Facial fillers
Facial fillers are substances injected into the skin to restore the volume loss in the face and improve the hydration of the face to give the skin a more youthful appearance. Injection of a facial filler is generally an outpatient procedure that’s done with numbing medication. The procedure takes up to an hour.
You might have mild discomfort, bruising and swelling for up to a week. After the swelling goes down, you might need a touch-up injection for best results. How long the effect lasts depends on the area of the body treated and the type of the filler, among other factors.
Facial fillers, or soft tissue fillers, generally aren’t used for people who have suppressed immune systems or who take blood-thinning medications (anticoagulants).
Ideal Candidate for Facial Fillers
There is no gender or age restriction, so you can be male or female of any age. The best candidates for this or any other cosmetic procedure are non-smokers with realistic expectations of the results. The reason non-smokers are excellent candidates is because their bodies tend to heal faster, is because smoking causes constriction of small and medium sized blood vessels which supply blood along with all its nutrients and oxygen to the skin. A decrease in the supply of oxygen and nutrients delays the healing.
Good candidates for dermal fillers will have moderate to severe folds or sagging of face, or other problem areas that they do not want to correct with surgery (for example, under eye circles, sunken cheeks, etc.). The procedure is an excellent option for clients who have specific problem areas that do not extend to the rest of the face. For example, if you want to fill in nasolabial folds, but do not feel like they are extreme enough to warrant a face lift.
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Types of facial fillers
- Hyaluronic acid (Restylane, Juvederm, others). This natural component of the skin’s connective tissue is the most common filler used for wrinkles. The results typically last 6 to 12 months.
- Calcium hydroxylapatite (Radiesse). This filler is used to contour the jaw line, restore volume in the cheeks, and treat deeper wrinkles and skin folds. The results last up to a year when used for contouring and 3 years when used to fill wrinkles.
- Fat grafting. With this method, fat is removed from the lower abdomen or other area through liposuction. It is then injected through small incisions into the cheek, temple, lips or forehead. The effects might be permanent. But achieving the desired results usually requires more than one session as well as overfilling the site because the body reabsorbs some of the fat.
- Permanent soft tissue filler (Bellafill). This filler is used to smooth deep wrinkles around the mouth. The body can’t absorb this type of filler, so it doesn’t require reinjection. Permanent soft tissue filler generally isn’t recommended as a first-time facial filler treatment.
- Poly-L-lactic acid (Sculptra). This product is used to restore facial volume lost due to aging or illness. Two or three sessions are usually required. The effects last up to two years.
Risks of fillers
As with any procedure, injecting facial filler for wrinkles has risks, including:
- Allergic reaction at the injection site or throughout the body
- Swelling and inflammation
- Changes in skin color (postinflammatory hyperpigmentation) on brown or Black skin
- Mild pain
- Bleeding or bruising at the injection site
- Infection
- Scarring
- Irregularities in the surface, contours and firmness of the skin
- Rarely, blood vessel damage