Dermal fillers are a rapid and effective way of enhancing your appearance by smoothing out lines and adding volume. They are one of the most popular facial rejuvenation techniques.
As we age, the underlying tissues that keep our skin looking youthful and firm begin to break down due to the effects of gravity, sun exposure, diet, genetic factors, smoking and years of facial muscle movement. Over time, these factors contribute to the development of lines, wrinkles, and folds in the face.
Dermal fillers are substances that are injected in the skin or just below the surface of the skin to fill in lines, wrinkles, volume deficits and scars. Fillers restore volume for a more natural youthful appearance. Dermal fillers can also increase the fullness of the lips and lessen the downward slant of the corner of lips. The most common areas treated with dermal fillers are the nasolabial folds, lips, fine lines above the mouth, cheeks, jawline, chin, eyebrow lift, hands, neck and acne scars. The end result is a more youthful, natural looking you!
There are numerous dermal fillers, each with their unique composition and properties. There are medium, long term and permanent fillers. At Zinc Clinic, we choose to use only medium and long term fillers due to their safety profile and exceptional results. In medium term (6-9 months) and long term (9-24 months) the major active ingredient used is a manufactured form of the skins natural components. They are made from a crystal clear biodegradable gel based on a natural sugar present in normal skin. They are the ground substance in which proteins such as collagen and elastin lie. When injected into the skin they add volume, hydrate the skin by binding water, giving your skin a smoother and more supple texture. They assist in the production of new collagen by stimulating fibroblasts and hence improve the natural texture and elasticity of skin and prevent it from sagging further. These types of dermal fillers break down slowly over the course of several months to several years.
Current Australian Government Provisions do not permit us to use the name of these products in any advertising material.
Dermal fillers are used commonly in the following areas:
- Eyebrow droop.
- Crow’s feet.
- Cheek definition.
- Nose shaping.
- Nasolabial folds.
- Vertical lip lines.
- Marionette lines/jowls.
- Forehead lines.
- Frown lines.
- Tear troughs.
- Lip border and volume.
- Mental crease.
- Jaw line definition.
- Chin enhancement.Earlobes.
During a consultation with Dr Beaini, he will discuss and advise you which fillers and which areas are best to treat. Doctor will outline for you the amount of fillers required, the price, the side effects and the after-care required.
Treatment may involve the application of a local anaesthetic cream to the treated area or a nerve block prior to injection. The dermal filler is then comfortably injected into the treated area to fill out the line, wrinkle, fold or deficit. Treatment times vary depending on the amount of filler required and the area treated, but generally takes from 30 to 60 minutes. After treatment, it is possible to apply make-up if required, and to go about your normal activities. We usually ask you to refrain from heavy exercise and excessive alcohol as these can increase the risk of bruising. Treatment with dermal fillers sometimes does take more than one session to get the best results. The first treatment lays the foundation for the subsequent treatments, and future treatments allow for any adjustments to be made. The initial treatment typically requires the greatest volume of filler. Following this, we typically are only required to perform top ups to maintain the desired long term outcome.
Dermal fillers may require some form of anaesthesia. At Zinc Clinic we use a number of anaesthetic techniques, ranging from ice, potent topical anaesthetic creams, and local anaesthetic injections to dental anaesthetic blocks. In the hands of a good injector, the entire procedure is associated with only minimal discomfort. New generation dermal fillers are sometimes combined with an anaesthetic which has proven to be beneficial especially when injecting the lips.
There are few risks associated with the use of dermal fillers and few long-term side effects with the temporary fillers used at Zinc Clinic. Most fillers comprise of substances that are naturally present in the body. Allergic reactions are rare and no pre testing is required with the products we use. Dermal fillers have been used for cosmetic reasons for over 20 years.
Our opinion of permanent fillers is that their safety profile is not as high as temporary fillers. Permanent fillers have previously been fraught with complications such as severe infections and lump formation that requires surgical excision. No permanent fillers are used at Zinc Clinic.
There is usually some transient redness after the injections. Swelling is also present after the procedure, especially with any lip enhancement procedure. Swelling of other areas post-treatment tends to temporarily enhance the effect of the dermal filler, and it often takes 3 or more days to see the actual real improvement without swelling. Bruising can also occur, and if it does, it can normally take a week or two to completely disappear. Make-up/lip stick can be worn if desired soon after treatment should there be a need. Asymmetry is also possible, but correctable on a subsequent visit. Small lumps can occur, and these will either dissipate in a few weeks, corrected by a gentle massage of the area by the doctor or may require dissolving.
Generally, there is minimal downtime and most people return to their normal activities later in the day. The down time is usually due to swelling or bruising which can be easily camouflaged.
Immediately. There will be swelling which may exaggerate the treatment results. This will subside within a few days, revealing the true results. Some patients tend to prefer the results when the swelling was present. This would involve using some more dermal filler at a later date to achieve that desired effect. We ask that you do not judge the results for two weeks before making this decision as the product needs to settle.
Depending on the dermal filler used, its consistency and the injection site, they last anywhere between 6 months to 2 years. There is a tendency for these products to last less in smokers and those that exercise vigorously.
To minimise bruising, it is best to avoid anti-inflammatories such as Aspirin (unless for medical reasons) and Nurofen, green tea, garlic, ginkgo and other herbal products that may thin blood, a week or so prior to the procedure. Alcohol is also not a good idea on the day and should be kept to a minimum the day before. We also encourage our clients to commence arnica tablets a few days before treatment. Note: If you have a history of cold sores and the treatment area is around the mouth, then you should notify your treating doctor as filler treatment can cause cold sore flare ups. If this is the case, you may be required to take anti-viral medications prior to treatment to help prevent these flare ups.
The cost of dermal fillers depends on the amount injected and the number of syringes injected per session. Each client is and individual and requires individual amounts and types of filler. This is assessed on consultation with the treating doctor. A treatment is mapped out for each client and the cost can be assessed at this time. This is based on a clients unique requirements and the result that is desired.