Dermal Filler | Lip Filler | Cost and Augmentation

Did you know that many visible signs of ageing can be traced back to volume loss? As the facial fat atrophies, we start to develop folds around the nose and mouth, and cheeks look a little hollow.

This lost volume can be replaced by dermal fillers which results in filling of grooves, smoothening of wrinkles, augmenting the lips, and restoring a more youthful appearance. They are is widely chosen treatment across the world for facial rejuvenation and reversing the signs of ageing, as it is a quick, safe and effective way to look younger.

What are dermal fillers?

They are soft tissue fillers composed of gel-like material that are injected below the skin to restore volume loss, smooth out lines and wrinkles, and enhance facial contours.

As we age, the facial bones undergo resorption, subcutaneous fat decreases, and the ligaments loosen. As a result, there occurs deflation and sagging of the face. We develop hollowness and deep folds. The shape of the face changes with the lower part of the face becoming more bulky.

It help in restoring the lost volume and restructuring the lost shape of our face.

How can dermal fillers enhance my look?

They are an excellent tool to reverse the signs of ageing and enhance once appearance.

Below mentioned are some of the benefits:

Augmentation & enhancement of thin lips through lip injections.

Contouring & restoring volume to sunken cheeks areas, temples, forehead and lengthening of short Chin bone

Decreasing & softening of facial creases and wrinkles around nose and mouth (smile lines and marionette lines)

Smoothening out a chin crease

Improving facial symmetry

Reconstructing contour deformities in the face

Removing the shadow below the eyes

Dermal fillers can be very helpful in those with early signs of ageing, or as a value-added part of facial rejuvenation surgery.

What types of dermal fillers are available?

There are several different types like Hyaluronic acid filler, Calcium Hydroxylapatite, and Poly L Lactic Acid.

The most commonly used is hyaluronic acid based filler, which is available in different formulations, chosen according to the indication.

Hyaluronic Acid is naturally found in your body. It is present in high concentrations in soft connective tissues and in the fluid surrounding the eyes. It is also found in joint fluids, and skin

Hyaluronic acid is the most popular types of dermal wrinkle fillers used worldwide.

Hyaluronic acid can be used for the treatment of hollowness and grooves of face, facial contouring, and even to fill depressed scars. Following are the common indications of hyaluronic acid injections:

Facial wrinkles

Fine lines

Tear trough

Cheek Augmentation

Temple hollowness

Forehead depression

Nasolabial folds

Marionette lines

Lip augmentation

Smoker's lines; vertical lines around the mouth

Chin augmentation

Jaw line re-definition

Hand rejuvenation

Brand names include: Juvederm, Hylaform,, Perlane, Restylane

Hyaluronic acid differ in chemical makeup, longevity and have varying degrees of softness. Softer fillers are used in the lips, for example, while sturdier fillers might be desired to enhance cheek bones. Your dermatologist will determine with you the best type and amount needed for your particular areas of concern.

Who is a good candidate for dermal fillers?

You may opt for dermal fillers if you:

Are physically healthy

Have a positive outlook and realistic goals in mind for the improvement of your appearance of your appearance

Are committed to maintaining good skin health

What are the steps of the procedure?

A dermal filler medical procedure includes the following steps:

Step 1 – Facial assessment & mapping. The doctor will evaluate your facial appearance and examine the areas of your face to be augmented. Strategic points on your face will be marked as the appropriate injection sites for the filler. Photographs will be taken of the areas to be treated.

Step 2 – Cleansing & anaesthetising. The injection sites will be cleansed with alcohol swabs.

Pain at the injection site may be ameliorated by use of an anaesthetic ointment to numb the skin. The fillers are pre-mixed with lignocaine (anaesthetic agent), so the injections are usually easily tolerated.

Step 3 – The injectable filler of Hyaluronic acid gel is carefully administered at the pre-determined sites. The improvement is visible instantly. One can instantly see the lifting effect, contouring and re-positioning of the facial tissues, and filling of grooves and lines.

Any lumps or bumps are smoothened out by gently massaging the area. Results are assessed, and additional filler is injected where ever required.

Depending on the number of areas to be treated, the whole process may be as short as 15 minutes, or as long as an hour.

Step 4 – Clean up & recovery. Once satisfactory results are obtained, the face is again cleaned and antibacterial cream applied.

What should I expect during my recovery period?

You can resume most activities right away, but it is generally recommended that you avoid intense physical activity for the first 24-48 hours to minimise swelling and bruising.

There might be slight redness and swelling at the injection points, which subsides in couple of days.

It is advisable to drink lots of fluids (3-4 litres per day) for 1 week post filler treatment that will help in hydrating the product and enhancing the results.

What results should I expect after dermal fillers?

The results of soft tissue augmentation using dermal fillers are apparent immediately and will last for 12 months - 18 months. It is also dependent on type of filler and the material used for augmentation.

How many sessions do I require?

Dermal fillers is a single sitting procedure.

How long does the effects last?

Depending on the indication being treated and the product used, the effects of dermal fillers can last from 12 months - 18 months.

The results can be enhanced long term by maintaining a healthy skin with appropriate products and skin treatments.

Does my condition becomes severe after the effect of filler weans off?

No. Once the hyaluronic acid gets dissolved in the tissues, you resume whatever condition you had in the starting of the treatment. There is no worsening.

What are the risks of dermal fillers?

Dermal filler injections is an absolutely safe and effective treatment if done by an expert who is Board Certified health care professionals like Dermatologists or Plastic Surgeons who are member of American Society of Plastic Surgeons. The product used at Skinos is USA FDA Approved World's Best Dermal Filler, Juvederm!

Minor temporary adverse effects like swelling, bruising, pain, injection point erythema may rarely occur which are usually noticed within 24 hours of treatment.

Severe complications from dermal fillers are uncommon.

Potential side effects include:

Acne-like skin eruptions

Asymmetry

Bruising, bleeding from the injection site, swelling

Damage to the skin resulting in scarring

Infection at the injection site

Lumps

Cold Sores of the skin

Allergic Reactions

Superficial placement

Skin rash with itching

Skin redness

Under correction of wrinkles

Over Correction of Wrinkles

Blood Vessel Occlusion

Blindness

Skin necrosis (ulceration or loss of skin from disruption of blood flow)

How are fat injections used as dermal fillers?

Your own body’s fat can be harvested, processed, and injected as dermal fillers to bring out similar effects as those by hyaluronic acid. This is a common procedure performed using simple medical devices.

What is the procedure for fat injections?

Fat injection is a more elaborate procedure than hyaluronic acid fillers. First step is to identify a donor area from which fat can be harvested. This is usually the abdomen or buttocks. Using a liposuction cannula, fat is removed from the donor area, it is processed in a machine, and then injected in the face.

The grafted fat then has to redevelop a blood supply in order to survive. About 50% of the fat injected will survive, and the surviving fat will last forever.

What are the results of fat injection?

The results of fat injection are less predictable. Usually, more than one sittings are required to get the desired results.

Fat injections are associated with more discomfort, both in the recipient as well as in the donor area. This is a minor plastic surgery procedure that can be performed in the treatment room or in an operating room.

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