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What are Dermal Fillers?

Dermis means skin. Dermal fillers are soft tissue or gel-like substances that are introduced under the skin to fill in the facial wrinkles. This procedure helps in providing a smoother and youthful look. It also restores volume, smoothens lines, and softens creases. These are temporary options lasting for about six months or longer as they get absorbed over time. Some people may need multiple injections to obtain the much-desired wrinkle-free look. Nearly one million men and women opt for this cost-effective method to look younger without actually spending a fortune on surgery.


Benefits of Dermal Fillers –

  • Smoothens lines around nose, eyes, and mouth.
  • Reduces vertical lip lines.
  • Increases the volume of lips.
  • Smoothens the creases on the chin.
  • Enhances and restores volume to sunken cheeks or temples.


Products used in a Dermal Filler

Fillers are FDA approved products that are used by cosmetic surgeons. Always ensure that FDA approved brands (available via licensed practitioners) are used for this procedure. The products used for dermal fillers are:

  •    Hyaluronic acid: It is a substance found naturally in the skin, keeping it plump and hydrated. These are soft and gel-like in consistency. The results are temporary and last from 6 – 12 months or longer. They are usually coupled with lidocaine (an anaesthetic agent) to minimize discomfort during and after the procedure.
  • Calcium Hydroxyapatite: This is another naturally occurring substance found mainly in bones. The consistency is comparatively thicker and thus the effects last longer for about 12 months in majority cases. The calcium is almost microscopic and suspended in a smooth gel when used as a dermal filler. They are suitable for use in deeper lines and wrinkles as they help stimulate natural collagen production.
  •    Poly-L-Lactic acid: It is a biocompatible and biodegradable synthetic material which is used in medical practice for years as a suturing material. They are known as ‘collagen stimulators’ since they smoothen fine lines by helping the skin restore its natural collagen. The gel itself starts degenerating in a few days. It is used best to treat deeper wrinkles and results last for more than two years.
  •    Polymethylmethacrylate (PMMA): It is a synthetic and biocompatible material used in the medical field for more than a century. Like other dermal fillers, they take the shape of a “microsphere” or tiny balls that remain under the skin providing continuous support. They also contain collagen that improves structure and firmness.
  •    Autologous fat injections (facial fat graft): This is the only filler treatment that requires surgery, but the effect lasts for many years. Your fat is harvested from another area typically through liposuction, purified and injected into cheeks, temples, lower eyelids, or other facial areas to help restore volume. This technique requires specialized training for safe performance and effectiveness. The procedure should be performed only by a certified and experienced doctor. It is usually done as an outpatient procedure, using general or local anaesthesia with sedation. Rest for up to 2 weeks is necessary, depending on the extent of liposuction.
  • Botulinum Toxin type A (Botox) treatment: This procedure of dermal filler blocks nerve contraction, thus freezing the related muscle. It relaxes, reduces and even removes inevitable wrinkles. This is the most efficient, quick and convenient method to tackle the appearance of fine lines and wrinkles without surgery. The treatments generally last 3 months, hence repeated injections are necessary.
  • PRP Treatment: PRP or Platelet Rich Plasma facial includes drawing blood, separating the platelets, and injecting it into your skin. PRP is used to treat volume loss in the face, hands, and neck. It is useful for tear troughs, dark circles, puffy eyes, fine lines, crepey skin under the eyes, facial wrinkles, acne scarring, and stretch marks by providing skin rejuvenation, anti-ageing effects, and illumination. Platelets play a significant role in wound healing and contain multiple growth factors stimulating new collagen and elastin, triggered over the next 6-8 weeks. The treatment may last up to six weeks in three visits. Mild swelling and redness may be expected, which usually diminishes within 3 days.
  •    Mesotherapy: This is a non-surgical subcutaneous procedure.  Custom formulated powerful nutrients which may include a mix of vitamins, minerals, enzymes, hyaluronic acid, collagen or retinol help to rehydrate and tone up the skin. It is ideal for all skin types and best for use in the face, neck, and under-eye area. It helps in rejuvenation, nourishing, and promoting the production of collagen and elastin, and also induces the metabolism of the skin. Superficial swelling dissipates within 48 hours, longer for around the eye region.

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