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What are Injectable Dermal Fillers? Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours. More than 1 million men and women annually have choose this popular facial rejuvenation treatment, which can be a cost-effective way to look younger without surgery or downtime.
While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:
There are a variety of FDA approved filler products that cosmetic surgeons use. In general, fillers are categorized by the substance they are made from. A note for your safety: always make sure that you are receiving FDA approved, brand name fillers, which are only available through a licensed physician, such as a board certified cosmetic surgeon.
Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment.
Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium particles are nearly microscopic and suspended in a smooth gel. The consistency of a CaHA filler is typically thicker than that of a hyaluronic acid filler and typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. FDA approved CaHA fillers include Radiesse.
Poly-L-lactic acid is a biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance. It has been used for many years in medical devices, such as dissolvable stitches. Poly-L-lactic acid products are technically classified as “collagen stimulators,” as their main mechanism to smooth fine lines is by helping your skin rebuild natural collagen—the filler gel itself dissipates a few days after treatment. Poly-L-lactic acid is typically used to treat deeper facial wrinkles, and results can last more than 2 years.
Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. In dermal fillers, PMMA takes the form of a “microsphere” or tiny ball, that remains beneath the skin indefinitely to provide continued support. PMMA fillers will also contain collagen, a naturally occurring substance in the skin that provides structure and firmness.
Autologous fat injections are the only injectable filler treatment that requires surgery, but results can last for many years. Your own fat is harvested from another area (autologous means “from the same person”), typically using liposuction. The fat is then purified and injected into the face to help restore volume to the cheeks, temples, lower eyelids, or other areas. Fat injections require specialized training to perform safely and achieve great results, and should only be performed by an experienced, board certified cosmetic surgeon.
When selecting a provider for injectable treatments, give your decision the same level of care and scrutiny that you would for a surgical procedure. Non-surgical filler treatment is still a medical procedure that requires specific training, knowledge and skill to ensure safe treatment and natural-looking results. Choose a provider with an extensive knowledge of facial anatomy, a well-developed aesthetic eye, and a surgeon’s skill and precision.
Whomever you choose, make sure your provider has a proven background in cosmetic medicine as well as training and substantial experience performing filler injections. Ask to see before & after photos of a potential provider’s patients. If an R.N. or physician’s assistant will be performing your injections, that person should be working closely under the supervision of a qualified physician, preferably a board certified cosmetic surgeon.
With so many dermal filler products on the market, it can be difficult to know which option is best for you without an experienced cosmetic surgeon’s guidance. Each product is uniquely formulated to have a certain texture, density, and injection depth, which means that certain fillers work better for certain areas of concern. While your provider will determine what product is best for you, the following diagram illustrates in general where cosmetic surgeons tend to apply certain products:
Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your cosmetic surgeon to discuss your concerns and goals.
During your consultation, your cosmetic surgeon will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your cosmetic surgeon if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.
Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your provider will then inject a precise amount of filler strategically beneath the skin.
Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.
Facial fat grafting is a surgical procedure and follows a different treatment protocol. Typically, fat grafting is performed as an outpatient procedure, using general anesthesia or local anesthesia with sedation. Up to 2 weeks of downtime may be required, depending on the extent of liposuction performed. Your cosmetic surgeon will go over what to expect with surgery and recovery during your consultation.
How long the effects of dermal fillers will last depends on the product, the area of treatment, and the patient. Generally speaking, the denser the product is and the more deeply it is injected, the longer it will last, although this is not a hard and fast rule. To maintain your results, your cosmetic surgeon will simply repeat treatment, adjusting the amount and techniques as necessary to ensure optimal results.
Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for first-time filler patients. These will typically last from 6 to 18 months. Injections to the lips will wear out a little faster than those to the nasolabial folds. Certain HA fillers, such as VOLUMA, are formulated to last longer, but are usually limited to certain areas, such as the cheeks.
