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Dermal

Dermal Fillers Chatswood

Dermal fillers are becoming more popular due to their instant results and intermittent lifespan. Permanent fillers are associated with higher risks, and if there’s an undesirable result, surgical intervention to remove them is generally required. Non-permanent dermal fillers are reversible, produce quick results, short procedure time and have minimal down time as most patients are generally able to return to work immediately after.

The Ageing process is an inevitable aspect of life, which cannot be completely stopped over the long term; however it can be significantly slowed down so that ageing maybe graceful. In many cases, people are able to actually look younger than they currently do, and with the right aesthetic clinician, we can help maintain a youthful appearance for longer, and delay the ageing process. 

Hyaluronic Acid (HA)

The most common types of fillers are the Hyaluronic Acid (HA) group which are reversible. Other common fillers include the Non reversible and temporary fillers that generally last up to 1 year, such as Collagen/ biostimulator injections.

Hyaluronic Acid HA is a Glycosaminoglycan. It plays an integral role in healthy skin and decreases with photoaged (skin damage caused by sun rays) skin. This leads to a weakened structural support, associated with the HA to collagen and elastin, and reduces the skins ability to bind to water. This results in the skin being unable to provide sufficient support for blood vessels, elastin and collagen , and is unable to sustain itself in good health.

HA Fillers are made up of molecules (glycosaminoglycans) which exist naturally within the body where 50% of our bodies HA is found within the skin.

How long do dermal fillers last?

It is quite difficult and almost impossible to state how long fillers last and therefore there is only a ‘soft’ classification which is based on different factors such as patients metabolism, age, area being treated and type of filler being used.

Dermal fillers are most typically made of hyaluronic acid, a substance that occurs naturally in our bodies. Different brands of hyaluronic acid fillers are available, with varying levels of cross-linking which affects their firmness and longevity. Thicker fillers with greater cross-linking provide more volume and are best suited for deeper facial structures (such as cheek bones, nose, jawline etc), while finer fillers with less cross-linking have a softer, smoother texture and are ideal for areas with finer skin.

Hyaluronic acid is a natural substance found in our bodies and its ability to hold onto water is one of the reasons it is so effective as a filler. When injected, it can attract and hold water, which helps to volumize the area and create a smoother, more youthful appearance. This is one of the reasons why hyaluronic acid fillers are a popular choice for cosmetic treatments.

Hyaluronic acid is a common ingredient in skincare products because of its hydrophilic properties. When used in the form of a dermal filler, it has the ability to retain multiple times its weight in water, which results in increased volume in the treated area.

One of the benefits of using hyaluronic acid fillers is that they can be reversed through the injection of the enzyme hyaluronidase. This makes it a desirable option for correcting over-correction, misplaced fillers or other complications such as filler migrations.

On the other hand, permanent fillers like silicone, polyacrylamide, and polymethyl methacrylate (PMMA) are rarely used due to their irreversibility, except through surgical removal. The Victorian Cosmetic Institute does not perform treatments with permanent fillers as they carry a higher risk compared to hyaluronic acid fillers.

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Dermal Fillers Before & After

How long do Dermal fillers last in our body?

The typical lifespan of temporary hyaluronic acid fillers is estimated to be between 6 to 18 months. However, we now know the contouring/ volumizing effect of filler lasts up to 18 months. Recently, MRI scans conducted by the authors of this research found that these fillers may last for over a decade in some cases. These findings match their clinical observations where they have seen fillers last in tear troughs for over 10 years.

 

Despite the possibility of long-lasting results, hyaluronic acid fillers can still be reversed at any time with the use of the enzyme hyaluronidase.

 

Given these findings, the authors believe it’s crucial to use smaller amounts of filler at less frequent intervals to prevent overfilling and accumulation of filler in the face.

Tell me more about the Dermal Filler Procedure

Before getting fillers, a consultation with the practitioner is a must. This consultation allows the practitioner to understand your medical history and assess your face. Based on the assessment, the practitioner will plan the amount of filler, the areas to be treated, and the cost.

 

The treatment process starts with cleaning the face using antiseptic and administering local anesthesia to numb the treatment area (this may be achieved using a numbing cream or a stronger agent such as a nerve block). The filler can be administered through either a needle or a cannula. We prefer using cannulas because they have a blunt tip, reducing the risk of bruising or vascular occlusion caused by puncturing blood vessels.

 

Depending on the Practitioner, some practitioners hav their own specialised methods to help reduce risks of complications. 

 

The filler procedure typically takes 30 to 60 minutes and is performed in a clinic setting.

