Did you know that many visible signs of ageing can be traced back to
volume loss? As the facial fat atrophies, we start to develop folds around the
nose and mouth, and cheeks look a little hollow. This lost volume can be
replaced by dermal fillers which results in filling of grooves, smoothening of
wrinkles, augmenting the lips, and restoring a more youthful appearance.
Dermal filler is widely chosen therapy across the world for facial rejuvenation
and reversing the signs of ageing, as it is a quick, safe and effective way to
What are dermal fillers?
Dermal fillers are composed of gel-like material that are injected below the
skin to restore volume loss, smooth out lines and wrinkles, and enhance
facial contours. As we age, the facial bones undergo resorption, subcutaneous fat decreases,
and the ligaments loosen. As a result, there occurs deflation and sagging of
the face. We develop hollowness and deep folds. The shape of the face
changes with the lower part of the face becoming more bulky. Dermal fillers help in restoring the lost volume and restructuring the lost
shape of our face.
How can dermal fillers enhance my look?
Dermal fillers are an excellent tool to reverse the signs of ageing and
enhance once appearance. Below mentioned are some of the effects that dermal fillers have:
Augmentation & enhancement of thin lips
Contouring & restoring volume to sunken cheeks, temples, forehead
Decreasing & softening of facial creases and wrinkles around nose and
mouth (smile lines and marionette lines)
Smoothening out a chin crease
Improving facial symmetry
Reconstructing contour deformities in the face
Removing the shadow below the eyes
Dermal fillers can be very helpful in those with early signs of ageing, or as a
value-added part of facial rejuvenation surgery.
What types of dermal fillers are available?
There are several different types of dermal fillers. The most commonly used
is hyaluronic acid, which is available in different formulations, chosen
according to the indication.
Hyaluronic Acid is naturally found in your body. It is present in high concentrations
in soft connective tissues and in the fluid surrounding the eyes. It is also
found in joint fluids, and skin. Hyaluronic acid is the most popular types of dermal fillers used worldwide.
Hyaluronic acid can be used for the treatment of hollowness and grooves of
face, facial contouring, and even to fill depressed scars. Following are the common indications of hyaluronic acid injections:
Hyaluronic acid fillers differ in chemical makeup, longevity and have varying
degrees of softness. Softer fillers are used in the lips, for example, while
sturdier fillers might be desired to enhance cheek bones.
Your dermatologist will determine with you the best type and volume of filler
needed for your particular areas of concern.
Who is a good candidate for dermal fillers?
You may opt for dermal fillers if you:
Are physically healthy
Have a positive outlook and realistic goals in mind for the improvement
of your appearance
Are committed to maintaining good skin health
What are the steps of the procedure?
A dermal fillers procedure includes the following steps:
Step 1 – Facial assessment & mapping.
The doctor will evaluate your facial appearance and examine the areas of
your face to be augmented. Strategic points on your face will be marked as the appropriate injection sites
for the filler. Photographs will be taken of the areas to be treated.
Step 2 – Cleansing & anaesthetising.
The injection sites will be cleansed with alcohol swabs. Pain at the injection site may be ameliorated by use of an anaesthetic
ointment to numb the skin. The fillers are pre-mixed with lignocaine
(anaesthetic agent), so the injections are usually easily tolerated.
Step 3 – The injection
Hyaluronic acid gel is carefully injected at the pre-determined sites. The
improvement is visible instantly. One can instantly see the lifting effect,
contouring and re-positioning of the facial tissues, and filling of grooves and
lines. Any lumps or bumps are smoothened out by gently massaging the
area. Results are assessed, and additional filler is injected where ever
required. Depending on the number of areas to be treated, the whole process may be
as short as 15 minutes, or as long as an hour.
Step 4 – Clean up & recovery.
Once satisfactory results are obtained, the face is again cleaned and antibacterial cream applied.
What should I expect during my recovery period?
You can resume most activities right away, but it is generally recommended
that you avoid intense physical activity for the first 24-48 hours to minimise
swelling and bruising. There might be slight redness and swelling at the injection points, which
subsides in couple of days. It is advisable to drink lots of fluids (3-4 litres per day) for 1 week post filler
treatment that will help in hydrating the product and enhancing the results.
What results should I expect after dermal fillers?
The results of soft tissue augmentation using dermal fillers are apparent
immediately and will last for 12-24 months.
How many sessions do I require?
Dermal fillers is a single sitting procedure.
How long does the effects last?
Depending on the indication being treated and the product used, the effects
of dermal fillers can last from 12-24 months. The results can be enhanced by maintaining a healthy skin with appropriate
products and skin treatments.
Does my condition becomes severe after the effect of filler weans off?
No. Once the hyaluronic acid gets dissolved in the tissues, you resume
whatever condition you had in the starting of the treatment. There is no
What are the risks of dermal fillers?
Dermal filler injections is an absolutely safe and effective treatment if done by
an expert. Minor temporary adverse effects like swelling, bruising, pain, injection point
erythema may occur rarely. Severe complications from dermal fillers are uncommon. Potential risks include:
Acne-like skin eruptions
Bruising, bleeding from the injection site, swelling
Damage to the skin resulting in scarring
Infection at the injection site
Superficial placement of filler leading to its palpability under the surface
of the skin
Skin rash with itching
Under- or over-correction of wrinkles
Skin necrosis (ulceration or loss of skin from disruption of blood flow)
How are fat injections used as dermal fillers?
Your own body’s fat can be harvested, processed, and injected as dermal
fillers to bring out similar effects as those by hyaluronic acid.
What is the procedure for fat injections?
Fat injection is a more elaborate procedure than hyaluronic acid fillers.
First step is to identify a donor area from which fat can be harvested. This is
usually the abdomen or buttocks. Using a liposuction cannula, fat is removed
from the donor area, it is processed in a machine, and then injected in the
face. The grafted fat then has to redevelop a blood supply in order to survive.
About 50% of the fat injected will survive, and the surviving fat will last
What are the results of fat injection?
The results of fat injection are less predictable. Usually, more than one
sittings are required to get the desired results. Fat injections are associated with more discomfort, both in the recipient as
well as in the donor area. This is a minor surgical procedure that can be
performed in the surgeon's treatment room or in an operating room.
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