The primary function of dermal fillers is the reversing of changes that are often associated with old age as they can give an appearance that is more youthful and natural than a normal surgical face operation, such as a face life which stretches the skin into an unnatural position. There are currently several types of dermal fillers in the market, with the most popular ones being the collagen based fillers, poly lactic acid based fillers, hyaluronic acid based fillers, and calcium hydroxylapatite fillers.
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Why have dermal fillers at Zenith?
- Reviews/follow ups included
- All filler treatments given by qualified Doctor and Nurse
- Genuine products used
- Registered with the Care Quality Commission (CQC)
- Full member of the British Association of Cosmetic Doctors (BACD)
- Extensive portfolio of testimonials from satisfied patients
- Range of payment options available
- Purpose built treatment rooms
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Hyaluronic Acid Fillers
Restylane® Perlane® Hydrafill® Juvederm Ultra®
The four fillers above have far more safety data accumulated than any other filler. They are unusual in that they are also licensed by the FDA.
Data from millions of patients worldwide prove that there are very few side effects with these fillers and that the fillers concerned are easily biodegradable (break down naturally within the skin).
Some frequently asked questions about dermal fillers.
Are dermal fillers extracted from Animals?
No, they are not. The fillers above are manufactured from bacteria. The skin does not recognise these agents as foreign as the materials present in these fillers are part of our skin. There is NO RISK of catching viral illness that can be passed through animal based fillers.
Where can dermal fillers be used?
The fillers above have many different subtypes for example Restylane ® range has Restylane ® Touch for fine lines anywhere on the face and Restylane ® for a softer natural look to nasolabial (nose to mouth lines) or lips. There is also Restylane Perlane ® for longer lasting results, it is generally used in nasolabial folds and sometimes lips. The corresponding Range in Juvedrm Ultra ® is Juvederm Ultra 2-4®.
What are the Side Effects?
The most common side effect is mild swelling this can be occasionally more marked and settles in most a few minutes after treatment. Occasionally patients can bruise and roughly 3 in every hundred patients get bruising that takes a few days to settle. A cool pack or frozen peas wrapped in a tea towel are very helpful in preventing this. The main things to avoid are excessive alcohol, Vitamin E, St Johns Wort, Aspirin or Ibuprofen etc a few days before treatment.
Does it Hurt?
This has revolutionised the filler market over the last 3 years. Those of you that watch TV will have seen the numerous adverts showing Juvederm Ultra ® and talking about the fact that it does not hurt when injected. Shockingly this is true! It does come with a built in anaesthetic, thus does not require any pretreatment.
Pain is a very subjective thing and we do find that some patients require NO anaesthetic with ANY filler! Some have cream and an injection and still feel it.
We advise the use of topical anesthetic cream applied 1 hour before treatment. This normally numbs the lips or any other area sufficiently. Otherwise a dental block can be administered.
Can it go Wrong?
We are very careful with injecting fillers and tend to inject small amounts in any one session, we routinely modify the treatment as required by the patient in small steps, so that the patient is completely happy at the end of the treatment that they have the look they desire. In the extreme hypothetical situation that the hyaluronic acid filler was placed incorrectly or in any area not desired by the patient, a natural enzyme can be injected that rapidly disperses the filler completely safely within a few days. We are available to all our patients for immediate consultation 7 days a week should there be any issues.
The Differences Between Fillers:
There are 3 types of agents designed to improve volume in the face
- Short term fillers – these last at least 3 months e.g. Restylane ® and Juvederm Ultra grade 2® but can last longer. There are the thicker short term fillers that last a minimum of 6 months but often in the right patients 12 months and longer with subsequent treatments, such as Restylane Perlane® or Juvederm Ultra grade 4®
- Medium term volumisers There are many such fillers on the market but very few have long term (more than 10 years) safety data. It is imperative that this is looked in to before treatment as there are a great number of fillers that are beginning to show problems after a few years. One of the most tried and tested around is Sculptra® that has had long term use, any issues have been well documented and are known. These last between 2 and 3 years but are generally NOT recommended for the lips. Also correct injection technique is VITAL.
- Long Term Fillers These are poorly understood as most have not been around long enough. They tend to go firm and it is not known how they affect an aging face as the tissues begin to move. The major problem with these is that they are PERMANENT. Mistakes cannot be rectified! They are generally not recommended except in very specific situations.
Dermal Fillers are used to treat:
- Sunken Cheeks
- Weak Chins
- Lip Enhancement
- Reshape Tip of Nose
- Acne Scars
- Deep Wrinkles
- Nasolabial Lines
- Smile Lines
- Scar Improvement
- Aged Hands
- Lip Lines
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