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Dermal Fillers

Why Dermal Fillers are Needed?

Skin starts to sag and wrinkle naturally with age, as underlying fat and collagen diminishes. Injecting dermal fillers into the skin plumps it up, makes it firmer and smoothes out lines and wrinkles.

Dermal fillers, for example Restylane, may be based on hyaluronic acid, a naturally occurring substance widely used in medicine. Others are made with collagen, produced from cows' skin. Newer types of dermal filler with other ingredients claim to have a longer lasting effect, but aren't widely available.

Uses of Dermal Fillers

Dermal fillers are frequently used to fill out the lips. They are also highly successful in reducing crows' feet, wrinkles around the lips, nose and mouth, and lines on the cheeks and forehead. Dermal fillers can also plump out hollow cheeks, reshape the chin or nose tip, or fill acne scars.

Procedures Using Dermal Fillers

As with any cosmetic treatment, you should consult a qualified practitioner before deciding to go ahead with a treatment with a dermal filler.

Around 3% of people are allergic to bovine collagen, so a skin test is always given to patients being treated with collagen-based dermal fillers.

Before treatment with a dermal filler itself begins, the face is sometimes numbed with a local anaesthetic cream or injection. Dermal fillers are applied under the skin with a series of injections ­ a mildly uncomfortable process, with injections close to the lip or nose the most likely to be painful.

Treatment with a dermal filler takes up to one hour, and many people go straight back to normal daily life afterwards, although if a large area is treated it can take a few hours or even a day or two to recover. There may be slight bleeding where the needle was inserted, plus mild bruising or redness which will disappear in a few days. Repeat treatments with dermal fillers are needed every six to nine months to maintain the appearance.

Results with Dermal Fillers

The results of dermal fillers are visible immediately, with the full effect showing once any swelling and bruising has subsided.

Risks with Dermal Fillers

Avoid dermal fillers if you have active acne, or show even a slight reaction to the filler on skin test.

After treatment with a dermal filler, allergic reactions sometimes crop up, including itching, puffiness, and red or bumpy skin. Patients who have had cold sores in the past can suffer an outbreak. Rarely, red lumps appear under the skin some months after treatment with a dermal filler.

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Dermal Fillers

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