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Dermal Fillers – 4 things you ABSOLUTELY need to know

With CNY coming, all of us want to look and feel our very best. Dermal filler procedures become highly popular during this time to help us enhance our features, and bring our best face forward. But before you go and get your botox or filler fix, here are 4 important things you need to know.

There are basically 2 main types of dermal fillers.

Hyaluronic acid dermal fillers – Restylane, Juvederm, Boletero, Teosyal

Semi permanent dermal fillers – Radiesse, Ellanse, Sculptra

  1. Are dermal fillers safe and effective?

Dermal fillers have been FDA approved for the FACIAL Volume restoration for more than 20 years. Numerous level 1 evidence papers can be found, demonstrating its efficacy in the face. Worldwide, there have been more than 50 million dermal filler treatments performed. Hence it’s efficacy is without doubt. Regarding safety, it is safe in experienced hands. Do scroll down to the end of this page to learn about the risks.

 

2. Will I look worse than before once I stop fillers / botox/ threadlift treatments? Will my face age faster, sag faster etc?

This is a myth. Your face will return to its original state. Dermal Fillers and botox will not accelerate ageing. Ageing is a dynamic process that remains unchanged.

3. Why are there so many different dermal fillers in the market? 

Sculpting your face with dermal fillers is like painting a work of art. Just as a Picasso uses different colour paint to work his magic, I use different types of fillers to bring out your features in different parts of your face.

Ultra light dermal fillers are great for hydration – restylane vital light, redensity 1

Soft dermal fillers are excellent for undereye and lips.

Firm dermal fillers work best for chin and nose.

A mid density dermal filler would be perfect for the cheeks.

4. Will I look better the more dermal fillers I put into my face?

Let me explain with scientific and mathematical model. Allow me to introduce to you the bell-shaped curve, something we come across as a student.

 

CURVE
TREATMENT CURVE

F: You start doing dermal fillers. You can some results.

D: You do more dermal fillers, You can see better results.

C: You combine dermal fillers, with botox and threadlift. You get optimum results.

B: You do abit too much dermal fillers, and results dip.

A: You overload on dermal fillers and botox, and you get awful, unnatural results. 

So in summary, you want to be at the peak of the curve, the C portion where your aesthetic treatments give you optimum results. If you over-do things, then yes, you end up with the media worthy Hollywood phenomenon. I call it the REVENGE OF THE PILLOW- FACE.

Dermal Fillers when overdone 

Chin fillers: Witch-like chin

Forehead fillers : Luohan fish

Nose fillers: The infamous Avatar

Cheek fillers: Chipmunk face or Pillow face

 

Pillow Face
Revenge of the Pillow Face

So remember, it is important to know when to stop. Aesthetic treatments can get rather addictive haha.

One interesting fact:

  1. Traditionally, botox lasts 3 months.
  2. Fillers last 6- 12 months depending on the brand and model.
  3. Over the years, I have had patients telling me they only need to do botox every 6 months, and fillers every 18 months, all because they have been maintaining their treatments.

 

As mentioned in the earlier part of this article, dermal fillers need to be performed in experienced hands.

Complications: 

Top Aesthetic Treatments

 

So I hope this has been helpful.

V Line face

V LINE FACE

V LINE FACE

References: 

  1. COX SE, ADIGUN CG. Complications of injectable fillers and neurotoxins. Dermatologic Therapy. 2011;24:524-536.
  2. Vartanian AJ, Dayan SH. Complications of botulinum toxin A use in facial rejuvenation. Facial plastic surgery clinics of North America. 2005;13:1.
  3. Almeida et al. –Diffusion characteristics of botulinum toxin products and their clinical significance in cosmetic applications Journal of Cosmetic and Laser Therapy 2007 , 9 (supp1) 17-22
  4. 4 Cliff et al. – Different formulations of botulinum toxin Type A have different migration characteristics: A double blind, randomised study, Journal of Cosmetic Dermatology 2008, 7: 50-54
  5. Niamtu 3, Joseph. Complications in fillers and Botox. Oral and maxillofacial surgery clinics of NIsaac CR, Chalita MRC, Pinto LD.
  6. Botox® after Botox® – a new approach to treat diplopia secondary to cosmetic botulinic toxin use: case reports. ArquivosBrasileiros de Oftalmologia. 2012;75:213-214.North America. 2009;21:13.
  7. Pena MA, Alam M, Yoo SS. Complications With the Use of Botulinum Toxin Type A for Cosmetic Applications and Hyperhidrosis. Seminars in Cutaneous Medicine and Surgery. 2007;26:29-33.
  8. Moon SK et al. Skin necrosis of the nasal ala after injection of dermal fillers, Dermatologic Surgery vol 37, Issue 3, pg 375-380, March 2011
  9. Beer K. Dysport and Botox: Beware their differences. The Dermatologist, 2009; 17(7)
  10. Sherman RN. Avoiding dermal filler complications. Clinics in Dermatology. 2009;27:S23-S32.
  11. De Boulle K, Heydenrych I. Patient factors influencing dermal filler complications: prevention, assessment, and treatment. Clinical, cosmetic and investigational dermatology. 2015;8:205.
  12. Dayan SH. Complications from toxins and fillers in the dermatology clinic: recognition, prevention, and treatment. Facial plastic surgery clinics of North America 2013; 21(4): 663–673
  13. Bailey SH, Cohen JL, Kenkel JM. Etiology, prevention, and treatment of dermal filler complications. Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery. 2011;31:110-121.
  14. Cavallini M, Gazzola R, Metalla M, Vaienti L. The Role of Hyaluronidase in the Treatment of Complications From Hyaluronic Acid Dermal Fillers. Aesthetic Surgery Journal. 2013;33:1167-1174.
  15. Funt D, Pavicic T. Dermal fillers in aesthetics: an overview of adverse events and treatment approaches. Clinical, cosmetic and investigational dermatology. 2013;6:295.

 

 
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