Dermal Fillers

Dermal filler is a soft tissue filler composed of hyaluronic acids, collagens (non-animal, animal or synthetic) or biosynthetic polymers that is either injected or placed under the dermis, so as to fill wrinkles and creases on the skin. They are also used for lip augmentation. They diminish the facial lines and restore fullness to the face. The amount of subcutaneous fat on the face is reduced as a result of ageing. So, facial muscles stretches, leading to loss of facial volume, making the wrinkles more apparent. Apart from this, dermal fillers are used to add volume to thin lips, improve the appearance of permanent scars, more contours look more elegant and helps prevent early signs of aging.

Dermal fillers work by filling in the wrinkles, lines and creases, fill scars, fill thin lips or lips with wrinkles, plump up cheeks and form fine contours of the jaw line and other parts of the face. This is the non-surgical anti-ageing treatment and it offers maximum possible results for wrinkle correction and the most important factor that has led to its wide use and popularity is the immediate result visible on the face. The procedure is minimally invasive and involves only the use of fine needles. This may be done in a series as decided by the physician. The area is gently massaged. The treatment lasts for 30 minutes and may at times require a local anaesthetic cream or injection. Most of the time, the skill of the doctor and the type of filler used determines the effectiveness of the treatment offered.

Types of dermal fillers
  • Hyaluronic acid – is a common ingredient and is very popular. Examples Restylane, Uvederm, Perfectha and Yvoire.
  • Collagen – is the major structural component of skin and is available in injectable form derived from pigs, cows, cadavers or may be sythetically produced in the laboratory. Examples are Zyderm 1&2, Zyplast, Evolence, Alloderm, Cosmoderm 1&1, Cosmoplast.
  • Biosynthetic polymers are artificially produced. Examples are Radiesse, Artefill and Sculptra.

Most fillers used in India are made of Hyaluronic acid, which is a natural component of a normal skin, which is extracted and administered in several doses. Fillers used on patients differ based on the concentration of Hyaluronic acid used that determines the longevity of effect of injection. Generally the effect lasts for a year as they are absorbed by the body and may be repeated.

While dermal fillers offer non-surgical treatment for rejuvenation, it is not an alternative to surgeries for facial enhancement like facelift, brow lift or eyelift.

After treatment

Patient should not manipulate the treated areas, as this would lead to dislocation of the filler. Inflammation after injection is common and may be treated with application of ice pack. Patient should avoid coffee, alcohol, hot drinks and exposure to the sun. In rare cases, the filler may cause an allergy, leading to anaphylaxis, and it requires an emergency medical intervention.