DERMA FILLER

There are several different types of dermal fillers. A derma filler help to diminish facial lines and restore volume and fullness in the face.

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What types of dermal fillers are available?

Calcium hydroxylapatite Derma Filler Brand names include: Radiesse

Calcium hydroxylapatite is found naturally in human bones and is a mineral-like compound. It’s often used to:

Moderate-to-severe creases such as nasolabial folds, marionette lines and frown lines
Enhance fullness of the cheeks and other facial contours
Improve volume in areas of facial wasting such as can occur in HIV-positive people taking certain medications
Calcium hydroxylapatite derma filler is biosynthetically produced, which means that no animals or animal products are used. This lowers your risk of an allergic reaction and no skin testing is required. This type of dermal filler is known to produce a very natural result, doesn’t migrate and side effects are rare. This dermal filler was first used in dentistry and reconstructive surgery and has a long safety record.

Hyaluronic acid Derma Filler Brand names include: Juvederm, Captique, Esthélis, Restylane, Elevess, Hylaform, Perlane, Prevelle, Puragen

Hyaluronic acid derma filler injections can be used to improve the skin’s contour and reduce depressions in the skin due to scars, injury or lines. You can see potentially dramatic improvements for:

  • Crow’s feet at the corner of your eyes
  • Acne scars
  • Cheek depressions
  • Frown lines between the eyebrows
  • Deep smile lines that run from the side of the nose to corners of the mouth (also known as nasolabial furrows)
  • Smoker’s lines; vertical lines on the mouth
  • Marionette lines at the corners of the mouth
    Redefining lip border
    Scars including burns, acne and those caused by wounds
  • Some facial scars
  • Worry lines that run across your forehead

Hyaluronic acid is a natural substance found in your body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It’s also in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and now has become one of the most popular kinds of injectable fillers. If the term sounds familiar, it’s because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning.

derma filler before and after
derma filler before and after
Derma filler before and after with Aquamid

Polyalkylimide Brand names include: Aquamid

Polyalkylimide derma filler is a semi-permanent dermal filler and is often used to:

  • Treat deeper wrinkles such as nasolabial folds or depressed scars
  • Plump thin lips
    Enhance cheekbones and the jawline, and to replace facial volume lost due to age
  • Treat facial wasting from HIV medications
    Polyalkylimide has very little reaction with human tissue, meaning it’s biocompatible, and no allergy test is required. It is radio transparent, meaning it won’t interfere with x-rays.

After the injection, a thin layer of collagen slowly forms around it over the course of about a month. The gel is eventually completely surrounded. A single procedure can inject large volume. This product, which is thought to be quite stable over time, can even be removed if necessary.

Polylactic acid Brand names include: Sculptra

Polylactic acid derma filler is a synthetic dermal filler that is injected into your face, causing your body’s own production of collagen. This type of dermal filler is known as a stimulator. This non-toxic, biodegradable substance has been used for more than 40 years as suture material.

Polylactic acid is known to work particularly well in the lower half of your face, and is used to:

Fill the lines caused by laughing
Plump thin lips
Treat deep nasolabial folds
This substance is unlike other dermal fillers because it doesn’t produce immediate results. Instead, it stimulates your own body’s collagen production, so results appear gradually over a period of a few months.

You will likely need about three monthly treatments to achieve your desired results. With each treatment, there is re-stimulation of your own collagen. Then it can take four to six weeks to see the full effect. While this type of dermal filler is considered semi-permanent, you may still need occasional touch-ups.

derma filler before and after with Sculptra
derma filler before and after with Bellafill

Polymethyl-methacrylate microspheres (PMMA) Derma Filler Brand names include: Bellafill

PMMA derma filler is considered a semi-permanent filler and is most often used to treat medium-to-deep wrinkles, folds and furrows, particularly nasolabial folds. It can also be used to fill out pitted scars and to augment thin lips.

When a more permanent solution to facial wrinkles is desired, PMMA is often used instead of collagen replacement therapy or hyaluronic therapy. PMMA has been used for many years in permanent surgical implants. Because of this, your surgeon will likely under-fill on the first treatment, adding more later if needed.

