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.
