What are these and how can they help?
Dermal filler is a gel like substance containing hyaluronic acid. This acid is also present in skin and is responsible for retaining moisture and keeping the skin plump. By adding hyaluronic acid to the skin, dermal filler add volume by attracting and holding on to moisture. This results in hydrated skin and its plumpness is enhanced. Dermal fillers also stimulate collagen production over several weeks thus strengthening the skin. The main brands of fillers are Juvederm, Restylane, Belotero and Teosyal. Most fillers contain lidocaine which help reduce discomfort during injections.
Juvederm have brought out a premium range of fillers with Vycross technology. This allows cross-linking of lower molecular weight hyaluronic acid molecules resulting in a smoother product that integrate better with the skin. In practice this means that the product is easier to inject, it is less painful, has a greater lifting potential and because it blends well with skin, the result is more natural in look and feel.
At Luxe Skin we only use the Juvederm premium fillers called Volbella, Volift and Voluma. Volbella is a light filler suitable for under the eyes, forehead and upper lip area. Volift is a medium strength filler used all over the face for volume and lift. Voluma is the highest strength filler that is used in areas which need the most volume and lift such as the cheeks and jaw.
What are the benefits of dermal fillers?
Dermal fillers provide a fast and effective method of rejuvenating the skin. The procedure is minimally invasive with little downtime. The results are visible instantly and settle after 2 weeks. They continue to improve for 3 months due to collagen stimulation. Fillers can correct lines, add volume, enhance facial features and also help in lifting the face. They are great at improving the ageing skin and give it a youthful plumpness. Hyaluronic acid fillers are reversible as they can be dissolved with an enzyme called hyaluronidase (Hyalase) which turns the filler into water. Hence most of the complications can be easily resolved in this way.
The main treatment areas for dermal fillers are:
- Under eye hollows or tear troughs
- Nose to mouth lines
- Smokers lines on upper lip
- Lip volume
- Jaw contouring
- Nose reshaping
- Liquid facelift by adding filler in strategic points thus lifting the face
What are the side effects of dermal fillers?
Minor side effects are bruising, redness and swelling which usually resolves within 2 weeks. The filler can sometimes migrate away from the site of injection into the adjacent area resulting in a displeasing aesthetic look. It is easily corrected by dissolving the filler and repeating the initial procedure. If the filler comes up to the surface of the skin, it may present as a swelling that does not settle after 2 weeks. Occasionally it may give a blueish hue as the light hits it. This is called the Tyndall effect. It can be resolved by dissolving the filler that has surfaced.
Dermal filler can aggregate and lump which requires an injection of hyalase, an enzyme that breaks the filler and turns it to water. Rarely the filler may form a hard lump that does not respond to hyalase. Such a lump is called a granuloma which requires a steroid injection to break it. A much rarer problem with fillers is the formation of a biofilm. The filler can get infected and harbour bacteria. Luckily this problem is rare but it does require treatment. In such a case the filler will need to be dissolved and oral antibiotics may be needed for several weeks.
The most serious (but rare) complication of dermal filler arises if it is injected into an artery. The filler can block the artery and therefore the blood supply of the tissues. This is an emergency as without immediate treatment, the tissue will start to suffer. The filler needs to be dissolved immediately with Hyalase until the blood supply is re-established. Due to the temporary interruption of the blood supply, the tissue will become swollen and painful. It is often necessary to give a course of antibiotics and steroids to resolve the inflammation and possible infection.
If the filler is injected into an artery, it can rarely embolise. This means that it can travel through the arterial network and block the retinal artery leading to blindness. This complication is RARE. With millions of dermal filler injections carried out each year, there have only been under 100 cases of blindness. This makes the risk minimal.
So how can the complications be avoided or minimised? Firstly, go to a reputable clinic where the treatment is being carried out by an experienced medical professional. Do not go to a cut price clinic. The reason they are selling treatments cheap is because they have not spent much time or money on their own training and education. They are not using high quality products and they won’t be able to deal with complications if they occur.
- I, Doctor Q have spent a lot on my training so you can be confident that I use the latest techniques in administering dermal fillers.
- I do not inject filler in the most dangerous area which is the glabella – the 11 lines between the eyebrow. I feel wrinkle relaxing injections are best suited here.
- I use a blunt cannula in high risk areas such as the tear trough
- I always pull back the plunger of the syringe to ensure I am not in a blood vessel
- I inject slowly to reduce risk of pushing filler in vessels
- I always keep emergency supplies to use in case a problem occurs
- I disinfect the injection site to reduce infection risk
- I use the best quality fillers that integrate well with the skin
What is the downtime with dermal fillers?
Any swelling and bruising usually settles within 2 weeks. The filler has also integrated with the skin by the time.
How long do dermal fillers last?
Results last 6-12 months. The longevity depends on how fast your body breaks it down.
How much do dermal fillers cost?
Fillers are usually priced per 1ml syringe. At Luxe Skin we only use the premium Juvederm Vycross range of fillers. 1ml is priced at £375.
Dermal Fillers vs. Threads
Dermal fillers are best for skin rejuvenation. They add volume, strength the skin, reduce lines and folds and lift the face to some extent. Choose fillers is volume, line reduction and skin youthfulness is important to you.
Threads have the most lifting potential. They are best for lifting jowls and mid face. Threads also stimulate collagen and tighten the skin. Choose threads if a facelift is most important to you.
For best results, we at Luxe Skin combine threads and fillers for the ultimate facelift.
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0141 573 1473
3rd Floor | 227 Ingram Street | Glasgow | G1 1DA