Injected
fillers is primarily used to improve the appearance
of the skins texture. It can help fill out deep
facial wrinkles, creases and furrows, skin depressions
and some types of scars. It can also be used to
give a fuller, more sensuous look to the lips.
fillers is not usually sufficient for severe
surface wrinkles on the face, such as multiple
vertical "lipstick lines" that sometimes form
around the mouth.
Before Treatment
Prior to the start of treatment you will
be seen in the office for a consultation and evaluation
by us. At this time we will discuss your goals
and desires for treatment, and go over any concerns
or questions you may have.
The Procedure
The
fillers is injected using a fine needle inserted
at several points along the edge of the site.
Overfilling is necessary to allow for absorption
in the weeks following treatment. You may feel
a slight stinging or burning as the site is injected.
However, most people report the injections to
be of only minor discomfort.
After Treatment
Most
patients resume normal activities following treatment
inspite of some temporary puffiness over the area.
Generally, within a few days this will resolve
and the material is no longer visibly distinguishable
from the surrounding skin.
Results of fillers Injections
The
results of your fillers injection will vary for
each individual as will the length of time it
will last. Some patients have reported their treatment
lasting a year or longer, while others report
a duration of only 3-6 months. Therefore, repeated
injections may be necessary. We will discuss with
you how to maintain your results with repeated
treatments.
Can the augmentation be made permanent?
The
results obtained from fillers treatment can be
made permanent by injecting your own fat (FAMI)
or augmenting using your own tissue. The results
thus obtained do sustain for 5-10 years with small
touch-ups required at a later date.
NATURAL
PERMANENT FILLERS
Fat
injection
Using
ones own fat cells to augment and fill defects
is a time tested and safe option. Results are
permanent.touch ups may be required in a few patients.
Fat is harvested by liposuction using special
technique and processed to remove tissue debris
and injected as beads in layers to increase the
viability. There is no chance of allergy or rejection.
Works well for hollow under eyes,deep lines and
sunken cheeks.
Tissue
grafts
Dermafat,dermis,fascia
and muscle are viable permanent fillers.They are
most useful in lip augmentation. Although this
is not non surgical,the fact that the results
are permament make it an attractive option. Grafts
can be harvested from locations where the incisions
can be well hidden.
SYNTHETIC
PERMANENT FILLERS
Permanent
fillers can cause suboptimal result with lumpy
feel. Granulomas can form within tissue with some
of the fillers. Removal of a permanent filler
would be extremely difficult if necessary US FDA
has not yet approved any permanent synthetic filler
for clinical use.
Aquamid
Aquamid™
is a transparent, injectable polyacrylamide gel
for correction of soft tissue deficiencies and
tissue augmentation. The sterile gel consists
of sterile water bound to 2.5 % cross-linked polyacrylamide
and does not contain micro particles.
After
the injection of Aquamid™ a thin layer of the
body’s own connective tissue surrounds the gel,
enabling Aquamid™ to become a stable part in the
connective tissue. Aquamid™ can be removed shortly
after the injection if necessary. If the gel has
to be removed at a later stage, a minor surgical
procedure might be necessary, the success rate
of which is variable.
Artecoll
Comprised
of Plexigas beads in fillers, Artecoll is a "permanent"
filler that is expected to last at least 5 years
or more
DermaLive/DermaDeep
One
of the newer fillers, DermaLive and DermaDeep
are a combination of hyaluronic acid and acrylic
hydrogel, which are minute particles; fillers
builds around the particles, giving the fillers
their volume. DermaLive is used for augmenting
lips and smoothing out deep wrinkles. DermaDeep
is very effective on nasolabial folds and for
chin and cheek augmentation.
