As you age, your skin becomes more prone to wrinkles and sagging. This happens due to a gradual decrease in muscle volume and elasticity caused due to sun exposure and muscle movement throughout your life like when- smiling, eating, grinning, frowning, and many more. To rejuvenate their face and get rid of these wrinkles and sagging skin, people get fillers, also known as dermal fillers, wrinkle fillers, and soft-tissue fillers.
As the name suggests, Fillers are used to filling the face/skin to make it look smooth and full. They are natural or artificial soft, gel-like substances that are injected under the skin (lines, tissues, and folds) to enhance it and make it look younger by adding more volume and fullness to that area. Fillers are used for various purposes like –
Fillers can be temporary or long-lasting. There are various types of filters used by cosmetic doctors each having their own features and ingredients. The most commonly used Fillers are –
Hyaluronic acid is a soft gel-like substance already present in your skin. It keeps the skin plump and hydrated by adding volume to cheeks, removing wrinkles around the eyes, lips, and forehead. The results are temporary, they last between 6 to 12 months since it is a naturally present substance in the human body, and the skin gradually absorbs it. To avoid discomfort during and after treatment, Hyaluronic Acid is infused with lidocaine. Brand names are – Juvederm and Restylane.
CaHa is found in your bones (naturally occurring substance). Calcium particles are mixed with a smooth gel before they are injected into the skin. When used as a filler, CaHa stimulates the natural production of collagen to smooth out deep wrinkles and lines. Calcium Hydroxylapatite has a thickened consistency than HA, and thus it lasts longer – usually for about a year. The brand name is Radiesse.
Poly-L-Lactic acid is a biodegradable synthetic substance that is safe to use on the human body. They stimulate the rebuilding of natural collagen to smoothen out lines and wrinkles-and the filler gets dissolved by itself after a few days of the treatment. This filler is semi-permanent as it can last for 2 years. Brand name- Sculptra Aesthetic.
Polymethylmethacrylate is a synthetic substance. When used as a filler, PMMA is made into tiny balls (microspheres) which are injected under the skin and remain there to provide a continuous lift to that area. It also contains collagens, which remove lines and keeps the skin firm. It is a permanent filler with results lasting for 5 years. However, they are not the first choice of a doctor as these long-term fillers have a higher rate of complications like infection. They are marketed under the brand name- Bellafill.
Autologous fat injections are a technique that requires surgery. In this, fat from your other body parts like buttocks is extracted and injected into facial areas. The fat is vacuumed out of the body with a hollow tube that is inserted into the skin through incisions. This method is called liposuction. It helps restore volume in cheeks, lower eyelids, and other areas. The results last for a very long time. This method should be performed by highly skilled doctors only and it may take a week or two to fully recover after getting this treatment done.
Filler injections are non-surgical (except autologous fat injections) and can take from 15 minutes to 1 hour depending upon the quantity and product which needs to be used. But before the treatment begins, you will meet with the cosmetic doctor for consultation. During this time, the doctor will check the area in which you want fillers and also review your medical history like – any previous medical treatment, skin condition, allergies, or any medication that can lead to harm or treatment failure. They will also inform you about the fillers, how they work and what you should expect in results.
Once you have met with the cosmetic surgeon, and have understood the Filler treatment process. The procedure will be as follows –
You might be able to notice the results immediately depending upon the product type, amount, and the area in which it has been injected. Some people have mild bruising or swelling, but this is temporary and should go away in a few days. Following this, you can return to your all day to day activities. However, there are certain aftercare instructions for Filler Treatment that you should follow-
How long do these Fillers last?
The duration of these fillers depends upon the product, site of treatment, and the metabolic rate of the patient. Generally, a product which is denser and more deeply injected will last longer than others.
Hyaluronic Acid Fillers –
Calcium Hydroxylapatite Fillers-
Poly-L-Lactic acid Fillers-
Autologous fat injections
There are some patients who have side effects after getting Fillers, but these do not last and might clear away within a week or two.
Even if getting Fillers is generally safe, there are certain things which you should keep in mind beforehand –