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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