DERMAL FILLERS

Dermal Fillers are used to fix areas of concerns that are mostly caused by facial ageing or conditions like acne scars. These fillers contain a gel-like substance called hyaluronic-acid to plump up areas that have been sunken.
With the sunken areas mended, you can expect to see restoration in both your youth and volume in the face. Dermal fillers can be used in areas like the lips, forehead, and temple. There is also a difference between this treatment and others like Botox. This treatment plumps up the skin and provides volume while other treatments like Botox is designed to relax the muscles.
As both the treatment have a different purpose, they can be combined to enhance the end results. The procedure is also fast and easy, with minimal pain and downtime.

Understanding Hyaluronic acid

Hyaluronic acid (HA) supplements the skin by replenishing moisture that has been lost in the skin that is crucial to supple looking skin. It contains no harmful effects of skin toxin. It draws water to the skin to keep it hydrated. Understand your condition and get the treatment most suitable for you from our doctor.

As everyone is different, our Aesthetic Doctor will specially design a personalized treatment plan just for you during the consultation which can help you to achieve your desired results according to your facial proportions.

Here’s some information for you to understand more about the procedure:

Treatment using filler is a safe procedure. Fillers can help to replace volume loss, create a facelift effect and add definition to certain facial features. The areas we commonly treat with fillers include the forehead, temples, under-eyes, cheeks, lips and chin.

Before the treatment, our doctor will go through a consultation with you to understand your medical history, your desired results, and to go through any questions you may have.

The procedure is performed by our doctor under sterile conditions and takes about 15 – 30 minutes, depending on the area(s) treated. Prior to the procedure, we will numb the areas treated so you will be comfortable during the treatment (topical anaesthesia). Bio-compatible filler is then injected under the skin.

Immediately after, you may experience some temporary swelling and bruising. Otherwise, you may return back to most normal activities, except for swimming/high intensity activities. To prevent any bruising, avoid alcohol and multi-vitamins/supplements 1 – 2 days before and after the procedure.

The results from a filler treatment is usually immediate. You will be able to see the final results once the swelling/bruising (if any) heals. This usually takes a few days. Depending on the amount of filler used and individual reactions, results may vary. The 2 most common types of fillers are HA based or collagen based.

On average, the results last about 9-12 months for HA based fillers and 2-3 years for collagen-based fillers. Collagen based fillers promote collagen synthesis which improves skin texture, firmness and contour.

The cost for the procedure depends on the type and amount of HA based filler used, starting from $498 onwards for any area. and collagen-based filler – Ellanse at $1180. (Prices quoted are before GST).

What can dermal fillers do for you?

1. Anti-ageing
Dermal fillers restore volume to our face to treat age-related sagginess and wrinkles due to lax skin and facial volume loss.
2. Enhance facial features
Dermal fillers can be used to sculpt our face to give our face more definition and enhance our facial features.

 

Hyaluronic Acid Fillers

Contains hyaluronic acid, a natural compound found in our skin. It is responsible for many functions in our body like hydration and lubrication of joints. It also aids tissue repair and stimulates the production of collagen.

Collagen-Stimulating Fillers

Contains safe, synthetically-produced compounds that when injected into the skin, volumises the area and stimulates the body’s fibroblasts to produce collagen for long-lasting effect.

Which dermal filler is suitable for you?

People who want results fast and who need very precise volumisation would opt for hyaluronic acid filler, which fills up the area by itself.

Collagen-stimulating fillers are for people who like the concept of having the body generate collagen naturally for volumisation. It is natural and gives long-lasting volumisation.

However, both are natural in that hyaluronic acid is found in the skin while collagen-stimulating fillers generate collagen to volumise. The filler that doctors use would depend on the location that we use it on and the preference of the patient.

Why is technique important?

The technique used to apply the dermal filler is more important than the type of dermal filler. Doctors are moving away from needles to using a micro-cannula, to apply fillers.

A micro-cannula is a blunt flexible wire that doctors insert and slide under the skin to apply the dermal filler. There are many advantages to using a micro-cannula:

⦁ – It gives a natural and more even fill.
⦁ – Lowers the chance of complications including bruising.
⦁ – Bleeding is minimised.
⦁ – Safer with fewer possible side effects compared to needles.
⦁ – One injection point compared to multiple injections.

FAQ'S

The longevity depends on the type of filler used and the treatment area. In general fillers last up to 2 years depending on the brand. Most fillers last about 12-18 months. However, filler nowadays has bio stimulant effect. Not only it is used as an enhancement, it attracts collagen as well. Thus, certain filler effect last longer, even up to 3-4 years.

It varies as different people have different volume requirements and expectations. Let your doctor advise you during consultation.

After cleansing and numbing your face, your doctor will insert the filler with a micro-cannula needle. Treatment takes about 30 mins to 1 hr.

Numbing cream usually will be applied before injection. During injection it should be painless. Dermal filler itself has local anaesthesia in it as well.
The doctor uses multiple techniques to make your treatment a comfortable one. The use of the micro-cannula, numbing cream, and ice packs are some examples.

Light washing of the face and make-up is fine. Light exercise is fine, but avoid strenuous exercise, alcohol, Aspirin, and non-steroidal anti-inflammatory medications (i.e. painkillers).

Occasionally, reactions can occur, but they are temporary and typically resolve within a week. This includes bruising, redness, swelling, tenderness, and slight bleeding at injection sites. For the best recovery, follow your doctor’s instructions.

Dermal fillers can be divided according to their density as well as whether they are permanent, semi-permanent or temporary.

Permanent and semi-permanent fillers are getting less popular nowadays as temporary fillers such as hyaluronic acid getting more advance and last much longer.

Only hyaluronic acid dermal fillers can be dissolved.

Most modern medical procedure carries risk. Dermal filler complications are generally not common and rare. However slightly more common complications such as bruises, swelling, asymmetry, infection does occur. Rare complications such as injection into the blood vessels are rare.

Avoid alcohol and spicy food for 24 hours. Take care of the injection site wound. Avoid massage, contact sports or any pressure towards the filler area for at least 2 weeks.

Popular areas for dermal fillers 
⦁ Temples 
⦁ Tear trough
⦁ Mid cheeks
⦁ Cheek bone
⦁ Laugh lines
⦁ Nose bridge
⦁ Chin 
⦁ Jaw
⦁ Lips
⦁ Marionette lines

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