¬ Facial Dermal Filler

Where are dermal fillers commonly used ?

Dermal fillers are applied in order to minimize or reduce the wrinkles and creases resulting from facial mimics (expressions) and aging .  Volume loss due to aging and weight fluctuations is one of the major reasons of deformities in the face mentioned below. Addressing the face as a whole is very important when making an aesthetical analysis. With advanced techniques rather than filling the folds  in the number 3 or nasolabial area it is better to add volume to the cheek bones or below the lower eyelid area. Understanding effects on the face associated with aging and face analysis is very crucial. Required analysis, artistic perception and replacing the volume loss with advanced filler systems  performed  by an experienced surgeon will provide the best outcome to achieve youthful and rested appearance. You will find below the most commonly treatment conditions with fillers: 

Filling in frown lines,

Increasing volume and uplifting the sunken cheek bones ,

Enhancing the nasolabial folds,

Reducing wrinkles below the lip (Smoke lines),

Enriching the lips,

Turning up the corner of mouth ,

Improving the corner of mouth (Marionette lines),

Adding volume to weak chin ,

Smoothing out the long or deep chin contour.,

In addition to the above mentioned fillers can be used for improving the sunken areas, scars due to chicken pox and acne .          

What  kind of dermal fillers are frequently used?

Fillers containing hyaluronic acid and hydroxylapatite crystals are frequently used ones. Among these, fillers with hyaluronic acid are the most popular and are introduced to the markets in many brand names. Permanency depends upon the shape and number of cross links of  hyaluronic acid fillers , ranging from 6-12 months.

Hydroxylapatite crystal fillers last approxiamately 12 months. Restylane and Juvederm are hyaluronic acid based fillers and have FDA approval. Radiesse is a hydroxylapatite filler which also has FDA approval.

What is hyaluronic acid?

It is a natural substance  which is found in every mammal that retains water flowing naturally underneath the skin and gives volume.  Except its aesthetic field of usage it is being injected into joints , used  in opthalmology and wound healing.

What is cross-linked hyaluronic acid?

Hyaluronic acid naturally found underneath the skin is a non-cross-linked hyaluronic acid. Cross-linked hyaluronik acid is a which synthetically produced biocompatible material in gel form which increases the permanency in the body.

What should I do before facial filler injection?

To reduce the complication of bleeding risk aspirin, vitaminE, painkillers such as; Brufen, Majezik 2 days prior to the procedure and diet supplementaries such as; St John’s Wort, gingko, garlic should be avoided. Also, cleansing the make-up or the face is required.

Do dermal filler injections hurt?

As filler application  may be painful , it often requires local anesthetic cream or injection. In recent years the latest filler products that contain local anesthetic eliminate the need for anesthesia.

How long does filler application take?

Filler application takes 15-30 minutes. To get desired result consulting with doctor prior to the procedure is important.

Are fillers permanent?

The outcome is non-permanent . Results last between 6 month -1 year depending upon the product and the treated area. Touch up sessions at regular intervals may be undertaken to extend the duration or when the effect of filler ends, another filler injection that is consecutively realized may provide a long lasting result. 

Risks associated with infection on the treated area  may include redness, bleeding, hematoma, bruising and pain. These are temporary and fade in a short time. If side effects continue more than 3 days consult your doctor.

What should I do after hyaluronic acid filler?

After filler injection redness and swelling may occur which is a natural result of the procedure. These temporary effects will dissipate in couple of days.

Massage on the area is not suggested

Avoid hot compress on the area until swelling and redness fade.

Washing the face daily and taking a shower can be continued as usual.

Avoid strenuous exercises, swimming pool, sauna and solarium at least for 24 hours. 

Immediately after the procedure 15 minutes cold compress on the area will help reduce the potential risk of redness and bleeding and relieve your pain.

Prof. Dr. Muhitdin Eski