• Filler

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An early sign of ageing is a loss of facial fullness and the development of wrinkles. Today, cosmetic injectable implants, also called fillers, are the best choice to eliminate or soften the appearance of wrinkles and to enhance the form of the lips. While cosmetic injectable fillers do not stop the ageing process itself, they help delay the need for more invasive procedures, such as a brow lift, facelift or others procedures.


Since, over time, most injectable fillers are absorbed by the body, most of them only have a temporary effect. The FDA has approved only one product made from a material that remains in the body and is not absorbed. Some soft tissue fillers also contain lidocaine, which is intended to decrease pain or discomfort related to the injection.

  • Collagen

Collagen is a type of protein that is found in skin, muscles, tendons, and bones. Sources of sterile, purified collagen used in soft tissue fillers are commonly from cow skin. With effects generally lasting up to six months, collagen fillers are the shortest lasting injectable filler materials.

The advantage of using collagen fillers lays in its safety. Since collagen is a natural substance, only three to five percent of patients show allergic reactions against collagen. If a patient is allergic or not will be determined separately before the operation.

Because of the complicated extraction process, collagen fillers usually come with a higher price than its alternatives. The relatively short effective period is another factor patients may consider before choosing collagen fillers.

  • Hyaluronic acid

Hyaluronic acid is a type of sugar that is naturally present in the human body. The highest concentrations are found in fluids in the eyes and joints.

Sources of hyaluronic acid used in fillers can be from bacteria or rooster combs. In some cases, hyaluronic acid utilised in dermal fillers is chemically modified to make it last longer in the body. The effects of this material usually last between six and twelve months.

Hyaluronic acid is a common filler material for cosmetic lip surgery. It can improve the appearance of your lips by adding volume, structure, and shape. Once injected, the gel in the filler supports and shapes the tissues of the lips.

Hyaluronic acid is a generally safe substance. Because the fillers are made from substances similar to those found in the body, they are unlikely to cause an allergic reaction.

  • Restylane

Restylane is one of many hyaluronic acid-based products. It comes as a sterile gel consisting of non-animal, cross-linked, hyaluronic acid and is made in a laboratory.

  • Juvéderm

Just like Restylane, Juvéderm is a dermal filler based on hyaluronic acid. It is considered to be the no. 1 selling collection of hyaluronic acid fillers in the United States. It is used to provide nine months to one year of correction for moderate to severe facial wrinkles and folds.

Juvéderm products come as a smooth consistency gel which is developed using the Hylacross technology to make it smoother and malleable.

For a more comfortable injection, some Juvéderm products contain small amounts of the local anaesthetic lidocaine.

Suggestion for treatment

Once you have decided for treatment with injectable implants, consult your doctor to determine what kind of fillers are suitable for you. If this is your first implant, your doctor will most likely suggest a non-permanent filler based on collagen or hyaluronic acid.

If the result is not as you had expected, the filler will vanish over the course of a year. If you are satisfied with the effects, a semi-permanent filler may be considered for the second treatment.

For the first treatment, your doctor will suggest unmovable areas of your face, for example, the chin. The forehead, cheekbones and other locations are to be avoided to reduce the risk of filler material spreading to other areas.

It is advisable to keep the substance package after the treatment and to only use the services of a licensed doctor with a good reputation when looking for injectable implants.


As with any other treatment that involves incisions or injections into your skin, make sure to inform your doctor if you are using any substances that may prolong bleeding or bruising. These include drugs such as aspirin, or ibuprofen, or naproxen.

Patients on immunosuppressive therapy are advised to be cautious due to the possibility of increased infection risk. Patients who are pregnant, breastfeeding, allergic to any of its ingredients or suffer from any neurological disorder should not use injectable fillers.

Avoid dental work at least two weeks before treatment and one month following treatment. Oral surgery should be prevented at least four weeks before and after receiving injectable transplants.

Arrive at your doctor with a clean face and no makeup. You may bring your makeup to apply after your treatment. To avoid extra bruising, do not drink alcoholic beverages 24 hours before (or after) your treatment.

To increase your comfort during the treatment, a topical anaesthetic may be applied to your skin. In some cases, a local anaesthetic will be injected into or around the area(s) to be treated.


A slight discomfort during and after the injection is to normal and will disappear within the first few hours. Ice and cold gel packs around the treated areas may help to reduce swelling and bruising if applied gently. As soon as you have adequately cooled the treated areas, you may begin wearing makeup.

Within the first two or three days, avoid placing excessive pressure on the treated areas. When applying makeup or cleaning your face, be gentle. Exercise or strenuous activities should be avoided for the remainder of the treatment day.

While you are experiencing swellings, avoid extensive sunlight exposure and apply sunscreen with a sun protection factor of at least 30 or higher. Untreated bruising will usually fade in 5 – 14 days.

Side Effect

As mentioned above, women who are pregnant or who breastfeed should refrain from using injectable implants. Even though hyaluronic acid is considered to be possibly safe when giving by injection during pregnancy, the research into this field is not yet conclusive.

The same can be applied for breastfeeding. Re-searchers do not know if it affects breast milk and what effect that might have on an infant. This is why pregnant and breastfeeding women should avoid this treatment.

Other common side effects are bruising, redness, swelling, pain, and tenderness. Less common side effects include infection, open or draining wounds and allergic reaction.