Our face comprises of four major structural components- the skin, fat, muscle, and bones. Over time, an age-related loss of facial bones can result in a drooping nose, retracted jawline, or loss of high cheekbones. The facial muscles become loose due to a decline in their elasticity and volume, and there is deflation or movement of facial fat. Lastly, the skin stretches and loses elasticity. All of these contribute to sagging skin, wrinkles, and other signs of aging.
Dermal filler is an injectable substance (a specially formulated liquid solution) that is administered to restore the volume loss. So, it can also be used for facial contouring to improve facial profile and features.
Which parts of the face can be treated by dermal fillers?
Some common treatment areas of dermal fillers include:
Dr. Rajdeep Mysore, a cosmetic dermatologist recommends using only FDA-approved, top branded fillers which have been subjected to years of testing and research. The dermal fillers treatment in Bangalore, JP Nagar are categorized according to their ingredients. Each type of dermal filler varies in its formulation i.e. in texture, density, and injection depth. Traditionally, collagen fillers were in use but they are no longer in use due to the risks of developing a reaction to it. Following are some of the commonly used types of dermal fillers:
1. Hyaluronic Acid Filler
Hyaluronic acid is naturally present in the human body with high concentrations in skin, eyes, and body joints. It is responsible for maintaining the hydration levels in the skin because of its ability to attract water. In fillers, hyaluronic acid chains are bonded together or cross-linked, thereby making it a gel-like substance. The degree of cross-linking determines the thickness and longevity of the filler. Generally, thicker hyaluronic acid fillers are firmer and are used for adding volume to particular areas while the finer ones are used for critical areas like for the thin skin around the eyes. The effect of hyaluronic acid can be reversed by injecting a hy-aluro-nid-ase enzyme in case of excess or misplaced hyaluronic acids.
This is the most popular type of filler because of its safety profile, ability to easily dissolve (if required), and natural-looking results. The effects of hyaluronic acid fillers are seen immediately. It makes the skin plumper and well-hydrated. But the results are temporary (i.e. can last for up to 6-12 months) because it can get absorbed by the body over time. Due to individual variations in absorbing the filler, it can last for upto 3 years in some patients.
Hyaluronic acid fillers are commonly used for:
2. Calcium Hydroxylapatite Filler
It is another naturally occurring substance that is mainly found in human bones. When used in fillers, calcium particles of microscopic size are suspended in a smooth gel. This type of temporary, biocompatible filler is more consistent (thicker) as compared to hyaluronic acid filler and usually lasts longer. It is known to stimulate collagen production and help smoothen deeper lines and wrinkles.
Most often it is used for:
3. Poly-L-lactic Acid Filler
It is a biodegradable synthetic substance that is safe to use in the human body. When used as dermal fillers, it can encourage the rebuilding of natural collagen. Unlike other fillers, the results obtained by this filler are not immediate. This type of filler provides gradual results over a period of several months but it can stay for about 2 years. Poly-L-lactic acid filler works best for the lower half of the face. It is not appropriate for fine lines around the mouth, lines close to the eyes, and lip augmentation.
4. Polyalkylimide Filler
It is a synthetic polymer that is known as a semi-permanent type of filler. This is a biocompatible filler that cannot interfere with X-rays due to its radio transparency. It works by slowly forming a thin layer of collagen around the injection site which takes about a month. A single injection can help achieve dramatic results. Over time, it remains stable and it can even be removed (if necessary). Often it is used to:
5. Polymethyl methacrylate (PMMA)
It is another semi-permanent, synthetic filler that contains microspheres or tiny beads of PMMA. This is commonly used along with bovine collagen for a long-lasting firm and plump skin. As compared to other biodegradable fillers, it is more durable as it can last for up to five years.
PMMA along with bovine collagen can be used to:
It is not appropriate for areas close to eyes, lips, and fine lines around the mouth. The cost of dermal fillers in Bangalore varies according to the type of fillers used and the (units of) quantity of injections provided to manage the concern.
For some dermal filler treatments, a topical anaesthetic (a numbing cream) is first applied over the treatment area and allowed to take its effect in the skin after 20-30 minutes. Nowadays, fillers are combined with lidocaine (a local anaesthetic). It is important to keep the treatment site clean by using an antiseptic solution before injecting fillers.
Next, the dermal filler is administered underneath the skin with the help of a sterile fine needle or a cannula having a blunt-ended tip. Mostly, a cannula is used in certain parts of the face because it can help avoid the risk of puncturing blood vessels. The injectable liquid to be administered into the skin can be measured by vials. For precise delivery of fillers, a device called AccuVein could be used prior to filler injections as it can help detect the veins' location and minimize the risks of having bruises.
The overall procedure takes about 20-30 minutes based on the area being treated. The clients undergoing this treatment often describe it as a mild scratch made by needle insertion with a slight stinging sensation while injecting the fillers.
Depending upon the type of filler, the time taken for achieving results and its longevity varies. Some last for 6-12 months while others can last longer. Even the area being treated matters for the longevity of results. For mobile sites like lips, the effect of fillers wears off soon. Dense fillers like those used for jawline or cheekbones usually last longer. In order to create the desired results, the practitioner regularly assesses the placement and effect of the filler during the procedure.
What to expect after dermal filler treatment?
There is usually some transient redness after the procedure. Swelling or bruising can also be seen, especially with lip enhancement procedures. Within 48 hours, swelling can fade away whereas bruising may subside within a fortnight or may take one to two weeks to completely disappear. Some fillers may create small lumps in the skin which can either dissipate in a few weeks or may require dissolving with a different injectable product.
The desired results are usually observed after a few weeks. During this time, the filler gets integrated into the tissues of the face and starts showing its effect. The semi-permanent fillers get metabolized by the body over time, hence multiple sessions are required to maintain the desired results.
Until the needlepoint is recovered, patients must not wear any make-up or use any cosmetic products or get other skin treatments.
Who is not eligible for dermal filler treatment?
The eligibility of the person is checked by having a detailed discussion at the initial consultation. If everything is going right as required, the patients can commence with the treatment.
Candidates who are not suitable for dermal fillers include:
For patients with current immunosuppressive therapy, Hyaluronic acid fillers must be used with caution.
Dermal filler treatment aims to provide natural-looking skin improvements using the smallest amount of filler possible. The goal of the treatment is to ensure that the procedure is comfortable for the candidates and optimal results are achieved.
Some of the major benefits of dermal fillers are as follows:
FDA-approved uses of Dermal Fillers
Dermal fillers are approved to be used in adults who are aged 18 years and above for specific uses such as:
To know if you are an ideal candidate for this treatment, consult Dr. Rajdeep Mysore, a renowned cosmetic dermatologist in Bangalore at Charma Clinic.
Disclaimer: This website (www.charmaclinic.com) aims to spread awareness about skin, hair, nail problems and their relevant treatments. The information shared here is generic in nature and can not replace the advice/ prescription of a qualified medical professional. Every individual may have different skin, hair, nail concerns and must be treated accordingly. Hence, medications or treatments mentioned on the website shall not be consumed/ utilized unless prescribed by a certified medical professional.