Cosmetic fillers are materials that are commonly used to smoothed wrinkles that are too deep to be treated with lasers. These agents are usually placed in deeper lines and wrinkles. These are typically used for wrinkles between the eyebrows, sagging cheekbones, smile lines, and to improve the appearance of the upper and lower lips. Filler injections can also be used to improve the appearance of depressed scars, such as those seen in acne or chicken pox.
Time required for this treatment is at least 15 minutes to one hour each session. Anesthesia, most of the time, is not utilized although a local anesthesia may be included with the injection. The soft tissue fillers or the injectable HA (hyaluronic acid) are used in order to aid in filling in the lines and creases in the face as one ages. This temporarily brings back a smoother and a younger-looking appearance. These filler injections, once injected underneath the skin, plump up the wrinkled and sunken areas of the face. These fillers may also be injected in the lips, cheeks and even the hands, to create a more “full” look.
Hyaluronic acid (HA) is a component of connective tissue whose function is to cushion and lubricate. It is a naturally occurring protein which gives support to various parts of the body. This injectable collagen is obtained from purified bovine collagen. Hyaluronic acid is used mainly in filling in wrinkles, lines, and scars on the face and in some cases, the chest, back and neck area. This procedure is administered with the use of a fine needle which is inserted at several points along the periphery of the treatment area.
Filler injections work excellently on patients with thin, dry, and light-colored skin. The best candidates for this procedure are the following:
- Patients who have excellent physical health.
- Patients who are psychologically stable.
- Patients whose goals and expectations are realistic.
- Patients with wrinkles, scar formation, and sagging skin of the face.
- Patients lacking youthful plumpness and high contours on the face.
usually, patients who undergo filler injections are back to work 10 to 14 days after treatment. Strenuous activity may be resumed at least after two weeks. Bruising may disappear after one to two weeks. Duration of the results may vary, ranging from a few months to a year.
What cosmetic fillers are available?
There is a wide range of filler agents that have been successfully utilized over the years. Each filler is made of a different material and its duration of filling may vary between the different substances.
Bovine collagen (Zyderm® and Zyplast®) is the first filler agent that became accepted in the United States. This was approved by the FDA about 20 years ago. It is usually utilized for smile lines, wrinkles, scar correction and even lip enhancement. Skin tests on the arm are necessary in order to see any allergic reaction since bovine collagen is taken from cow collagen. The results from this treatment usually last up to 2 to 6 months.
Another filler is human collagen (Cosmoderm® and Cosmoplast®). This filler is very similar to how bovine collagen is used. It is also used for smile lines, wrinkles and scar correction. This is a more popular choice for lip enhancement and is the most commonly used alternative by patients who are keen on collagen use but not bovine collagen. Unlike the bovine collagen, human collagen treatment does not necessitate any skin test. On the other hand results usually last 2 to 6 months, just like the bovine collagen.
The latest filler agents which have a sugar-like content are those that have non animal stabilized hyaluronic acid (HA). They are now very popular in Europe and Canada. Restylane® and Hylaform®, two different hyaluronic acids, are recently being studied by the FDA. Normally, skin tests are not required. This filler contains a soft material and is very ideal for the treatment of smile lines. Typically, results last for up to 3 to 8 months.
Another filler agent called Radiance® is made up of a calcium material known as calcium hydroxylapatite. This has been approved by the FDA for the treatment of wrinkles, as well as for vocal cord injections. Unlike the other fillers mentioned above, the results of this can last for up to two years. This is very common for those who have deep smile lines and want to have long-lasting results.
What should be done in order to optimize cosmetic filler results?
In order to achieve maximum efficiency of cosmetic fillers, they are combined with BOTOX® injections. This can be used for wrinkles that are caused by too much muscle tone. However, frown lines, crow’s feet, marionette lines (deep lines that form below the corners of the mouth and run down onto the chin), and vertical lip lines are treated better with BOTOX® instead of a filler agent. It is also ideal that anti-aging skin treatments do not only have filler agents and BOTOX® but also include skin collagen improvement lunchtime procedures and skin tightening Thermage Non-Surgical Facelift treatment.
What are the typical reactions that can happen after cosmetic filler injections?
It is ideal to have a facial once a month or every six weeks to follow the time it takes for skin to regenerate. However, it is recommended to have a facial at least quarterly every year.
What are the types of facials?
Typically, reactions to filler agents are uncommon and usually resolve with time. The most common reactions related to this that might take place are redness or erythema, discoloration, pain, itching, swelling and tenderness at the area of the implant. They usually resolve spontaneously within a few days after the procedure is done. Some patients, who are hypersensitive in nature, may experience localized reactions. usually, these reactions include swelling of the implant site at times affecting the surrounding tissues, redness, tenderness, and acne-like formation in the area.