One of the downsides of PMMA is that a number of injections are needed to create volume and it can take up to three months to realize the full effects. It may also be visible under the skin. To avoid any unwanted results, it’s key that your plastic surgeon is familiar with the proper technique, which involves injection at the dermal subcutaneous junction using threading or tunneling methods.

A Prospective, Split-Face, Randomized Study Comparing a 755-nm Picosecond Laser With and Without Diffractive Lens Array in the Treatment of Melasma in Asians  PUBMED

Conclusions: A 755-nm picosecond laser is safe and effective for the treatment of melasma in dark-skinned individuals. 

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Q & A

What are dermal fillers?
Dermal fillers are injectable treatments used to restore facial volume and diminish fine lines and wrinkles. They are composed of a variety of substances, such as hyaluronic acid, collagen, and calcium hydroxylapatite. Each variety of filler has distinct properties and is used to treat specific facial regions.

How do dermal fillers work?
They work by adding volume to the treated area, thereby filling in wrinkles and fine lines and restoring a youthful, revitalized appearance. Using a small needle, the filler is injected into the epidermis, and the effects are immediately visible. Over time, the body absorbs the filler, and the treatment’s effects will progressively diminish.

What facial regions are treatable with dermal fillers?
The cheeks, lips, nasolabial folds (the lines that run from the nostrils to the corners of the mouth), marionette lines (the lines that run from the corners of the mouth to the jawline), and under-eye hollows can all be treated. They may also be used to augment the jawline or nose, as well as to diminish the appearance of scars and other flaws.

Are dermal fillers safe?
Yes, they are considered safe when administered by a trained medical professional. As with any medical treatment, there is a small possibility of adverse effects or complications. Before undergoing treatment, it is essential to choose a provider with experience and expertise and to discuss any concerns or queries you may have.

How long do fillings for the skin last?
The duration depends on the type of filler used, as well as individual factors such as the age and skin type of the patient. Most dermal injections last between six and eighteen months before a touch-up is required. During the consultation, the provider will discuss the anticipated duration of the treatment with you.

Is there any recovery period following a dermal filler treatment?
The majority of patients can promptly resume normal activities following treatment, despite the possibility of mild swelling or redness in the treated area. The provider may provide specific maintenance instructions to minimize discomfort and swelling, such as avoiding direct sunlight and refraining from strenuous exercise for a brief period of time.

Are there adverse effects associated with dermal fillers?
Some patients may experience mild adverse effects in the treated area, such as swelling, redness, or bruising. Typically, these symptoms resolve within a few days. Infrequently, more severe adverse effects, such as infection or allergic reaction, may occur. Before undergoing the treatment, it is essential to discuss any concerns or queries you may have with your provider.

Can dermal injections be combined with alternative treatments?
Yes, they are frequently used in conjunction with other cosmetic procedures, such as Botox or laser therapy, to achieve a more comprehensive facial rejuvenation. During the consultation, the provider will discuss any potential benefits or risks of combining treatments.

How do I locate a qualified physician for dermal filler treatments?
To locate a qualified healthcare provider for these treatments, it is essential to conduct research and select a provider with experience and expertise in this field. You may want to seek referrals from your primary care physician or dermatologist, or conduct an online search and read reviews from other patients.

Before undergoing the treatment, it is essential to schedule a consultation with the provider to discuss your objectives and expectations, as well as any potential risks and side effects. You should feel secure asking questions and expressing any concerns during the consultation.

What is the cost of dermal filler treatments?
The cost will vary depending on the type of filler used, the quantity of filler required, and the provider’s location. In general, dermal filler treatments cost between several hundred and several thousand dollars. Before undergoing the procedure, it is essential to discuss the cost of the treatment with the provider, as well as any financing options that may be available. Some providers may offer discounts or package packages for multiple treatments or for returning customers. It is essential to select a service provider with transparent pricing and no concealed fees or charges.

Derma Filler Summary

Dermal fillers 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 cheekbones.

Our doctor will determine with you the best type and volume of filler needed for your particular areas of concern.

For many people, the use of “off-the-shelf” fillers can be a simple office-based procedure that can nicely enhance their appearance. These dermal fillers are very predictable and have relatively minimal risks and side effects. These fillers are injected at our clinic.

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