What are dermal fillers?

Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smoothen lines, soften creases, or enhance facial contours. They bring plumpness to the skin and lips, improve symmetry of face. Over time, these are gradually absorbed by the body.

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What are dermal fillers made of?

  • Hyaluronic acid(HA): a naturally occurring substance found in skin. Products-Juvederm(Ultra, XC, Voluma, Volbella, Vollure), Restylane(Restylane, Restylane Silk, Restylane Defyne, Lyft, Contour) Belotero, evanesse, RHA.
  • Calcium Hydroxylapatite(CaHA): a naturally occurring substance in bone, small calcium particles uspended in gel. Used for deeper lines & wrinkles. Product- Radiesse
  • Poly-L-Lactic Acid: biodegradable synthetic substance. For deeper facial wrinkles.
    Product- Sculptra
  • Polymethymethacrylate: synthetic, biocompatible substance.
    Product- Bellafill

How can dermal fillers help me?

  • Smooth out lines around nose and mouth (a.k.a. marionette lines, smile lines, and parentheses)
  • Enhance & restore volume to sunken cheeks or temples
  • Plump & enhance the lips
  • Smooth out a chin crease
  • Improve symmetry among facial features
  • Decrease or remove the shadow of the lower lids

How long do results last?

Typically, 6-12 months with HA fillers, 12 months with CaHA fillers and upto 2 years with Poly-L-lactic acid.

What happens during the visit?

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your doctor to discuss your concerns and goals.

Any dangers from fillers I should know of?

Most dermal fillers are safe and effective in the right hands, when used judiciously. Adverse effects may occur. Each of these substances has its own pros and cons, as well as a unique density, longevity, and texture, which means a particular material may be suited to a specific area of the face or desired result.

We recommend you avoid unsafe black-market products and unqualified providers. One of the main benefits of HA fillers, aside from their natural appearance when injected, is that they can be dissolved by a special solution in case of an adverse event, or if the person dislikes the appearance. Also, most HA fillers are premixed with lidocaine, a numbing agent, to maximize comfort during treatment.

Adverse effects include:

  • Bruising and swelling after procedure
  • Allergic reactions: rash/itching
  • Infections
  • Death of skin cells at injection site (necrosis and ulceration)
  • Blood clot causing blindness (if injected close to eye)
  • Bleeding from injection site
  • Skin damage and scarring
  • Asymmetry of face
  • Lumps under skin
  • Under and over correction of wrinkles

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your doctor to discuss your concerns and goals.

Pre-treatment consultation

During your consultation, your doctor will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your cosmetic surgeon if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.

Your injectable filler treatment

Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your provider will then inject a precise amount of filler strategically beneath the skin.

Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your doctor may ask you to take the day off from exercise or other strenuous activity.

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    X All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. *Results may vary