Fillers can help to ease the lines in the face and restore its volume. As we age, our facial ligaments become lax and we lose a substantial degree of fat. These processes combine to create grooves in the face in areas that they are unwanted such as under the lower eyelids (tear trough deformity) and around the mouth (laugh lines or nasolabial folds and marionette lines).
Such processes also lead to mal-positioned fat pads, causing ‘jowling’. The loss of fat leaves some of the facial areas sagging or devoid of fat, which results in thin lips or a loss of cheek definition. Other deep lines are created simply by repetitive movements of facial muscles. These include the ‘11s’ (vertical lines between the brows), ‘crow’s feet’ (lines from the corner of the outer eye), ‘laugh lines’ and horizontal forehead wrinkles.
For most of the above-mentioned issues, a dermal filler is one of the most ideal solutions.
There are different types of filler available in the market and each may be indicated for a different purpose. Most fillers are made from hyaluronic acid, such as Juvederm, Restylane, Perlane and Belotero. The benefit of this substance is that it has an antidote (hyaluronidase) that can instantly dissolve the product if the patient is not satisfied with the result.
Still, others are made of other substances such as calcium (Radiesse) and poly L acid (Sculptra) and encourage native collagen in-growth. The substances differ in the degree of crosslinking and therefore, how long they last in the body (3 months to 2 years) and how easily are they manipulated. The more viscous the product, the more superficially it can be placed. Dr. Pratima Chetal, the aesthetic specialist at the Look young Clinic in New Delhi can help you to decide which product is the best for which area of concern and desired effect. She can also help you estimate how much product may be needed to produce the desired effect.
Ideal patients for dermal fillers have a realistic expectation. These changes are meant to be so subtle that friends may comment that you look ‘refreshed’ or ‘well-rested’ but may not be able to necessarily know what has been done.Your skin will feel fresh and relaxed as this treatment is the best skin rejuvenation treatment by far now.
With the use of topical numbing medicines or regional blocks (like at the dentist), fillers can be comfortably done within a clinical setting. Some dermal fillers have a numbing medicine incorporated into the syringe for better patient comfort. It is recommended that if at all possible, patients should not take any blood thinners since this can contribute to greater bruising and swelling.
Some swelling and bruising can be expected for days after therapy and can last up to weeks in rare cases. Ice packs may help for the first 24-48 hours.