A Guide to Dermal Fillers: What to Know Before You Try

Why do we age? 

Facial aging is an inevitable consequence of living longer.  Or is it? There are a number of factors that contribute to aging, including chronic UV damage from sun and tanning lamps, degradation of collagen and elastin, both in quantity and quality, loss of fat, pollution, pesticides, herbicides and other harmful chemicals in food and water, stress, poor bone health, contributing to bone resorption……just to name a few.

Loss of collagen and elastin combined with bone resorption and dental attrition lead to the conversion of facial architecture from the youthful, inverted triangle to an upright triangle. Loss of support from collagen, elastin and ligaments and resorption and migration of fat, leading to “decent” of face downward and inward is the dreaded consequence of aging.

What is the solution? 

For a long time, scientists have been working on finding a solution to fill this gap. That is where, dermal fillers and fat transfer come into play—-their role is to fill the gap, give support and stimulate collagen production.

For the purpose of discussion in this article we shall narrow down our focus to dermal fillers. Specifically hyaluronic acid (HA) fillers.

Hyaluronic Acid (HA) Dermal Fillers:

Hyaluronic acid is a naturally occurring sugar compound in the body. It is present in all cells. There is no interspecies difference between hyaluronic acid. HA used in dermal fillers NJ is made in the lab by bacteria using recombinant DNA technology. Further, the HA molecules are artificially cross-linked to affect consistency and longevity. Allergic reactions to HA fillers are extremely rare.

The very first approval of filler was for laugh lines. Interestingly, this is also one of the dangerous areas due to proximity to a very important artery!

Physicians worldwide have used HA fillers on many other areas as off label indications. Currently, HA fillers are mainly used for:

  1. Laugh lines
  2. Lips
  3. Cheeks
  4. Jaw line
  5. Chin
  6. Temple
  7. Nose
  8. Tear trough
  9. Hands

HA loves water. And it holds water for a long time, hence in some cases, there will be more swelling in the beginning. By drawing in water, HA also hydrates, and is therefore especially useful in lips.

Methods of implanting HA gels:

There are two different ways to put HA fillers. First injecting with a needle. Second, using cannulas that have a blunt tip. A skilled physician should have expertise in both the methods, the advantage of cannulas is that it is less traumatic and a lot safer in the mid to deeper planes of the face. Needles give more precision and are the only way to treat superficial lines where cannulas are not practical. At Anara Medspa, we are very proficient in using both methods.

Safety precautions:

Any discussion of fillers is incomplete without discussing the safety precautions and side effects.

We recommend people to stop all blood thinners for at least 2 weeks prior to the procedure, with the goal of minimizing bruising. We also recommend no dental procedures 2-3 weeks before and after the filler. There should be no sores, active lesions, eczema, cold sores, mouth ulcers, gingivitis or any skin infection in and around the area to be treated. All makeup should be completely removed before the procedure. We recommend no traveling outside the area for 7-10 days after the procedure and be available for follow-up.

HA fillers last for 6-12 months or longer based on the filler used. Our experience shows that though HA fillers are not considered permanent, they do however, tend to stimulate collagen in the area by giving a more youthful appearance. It is better to sculpt and build the face, gradually over 7 months, than shocking it with too much fillers at once.

Tendency for overfilling must be avoided, especially on the cheeks and lips, which can give a chipmunk look, or duck lips.

Final words:

Dermal fillers NJ used judiciously in appropriate amounts in the right area can give rewardingly beautiful results. Don’t buy a syringe but buy the procedure and choose the right medical doctor to work with in your journey to beautification. Also we must not fail to mention that for some people, surgical face lift is more appropriate than filler injections.

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