Dermal Fillers – Fastest and Safest Anti-Aging Solution
As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent.
Dermal fillers are an important tool in the armamentarium of an aesthetic dermatologist in the management of ageing skin. A surge in the use of fillers has been witnessed due to increasing awareness among people, easy availability of fillers and increased enthusiasm amongst the dermatologists and plastic surgeons to use this modality. The answers here to solve common questions about how they work, how long they last, and when you should use them instead of (or with) Botox. We’ll answer all of those questions and more so you can decide if this cosmetic procedure is right for you!
What are Dermal Fillers?
Soft Tissue Fillers, also known as injectable implants, dermal fillers, or wrinkle fillers are medical device implants approved by the Food and Drug Administration (FDA) for use in helping to create a smoother and/or fuller appearance in the face, including nasolabial folds, cheeks and lips and for increasing the volume of the back of the hand.
WHEN TO DECIDE THAT YOU NEED Fillers?
- plump up folds and smooth out the wrinkles
- Lip Augmentation
- Depressed scars – postsurgical, traumatic, postacne, chickenpox, and other diseases
- Enhancement of facial contour
- Periocular melanoses and sunken eyes
- Earring ptosis, atrophic earlobes
- Nasal depressions
ON WHAT BASIS DO PLASTIC SURGEONS DECIDE YOU ARE A GOOD CANDIDATE FOR Fillers?
- Medical conditions – The best candidates for filler treatments are people who are physically healthy, with no history of neuromuscular or autoimmune diseases (such as multiple sclerosis, AIDS or myasthenia gravis), who are not pregnant or nursing and who are at least 20 years old.
- Medications – Are you taking any medications, including herbal remedies or non-prescription medications, that can increase your risk for complications or that may interfere with results?
- Cost – (cost at end of this review)
- Age – (can’t be below age 20)
There are only 8 dis-qualifiers for Dermal Fillers
- Existing weakness in the targeted muscles
- Ptosis (drooping eyelids)
- Deep facial scars
- Very thick facial skin
- Marked facial asymmetry
- Skin disorders around the planned injection sites
- Very young patients (below 20).
- Allergy or Hypersensitivity to fillers
Things to Know Before Going for Dermal Fillers
All fillers are injected with a needle. We select the needle gauge depending on how thick the filler is. Thick fillers need a bigger needle, and softer, more malleable fillers use a much smaller needle. With every injection there is a known and recurring risk of bleeding or bruising. Injections hurt; depending on the patient and the area being injected, it can hurt a little more or a little less. All patients have some swelling and some redness. There’s a risk of bruising, which occurs anywhere from 1% to perhaps 10% of the time, depending on the individual and the medications that they have been on. Patients are warned about this in advance of treatment.
Some fillers are so soft, so malleable, and so easy to inject with a fine needle that they have been termed “media treatments.” Someone can actually have filler put into the edge of their lips or the nasolabial folds and be able to go on camera as soon as they leave the doctor’s office.
How To Decide Between Botox and Fillers? & Best Areas Used?
There are three FDA-approved neurotoxins available in the United States—Botox, Dysport, and Xeomin. All three work by paralyzing the muscles and preventing muscle contractions. Fillers can be of a variety of temporary or permanent materials and are used to fill lines. Hyaluronic acid fillers like Restylane, Juvederm, and Belotero, and calcium fillers like Radiesse, are the most common. While both botulinum toxin and fillers are commonly used together, they work differently and are used on different lines.
Botox Vs Fillers
Although Botox and fillers complement each other, they are not interchangeable, since Botox relaxes muscle movement and fillers replace volume loss. Each physician has his/her own preference of products to use on which areas. However we will share the most common requests for both and preferred areas for each.
Lines of expression
|Yes preferred over fillers||Not recommended|
Marionette lines or nasolabial lines
|Not Recommended||Yes preferred over Botox|
Frown lines, crow’s feet, and ‘11s’ between the eyebrows.
|Yes preferred over fillers||Not recommended|
|Lateral aspect of the eyebrow to produce a temporary lateral browlift (to open up brightness of eyes)||Yes preferred over fillers||Not recommended|
lip plumping or smile lines
|Not used in this area||Yes recommended|
For the ones who opposed facelift surgery
|Both are done (botox upper part of face and Dermal fillers lower part of face) although some doctors prefer if patient can afford to directly go for a facelift cosmetic surgery.
Types of Dermal Fillers:
- Restylane®: Restylane is a dermal filler made from hyaluronic acid, a natural sugar that enables skin to retain its shape and volume. The hyaluronic acid molecules in Restylane bind to the body’s natural stores of water, gradually “plumping up” the skin — and giving it a smoother, more youthful appearance. Restylane is very effective at improving the appearances of wrinkles and creases around the mouth and lips, as well as those under and around the eyes.
- Juvederm®: Like Restylane, Juvederm also contains hyaluronic acid, gel under the skin to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds, the creases that run from the bottom of your nose to the corners of your mouth). Hylacross technology gives Juvéderm® its unique smooth-gel properties as well as an optimal gel structure that holds up over time.
