DR. MOHAN THOMAS
BEST COSMETIC SURGEON IN INDIA
Injected fillers is primarily used to improve the appearance of the skin 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. Fillers are now also used to augment the nose and chin areas.
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 filler is injected using a fine needle inserted at several points along the edge of the site. Overfilling may be 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 Fillers 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 or longer with small touch-ups required at a later date.
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 concentrated to remove tissue debris and injected as beads to increase the viability. There is no chance of allergy or rejection. Works well for hollow under eyes, deep lines and sunken cheeks.
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 permanent 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 the 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.
AquamidT 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 AquamidT a thin layer of the body's own connective tissue surrounds the gel, enabling AquamidT to become a stable part in the connective tissue. AquamidT 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.
Comprised of Plexigas beads in fillers, Artecoll is a "permanent" filler that is expected to last at least 5 years or more 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.