More about dermal fillers...
Hyaluronic acid is a substance our bodies produce naturally, especially in the skin, joints, and eyes. Its main function is to retain water, which helps keep skin hydrated, firm, and elastic.
Think of hyaluronic acid as a natural sponge that attracts and retains water. Just one molecule can hold up to 1,000 times its weight in water, making it a super hydrator.
What should I consider before using dermal fillers?
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Filler injections are quick and usually only require topical anesthesia.
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Fillers are temporary and require repeated injections to maintain the desired result.
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Some people are sensitive to fillers and experience bruising and swelling after treatment.
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With fillers, you'll get immediate results with little to no recovery time.
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Schedule a consultation to learn more about your specific needs.
How is a dermal filler procedure performed?
Fillers can be applied in the office. Dermal fillers are administered with a prefilled syringe in various predetermined areas, such as the cheekbones, around the eyes, or in the jaw, lips, and chin. The amount, location, and depth of injections depend primarily on the type of dermal filler and the desired results. Some fillers contain a local anesthetic, such as lidocaine, for increased comfort during injection. A numbing cream may also be used.
What are my filling options?
There are three common types of dermal fillers: temporary, semi-permanent, and permanent. Hyaluronic acid-based fillers are temporary, while others offer longer-lasting results. The most appropriate option for you will be chosen.
Temporary Fillings:
There are several options for temporary fillings:
Hyaluronic acid-based fillers: Like collagen, hyaluronic acid is a natural substance that is primarily used to increase projection and volume.
Calcium hydroxyapatite: Heavier and denser than hyaluronic acid, calcium filler is injected deeper, beneath the skin, and does not typically cause immune or allergic reactions, as this element is found in bones.
Collagen-based fillers: Collagen is a natural protein that provides strength and structure to the skin. Collagen was the first filler on the market, but the arrival of hyaluronic acid-based fillers reduced its popularity.
Semi-permanent fillers:
Longer-lasting dermal fillers typically contain thicker substances, such as the biodegradable synthetic filler known as poly-L-lactic acid. This type of soft tissue filler treats deep facial lines. Although they offer semi-permanent results, you may need several sessions or touch-ups weeks after the initial injections.
Permanent fillings:
Permanent fillers are made of polymethylmethacrylate (PMMA), which are microspheres that the body doesn't absorb. This filler also contains collagen and is only recommended for areas of thick skin, such as the nasolabial folds (the folds that separate the cheeks from the upper lip). It shouldn't be used around the eyes or on the lips. These are currently being discontinued.
What are the brand names for fillers?
There are several brands of fillers, but some of the most common are (FDA approved):
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Hyaluronic acid-based fillers: Restylane®, Restylane® Lyft, Restylane® Silk, Juvéderm®, Juvederm Volbella®, Juvederm Voluma®, PREVELLE Silk®, Hydrelle®, Belotero®.
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Collagen-based fillers: Cosmoplast, Cosmoderm, Evolence.
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Semi-permanent fillers: Sculptra, Radiesse. HArmoniCA
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Permanent fillers: Bellafill.
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and many more brands...
How do I prepare for a filler injection?
Before your treatment, consider the following instructions:
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Stop smoking before application to promote better recovery.
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Stay hydrated before and after application for safe recovery.
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Do not take aspirin, ibuprofen, vitamin E, or any other medication that can cause bleeding.
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Please indicate if you have a history of cold sores.
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You will be provided with detailed instructions before treatment, and any questions or concerns you may have will be answered.
What can I expect on the day of my filler application?
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Dermal fillers are administered in the office.
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Most filler injections take about thirty minutes to complete, but may take longer depending on the number of injections.
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You will be able to return home after the procedure on your own.
How long does it take to recover from fillings?
One of the most attractive features of soft tissue fillers is their short recovery time. You will be given instructions to follow after treatment, including information on:
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Typical symptoms you may experience
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Possible signs of complications
What can I expect right after a filler injection?
You will likely see the results of the injections immediately after the procedure, although it is not uncommon for patients to experience mild swelling or bruising at the injection site.
You will be instructed to use a cold compress or ice pack to help reduce swelling. The duration of swelling will depend largely on the type of filler you receive, although most swelling, bruising, and redness should disappear within a week to ten days.
It is recommended that you avoid wearing hats and use only small amounts of makeup.
If you experience any large or prolonged swelling, redness, or bruising, please do not hesitate to contact me.
How long do the results of my filler last?
The duration of your dermal filler results will depend on the type of injection you receive.
Hyaluronic acid fillers:
The results of hyaluronic acid fillers vary, although they should last six to twelve months with the most common brands.
Some brands like Juvéderm last up to 24 months.
Semi-permanent fillers:
The results of semi-permanent filler injections treat deep facial expression lines and last between 12 and 18 months. You may need a touch-up several weeks after the initial injections.
What should I consider after receiving my fillings?
To achieve the most beautiful and confident result, it's important to schedule a consultation if you experience any issues. If you notice new lines or wrinkles over time, you can schedule additional filler injections to maintain your results. Don't hesitate to contact us if you have any questions or concerns.
What are the risks associated with fillers?
Fortunately, there are few risks associated with dermal fillers. You should contact your doctor at the first sign of an abnormality or if you experience an unexpected side effect, such as:
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Prolonged pain and swelling (could be a sign of infection or an allergic reaction).
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Swelling, bruising, hematomas, or redness that does not go away after a week.
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Sharp pain near the injection site, accompanied by asymmetry, lasting more than seven to ten days after the procedure.
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Nodules or bumps on or around the injected areas, or any irregular areas around the skin.
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A very rare but documented complication is blood vessel injury, which can occur if the injector injects the filler into a blood vessel. This can lead to necrosis (tissue death), visual abnormalities, including blindness, or a stroke.