WHAT ARE DERMAL FILLERS OR WRINKLE FILLERS ???

Dermal fillers or Wrinkle fillers are gel like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases or enhance facial features. 

As we get older, our body stops producing collagen and elastin, both of which contribute to youthful skin. 

At the age of 25 we start losing collagen. Both collagen and elastin declines at the rate of 2% per year.

Here ,comes the role of dermal fillerS. Read below for more...

WHAT FILLERS CAN DO ???

1. Smooth out lines around nose and mouth.

2. Enhances and restore volume of cheeks and temple.

3. Diminishes vertical lip lines.

4. Smooth out chin crease.

5. IMprove symmetry among facial features.

WHAT ARE THE  SUBSTANCES THAT MAKE UP DERMAL FILLERS ?

Dermal fillers are composed of variety of substances some naturally occuring and some synthetic.

1. HYALURONIC ACID

 This is naturally occuring , already present in our skin. It keeps the skin hydrated.

This is one of the most common dermal fillers used.

One special advantage of this is that they can be dissolved by hyaluronidase in case of adverse events or if the person dislikes the appearance. These are premixed with lidocaine to minimize discomfort.
These fillers lasts for 6-12 months or more.


Some of the FDA approved HA fillers are:
Juvederm products- juvederm voluma, volbella, juvederm xc, vollure, Restylane products,Belotero balance.

2. CALCIUM HYDROXYLAPATITE (CaHA)

These are mineral like compounds found primarily in bones. 

These stimulate natural collagen and are used for deeper lines and wrinkles.

 This has also been used in dentistry and reconstructive surgery for years.

CaHA lasts for about 12 months.

FDA approved CaHA is Radiesse.

3. Poly-L-Lactic acid :

This has been used for many years in medical devices such as dissolvable stitches. 

These synthetic fillers stimulate collagen and results are gradual. 

Their effect lasts for more than 2 years.

FDA approved poly-l-lactic acid filler is Sculptra.

4. Polymethylmethacrylate (PMMA)

It takes the form of microsphere or tiny ball that remains beneath the skin indefinitely to provide continued support. 

It is more durable but has potential complication such as forming lumps.
                                                                                                          FDA approved PMMA is Bellafil.

5. AUTOLOGOUS FAT INJECTION

These are only fillers that require surgery.

Fat is harvested from the same person , it is then purified and injected into face.

This procedure is performed as outpatient basis under local or general anesthesia. 

The effect can be seen after 2 weeks.

CONCLUSION

Choosing the right type of filler requires the guidance of experienced board certified dermatologist or cosmetic surgeon with thorough understanding of facial anatomy.