Smooth foreheads, plump cheeks, and perfect smiles have led many people down the cosmetic medicine path.
Injectables – dermal fillers and anti-wrinkle muscle relaxants — are the most popular treatment for enhancing our looks and challenging the ageing process, with nearly no downtime or discomfort.
We now have an enormous range of fillers, many of which can last a long time and be used to volumise and sculpt ageing faces. We also have neurotoxins to reduce lines and wrinkles, as well as lasers to effectively treat a broad range of skin conditions.
All About Fillers
Fillers are used to plump out lines and smooth skin, restore volume to areas where tissue commonly degenerates with age, fill in pockmarks and acne scars, contour or reshape facial features and add volume to the lips. They are also a popular adjunct to treatment with anti-wrinkle injections to create a universal result.
Fillers are gel-like in consistency, and the type of filler (composition and viscosity), the area of injection and the depth of injection all influence the final result, and how long they last. Fillers can be made with biodegradable substances, such as hyaluronic acid (HA) or collagen, or non-biodegradable substances such as silicone.
Gone are the days where patients come in and ask to have their nasolabial folds filled, and that’s enough. We now know that treating the nasolabial folds will not change the patient’s overall appearance. Esteem Medi Spa are leaders in the cosmetic injectable industry and we want to address and harmonise the face as a whole so that our patients will look the best for their age at any age. Through communication, understanding and education, together the patient and practitioner can create some truly spectacular results.
The Benefits of HA
The longevity of results with HA dermal fillers can last anywhere between 6-18 months and beyond, depending on the amount of filler injected, the depth of injection and the level of movement at the injection site. The duration of the result is also affected by the extent of cross-linking between the hyaluronic acid chains, as well as the concentration and size of the HA particles themselves.
Increased cross-linking and higher HA levels boost the viscosity and elasticity of the dermal filler. This extends the longevity of the result. Larger HA particles, alongside higher concentrations, tend to absorb more water and cosmetic more tissue swelling following injection, also increasing the duration of effect.
Hyaluronic acid is a substance that occurs naturally in the body; associated with attracting and maintaining hydration in the skin. For this reason, the benefits of dermal fillers are double fold – adding volume and drawing hydration at the same time.
Filling Wrinkles and Fine Lines
When injected superficially, dermal fillers can help smooth out fine lines and fill superficial wrinkles. Commonly, the HA chains are smaller and softer in superficial filler products, reducing the risk of lumpiness post procedure.
These fillers are used for areas that are more delicate, such as the corners of the mouth, the lip line and the crow’s feet. These fillers need to be very soft so the product can be placed superficially in the skin to smooth the area without the risk of seeing or feeling the product after injection.
A small amount of filler is usually required; as the objective is to fill a line or wrinkle, not necessarily add volume to the area.
The small particle size and low quantity of HA injected means results typically last around six to twelve months. The level of movement in the area – for example frowning, talking and squinting – also affects the duration of the result.
Minimising Under-Eye Circles
As some patients age, rather than having drooping skin, they become gaunt and hollow, particularly around the eye area. Each injection can last up to three to four years, as the product is usually placed quite deeply to reduce the risk of visibility and palpability post-procedure.
In the past, when surgery was the only option available, rejuvenation tended to be the domain of the rich or famous. Now you can take years off a person’s face at a fraction of the cost with neurotoxin injections to minimise lines and wrinkles combined with strategic filler placement, giving the eyes and overall face a fresher, younger appearance.
These non-surgical measures have revolutionised the aesthetic anti-ageing industry and made it available and ‘acceptable’ to a much broader audience.
Medium volume HA fillers use medium-sized HA particles, which combine with the body’s own HA to enhance the amount of targeted tissue.
These fillers are injected more deeply than superficial products and are used to treat deeper skin folds and improve volume in certain areas.
Medium volume HA fillers typically have a greater number of cross-links between the HA particles, compared with superficial fillers. This increases the cohesiveness of the product and longevity.
Contouring and Building
Deep volume fillers can restore facial contours or add volume where it is needed. These fillers have a distinct volume-enhancing effect and are used to treat folds and facial depressions, as well as filling deep contours and hollows.
There are certain fillers specifically designed for volumisation and to increase facial contour and projection. These fillers are firmer and are primarily placed on the surface of the bone. They are used on the cheek nose, and chin.
Commonly, these fillers act more like facial implants and, once injected, integrate fully with the facial tissue. Because of their high viscosity, deep dermal fillers do not migrate from the injection site, and results can last from 12 to 18 months.