FREQUENTLY ASKED QUESTIONS | DERMAL FILLERS

 

WHAT ARE INJECTABLE DERMAL FILLERS?

Injectable fillers are substances designed to: 

  • enhance volume
  • erase wrinkles
  • augment lips
  • induce collagen production
  • restore the youthful 3-dimensional contour of the face

There are many filler choices: Some are designed for filling fine lines and wrinkles and augmenting specific features such as the lips, while others are designed as volumisers that are meant to fill larger volume loss like sunken cheeks, lost cheekbones, and very deep nasolabial folds and marionette lines.

WHAT ARE DERMAL FILLERS MADE FROM?

Hyaluronic acid is a naturally occurring complex sugar that we have normally in our skin and cartilage. It's function is to plump and cushion the skin by attracting water to itself. It's production can be replicated by the insertion of human genes into a bacterium. The hyaluronic acid produced is identical in structure to our own so this gives an extremely low incidence of allergic reactions, hence there is no need for pre-treatment skin testing.

If you think of the skin as a 3-dimensional lattice with the structure mostly composed of collagen (which are like large ropes intertwined on each other) and elastin (which gives it its bounce and keeps it from getting stiff), then hyaluronic acid is the gel that is found between these structural proteins in the skin to cushion them. Thus, it has a very natural feel and cannot be seen since it is clear. Hyaluronic acid is hydroscopic which means that it draws water very strongly to it, yielding a larger volume effect than the material would have by itself.

The majority of dermal fillers that Dr Morley uses at Emetheni are hyaluronic acid fillers. From years of experience Dr Morley prefers a particular brand. It comes in a range, each having subtle differences in density that influence which part of the face or skin it is placed.

We also use another filler that works in a different manor by stimulating the production of collagen over a period of time. This is mainly used for volume replacement. It is made from Poly-Lactic acid and is called Sculptra, or collagen stimulator.

WHAT IS THE NAME OF THE PRODUCT WE ARE TALKING ABOUT?

The Australian Therapeutic Goods Administration( TGA) forbids the advertisement of the name of the product we are talking about. Should you wish to know the specific name of the product, for your information, please e-mail us oninfo@emetheni.com.

WHAT ARE THE TYPICAL AREAS THAT ARE TREATED?

The typical areas treated are:

  • Nasolabial folds - lines from the end of the nose to the end of the lips. They can also be lifted by plumping the cheeks.
  • Cheeks - plumping lost volume , lift and augmention to achieve a more youthful fullness.
  • Marionette lines - lines from the corners of the mouth to the jaw line, which accentuate the downturn of the mouth.
  • Lips - augmentation which provides definition without looking overdone. Rejuvenation of lost volume and shape, and correction of wrinkles around the lips.
  • Acne scar - defects or depressions. Laser, carboxytherapy, or dermal rolling is also use for acne scarring.
  • Tear-Troughs - hollowness under the eyes. This can be combined with Carboxytherapy to improve dark circles.
  • Resculpting the jaw line - by lessening the effect of jowls and sagging.
  • Nose - correction of deformities and sculpting the nose.
  • Hands - The back of the hands can be rejuvenated with a combination of plumping with dermal fillers and IPL or Laser treatment.

Artistically performed injectable fillers can improve your appearance immediately. Dermal fillers can also be used to improve ageing hands, décolleté and skin. Multiple micro injections are placed in the dermis attracts water and instantly plump up the skin.

WHAT KIND OF WRINKLES DO DERMAL FILLERS TREAT?

To understand the various treatments of wrinkles, one must understand that there are different kinds of wrinkles, dynamic wrinkles and static wrinkles. Dynamic wrinkles are those wrinkles and lines that appear when your face is animated. Static wrinkles are those facial lines that are evident even when our face is at rest and is better treated with dermal fillers. Unlike Botox, dermal fillers can be used to treat both dynamic and static wrinkles. See wrinkle reduction.

When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Our face was otherwise wrinkle-free when we weren't animated All dynamic wrinkles, with age, will eventually lead to static wrinkles as collagen is depleted and constant motion "cracks" the skin. Dynamic Wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, and these grooves become permanently etched on the face as fine lines and wrinkles.

Static wrinkles are wrinkles that are evident even when our face is at rest. Sleeping positions are one of the main causes of static wrinkles. Resting your face on the pillow in the same way every night for years on end also leads to wrinkles. Called sleep lines, these wrinkles eventually become etched on the surface of the skin and no longer disappear when the head is not resting on the pillow. Women, who tend to sleep on their sides, are most likely to see these lines appear on their chin and cheeks. Men tend to notice these lines on the forehead since they usually sleep with the face pressed face down on the pillow. People who sleep on their backs do not develop these wrinkles since their skin does not lie crumpled against the pillow. Unlike Botox, dermal fillers can be used to treat both dynamic and static wrinkles.

