Cosmetic dermal fillers include collagen, hyaluronic acid, fat and other substances. Dermal filler brand names include ArteFill, Radiesse, Sculptra, Juvederm, Hylaform, Restylane and several others. Their main purpose is to add volume to specific areas, in order to eliminate wrinkles such as crow's feet or enhance a feature such as cheeks and lips. Cosmetic dermal fillers are also used to reduce gauntness caused by illness or aging.
Below are frequently asked questions about cosmetic dermal fillers, with answers sourced from the American Society for Aesthetic Plastic Surgery.
When prescribed by a properly qualified and trained doctor and injected in an appropriate medical setting, FDA-approved dermal fillers are safe.
The greatest risk occurs when dermal fillers are injected by someone who is not properly qualified to perform injections. Risks include hematoma or blood pooling beneath the skin, and though rare, infection and necrosis (tissue death) or skin loss is possible.
An unsatisfactory outcome is also a risk. Semi-permanent and permanent fillers may clump: the particles form a granuloma or lump that can be felt or seen beneath the skin. Particles may also migrate or displace from the injection site. Injection of an anti-inflammatory may improve minor clumps or swelling. More significant clumping or granuloma may require surgery.
Only dermal fillers derived from animal sources have a risk of allergy. This is something your doctor should cover during your consultation and the informed consent process. If necessary, a patch or allergy test can be performed. Injections will be scheduled several weeks later, after the risk of allergy has been evaluated.
Dermal fillers should not be used to rejuvenate the hands, injected into the breasts or injected into any part of the body other than the face. In select cases, a scar, cellulite dimple or other limited depression can be treated with FDA-approved dermal fillers for temporary improvement.
Dermal fillers for cosmetic purposes should not be administered to anyone under 18.
Hyaluronic acid fillers, like Restylane and Juvederm, are appropriate for skin of color, as these are colorless gels that should not be visible under the skin or alter the skin color.
In the first few days after injection, the treated area may feel a little firm; however, this should improve rapidly. But a risk does exist with semi-permanent or permanent fillers of particles clumping together and forming a granuloma that may be felt or seen under the skin. This risk is increased if the dermal filler was not injected properly.
One advantage of most cosmetic dermal filler treatments is that they are temporary. If you don't like the results they will diminish in time. A hyaluronic acid-based filler like Restylane, Juvederm or Perlane can be more rapidly diminished (in weeks, rather than months) with the injection of a substance called hyaluronidase in the treatment area. This substance decreases the viscosity of the original injection, promoting its absorption and dispersion.
Substances that are not specifically approved as dermal fillers for cosmetic purposes and that are not properly branded and defined as dermal fillers approved by the FDA could represent a risk to your health.
Q. What are the Fillers?
There may be patient’s own tissues like fat or the injectable substances manufactured in pharmaceutical laboratory like – Restilane, Perlene, Dremadeep etc.
Q. What is the treatment like?
Dermal fillers are injected with very fine needle just under the skin surface to increase the volume where it is wanted. Anesthesia is not required and the treatment is over few minutes. One can resume his or her activities immediately after treatment. In case of fat injection it is first harvested under suitable anesthesia from the area of body where it is present in abundance like abdomen, flanks, buttocks etc. And then the harvested fat is injected beneath the skin in very small quantities after suitable treatment to correct the soft tissues depressions.
Q. In which conditions fillers are useful?
Fillers and fact injections are useful to correct,
Q. How long the effect of fillers lasts?
It depends on the type of fillers used eg. The effect pf Restilane and Perlane last for about 6 months and that of Dermadeep for about 2 – 3 years Aquamid 7 to 10 years . In case of fat injection some amount of fat gets resorbed over a period of time and ultimately about 60to 80% remains at the site of injection, permanently.
Q. What precautions should be taken after treatment with fillers?
Nothing especial, though one should avoid massage over site of injection for about a week in care of filers and for 3 weeks when fat is injected.
Q. How safe is the treatment with fillers?
Treatment with the fillers we use (Restilane, Perlane, Dermadeep, Aquamid) is very safe and usually there are no complications there something may be redness or burning at the site of injection but that too is temporary. Fat being ones own tissue, there is on adverse affect of fat injection , thought there is little swelling locally due to over injection of fat, swelling usually resides in a few weeks time.
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