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Skin-Peel

Tell me more about the Dermal Filler Procedure

Before getting fillers, a consultation with the practitioner is a must. This consultation allows the practitioner to understand your medical history and assess your face. Based on the assessment, the practitioner will plan the amount of filler, the areas to be treated, and the cost.

 

The treatment process starts with cleaning the face using antiseptic and administering local anesthesia to numb the treatment area (this may be achieved using a numbing cream or a stronger agent such as a nerve block). The filler can be administered through either a needle or a cannula. We prefer using cannulas because they have a blunt tip, reducing the risk of bruising or vascular occlusion caused by puncturing blood vessels.

 

Depending on the Practitioner, some practitioners hav their own specialised methods to help reduce risks of complications. 

 

The filler procedure typically takes 30 to 60 minutes and is performed in a clinic setting.

Are Dermal Fillers safe? What are the side effects and risks?

When performed by a trained and experienced medical professional, dermal fillers can provide a safe and effective solution for restoring volume loss in the face. These fillers are made of hyaluronic acid, a substance that is naturally found in the skin. They can help restore volume in areas like the cheeks and improve the overall appearance of the face.

 

However, as with any cosmetic procedure, there are risks involved. Common side effects include swelling, bruising, and bleeding. There may also be some downtime required after the treatment. Aesthetically, the risks may include an uneven appearance, lumps, or over or under-treatment, which may require correction.

 

Medical complications from dermal fillers can include immune-mediated reactions, infection, pain or tenderness, and potentially serious vascular occlusions. serious complication known as vascular occlusion when injected into a facial artery, blocking its blood supply and potentially leading to skin death or even blindness or stroke. To reduce the risk of this occurring, a highly educated, skilled and experienced injector can help reduce the risk of vascular occlusions due to a thorough understanding of anatomy, however it does not terminate these risks.

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Aquamid Fillers

Pain Relief

Before the treatment, a numbing cream such as EMLA or LMX can be applied to the area (45 minutes prior is recommended). Covering the cream with glad wrap can enhance its effect. In some cases, a local anesthetic may also be injected before the procedure. Some dermal fillers contain local anesthetic. To minimize pain and decrease the risk of bruising, ice will always be used during the treatment. Nitrous oxide (also known as “happy gas”) is also an option for patients who wish to use it.

After Care

It is recommended to follow these instructions for proper aftercare following dermal filler treatment:

 

Wait for 4 hours before applying makeup

Avoid strenuous exercise on the day of the treatment

Avoid using acidic face products for 24 hours

Avoid spas, saunas, and hot yoga for 1 week post-treatment.

Dermal Filler Treatment
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What to do Immediately After Dermal Fillers?

It is normal to experience some redness, swelling, and bruising after dermal filler injections. The swelling and redness usually resolve within 2 to 7 days. The severity and duration of side effects vary from person to person and depend on factors such as the type of filler used, the amount of filler injected, and the individual’s own healing response.

 

To help reduce swelling, you can apply a cold compress to the treated area (however, this may have a negative effect on the overall contouring effect) and avoid alcohol and heat exposure. If you experience any unusual symptoms, such as severe pain, fever, or signs of infection, you should contact your practitioner.

 

It is important to follow the instructions provided by your practitioner and to attend your follow-up appointments as scheduled. This will help ensure that your results are optimal and that any necessary touch-up injections are performed in a timely manner.



PAIN RELIEF

Most practitioners and patients prefer to have some form of pain relief. There are multiple options available for your convenience;

  • Initially, a topical numbing agent such as emla cream or lmx, is applied to the area of treatment. Common additional forms of pain relief:
  • Local anaesthesia using a nerve block is a fantastic method to achieve almost no pain at all, however this does vary based on individual. This is quite similar and sometimes used interchangeably with the term dental block. Most dermal fillers also contain local anaesthesia and hence any pain experienced during treatment generally tends to improve throughout
  • Laughing gas (also known as happy gas or Nitros oxide) is also available.
  • Applying ice to the area prior to treatment can also help reduce the pain, and applying ice after the procedure also helps reduce the swelling. 

RIGHT AFTER THE PROCEDURE

After treatment dermal filler treatment at our Chatswood clinic, some bruising, redness and swelling maybe present and self resolve over the next few days. Generally the swelling tends to provide a slightly enhanced effect due to the increased volume associated with this, which tends to disappear eventuate into a more natural appearance. Some patients tend to enjoy the swelling effect, however others may prefer the more natural effect. 

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