As we age, our skin loses its youthful fullness. Fillers can replace lost volume in our face and hands.Many fillers offer immediate results and no downtime.
Fillers are also Called-
Anti-aging injectable
Dermal filler
Skin fillerSoft tissue augmentation
Soft tissue filler
Perhaps nothing is more gratifying for cosmetic patients than having an immediate correction ofrhytides or scars as a result of the injection of dermal filler.
Since its approval in 1981, bovine collagen had been the only US Food and Drug Administration(FDA)–approved dermal filler more than a decade. Quickly, this dermal filler gained popularity andwas marketed under the name Zyderm I. This dermal filler was found to be extremely effective forthe correction of fine lines and shallow scars, with results often lasting 3 months.
The perfect dermal filler in today’s market would be expensive, safe, painless to inject,hypoallergenic, and long lasting. In addition, it should be like a "lunch-time procedure for mypatients," Thus, this segment of cosmetic surgery has been the fastest growing for the past decadewith interesting fillers in the Indian market like Resytlane,Perlane,Juvederm,Esthelis,etc all beingreadily available.
Most common content of a filler is Hyaluronic Acid
Hyaluronic acid is the most prominent glycosaminoglycan in the skin. Hyaluronic acid potently bindsto water and, when injected into the skin, volumizes, softens, and hydrates the skin. In addition tothese benefits, it plays a role in cell growth, membrane receptor function, and adhesion. Hence,giving the youthful look again quips Dr.Bhardwaj.
Hyaluronic acid stabilizes intercellular structures and produces the viscoelastic network for collagenand elastin fibers to bind together. Because hyaluronic acid is identical in all species, the risk ofallergy is remote.
Precautions
The adverse effects of Juvederm are similar to those seen with Restylane,Esthelis and Perlane. Likeall of the hyaluronic acid filling agents that are FDA approved. One may see erythema, swelling, andbruising. If injected too superficially, a bluish effect for a long time as a hue may arise and nodulesmay appear. Also, in very badly injected procedures a granuloma can be formed which is the worstcomplication of the filler and always leaves a bad scar behind.
Are you suitable for a filler?
In your Medical assessment always tell your injecting dermatologist if you are on any kind ofmedications as risk of bruising is more when there is any bleeding disorders, uncontrolledhypertension, or when on anticoagulants like aspirin, clopidogrel or warfarin.
Always get checked for hypersensitivity to lignocaine.
Active infection near the site of injection
If you are suffering from systemic lupus erythematosus (SLE), Mystenia Gravis, Neurologicaldisorders then NO FILLER SHOULD BE TAKEN EVER.
Where all can you get a filler?
Aesthetic evaluation of the face must be done by you and your doctor together. Gravitational forcealters the defects or grooves.
With a number of fillers now available, the following signs of aging can be treated:
FaceBrow
droopingCheeks
hollowChin
recedingCreases
deep Eye
hollow beneathJawline
beginning to lose firmnessLips
thinningMouth
downturnedScars, which often become more noticeable with age, if shallowWrinkles and fine lines, especially around the eyes and mouth
PROCEDURE
An informed consent will be taken by your doctor following which also pre photography will be done.
For Anaesthesia
Numbing cream
Or facial blocks if needed as specially in cases of hyperesthesia
And then the filler injection is done and I feel most of my patients say its painless and are happyduring the procedure and afterwards too.
POST-PROCEDURE CARE
Post-procedure care plays a vital role in the achievement of optimal results and hence it is essentialto ask your doctor properly in detail.
Follow-up visits for touch-up treatment should be after 1 week.
NEXT SITTING-
After 12-18 months depending on the doctor injecting skills and the material used.
Generally fillers should be only a fun experience and taking it repeatedly will not lead to any sideeffects is my belief as in my practice that’s what we see.
Dr Deepali Bhardwaj MD(USA.IM),DVDL,M.Phil(Cosmetology), Allergy Fellowship Munich,Germany;Cosmetic surgeries,Iran. Honorary Dermatologist at President Estate Clinic in Rashtrapati Bhawan. Clinic: D305 first floor,Defence Colony,New Delhi24www.skincareindia.inhttps://m.facebook.com/dermatdoc/https://m.twitter.com/dermatdoc/Supports: Deepanjan Charitable Trust Registered with GOI & exempted in 80G www.deepanjan.org Registered with Life Member BRICS, CII, PhD Chambers, India International Centre-IIC