Our normal ageing process will result in a gradual loss of our skin’s structural support including collagen, elastic fibers and hyaluronic acid. This will result in the skin loosing its elasticity causing skin drooping, thinning and wrinkle formation. Loss of subcutaneous fat and bony resorption also a consequence of the ageing process further exacerbates the gaunt look with more pronounced wrinkles along the nose and around the eyes. Dermal fillers are a non-surgical treatment used to help correct deep wrinkles, skin depressions or localized scars and also to add volume where volume is lost. Selective injections of filler material can also cause a subtle lifting effect of the facial skin hence the term given “ non-surgical face lift”.
There are different types of filler material available under different brands in the market. Hyaluronic acid is one of the building blocks of the body. It not only occurs in the skin, but also in our connective tissue, nerve tissue, and epithelial tissue. It is a sugar, which means it also falls under glucose building blocks. Hyaluronic acid potently binds to water and, when injected into the skin, volumizes, softens, and hydrates the skin. It also stabilizes intercellular structures and produces the viscoelastic network for collagen and elastin fibers to bind together restoring the youthful elastic nature or the skin. These benefits make hyaluronic acid an excellent dermal filling agent.
The fillers are injected just above the bone for volumization and lifting or in the subcutaneous and dermis of the skin for contouring and treating fine wrinkles and to give the skin a more youthful hydrated look. Most commercially available fillers come ready in syringe and very fine hypodermic needle. Some of them contain local anaesthesia (lidocaine) to make it more comfortable.
Which areas of the face can be treated with Hyaluronic Acid fillers.
• Cheeks for volume and lifting.
• Temporal areas.
• Malar (area of face below the eyes).
• Jaw line .
• Bridge of the nose.
MALAYSIAN SOCIETY OF PLASTIC RECONSTRUCTIVE SURGERY
Plastic,reconstructive AND COSMETIC Surgeon
Hyaluronic acid filler treatment can help correct :
• Prominent wrinkles along the nose (nasolabial).
• Fine wrinkles around the mouth, eyes and cheek.
• Depressed facial scars.
• Sagging of facial skin.
• Volumization of the face.
• Giving patient fuller lips.
• Increase height of nose bridge.
Common side effects of filler injections include pain and bruising at injections sites and some degree of swelling. These are usually minor and temporary, lasting for 1-2 days. After the treatment, the treated area may be somewhat red and swollen. Use a coolpack to reduce the swelling. It is recommended to also cool at home at some point on the same day. You can do this by using a coolpack or melting ice cubes in a plastic bag, wrapped in a thin towel or washcloth.
Do not expose the treated area to intense heat or intense facial treatments during the first week after treatment.
I only use non-permanent fillers mainly Hyaluronic Acid (Juvederm) in my practice. This is because of its safety profile and results.
Plastic Cosmetic Surgery