Dermal fillers are injected into your skin to fill lines, enhancing your facial contours and lips for natural-looking results. Depending on your particular needs, your consultant plastic surgeon may recommend using combinations of different types of fillers for the best results.
Aesthetic Surgery Ireland does not use permanent fillers owing to potential safety concerns.
Contrary to non-medical advice dermal fillers generally cannot help dynamic wrinkles including lines caused by muscle action (e.g. crow’s feet), very deep lines from sagging skin, neck lines and eye lines caused by eye bags. The best lines to treat are best described as ‘static’: lines you can see when your face is still. Also they are used to enhance or ‘plump up’ your lips, for soft, subtle results.
How can dermal fillers help treat these conditions?
With advancing age, skin becomes less elastic and the sun damage contributes to the loss of lip edge definition, wrinkles and irregular pigmentation. In addition to lines, lost facial and cheek volume may also be a concern. Many women want to restore the lost volume from their cheeks that may have left them looking flat or hollow.
Are there different types of dermal filler?
Depending on your particular needs, your consultant plastic surgeon will recommend using combinations of different types of fillers for the best results. The two most popular materials used are: Hyaluronic acid (HA), and collagen. Injectable HA gel is a modified form of the HA that occurs naturally in your body. Injections help fill in and smooth away facial lines, acne scars or other skin contour deficiencies.
Collagen helps provide your skin its structure and elasticity whereas HA serves to provide volume and internal moisturisation for your skin. By supporting the skin’s natural collagen, collagen filler helps minimise lines, improves texture and gives the skin a softer and more even tone.
How safe are dermal fillers?
As a naturally based biological material, HA is similar to your body’s natural HA and so does not require a skin test prior to treatment to test for allergic reactions. Collagen fillers support the natural collagen found throughout your body, in skin, muscle, tendon and bone. To help ensure the safe administration of collagen fillers, a skin test is performed before treatment to help minimise the risk of allergic reaction. Treatment is usually relatively painless or just slightly uncomfortable.
What happens during the treatment?
Before the treatment your consultant plastic surgeon will evaluate your skin type, discuss your health history, answer your questions and discuss your goals and expectations for the treatment. During treatment the surgeon inserts a fine needle just under the skin and the filler injected as the surgeon slowly withdraws the needle. Typically HA and collagen procedures will last 30-45 minutes depending on the number of areas for injection and assuming you have been given the all clear for the collagen allergy test.
You should recover almost immediately and be ready to return to work or home. Some bruising may occur and possibly last up to 7 days. Swelling may also occur for up to 3 or 4 days especially with lip treatments. In general, the effects of temporary fillers treatment last from three to 5 months.
What happens after the Treatment?
After treatment with dermal fillers the lines on your face should appear minimised and smoothed out. If your treatment plan included lip enhancement you will notice that your lips appear fuller and more defined. If your plan included adding volume to your cheeks you will notice that your cheeks look plumper and your face looks younger.
After your initial treatment your surgeon may ask you to come back after about two weeks for a check-up to ensure you are happy with the results. Occasionally a little top-up is needed to ensure you are getting the look you desire.
What type of qualified clinician should administer my treatments?
To ensure that you get the best results possible you should choose an experienced consultant plastic surgeon who understands your goals for treatment and who has the necessary training to optimise your treatment outcomes.