Synthetic fillers tend to last longer, as they are not absorbed by the body. They can be a great option for the right patient, but you’ll want to be ready to commit to results that will be there for several years—and choose an experienced, qualified provider whose aesthetic style you like.
Fat injections are meant to last indefinitely; however, some of the injected fat is expected not survive. Initially, your cosmetic surgeon may overfill the treatment area, resulting in an initially fuller look that will gradually settle into a more natural appearance.
With the help of an experienced, qualified provider, injectable fillers can provide natural-looking enhancements to help you feel more confident in your appearance. If you’re ready to learn more about your options, the next step is to meet with a board certified cosmetic surgeon for a consultation.
Rhino means nose and plasty means to shape, mold, or form. Rhinoplasty was the fifth most common procedure one by plastic surgeons in 2012, according to the latest statistics released by the American Society for Aesthetic Plastic Surgery (ASAPS). Many plastic surgeons feel rhinoplasty is the most artistic and difficult cosmetic surgical procedure. I agree, because the surgeon makes three-dimensional changes which instantly alter other areas of the nose.
Accurate preoperative analysis is 50 percent of the outcome. I encourage my patients to bring in photographs of how they envision the results. Only a limited number of experts specialize in rhinoplasty, so do your homework.
Rhinoplasty is done on a same-day basis. I prefer to use general anesthesia because there tends to be bleeding in the back of the throat, and this may be a problem with a semi-conscious patient. Ultimately, however, I tend to let the patient decide what anesthesia they would like. There are various techniques, depending on the anticipated outcome.
Because rhinoplasty is a complicated procedure and the nose swells during the operation, there is a chance you may need to have some post-surgery touch- ups. About 15 percent of rhinoplasty operations require touch-up procedures.
The process of ossification of the bones of the face ends between the ages of 15 and 18. It is from this age onwards that we can assess whether he is a candidate for this intervention and if so, we can assess the position, the projection, the necessary volume and the desired shape.
It depends on each patient, which area has more fat accumulation, but is usually removed from the abdomen. The quantity required is very small, what is important is the quality of the fat to be processed and applied.
We can always resort to facial fillers, which are temporary such as hyaluronic acid or calcium hydroxyapatite. When injected, they do not require surgery, are placed with a little local anesthesia and the results are immediately evident.
Yes, the only thing is that we recommend resting the area, i.e. do not gesticulate too much or chew excessively during the first hours of implant placement to avoid displacements.
As the treatment is totally natural and is working with the body’s energy, you will feel revitalised all over and your general sense of well being will be improved – this is a fantastic alternative to medical and chemical treatments.
You will notice that lines on the face start to fade as treatment progresses and there is also a new firmness about the skin, which can be particularly evident in the jaw line, ”jowls’ and the sides of the cheeks. The whole face receives treatment at every session, but also specific areas can be targeted to focus on your requirements. This can be discussed at the initial consultation and also continuously throughout subsequent treatments.
In FEA we are using acupuncture points on other parts of the body other than the face, so you will notice benefits to your overall health and well being; patients have reported cases of muscle aches and pains that have improved and also some eye conditions have shown significant improvement after a number of treatments. Any specific conditions can be discussed at the initial consultation and if at all possible these conditions may be able to be addressed during the treatments.
This protocol will not give the dramatic results that are achieved by medical procedures, such as a face lift, and the same results should not be expected. We are, however, working with your own natural energies and a more subtle and refined improvement should be anticipated, safely and at a fraction of the cost of surgery and other treatments.
Areas we might wish to focus on during Treatment may include:
We are all individuals and therefore react to treatment in totally different ways, it is always advisable to embark on a ‘course’ of treatment to maximise the effects of Facial Enhancement Acupuncture. However, improvements can be evident after the first treatment and many patients have reported significant enhancements in skin tone and quality after only three or four visits.
Patients can also undergo cosmetic acupuncture treatments as and when they feel they require them and they will notice a gradual improvement to their skin tone and condition as the treatments progress. These treatments can be carried out on a weekly basis or even a couple of times a week for more rapid results.
