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Dermal fillers have become very popular in volumising and sculpting facial features. They offer a temporary, yet versatile option to offset ageing changes. Restoring your youthful features can help boost your confidence without going under the knife. We can get some amazing natural results with strategically placed dermal fillers. Lips can be enhanced and hydrated and cheeks can be lifted. Deep folds can be softened and sagging skin can be lifted. Jowls can be minimised and jaw lines sculpted. The role of the filler is either lifting and replacing volume or defining and creating a balance of facial features. Staring at our own faces during the lockdown has prompted many to seek cosmetic treatments. Unfortunately, in the UK, you don’t need any medical qualifications to perform these treatments. Anyone can purchase dermal fillers and inject themselves or others. It is up to you to choose the right injector!

What are dermal fillers?

A dermal filler is a gel made of sugar molecules called hyaluronic acid. Within our skin, naturally produced hyaluronic acid provides moisture and bounce. As we age, the levels of natural hyaluronic acid drop. Furthermore, the bones and soft tissue structures on our faces change as we age. This produces the typical changes we see in the mirror.

Dermal fillers contain chains of sugar molecules held together by special bonds. The difference in their structure gives them different properties. Some are soft and malleable while others are firm. This property allows different products to be used in different areas of the face. For example, a cheek or chin filler is firmer and provides structural support. On the other hand, lip fillers are softer and more mobile. Once within the skin, they absorb and hold on to water giving a plumping effect.

Over a period of 6-18 months, the filler gets broken down and our face reverts back to its original state. The ideal dermal filler will have the stretchability to mimic our facial movements. If done correctly, dermal filler treatments are undetectable giving a refreshed rather than a ‘done’ appearance. For this reason, I only use the award-winning premium Teosyal range of fillers.

Although widely available, dermal fillers must be purchased from MHRA regulated pharmacies. Despite being expensive, this ensures that the product is genuine.

What is involved in a dermal filler treatment?

Dermal filler
Ideally, your dermal filler treatment involves 2 appointments. Firstly, a consultation to assess your face and discuss a treatment plan. Secondly, a separate appointment for the procedure itself, but only after you have had sufficient time to consider your options.

Dermal filler is an injectable product. This means that once injected it will remain in your face for months. Therefore, you should only go through with it after careful consideration. Once you are satisfied that you have all the information including risks and benefits, you can decide on your best option.

As an injectable product, it has to be delivered into the correct position via the skin. Medical practitioners use a needle, or a blunt-ended device called a cannula to deliver dermal filler. The choice depends on personal preference, the area being treated, and the desired effect. While needles are excellent for delivering precise treatment, cannulas are better suited in high-risk areas and for achieving a more widespread delivery. As with any injections, there is a small risk of redness, bruising, and swelling. These are temporary and mild.

Some areas of the face require a numbing cream for your comfort. The treatment itself does not take long. You can actually go back to work or continue with your day after most treatments. Before you leave, your practitioner will advise on how to spot worrying signs after treatment and how to contact them.

What are the risks of dermal fillers?

First of all, all treatments have risks albeit rare. Dermal fillers are foreign bodies. Therefore, rarely you may be allergic to one of its components. Next, although rare, the gel can potentially cause serious complications. This can happen during or days after treatment. A competent practitioner will discuss this with you during the consultation. Additionally, your practitioner must be able to manage potential complications. Dermal fillers can compromise blood flow if they are accidentally injected into a blood vessel. If this happens, the gel will block blood flow to the surrounding tissue causing tissue damage.

If identified early enough, an enzyme called Hyalase can be injected into the affected area to dissolve the filler. There are a few issues to consider here. Firstly, although fillers can be bought anywhere, Hyalase is a prescription-only medication. Secondly, you may be allergic to Hyalase hence the treatment has its own risk. Thirdly, the dissolving process can cause excessive swelling and discomfort. However, it is a necessary treatment for the rare complication described above.

As the blood supply to the face is complex, the injector must always know where the tip of the needle is. This is why the Hyaluron or ‘no-needle filler’ pen is an unsafe treatment. With this pen, the filler is just shot into the skin with pressure and it can easily enter a blood vessel and cause complications.

Very rarely, fillers can lead to swelling in response to inflammation in the body following an infection. You may need prescription medication to treat this. This is why it is better to consult a medical practitioner to perform the treatment.

Dermal filler

How to prepare for a dermal filler teatment?

It is best to avoid anything that can worsen bruising from the day before treatment. So, avoid taking anti-inflammatories like ibuprofen, alcohol, supplements like fish oils, omega-3 fatty acids, vitamin E, garlic, Ginko Biloba, and St John’s wort. You must inform your practitioner of any medications you take including blood thinners. Avoid wearing makeup on the day to reduce the risk of infection.

How to care for your skin after dermal fillers?

Firstly, straight after your treatment, you should avoid touching the area treated. Secondly, you must wear a fresh, clean mask and avoid makeup to reduce infection risk. Thirdly, you should avoid activities that cause facial flushing such as exercise, saunas, and alcohol for the next 24-48 hrs. When washing, try not to rub or massage the area. Any swelling and bruising would be expected to settle within two to three days.

It is important to watch out for any signs of complications for up to 2 weeks after treatment hence avoid traveling abroad in this period.

What are worrying signs after your treatment?

Contact your practitioner immediately if you experience any of the following:

  • Excessive swelling
  • Continued pain
  • Skin colour changes
  • Blistering of the skin

This may indicate that the filler is compromising blood supply and need immediate dissolving.

When will you see results?

The effects may be noticeable immediately for some treatments. However, for others, the full effects are seen 3-4 weeks afterward.

When should you avoid dermal fillers?

  • Never have dermal fillers if you are pregnant or breastfeeding as they’ve never been tested in this group.
  • Avoid dermal fillers if you have an active infection.
  • Discuss any planned dental procedures with your practitioner as facial fillers need to be postponed.
  • If you suffer from cold sores, lip fillers can trigger an attack. Therefore you will need preventative treatment.
  • You should avoid dermal fillers for 2 weeks prior to and for 3 weeks after the Covid-19 vaccination. This is a precautionary measure. A recent article reported three patients who had previously had fillers experienced swelling to their faces after receiving the Moderna vaccine during the trials. It is worth noting that it is possible to get mild swelling at the dermal filler site with viral or bacterial infections. This is thought to be an inflammatory reaction and very rare. Treatment involves prescription medication.
Dermal fillers are a fantastic rejuvenation and beautification treatment. Make sure that you research your practitioner and don’t make decisions based on price. Medical practitioners belong to a regulatory body and are insured to carry out procedures. They undergo continuous professional development to keep updated with the latest knowledge and techniques. This is what you are paying for! Finally, your practitioner should always be contactable immediately if you have a complication.
If you are looking for dermal filler treatment giving natural results in Billericay, Essex, you can book a consultation or enquire for further information:

Dr Tash Kanagasabai

📱07825 999 144 or 

☎️ 01277 549 006

💌 drtash@skinenhanceclinic.com

Website: Book an appointment

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