Types
Dermal fillers consist of substances that naturally occur in the body. There are different types of dermal fillers but some of the most common include hyaluronic acid derivatives, such as Juvederm® and Restylane®. Fillers are administered through a series of injections into the dermis to enhance volume and provide structural support.
What areas can be treated?
- Lips
- Nose
- Cheeks and cheekbones
- The area beneath the eyes
- Upper eyelid and eyebrows
- Chin and jawline
- Nasolabial folds and smile lines in the corners of the mouth
- Temples
- Static lines
- Scars and imperfections
What can dermal fillers be used for?
Dermal fillers are the safest, easiest, and most natural-looking way to contour the face, restore volume, and lift sagging areas. They can be used in conjunction with Botox as an anti-ageing powerhouse to reduce the appearance of fine lines and the signs of ageing, helping to boost a person’s self-confidence and decrease appearance-associated anxieties.
What type of dermal fillers do you use?
Not all fillers work in the same way. Many kinds of fillers have different properties and are therefore administered for specific purposes.
At Face by Rebecca, we only use the highest quality of FDA-approved dermal fillers from leading cosmeceutical brands.
Juvederm® and Restylane®
Juvederm® and Restylane® are hyaluronic acid derivatives, made up of glycosaminoglycan biopolymers, which are very similar to substances produced in the deepest layer of your skin – the dermis. Derivatives from hyaluronic acid can be used to plump out fine wrinkles and to help add definition to the lower and upper lip. As well as causing very minimal adverse effects, they are a popular choice because any excess filler can be easily and instantly removed with the enzyme, hyaluronidase.
Radiesse®
Radiesse® is a calcium hydroxyapatite (CaHA) dermal filler. It is made up of ions of phosphate and calcium, which occur naturally in the bones of the human body. CaHA fillers can be used to plump out soft tissue in the face, including nasolabial folds, and smile and laughter lines. Radiesse is injected directly into the deep dermis as well as the sub-dermis.
Sculptra®
Sculptra®, or poly-L-lactic acid, is a popular injectable that helps to gradually replace lost collagen, the most common protein in the body that forms a framework to support tissue.
Autologous fat
Autologous fat dermal fillers are a treatment whereby fat is taken from an area of the patient’s body, such as the thighs and buttocks, and then injected into the treatment area. This type of filler can help to redefine the face and boost volume in localised areas.
What will happen during my treatment?
The treatment itself can take as little as ten minutes. To start with, a numbing cream will be applied, after which the injections will be administered. A general anaesthetic is not needed and recovery time is usually very quick.
When will I see results?
Results are instant and appear straight after treatment, however, due to associated swelling after the injections have been administered, the true results will not be seen until a few days later.
Are there any side effects?
Usually, any adverse side effects resulting from dermal filler injections are mild and disappear after a few days. Adverse side effects can include bruising, swelling, discomfort, lumps and nodules.
Although the injection of dermal fillers into the face may seem simple, it’s definitely not. Without the proper training, a clinician could do serious damage using a syringe loaded with filler. Therefore, it is essential to only ever consider treatment from an experienced doctor.
How long do anti-wrinkle injections last?
Results can last for many months but the results will depend on the type of filler used, the amount administered and the area treated. In general, the noticeable effect of hyaluronic acid fillers will last between 9 and 12 months. A particular benefit of choosing hyaluronic acid dermal fillers is that they are biocompatible, biodegradable and easily reversed if the patient is not happy with the result.
Contact Face by Rebecca today to find out more.
Uses for Dermal Fillers in Dentistry
Wrinkles happen. As we age, the tone of the muscles in our face increases. This increase in tone along with a decrease in collagen metabolism results in wrinkles. Wrinkles are made worse by smoking and sun exposure.
Additionally, although rare, injection dermal fillers can result in adverse effects.
Types
Not all fillers are created equal. Different fillers have different uses and are used with different types of wrinkles.
Here are some common dermal fillers:
- Hyaluronic acid derivatives like Juvederm and Restalyne are glycosaminoglycan biopolymers and very similar to substances found in the dermis or lowest layer of skin. Hyaluronic acid derivatives are used to fill fine wrinkles and to augment or plump lips. The effect of this filler usually lasts 9-12 months. In addition to resulting in very few adverse effects, hyaluronic acid derivatives are nice because excess injection can be reversed with the enzyme hyaluronidase.
- Calcium hydroxylapatite (Radiesse) is a constituent of bone which can be used off label to augment soft tissue in the face including nasolabial folds (AKA smile lines or laugh lines). If injected superficially, calcium hydroxylapatite can cause lumps or nodules; Radiesse is injected into the deep dermis as well as subdermis.
- Poly-l-lactic acid (SCULPTRA)
- Autologous fat is fat taken from a person’s own body and then injected into her face. Autologous fat is used to recontour the face and give it more volume. Although limited data exist concerning how long injection with autologous fat lasts, some think that treatment with this filler could last a lifetime.
- Dermal filler treatments
Adverse Effects
Usually, adverse effects that result from dermal filler injection are mild and short-lived.
Although injection of dermal filler into the face may seem simple, it’s not. Without proper training, a clinician can do serious damage using a syringe loaded with filler.
At Face my we use only the best quality dermal fillers. Gold standard.
Assess every patient, all three areas, every time.
The more youthful face has baby like qualities, smooth clear skin, well-defined contours and features in harmonious proportions. The injector needs a sound appreciation of the fundamentals of aesthetic balance with regards to volume – mass relationship of the face.
Cross-linked HA must be physically treated to be injectable. This is done by pressing the gel through stainless steel mesh of various poor sizes, specific to the different products. Each product consists of gel particles of defined sizes the sizes differ according to the tissues of the intended injection site. The syringes are then filled sterilised and ready for injecting.
Three regions of the face:
- Upper face – glabeller , brow , temples
- Mid-face – eyelids , nose , malar
- Lower face – lips , chin and jaw line
Suitable candidates:
- Suitable candidates for midface treatment any patient male or female 18 to 75 who desires restoration or enhancement of volume to an area of their face
- Success of augmentation depends on adequate soft tissue coverage and supporting structures
Patient considerations:
- Younger patient may wish to enhance their features or address asymmetry
- Mature patient may desire a more useful curve to their facial features
- Treatment can be targeted to specific areas of the face such as the cheeks the chin the nose all the temporal region
- The treatment can be performed with different products into the individualising the treatment for each patient specific concerns
Patient assessment and consultation:
- Thorough assessment of skin and tissues of the face for volume loss, symmetry and proportion
- For history taking into account the general health of the client noting any medication or food supplements which may interfere with recovery (bleeding and bruising), smoking
- Note any relevant infections such as acne, sinus or dental
- Check regarding previous filler treatment and any surgical implants – there is a potential for problems if permanent fillers or implants in situ
Fully assess the face of your patient taking into account shape, contours, proportion, symmetry, Loss of all alteration to the volume of the face, effects of ageing – extrinsic and intrinsic, as well as the desires and needs of the patient.
The anatomy of the ageing face
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