Patients ask Paul Adkins how often they should come for treatment, his answer to this is: “as regularly as you possibly can”. The benefits of acupuncture to your Body, Mind and Spirit are tremendous. Now you have linked with acupuncture to enhance your inner beauty as well, this can only be something that you will benefit from for the rest of your life. How many people pay a membership to a health club or gym on a monthly direct debit and then only go every now and again? For the same sort of cost you can benefit from acupuncture every month or every six weeks.
The initial appointment and treatment can take up to 90 minutes as a full medical history is taken and a specific treatment plan is tailored for you. This treatment plan may involve the use of other acupuncture treatments to help address any conditions that have become evident during the consultation. Thereafter, treatments will generally last 60-90 minutes. This initial 90 minute appointment is necessary, even if you only plan to have one or two treatments, this way a complete history can be compiled and can be updated after subsequent visits.
Any visits to the clinic or discussions with your practitioner are always treated in the strictest confidence.
The needles that are used for acupuncture and cosmetic treatment are very fine disposable needles. There is very little sensation when needled with them, and only a mild stinging feeling may be experienced on some occasions, in fact the whole experience of a treatment can be very relaxing in itself.
If you are unsure about the needles your practitioner can show you what is involved when you come for your consultation. Most people who have not had acupuncture before are surprisingly pleased at how fine the needles are.
There are no side effects evident after treatment, although there may be some localised bruising in some cases, but this is very minor and will not last long.
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Juvederm is a hyaluronic acid-based dermal filler. There are several products in the Juvederm family. They all are used to help people address the facial signs of aging. Each product in the Juvederm line features different bonding and concentrations of hyaluronic acid. The different products are each tailored to target specific problems when injected into different areas and depths. Juvederm fillers have a smooth, gel-like consistency.
Before you get your procedure done, make sure you research a reputable professional for the job.Many doctors would argue strongly against getting the procedure at a spa or a beauty salon.A beautician hasn’t had the same training and they are most definitively not able to prescribe medication or treatment if something were to go wrong.A beautician also can’t dissolve the filler if you don’t like the results.UK legislation on injectables are practically nonexistent so it is imperative that you research your doctor.
Let’s get this potential deal-breaker out of the way: lip injections can cost anywhere from $500 to $2,000, depending on the region you live in and the doctor performing the procedure. However, the average cost is about $600. Though with one of our lip injection deals, your service can cost significantly less
Restylane is a brand of hyaluronic acid–based facial fillers used to smooth wrinkles. Different types of Restylane can be used for various needs, including:
Hyaluronic acid naturally occurs in the connective tissue of skin, so it’s most commonly used in aesthetic procedures.
Almost anyone can get Restylane since the procedure is easily done and recovery is quick.
You should avoid Restylane if you’re:
Hollows at the upper cheek or under-eye area can be temporarily improved with Restylane or Juvederm Ultra. These are non-animal derived hyaluronic acid fillers, which give a soft, natural correction to facial hollows. Effects typically last approximately six months after the first treatment, but can last even longer after subsequent treatments. The newer forms of Restylane and Juvederm contain Lidocaine (a local anesthetic), so treatment is comfortably done in the office with no post-procedure down time. It is helpful to avoid aspirin-containing products for several days prior to the injections, and to ice the area afterward to minimize bruising.
Best Dermal Filler Areas The face loses volume and contour when we age, the bones and the soft tissue dissolve and contribute to appearance of sagging. Dermal fillers may be used to replace this volume loss and restore the structural support, giving the patient a more youthful appearance. The aim is to make the face more harmonious and rejuvenated.
For instance, the lips may be injected to improve their shape, size, symmetry and proportion. The cheeks may be injected to make a face more defined and attractive. An underdeveloped chin may be injected to make it appear more projected and proportionate. The nose may be injected to improve the shape and its contour.
Following an allergy screening prior to your first appointment, one or two sessions will usually be successful.