PLASTIC, RECONSTRUCTIVE & COSMETIC SURGEON

Dermal fillers

fillers

Dermal fillers are useful for increasing volume in areas of the face that have become thin with age such as in the temples, cheeks, chin and lips. It is also useful for treating and disguising wrinkles. Fillers can either be permanent or temporary.

Over the years there have been several manufactured forms of permanent filler but their use is not recommended due to potential complications. Fat on the other hand is a natural permanent filler that has a very good safety profile. Fat grafting can be used to add volume, shape and rejuvenate however multiple procedures may be required as usually only 50% of the fat that is injected survives.

There are many types of temporary fillers. One of the more popular fillers is made of hyaluronic acid. This is a naturally occurring protein within human tissue and therefore has an excellent safety profile. Temporary fillers generally last 3-18 months dependent on the thickness of the filler. Thin fillers are great for treating fine lines, but do not last a long time. Thicker fillers are useful for deeper grooves and adding volume. They also last longer due to their thicker consistency.

What should I expect ?

Your requirements will be discussed during the consultation including areas of concern. The filler that will be used will depend on the area to be treated. The filler injections themselves are performed in the office. There is usually no need for any anaesthetic however it can be performed under local anaesthetic if required. Following the injection, there may be some swelling which settles after a few hours. The filler will last between 3-18 months dependent on the filler that is used.

What is the follow up ?

You will be reviewed at 2 weeks to ensure that you are happy with the results

What are the risks and complications ?

Redness : There may be some redness around the injection sites that will last for a few hours

Bruising : Bruising around the injection sites is uncommon. When it does occur, it is usually minor and settles in a few days

Asymmetry : In procedures involving two sides, there may be minor degrees of asymmetry if the filler has a greater effect on one side

Skin irregularity : Lumps and shadows beneath the skin may occur if fillers are injected too closely to the skin surface. This is very rare in trained practitioners

Allergic reactions : Allergic reactions are possible but are very rare

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Kenneth Kok

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