As we grow older visible signs of ageing become more evident on our faces due to sun exposure, lifestyle and heredity. One of the earliest signs of ageing is a loss of facial fullness and the development of wrinkles and folds (or nasolabial folds. Smoothening of the wrinkles, softening of those facial lines and the restoration of volume and fullness to create a more youthful appearance can be achieved surgically with injectable fillers. Soft tissue augmentation won’t stop the ageing process, the results are temporary. If you want to change the elements of your face, surgery may be the answer. Common sites for cheaper tissue fillers are the nasalobial folds marionette lines or to enhance the fullness of the cheeks.

• To increase self confidence and enhance self image
• To give a more youthful appearance in a natural way

The best candidates for cosmetic fillers are those who:
• Are physically healthy and psychologically stable
• Have a positive outlook and have realistic expectations
• Don’t smoke
• Wish to enhance shallow contours
• Want plump thin lips
• Want to soften facial creases and wrinkles
• Wish to improve the appearance of recessed scars
• Want to look younger and more refreshed
• Want to enhance their appearance but may not be ready for a facelift

There are different types of fillers including Collagen, Restylane, Hyaluronic Acid, Hydroxylapatite, and Human Fat

Collagen
Collagen is a natural protein that supports the skin. Injectable collagen formulas derived from human dermis include Cosmoderm or Cosmoplastt. Syderm and Syplast are forms of bovine
collagen that, unlike human derived collagen, require prior allergy testing. The results remain visible for three to four months depending on the amount used and depth of lines or folds.

Restylane
Restylane is a new form of injectable filler that provides advantages over fat and collagen injections. It is a non-animal, biodegradable gel based on hyaluronic acid. Hyaluronic acid is a substance found in most of our bodies as it provides volume and fullness to the skin. Restylane has been proven to last longer than fat and collagen injections. It maintains its shape using the body’s own moisture. What results is a longer-lasting, youthful facial appearance.

Restylane can be used to either shape facial contours, smooth wrinkles, or sculpt lips. What results is a healthy, more youthful, and fuller appearance. This has grown in popularity. Since 1996, over a million individuals have received Restylane injections worldwide

Hyaluronic Acid
Hyaluronic Acid is a natural substance found in our bodies. It is well suited to plump thin lips and fill facial creases such as nasolabial folds. It may also be appropriate for some surface wrinkles and concave scars. The results may last 6 months or longer.

Hydroxylapatite
Hydroxylapatite is a mineral-like compound naturally in human bones, suspended in a gel-like formulation. It is the heaviest of facial fillers and is recommended to fill deeper creases such as nasolabial folds, marionette lines and frown lines, as well as to enhance fullness of the cheeks and other facial contours.

Human Fat
Human fat, harvested from you own body, can be reinjected to enhance facial fullness, fill deep creases and to build up shallow contours. Fat injection requires a more extensive procedure than other injectable fillers because it uses liposuction techniques to extract the fat prior to injection.

Treatment results last up to 1 year or more in some cases and are highly variable. (Fat can be stored for your own future treatment. The duration of results from preserved fat is not as favourable as fat used at the same time it is harvested.)

Planning

Pre-visit and during consultations the surgeon will try to evaluate your physical-mental health and any medical conditions. In order to obtain the best results it is important that you are honest with the surgeon, that you advise any previous surgeries, if you are taking any medications, herbal supplements, vitamins or other drugs and if you smoke. Be sure to discuss your expectations and goals. the surgeon is here to guide, advise and explain to you how the surgery will be performed, possible alternatives that may offer better results, the risks and limitations of each as well as details of follow up and after care.

The Procedure

The surgeon will examine the areas of your face to be augmented with injectable fillers. Strategic points on your face may be marked as guides to the appropriate injection sites for the filler.

The injection sites will be cleansed with an antibacterial agent, a numbing cream or an ice pack may be applied before injection to numb the area. In some cases the filler itself will contain an anaesthetic agent. In other cases, possibly during lip sculpting local anaesthetic may be administered to the treatment site. The treatment can take anything from a few minutes to an hour depending on the size of the area to be treated.

