TOP 4 THINGS about Dermal FILLERS – And myths dis-spelled

With CNY coming, all of us want to look and feel our very best. Dermal filler procedures become highly popular during this time to help us enhance our features, and bring our best face forward. But before you go and get your botox or filler fix, here are 4 important things you need to know.

There are basically 2 main types of dermal fillers.

Hyaluronic acid dermal fillers – Restylane, Juvederm, Boletero, Teosyal

Semi permanent dermal fillers – Radiesse, Ellanse, Sculptra

1.Are dermal fillers safe and effective?

Dermal fillers have been FDA approved for the FACIAL Volume restoration for more than 20 years. Numerous level 1 evidence papers can be found, demonstrating its efficacy in the face. Worldwide, there have been more than 50 million dermal filler treatments performed. Hence it’s efficacy is without doubt. Regarding safety, it is safe in experienced hands. Do scroll down to the end of this page to learn about the risks.

2. Will I look worse than before once I stop fillers / botox/ threadlift treatments? Will my face age faster, sag faster etc?

This is a myth. Your face will return to its original state. Fillers and botox will not accelerate ageing. Ageing is a dynamic process that remains unchanged.

3. Why are there so many different dermal fillers in the market? 

Sculpting your face with dermal fillers is like painting a work of art. Just as a Picasso uses different colour paint to work his magic, I use different types of fillers to bring out your features in different parts of your face.

Ultra light dermal fillers are great for hydration – restylane vital light, redensity 1

Soft dermal fillers are excellent for undereye and lips.

Firm dermal fillers work best for chin and nose.

A mid density dermal filler would be perfect for the cheeks.

4. Will I look better the more dermal fillers I put into my face?

Let me explain with scientific and mathematical model. Allow me to introduce to you the bell-shaped curve, something we come across as a student.

 

CURVE
TREATMENT CURVE

F: You start doing dermal fillers. You can some results.

D: You do more dermal fillers, You can see better results.

C: You combine fillers, with botox and threadlift. You get optimum results.

B: You do abit too much dermal fillers, and results dip.

A: You overload on dermal fillers and botox, and you get awful, unnatural results. 

So in summary, you want to be at the peak of the curve, the C portion where your aesthetic treatments give you optimum results. If you over-do things, then yes, you end up with the media worthy Hollywood phenomenon. I call it the REVENGE OF THE PILLOW- FACE.

Fillers when overdone 

Chin: Witch-like chin

Forehead: Luohan fish

Nose: The infamous Avatar

Cheeks: Chipmunk face or Pillow face

 

Pillow Face
Revenge of the Pillow Face

So remember, it is important to know when to stop. Aesthetic treatments can get rather addictive haha.

One interesting fact:

  1. Traditionally, botox lasts 3 months.
  2. Fillers last 6- 12 months depending on the brand and model.
  3. Over the years, I have had patients telling me they only need to do botox every 6 months, and fillers every 18 months, all because they have been maintaining their treatments.

 

As mentioned in the earlier part of this article, dermal fillers need to be performed in experienced hands.

Complications: 

Top Aesthetic Treatments

 

So I hope this has been helpful.

V Line face
V LINE FACE

 

 

 

References: 