WHEN SHOULD ONE START USING DERMAL FILLERS?

Wrinkle treatment should start as soon as one sees a wrinkle developing when the wrinkles are still "soft". If these wrinkles are neglected they become "ingrained" and "scar like" they are impossible to treat successfully. If we intervene early and fill in wrinkles with dermal fillers, then we can prevent the breaks in the skin, commonly known as wrinkles. In addition, if the wrinkles are filled up with fillers, this exerts pressure on the fibroblasts in the area and collagen is stimulated which then gets incorporated into the wrinkle area and causes prolonged filling effects and wrinkle improvement. Repeated filler injections (every 6 to 12 months) will ensure a superior long term result as collagen is continually stimulated. In addition to wrinkles, often an ageing face is less about a softening jaw line and more about losing volume higher up in the face via the temples, the eyebrow area, the anterior and lateral cheeks. When the lower parts of the face start dropping, gravity is defied by lifting and replacing the lost volume with injections of dermal fillers in the upper parts of the face. Soft tissue volumising techniques using dermal fillers reverse these atrophic changes, yielding outstanding results and all with minimal downtime.

HOW CAN ADVANCED FILLER PROCEDURES GIVE BACK A YOUTHFUL APPEARANCE AND HELP THE ANTI-AGEING PROCESS?

Consumers are always interested in maintaining a youthful appearance, and as the global population's median age increases, this market is increasingly expanding. Numerous studies have shown that gravity is not the only determinant of ageing, which is a complex process involving tissue atrophy and bone resorption. These two factors create a hollowing and sagging appearance with a loss of facial volume and contours which have a profound effect on the appearance of the mid face. Most people can see that they are looking older but do not recognize that volume loss is the reason that their face is beginning to "sink" and "sag".

Traditionally surgical face lifts have been used to tighten skin and muscle and reduce the appearance of sagging but surgery cannot restore lost volume. For those who would rather steer clear of going under the knife to shave a few years off their appearance, a new aesthetic procedure that works without visible wounding the skin is quickly gaining popularity...The Liquid Facelift.

WHAT IS THE "LIQUID FACELIFT"?

The Liquid Facelift is a facial contouring procedure that involves the use of strategically placed Wrinkle Relaxors and dermal fillers around the face. This "injectable facelift" can create a younger, plumper look and address concerns like lines, wrinkles, volume loss and sagging. This "injectable facelift" has been making a noticeable impact in aesthetic medicine during the past few years. It is typically more subtle than surgery and an increasing number of individuals are trying liquid facelift procedures before traditional face lift procedures.

CAN DERMAL FILLERS BE COMBINED WITH OTHER TREATMENTS?

At Emetheni, Dr Morley will frequently combine dermal fillers and Botox on the same day.  As a generalization Botox helps with the upper one-third of the face whereas injectable fillers help with the lower two-thirds. The combination is one of the most widely used and most effective methods of achieving a significant aesthetic improvement within 1-2 weeks.

Fillers can be combined with just about any other aesthetic treatment that exists and at Emetheni we routinely combine injectable treatments with other facial rejuvenation procedures such as IPL, Laser, Thread Lifting , Peels etc.

WHAT TO EXPECT AFTER USING DERMAL FILLERS?

Redness and Swelling: After the procedure you can use an ice pack which lessens the redness and swelling and advise you to periodically apply ice to the treated area for a couple of hours. We advise you sleep with extra pillows for the first 1-2 nights to reduce swelling. You should also not sleep on your face for the first 1-2 nights. You may put makeup on immediately and resume whatever activities you have planned, as long as you recognize that you will be a littlered and swollen for a half a day to a few days. We usually ask you to come back at two weeks when everything is settled to evaluate your results and ensure that you are satisfied with the outcome and have had no problems.

Bruising: Is also possible as part of the treatment. In most cases it is minimal and short-lived and can easily be disguised with make-up. You should avoid fillers at least a week before any important event in. You can minimize the risk of bruising by avoiding aspirin ,nurofen or anti-inflammatory products or high-dosage vitamin E and C, fish oil, and gingko balboa supplements for 1 week before the filler procedure unless medically necessary. Bruising can also be lessened by taking Arnica before and after the procedure. If bruising occurs, Arnica cream or Hirudoid cream can be effective.

ARE DERMAL FILLERS SAFE?

Hyaluronic acid dermal fillers are produced by human genes inserted into a bacterium for reproduction. It is a highly "conserved" protein, meaning that its genetic composition is almost exactly the same in 97% of animal species. This gives is an extremely low incidence of allergic reactions, hence there is no need for pre-treatment skin testing.

The fillers we use have been used in millions of patients for more than 10 years with a very low incidence of side effects and thus are considered very safe.

Dr Morley does not use permanent fillers such as Aquamid or Silicone. These products may cause long term problems and limit your choices of fillers for years to come.