A wrinkle-free, fuller facial expression is indication of health and youthfulness. We use dermal fillers to correct deformations caused by aging, external factors (sunlight, gravity, cosmetic products, smoking, stressful life conditions) or structural reasons. Dermal fillers are most often used for treatment of wrinkles, tissue and cell losses, smoothing out creases and prominent spots; to restore facial contours and the diminishing facial volume, lift the sagging area, correct deep wrinkles and to thicken the lips.
There are 2 main types of dermal fillers: permanent and temporary. Permanent fillers are generally not preferred materials as they have risks of causing long-term allergic reaction or migrating to unwanted areas. Most frequently used temporary dermal fillers last approximately 9 to 12 months. In the recent years, hyaluronic acid fillers lasting for 2 to 3 years have been produced but they are more costly. Their low allergy potential, and undesirable post-operative side effects being limited to their effect duration are the main reasons to prefer temporary injectable dermal fillers made of natural, structural components present in the body, or synthetic materials replacing these structural materials. Hyaluronic acid contained in temporary dermal filler components is a material present in dermis layer of the skin in all living creatures. It plays an important role in maintaining the skin elasticity due to its ability to retain water. Depending on the area to be treated, hyaluronic acid material of a different molecular weight is chosen. Hyaluronic acid containing dermal fillers can be used for different areas including the lips, cheekbones and mid-face, between the eyebrows and nasolabial folds. The procedure is done in clinic environment, sterile conditions, following the application of a topical anesthetic cream. Small contusions may rarely occur on injection points. To prevent this condition, anticoagulants such as aspirin should be avoided during a week before the procedure.
It is crucial that the product to be used is specifically made for this procedure, sterile and conserved in adequate conditions for personal use. Possible side effects of hyaluronic acid-based dermal fillers include pain on injection site, edema, nodules and color changes. Rarely, granuloma formation may occur, in which case hyaluronidase enzyme injections that melt hyaluronic acid can be applied.
A successful dermal filler procedure done with appropriate products results in a softer facial expression, decreased facial lines, corrected sagging and hollowness. In short, an illumination and rejuvenation of the face.