  1. COX SE, ADIGUN CG. Complications of injectable fillers and neurotoxins. Dermatologic Therapy. 2011;24:524-536.
  2. Vartanian AJ, Dayan SH. Complications of botulinum toxin A use in facial rejuvenation. Facial plastic surgery clinics of North America. 2005;13:1.
  3. Almeida et al. –Diffusion characteristics of botulinum toxin products and their clinical significance in cosmetic applications Journal of Cosmetic and Laser Therapy 2007 , 9 (supp1) 17-22
  4. 4 Cliff et al. – Different formulations of botulinum toxin Type A have different migration characteristics: A double blind, randomised study, Journal of Cosmetic Dermatology 2008, 7: 50-54
  5. Niamtu 3, Joseph. Complications in fillers and Botox. Oral and maxillofacial surgery clinics of NIsaac CR, Chalita MRC, Pinto LD.
  6. Botox® after Botox® – a new approach to treat diplopia secondary to cosmetic botulinic toxin use: case reports. ArquivosBrasileiros de Oftalmologia. 2012;75:213-214.North America. 2009;21:13.
  7. Pena MA, Alam M, Yoo SS. Complications With the Use of Botulinum Toxin Type A for Cosmetic Applications and Hyperhidrosis. Seminars in Cutaneous Medicine and Surgery. 2007;26:29-33.
  8. Moon SK et al. Skin necrosis of the nasal ala after injection of dermal fillers, Dermatologic Surgery vol 37, Issue 3, pg 375-380, March 2011
  9. Beer K. Dysport and Botox: Beware their differences. The Dermatologist, 2009; 17(7)
  10. Sherman RN. Avoiding dermal filler complications. Clinics in Dermatology. 2009;27:S23-S32.
  11. De Boulle K, Heydenrych I. Patient factors influencing dermal filler complications: prevention, assessment, and treatment. Clinical, cosmetic and investigational dermatology. 2015;8:205.
  12. Dayan SH. Complications from toxins and fillers in the dermatology clinic: recognition, prevention, and treatment. Facial plastic surgery clinics of North America 2013; 21(4): 663–673
  13. Bailey SH, Cohen JL, Kenkel JM. Etiology, prevention, and treatment of dermal filler complications. Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery. 2011;31:110-121.
  14. Cavallini M, Gazzola R, Metalla M, Vaienti L. The Role of Hyaluronidase in the Treatment of Complications From Hyaluronic Acid Dermal Fillers. Aesthetic Surgery Journal. 2013;33:1167-1174.
  15. Funt D, Pavicic T. Dermal fillers in aesthetics: an overview of adverse events and treatment approaches. Clinical, cosmetic and investigational dermatology. 2013;6:295.
  16. Carruthers JDA, Fagien S, Rohrich RJ, Weinkle S, Carruthers A. Blindness Caused by Cosmetic Filler Injection: A Review of Cause and Therapy. Plastic and Reconstructive Surgery. 2014;134:1197-1201.
  17. Lazzeri D, Agostini T, Figus M, Nardi M, Pantaloni M, Lazzeri S. Blindness following cosmetic injections of the face. Plastic and reconstructive surgery. 2012;129:995.
  18. Beer K, Avelar R. Relationship Between Delayed Reactions to Dermal Fillers and Biofilms: Facts and Considerations.Dermatologic Surgery. 2014;40:1175-1179.
  19. Beleznay K, Humphrey S, Carruthers BDA, Carruthers A. Vascular Compromise from Soft Tissue Augmentation Experience with 12 Cases and Recommendations for Optimal Outcomes Journal of Clinical Aesthetic Dermatology Sept 2014 Vol 7 number 9
  20. Lemperle G, Gauthier-Hazan N, Wolters M, Eisemann-Klein M, Zimmermann U, Duffy DM. Foreign body granulomas after all injectable dermal fillers: part 1. Possible causes.Plastic and reconstructive surgery. 2009;123:1842.
  21. Lemperle G, Gauthier-Hazan N, Wolters M, Eisemann-Klein M, Zimmermann U, Duffy DM. Foreign body granulomas after all injectable dermal fillers: part 2. Possible causes.Plastic and reconstructive surgery. 2009;123:1842.
  22. Ballin AC, Brandt FS, Cazzaniga A. Dermal fillers: an update. American journal of clinical dermatology. 2015;16:271.
  23. Kim JH, Ahn DK, Jeong HS, Suh IS. Treatment Algorithm of Complications after Filler Injection: Based on Wound Healing Process. Journal of Korean Medical Science. 2014;29(Suppl 3):S176-S182. doi:10.3346/jkms.2014.29.S3.S176.
  24. Injectible Anti ageing techniques, Cosmetic Dermatology Zoe Diana Draelos (2009): 42-46, 342-376
  25. Botulinum Toxin A in Aesthetic Medicine A Redaelli (2010)
  26. McCleve DE, Goldstein JC. Blindness secondary to injections in the nose, mouth, and face: Cause and prevention. Ear Nose Throat J.
  27. K JongseoEffects of Injection Depth and Volume of Stabilized Hyaluronic Acid in Human Dermis on Skin Texture, Hydration, and Thickness. Arch Aesthetic PlastSurg 2014;20(2):97-103
  28. S LiewDiscussion: Microbotox of the Lower Face and Neck:Evolution of a Personal Technique and Its Clinical Effects .Plastic and Reconstructive Surgery • November Supplement 2015
  29. Shin, M.-K., Lee, J.-H., Lee, S.-J. and Kim, N.-I. (2012), Platelet-Rich Plasma Combined with Fractional Laser Therapy for Skin Rejuvenation. Dermatologic Surgery, 38: 623–630. doi: 10.1111/j.1524-4725.2011.02280.x
  30. Kim DH, Je YJ, Kim CD, Lee YH, Seo YJ, Lee JH, Lee Y.   Can Platelet-rich Plasma Be Used for Skin Rejuvenation? Evaluation of Effects of Platelet-rich Plasma on Human Dermal Fibroblast.   Ann Dermatol. 2011 Nov;23(4):424-431.   http://dx.doi.org/10.5021/ad.2011.23.4.424
  31. Park, K. Y., Seok, J., Rho, N. K., Kim, B. J. and Kim, M. N. (2015), Long-chain polynucleotide filler for skin rejuvenation: efficacy and complications in five patients. Dermatologic Therapy. doi: 10.1111/dth.12299

 

 

 

 

 

 

 

 

 

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Categories Skincare and Aesthetic Medicine

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