Injection takes only a few moments per site and a few more minutes for a course of treatment. An improved appearance is visible almost immediately, although minor swelling or bruising may appear at the injection site. This will disappear over the following days An icepack may be applied after injections to reduce any swelling or bruising. Make up may be reapplied within the hour so long as care is taken not to apply pressure to the treatment area.

Filling wrinkles or recessed scars involves multiple injections. In some cases where deeper injection of fillers is required, a local anaesthetic may be used prior to treatment.

Results of cosmetic fillers are not permanent and they are eventually absorbed by the body and the continual ageing of the face and variables in the absorption of fillers will affect how long the results last. Should you decide not to repeat the treatment your appearance will return to its original condition. Plumped lips will lose volume and improved wrinkles, creases and scars will visibly recess and fully reappear in time and need frequent repeat injections to maintain correction.

Soft tissue augmentation of the lips requires multiple injections to distribute the filler for enhanced lip fullness and to raise or define a cupids bow or vermillion (the red pigment of your lips) border.

Post Operative

Following injection, any markings will be cleansed and ice may be offered to alleviate any discomfort. Make-up may be carefully re-applied so long as care is taken not to apply pressure to the treatment area.

Areas may be red and swollen but should only last one or two days.

An improved appearance is visible almost immediately in nasolabial folds, although minor swelling or bruising may appear at the injection sites. With some fillers, a slightly “over-filled” appearance may be initially present. These conditions will resolve within a few hours, or at most a few days. The duration may be as long as a few weeks with injection of one’s own harvested fat.

Treatment results remain visible for between six to nine months depending on the area injected, the amount injected and what product was used. Patients can choose to undergo another treatment twice a year.

Radiesse
Radiesse (formerly marketed as Radiance) is a cosmetic dermal filler that is used to diminish the appearance of wrinkles, lines and facial folds. In addition to the long-lasting results it provides as a cosmetic filler, Radiesse is also FDA-approved in the United States to treat oral and maxillofacial defects, coval cord deficiencies and is used in the treatment of facial lipoatrophy (facial wasting) in patients with the human immunodeficiency virus (HIV)

Radiesse (or Radiance) is a next-generation cosmetic filler used in the treatment of deep lines and wrinkles around the nose and mouth – including smile, marionette lines and nasolabial folds. Radiesse cosmetic filler has small microspheres (particles) suspended in a gel-like solution. There is no need for an allergy test prior to Radiesse filler injections since the microspheres are comprised of calcium hydroxylapatite, a substance naturally found in the body.

For the first three months after Radiesse treatment, it acts as a cosmetic filler, plumping up the skin and diminishing age lines. Then, Radiesse microspheres stimulate natural collagen growth, actually causing new tissue development for extended results (up to two years). In addition, Radiesse is useful in the treatment of facial lipoatrophy (a stigmatizing effect of HIV), vocal cord deficiencies, oral and maxillofacial defects, as well as scars and chin dimples.

The best candidates for Radiesse are patients showing obvious signs of facial aging. Many people seek treatment for prominent smile lines, marionette lines and other facial wrinkles. Because Radiesse cosmetic filler is made of a natural substance that occurs in the body, no allergy testing is needed.

The Procedure

The Radiesse treatment process is a simple procedure generally performed using a local anaesthetic. Treatment time takes up to 15 minutes, depending upon the extent of the treatment. The doctor selects one or more injection points for each location to be treated. Local anaesthesia and an antiseptic are applied. The cosmetic filler is then injected beneath the skin, under the dermis and subcutis layer. Although patients should see immediate results, the final product is evident within one week. Results last up to 2 years.

ArteFill
ArteFill is also another cosmetic filler that is similar to Radiesse in that the unique PMMA microspheres in Artefill are not absorbed by the body and provide the permanent support your skin needs for long-lasting wrinkle correction.

If you are looking for a procedure to give you smooth , healthy, more youthful and fuller appearance then injectable fillers are the answer. Most patients are more than happy with the end results and often repeat the process.

to learn more about any risks and complication . 

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