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Dermal/Cosmetic Fillers
As the skin ages the framework of collagen and elastin begins to break down, and the skin gets thinner, resulting in the development of lines and wrinkles. Dermal or cosmetic filler is a synthetically produced product that is injected under lines and wrinkles, plumping up the skin and creating a lift and firmness to the treated areas. The filler products can be used to immediately soften skin folds, fine lines and facial irregularities and can be utilized to contour the face and add fullness to areas such as cheek depressions, hollows under the eyes, and chin dimples.
The most commonly used dermal and cosmetic products use a hylauronic acid gel that is a natural chemical constituent of the skin, and therefore, less likely to cause an allergic reaction. Collagen-based products, poly-acrylamide preparations, and calcium hydroxylapatite gels are also available on the market with the exact type of filler product chosen dependent upon the area to be treated and the result required. Results typically last between 6-18 months, depending upon what area is treated and the filler used. Results can also vary from person to person, as the filler is gradually broken down and absorbed into the body returning features to a pre-treatment look.
Dermal and Cosmetic Filler Areas for Treatment
- Areas that can be treated with dermal and cosmetic filler products include:
- Crows feet at the corner of the eyes
- Marionette lines at the corners of the mouth
- Deep smile lines that run from the sides of the nose to the corners of the mouth
- Frown lines between the eyebrows
- Lines that run across the forehead
- Smokers’ lines around the mouth and lip area
- Hollows under the eyes, in the cheeks, and at the temples
Dermal and cosmetic fillers are also effective in redefining the lip line area, correcting the vertical wrinkles above the lip, and creating fuller, plumper lips while improving the shape of the mouth. Thicker fillers can be utilized to fill out acne scarring, as well as to with add volume to weak chins and sunken or flattened cheekbones.
Dermal and Cosmetic Filler Procedure
Dr. Rodriguez will prescribe an antiviral medication for you to start at least one before the procedure if there is a history of cold sores or herpes to prevent subsequent flare-up. The procedure for injecting a dermal or cosmetic filler product is relatively simple and painless, since Dr. Rodriguez is expert at anesthetic nerve blocks. Dependent upon the type of filler to be used a skin test may be required to ensure the patient does not have an allergic reaction to the product, with the injected area tested 2-3 days following the injection and then again after a 4 week period. This is most common when using a product containing the less frequently used bovine collagen, but the majority of dermal fillers do not require a skin test.
An anesthetic cream may be applied to the area for treatment 20 minutes or so prior to the procedure, with Dr. Rodriguez using a small amount of dental block if the mouth area is to be treated. The treatment is delivered using a pre-filled sterile syringe equipped with a very fine needle that is inserted into the deep dermal layer of the skin. The deeper the wrinkle, the deeper the product is injected into the skin with a thicker filler product used for a deeper fold or depression. Different injection techniques may be used depending on the type of filler and the area being treated, but usually consist of either a linear threading technique where the needle is inserted into the middle of the wrinkle or a serial puncture technique where several injections are inserted along the wrinkle. If an anesthetic dental nerve block is used, the normal sensation returns after about one hour.
Dermal and Cosmetic Filler Recovery
The majority of patients can return to normal life immediately following a dermal or cosmetic filler treatment. The effects can be seen immediately and depending upon the area treated and the product used. The results can last for between six and eighteen months. There may be a small amount of swelling or bruising at the site of the injection that will generally settle down over the following 48 hours, and patients are advised not to touch the treated area any more than necessary. Some patients feel better using a mild analgesic like Tylenol or Aleve or applying ice periodically during the first 24 hours.
Dermal and Cosmetic Filler Risks
Dermal and cosmetic filler products have been FDA tested before being allowed onto the market. They are extremely safe with a low reported incidence of side effects, the most common being mild bruising. Products containing animal products tend to present a higher risk of allergic reaction with bovine collagen filler products not recommended for clients with conditions such as rheumatoid arthritis, lupus or autoimmune disease. Areas of the skin that are irritated or possibly infected should not be treated, including active acne and herpes. Any delayed reactions to the treatment, such as blistering or a lumpy redness, or painful bruising or swelling should be reported to the doctor immediately.
Dermal and Cosmetic Fillers combined with other procedures
Dermal and cosmetic fillers can work very effectively when combined with MesoLift, Botox, chemical peels, laser treatments, and mini-facelifts. When combined with other non-invasive treatments, dermal fillers can offer complete facial rejuvenation quickly and with minor discomfort. Short acting fillers produce the best results when combined with facelift surgery, while longer lasting fillers are more effective when used in conjunction with treatments such as laser skin tightening or mesotherapy skin tightening.
Benefits of Dermal Fillers
Dermal and cosmetic fillers are improving continually with new products entering the cosmetic market at a high rate, setting new standards for the correction of facial lines and wrinkles. Results are immediate, providing patients with a quick and easy solution to the aggressions of ageing, sun damage and lifestyle. Dr. Rodriguez can modify and adjust your subsequent filler procedures as your face changes over the years to keep you looking your best. Through a simple injection, imperfections can be softened; gently creating a more relaxed, rested and youthful appearance, all within the time it takes to eat lunch!
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