used to fill wrinkles, lines, and scars on the face. Collagen is a naturally-occurring protein that supports various parts of the body, including skin, tendons, and ligaments; it will eventually absorb into the body.
Sculptra: An injectable made of synthetic polylactic acid contained in microspheres, Sculptra is the first FDA-approved injectable for the restoration of lost facial volume (correction of lipoatrophy) in people with HIV infection.
Captique: Utilized for filling moderate to severe facial wrinkles and folds around the nose and mouth, is a soft tissue filler that adds volume to certain areas of the face; derived from non-animal-based hyaluronic acid.
Hylaform: Fills moderate to severe wrinkles around the nose and mouth, Hylaform ® is a dermal filler that has been chemically modified from hyaluronic acid; designed to temporarily smooth the surface the skin.
Radiesse®: A synthetic dermal filler made of calcium hydroxyapatite is utilized for the correction of moderate to severe wrinkles and folds. This injectable is a longer-lasting filler because the body forms collagen around the microspheres; adding bulk to the injected areas.
Length of a Dermal Filler Injections and Side Effects
The average length of filler injections is about 10 to 20 minutes per session, depending on the individual and the amount of areas being treated. Some of the most common side effects include: allergic reaction, bruising at injection site, numbness, and temporary redness, swelling, pain/tenderness, or discoloration. Dermal filler injections require very minimal downtime, allowing patients to return to work and their normal activities directly following treatment. Yet for the first 24 hours, individuals may be instructed to refrain from strenuous activities and excessive sun or heat exposure. Some of the risks of facial injections are lumps (granulomas/nodules) which are a potential risks associated with Radiesse®, Sculptra, Juvederm®, and ArteColl.
-Results of Injectable Fillers
In general, the results from most injectable fillers are temporary; commonly lasting from a few months to about a year. This depends on the type of facial fillers or filler injections used. For optimal results, additional treatment sessions are encouraged. A facial filler or injectable fillers treatment entails a series of tiny injections under the skin’s surface – at the subdermal-dermal levels. The amount administered depends on the depth and size of the skin defect or wrinkle. With the evolution of facial fillers and injectable filler it would be great resource to add to your dental or medical practice.
How do I know which dermal filler to try?
A good doctor will explain the ideal treatment plan for you, but know that the most natural-looking results may require more than one type of filler. There are many different brands of fillers within each category, and the products vary in how they should be used—like filling out cheeks—and concentration of the active ingredient, explains For example, Restylane, one brand of hyaluronic filler, has five different lines—and each is used for different reasons. "Restylane Lyft has larger particle sizes—think of them like the bricks of a foundation,", M.D. a board-certified dermatologist in turkey , tells SELF. Those larger particles have the heft to "rebuild" thinned cheekbones, while a smaller particle size, as in Restylane Silk, works better for addressing fine lines and plumping lips.
What precautions should I take before getting fillers?
It probably goes without saying, but safety should be your top priority when considering any medical procedure. Dr. eslihan says visiting a board-certified dermatologist or a board-certified plastic surgeon is one way to ensure that your physician is experienced. This extra certification step shows that the doctor completed additional training in their particular specialty. Even though dermal fillers are available at medical spas, you should see only licensed and trained physicians for any injectable treatment. There are risks for issues like infection, discoloration, and lumps if injections are done incorrectly.
Given that this is a cosmetic procedure, you understandably want to be satisfied with the results. One way to find a doctor whose work you like is by asking friends who have had this done for their recommendations. "People are starting to be more open about injectables,"
What should I ask my doctor during the consultation?
“I think as a patient you should always ask for a consultation first and then really talk about what your goal is and how they [the doctor] can help you,” the doctor says . You may think you just want dermal fillers, but an expert could recommend another treatment—or a combination of treatments—based on your specific skin type and goals. For example, your doctor may suggest using laser therapy if you have a lot of pigmentation, she says.
the doctor advises requesting before-and-after photographs of real patients from the doctor’s office. Every practitioner has different philosophies, techniques, and levels of experience. And don't be afraid to ask about your doctor’s training and certification during the initial consultation.
Lastly, you and your physician should communicate about realistic results and your expectations—it's your face, after all.
What are the possible side effects of fillers?
Even non-surgical procedures have their risks. The most common side effects include bruising, redness, pain, or swelling, all of which should go away within two weeks, according to the FDA. Less frequently, people might get raised bumps under their skin that need to be treated with injections, medications, or even surgically removed, according to the FDA.
Although this is rare, filler can accidentally be injected into a blood vessel and lead to blurred vision or permanent blindness. You should call your doctor or the emergency room if your skin turns blue and you’re in a lot of pain—these are two possible signs that filler is in your bloodstream. Again, this is why you want to see an experienced doctor who is skilled in performing the procedure.
Who should avoid dermal fillers?
According to the FDA, there’s no research showing that dermal fillers are safe for pregnant or breastfeeding people, so you may want to hold off if you’re expecting a baby or recently had a child. And here's one more thing to consider: Avoid getting filler right before a teeth cleaning or other dental treatment, the doctor says. These procedures require pressure and stretching of the face that could potentially misplace fillers. You can ask your doctor for their opinion regarding when it’s safe to get any future dental work during your consultation.
How long will the results last?
Since the majority of fillers aren’t permanent, you'll have to keep going back to the doctor’s office if you love the results following your procedure. After about six months, your body naturally breaks down hyaluronic acid fillers. So, you have to get touch-ups once or twice a year to maintain the look. However, this is good news if you just want to try fillers once or twice, since the effects will fade away without any long-term risks

