Dermal Fillers: Fading Away the Fine Lines

Dermal Fillers: Fading Away the Fine LinesBvine collagen was the first filler injected  to augment the face. Over 1.5 million soft tissue filler procedures were performed in the United States in 2007;  hyaluronic acid (HA) is the most frequently used agent. In fact, HA has become the most commonly used filler worldwide. Not all injections are created equal, however, and no filler is ideal, nor can a single filler meet every patient's wishes and expectations.


Facial fillers can be broadly divided into 4 categories:

  • Autologous fat
  • Collagens
  • Hyaluronic acid-a naturally occurring substance in your skin that helps to hydrate and add volume, and
  • Synthetic fillers

Areas commonly addressed in the face include the forehead, glabella, nasolabial folds, and lips. 


Dermal Fillers are used to:

  • smooth the lines around the mouth and nose
  • enhance the size and shape of  lips
  • reduce over age smile lines
  • enhance and add volume to temple, forehead, nose, cheeks and lower face


The most appropriate lines to treat with dermal fillers are those that are visible when your face is still. 


One product currently being trialled by the AAD, is calcium hydroxylapatite, which restores facial volume and promotes collagen production. The filler, also known as Radiesse, is thicker than the hyaluronic acid fillers currently available and the results last longer up to a year in most cases. It is composed of calcium based microspheres suspended in a water based gel

How dermal fillers works?

Dermal Fillers: Fading Away the Fine LinesDermal filler is a nonsurgical treatment. The patient should be in a relaxed and generally supine position. The filler is injected under the skin using a fine needle to smooth away lines, restore natural contours and enhance lips for a smooth, natural and refreshed appearance.  Filler can be injected by one of the following 4 techniques: serial puncture, threading, fanning, and crosshatching. Each technique has advantages for certain situations, and the ultimate determining factor is often surgeon preference.

To begin with the doctor will examine the soft tissue of your face to assess the depth of wrinkles and folds and determine your treatment. He might ask to take pre-treatment photographs so you can see the difference after treatment! Although anesthesia is not required, some doctors might suggest use of topical  anesthesia to numb the treatment area first. Following the injection, they may gently massage the treated areas. The procedure is quick and easy. The injection itself typically takes 15-30 minutes.

After Care:

For the first 24 hours following treatment,

  • Avoid strenuous exercise, excessive sun or heat exposure, and Consumption of alcoholic beverages in order to help minimize the risks of temporary redness, swelling, and/or itching at the treatment sites.

  • Some temporary injection-related reactions may occur, including redness, pain, firmness, swelling, and bumps. Studies have shown that these are usually mild to moderate in nature and clear up on their own in 7 days or less.

  • If you experience swelling at the injection site, you can apply an ice pack for a brief period.

  • Make-up application is to be avoided until allowed by the doctor.

Most patients require only one treatment to achieve optimal wrinkle smoothing or volume enhancement, and results may last up to 1 year. However, results may vary and correction is temporary.

Risks of Dermal Fillers

Thousands of patients who have received anti-ageing injections could be at risk of serious complications, senior doctors have warned, raising fears about the safety of non-surgical cosmetic procedures.

According to specialist,  these "facial fillers" can cause infections and deformities, if  injected into patients by unqualified practitioners. Also, patients who had fillers up to 10 years ago are now coming forward with complaints of discomfort and other complications.

Common side effects to facial fillers include
  • Bruising of the skin

  • Swelling at injection site- A new study examined the incidence of edema, a possible side effect of dermal fillers, after hyaluronic acid injections. Published in the American Journal of Cosmetic Surgery, the study looked at cases of swelling for injections done to the under eye area.

  • Lumpiness that is temporary

Besides, if there is a significant amount of sagging in the skin, the treatments will not produce much in the way of results.

Note: Anyone with a sensitivity to gram-positive bacteria proteins should not undergo injection with those hyaluronic acid products derived from bacterial fermentation. A skin test must be performed prior to injection of fillers derived from bovine sources

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Dated 01 June 2012


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