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Cosmetic Treatments
Dermal Fillers
What are dermal fillers?
Dermal fillers are injectable products that soften and correct lines, wrinkles and folds in the skin. In addition, Dermal fillers are commonly used to augment and enhance the lips, cheeks and facial contours. Dermal fillers are used to smooth crow’s feet and frown lines between the eyes, near the mouth ( vertical lines on the top lip), Nasal lines and lip enhancements. Dermal fillers help regain natural healthy looking facial skin. It is a well recommended treatment for any fine lines and wrinkles problems.
There are a variety of dermal fillers on the market, which vary in their composition, however the most commonly used material is hyaluronic acid (HA). This is a natural, non-animal based, stabilised clear gel which hydrates and volumises the tissue. Most patients choose a HA product due to:
- Safety - over 10 million dermal filler treatments performed over 10 years
- Natural - tissue tailored HA resembles the skins own material
- Long lasting - but not permanent (typical results last 3-12 months)
- Non-animal - reducing the risk of adverse reactions (only 1 in 20 000)
- Quick and simple - most treatments take < 30mins to complete
Hyaluronic acids
| Product | Material | Indication | Lasts | Cost |
|---|---|---|---|---|
| Restylane | Non animal stabilised hyaluronic acid (NASHA) particles in gel matrix | Lips, lines, wrinkles | 3-6m | £240 |
| Perlane | Folds + contouring | 6-12m | £290 | |
| SubQ | Cheek augmentation | 12m | £575 | |
| Macrolane | Breast augmentation | 18m | £2000 | |
| Juvederm Ultra | Hyaluronic acid gel + local anaesthetic | Lips, lines, wrinkles, folds + contouring | <12m | £150 |
| Juvederm Hydrate | £180 | |||
| Juvederm Voluma | £575 | |||
| Teosyal | Monophasic HA | Lips, wrinkles + folds | 6-9m | £300 |
Collagen stimulators
| Product | Material | Indication | Lasts | Cost |
|---|---|---|---|---|
| Sculptra | Poly-L lactic acid | Volume + contouring | 2-3 yrs | £390 |
| Radiesse | Calcium hydroxyl-apatite microspheres | Facial shaping and contouring | <2 yrs | £325 |
Collagen
| Product | Material | Indication | Lasts | Cost |
|---|---|---|---|---|
| Zyderm | Bovine collagen | Fine lines + wrinkles | <3m | £300 |
| Evolence | Cross linked collagen | Wrinkles + folds | 12m | £400 |
Dermal Filler Treatments
- Informed consent with pre-treatment photos
- Local anaesthetic cream or injections used to increase comfort
- Dermal filler injected into skin via small gauge (27-31G) needle
- Injection sites massaged to promote even integration into tissue
- Tissue expansion associated with slight burning / stinging sensation
- Immediate results from Dermal filler noticed but may be exaggerated due to swelling
- Dermal filler Procedure takes around 30 minutes to complete
- Results from dermal filler last 3-12m depending on product and volume
Dermal Filler Aftercare
- DO NOT apply make up or creams for at least 6 hours after Dermal Filler Treatment
- DO NOT expose the treatment areas to extreme heat (eg sunbeds / sauna) for at least 2 weeks, as this may affect product durability
- DO gently massage the Dermal Filler treatment areas for up to 2 weeks to avoid unevenness
Dermal Filler Possible side effects
- Immediate redness, swelling, burning and itching around the treatment site are COMMON and should settle within the first few hours
- Bruising and swelling lasting up to 2 weeks are LESS COMMON and should resolve spontaneously
- Slight blue discolouration of the treatment area is LESS COMMON
- Cold sores may RARELY erupt following lip augmentation – this should be treated with Zovirax cream from the pharmacy
- Tissue infection / abcess is RARE and can be treated with antibiotics
- Granuloma (tissue nodules) are VERY RARE and can be treated with injection of steroid into the affected area
- Tissue necrosis (sores) is VERY RARE and usually resolves
- Hypersensitivity / allergy is VERY RARE and can be treated with antihistamines
Contraindications
You should avoid dermal filler treatment if any of the following are relevant even though you have lines and wrinkles:
- History of severe allergy or anaphylaxis
- Known bruising or bleeding disorders
- Anticoagulant and immunosuppressant drugs
- Pregnancy / breast feeding
Contact Dr Raj Acquilla at Cheshire Cosmetic in Cheshire for dermal fillers treatment for lines and wrinkles in Cheshire.
