Injectable Skin Fillers

What kind of Injectable Skin Fillers are available?

The main ingredient of the injections used in our clinics include a form of hyaluronic acid. These treatments are probably the most commonly performed around the world. Hyaluronic acid type fillers are available in many guises through a multitude of companies. There are some variations between them in terms of longevity, and consistency, however this is usually slight. Furthermore there is variation in terms of likelihood of allergies or reactions. The most common types of injectable fillers we use and which are usually a form of are Restylane, Perlane, Restylane touch, Sub-Q, Vital, Juvederm and Voluma. Depending on your particular problem and circumstance we will advice what type of filler would be appropriate for you.

What is Restylane

Restylane is an injectable gel composed of non-animal stabilised Hyaluronic acid (NASHA). Various Restylane type products such as Perlane, Restylane touch, Sub-Q and Vital differ in their consistency and are used in different circumstances. They mainly consists of complex sugar chains, which have been stabilised for longer lasting effect in the skin. It is biodegradable and is non permanent. The manufacturing process of Restylane is similar to the production of insulin or antibiotics. When combined with the body's own Hyaluronic acid, it creates volume for the treatment of lips, as well as other lines or wrinkles. It basically acts by restoring your skin's volume, creating softness and revitalizing your appearance.It contains no animal ingredients and therefore no skin test is needed.

Who makes Restylane?

Restylane is produced by Q-Med AB. Q-Med is a Swedish biotechnology/medical device company with headquarters in the city of Uppsala, near Stockholm, and offices all around the world. After a decade of clinical use, more than 6 million treatments worldwide, continuous research and safety as top priority, Restylane has today been proven to be safe, effective and long lasting.

What is the clinical experience behind Restylane?

Restylane type products in particular are one of the most tried and tested dermal fillers available today. They are the benchmark for clinical excellence in their field. Their safety and efficacy are clinically proven and supported by robust clinical data, spanning 10 years. Research and development is continuous.

What are the benefits of Injectable Skin Fillers?

Injectable fillers can instantly soften telltale aging lines or improve your looks by enhancing your natural features, such as your cheeks or lips. They also restore volume, improve skin elasticity, and smooth niggling lines and imperfections.

How do they work?

Injectable fillers are usually a crystal-clear gel produced biotechnologically using stabilized, nonanimal hyaluronic acid and water. The hyaluronic acid is a tissue-friendly substance closely resembling the hyaluronic acid that occurs naturally in the body. By replenishing nature's supply of hyaluronic acid, these revitalize and plump up the skin, instantly diminishing the appearance of lines and giving a softer look.

What does the treatment involve?

The filler is injected into the skin in small amounts using a very fine needle. The gel provides hydration and structure and gives natural volume to smooth away the appearance of lines, enhance facial shape, or create fuller lips.

The treatment is very quick and often takes less than 30 minutes. The treatment benefits can normally be seen instantly and they does not affect facial expression. No skin test is required because they do not contain any animal-derived ingredients.

What areas can be treated?

Injectable fillers can be used virtually anywhere on the body, from smoothing out facial lines, create fuller lips and shape facial contours, as well as used in the cheeks and chin. It is a subtle approach to enhancing looks naturally.

The most common areas treated are: from the nose to the angle of the mouth (the nasolabial folds) lips (enhancement) cheeks and chin (shaping) back of the hands, décolletage, face (skin rejuvenation) between the eyebrows (the glabellar lines)

How much does a treatment cost?

This depends on how much and what type of product you will require. Of course once you have been examined and assessed during your pretreatment consultation, we will be able to discuss the cost of the treatment with you.

How long does the effect of injectable fillers last?

One of the great advantages of the various hyaluronic acid fillers is that the effects are long lasting but not permanent. This is good because the face and body are not static either and change with time. It is usually not a good idea to inject a long acting or permanent filler into a part of the body or face that undergoes some change over time. Longevity of the products varies from individual to individual, however as rough guidelines the following apply:

Facial lines and facial shaping: follow-up treatment or top up is usually needed after 6 months. However after 2 or 3 treatments have been administered, the time interval between injections can increase to 12 or 18 months.

Lip enhancement: follow-up treatment is normally needed in about 6 months

Skin rejuvenation and deep hydration: after the initial intense treatment of 3 treatment sessions every 2-3 weeks, follow-up sessions are normally recommended around every 6 months

Duration depends on many factors, such as skin type, lifestyle, age, the degree of perfection demanded by the patient and the injection technique of the practitioner.

Does injectable filler treatment hurt?

Most new filler products containing Hyaluronic Acid gels, now contain a mixture of a local anaesthetic. Therefore pain is considerably less than the previous generation of fillers.

Of course some people may experience the treatment as a mild discomfort. A local anesthetic cream is often used on the surface of the skin to numb this. Another form of anesthesia, a dental bloc(similar to the one given at the dentist to numb your teeth), can be used to further numb the area when enhancing certain sensitive areas i.e. lips.

Can a filler be used if I have had laser treatment or a chemical peel?

If you have recently had some kind of cosmetic treatment, it is recommended you wait until the area is totally healed and the skin is back to its normal condition. This usually takes 4 to 6 weeks. Furthermore fillers are best avoided if you are having concurrent laser or radiofrequency treatments in the area to be treated.

Is there any downtime with Injectable fillers?

You can expect slight redness, swelling, pain, tenderness, itching and/or bruising following any injectable filler treatment. This is the same as you might expect with any type of injection. However, the discomfort is temporary and generally disappears after a few days. With lip enhancement, it is wise to choose your treatment time with care since your lips may become swollen and appear slightly uneven for a few days. If you wish you may apply light makeup over any treated area to disguise any ensuing bruising.

Are there any risks with Fillers?

Like any medical treatment there is always the potential for risks and side effects. However specifically, more than 6 million treatments have been carried out since the launch of Restylane in 1996 in and during this time Restylane has shown to have an excellent safety track record. Nonetheless, some common injection-related reactions might occur after any injectable filler; they typically resolve spontaneously within one or two days after injection. These reactions include redness, swelling, pain, itching, bruising or tenderness at the injection site. Inflammatory reactions may last for up to two weeks in rare cases. Scarring is extremely rare. After a lip enhancement, your lips may be swollen for several days.

Are there any contraindications of using Injectable fillers?

Most people can benefit from filler treatment. Nonetheless they should not be used in or near skin sites where there are or have been active skin disease, inflammation or related conditions. Nor should it be injected into an area where a permanent implant has been placed. These products have not been tested in pregnant or breast-feeding women. During your pretreatment consultation, you should thoroughly discuss your medical history.

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