Dermal Fillers FAQs
What are dermal fillers?
Dermal fillers are injectable products that soften and correct lines, wrinkles and folds in the skin. In addition, they are commonly used to augment and enhance the lips, cheeks and facial contours.
Which dermal filler should I choose?
There are a variety of dermal fillers on the market, which vary in their composition, however the most commonly used material is hyaluronic acid (HA). This is a natural, non-animal based, stabilised clear gel which hydrates and volumises the tissue. Most patients choose a HA product due to:
- Safety – over 10 million treatments performed over 10 years
- Natural – tissue tailored HA resembles the skin’s own material
- Long lasting – but not permanent (typical results last 3-12 months)
- Non-animal - reducing the risk of adverse reactions (only 1 in 20 000)
- Quick and simple – most treatments take < 30mins to complete
Restylane® and Juvederm Ultra® are preferred by Dr Acquilla due to their superior performance and longevity in addition to cost effectiveness.
Which areas can be treated with dermal fillers?
The most commonly treated areas are:
- Nasolabial (nose to mouth) lines
- Lip enhancement
- Cheeks and chin (volumising and contouring)
- Rejuvenation of the face, hands and décolletage
- Glabellar (frown) lines that are resistant to Botox®
What does treatment with a dermal filler involve?
- Informed consent with pre-treatment photos
- Local anaesthetic cream or injections used to increase comfort
- Dermal filler injected into skin via fine gauge (27-31G) needle
- Injection sites massaged to promote even integration into tissue
- Tissue expansion associated with slight burning / stinging sensation
How long does the treatment take?
Most procedures can be completed within 30 minutes.
Does treatment with dermal fillers hurt?
Some patients may experience a mild stinging or burning sensation as the product is injected. This is reduced significantly by application of a local anaesthetic cream prior to treatment.
How much do dermal fillers cost?
Treatments are priced according to the number of syringes required to correct the lines, wrinkles or volume. Juvederm® treatment is available from £150 and Restylane® from £180.
How much do dermal fillers last?
Treatment result last between 6-12months, depending on a variety of factors such as product type, area injected, degree of correction, age, skin type and lifestyle.
Can dermal fillers be used at the same time as Laser treatment or Chemical peels?
It is recommended that following Laser or Peels, the skin is allowed to recover for 4-6 weeks before undergoing dermal filler treatment.
What are the risks and side effects of dermal fillers?
- Immediate redness, swelling, burning and itching around the treatment site are COMMON and should settle within the first few hours
- Bruising and swelling lasting up to 2 weeks are LESS COMMON and should resolve spontaneously
- Slight blue discolouration of the treatment area is LESS COMMON
- Cold sores may RARELY erupt following lip augmentation – this should be treated with Zovirax cream from the pharmacy
- Tissue infection / abcess is RARE and can be treated with antibiotics
- Granuloma (tissue nodules) are VERY RARE and can be treated with injection of steroid into the affected area
- Tissue necrosis (sores) is VERY RARE and usually resolves
- Hypersensitivity / allergy is VERY RARE and can be treated with antihistamines
Who should not have treatment with dermal fillers?
Although most people would benefit from treatment, you should avoid dermal fillers if any of the following are relevant:
- History of severe allergy or anaphylaxis
- Known bruising or bleeding disorders
- Anticoagulant and immunosuppressant drugs
- Pregnancy / breast feeding