- Radiesse®: Radiesse is a long-lasting dermal filler that consists of tiny calcium particles suspended in a smooth gel. When injected under the skin, it not only smoothes wrinkles, but also stimulates the skin’s own production of collagen, the protein essential for youthful-looking skin.
- Sculptra®: Sculptra is one of the longest-lasting fillers and stimulates the production of collagen, the protein responsible for skin’s volume and structure. Not an overnight miracle. Long lasting. Not a quick-fix. The first facial injectable that gives you subtle results over time. Replacing lost collagen. Giving you a natural-looking appearance, without giving you away. A full treatment of Sculptra Aesthetic, an average of three injection sessions over a few months, can last more than two years.
- Perlane®: Perlane is the “sister” product of Restylane. It too contains hyaluronic acid, but in slightly larger particles. The larger particles mean Perlane can treat even deeper wrinkles. It’s another filler effective at improving the large nasolabial folds between the nose and the mouth and also “worry” lines that can appear on the forehead. The filler is also used to enhance the volume and size of lips.
Fillers PROCEDURE STEPS
1 – At the consultation – Facial assessment & mapping
During the initial consultation, a Registered Nurse will discuss with you exactly what your concerns are and manage your expectations to ensure you get the best result. Then they will make treatment recommendations to align with what you want to achieve and your budget. Now’s the time to ask any questions you have, to ensure you have a full understanding of the treatment.
2 – Cleansing & anaesthetizing
3- The injection
Small amounts of dermal filler are injected directly into the skin using an ultrafine needle. After cleansing the area to be treated, a numbing cream will be applied. This ensures the injections administered by the qualified doctor will only cause minor discomfort.
Then Dermal fillers are continued to be injected in small controlled doses just under the surface of skin of the area to be treated. This fills out the sunken areas and lines to give a smoother, firmer and more refreshed appearance. Depending on the type of dermal filler used, results can last from 6 to 24 months.
Fillers RECOVERY – After Care
Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.
Some quick tips for the best results are:
- Use an ice pack on/off throughout the first day or two to help minimize swelling and bruising
- Don’t massage the areas that were injected as this may increase the amount of swelling
- Avoid activities that make you hot, sweaty or flushed: Examples include strenuous activities, alcohol,
PRECONDITIONS AND RISKS
Although very unlikely, it’s possible to experience these adverse affects. So it is better to know these things upfront so you are aware of what can go wrong.
Possible complications/risks include:
- Raised bumps in or under the skin (nodules or granulomas) that may need to be surgically removed
- Open or draining wounds
- A sore at the injection site
- Allergic reaction
- Necrosis (tissue death)
How long do dermal fillers last?
Depending on the dermal filler used, the effects can last anywhere from six months until forever. There are temporary dermal fillers and permanent dermal fillers. Typically, most health-care professionals shy away from permanent dermal fillers because if the filler is placed in an improper position, its permanence becomes a huge issue and liability. Most dermal fillers placed are temporary and dissolve in six to 18 months
a Patient’s Report for 14 days after Demral Fillers (Juvederm):
I recently got Juvederm for the first time and while I was there I got my botox freshened up. I’ve been getting botox for about 6 years now, but had never tried fillers before. For the last year or so, I’ve been noticing that my nasolabial folds are getting deeper (that sounds dirty, doesn’t it? they need another name — and not marionette lines!). My botox doctor had a half price special on Juvederm, so I decided to do it and I wanted to share my experience with filler & botox with you.
Some people are able to get these procedures done on their lunch hour because they don’t have any swelling or redness, but not me. . . I look pretty messed up afterward, like I’ve just been attacked by a hive of angry bees! This is why I recommend bringing some makeup along.
I’m happy with the results, and so glad I only let him put in one syringe of Juvederm! I really don’t want to look like I’m full of filler, or be too paralyzed. The good thing about Juvederm is that it’s reversible, so if you get a result you don’t like, they can shoot something in there that will dissolve the filler.
Patients Before and After treatment (7 days Post op)
RECOMMENDED STAY – Dermal Fillers
This is an outpatient procedure but if you are a traveller and you are not located in Kuala Lumpur, Malaysia. The recommended stay for Dermal filler treatment is 1 night. Before travelling back to your hometown.
Dermal Fillers in Malaysia (Malaysian Ringgits)
(Note: this is an indicative price it can be subjected to minor changes)
|Available Fillers Treatment Options||Cost of Procedure||Accommodation in 5 start hotel (optional)||Insurance (optional)||Flight Rates to Malaysia|
|Fillers 1ml per syringe||2400||500 – 600||1700||skyscanner.com|
|Fillers body augmentation per 10ml||1400|
|Fillers collagenising per vial||2400|
|Fillers Hyaluronic acid per syringe||2400|
|Fillers revitalizing per syringe||1300|
|Fillers Radiasse per syringe||2400|
|Fillers Aquamid per syringe||2750|
Total dermal fillers costs noted above include:
- Surgeon + Facility Fees.
- Accommodation & Medication required.
- Transportation (to and from) hospital is provided (if needed).
- Travel insurance + medical complications insurance (optional), which covers you if anything goes wrong with your treatment.
Our Suggested Aesthetic Specialists For Fillers
Choosing a aesthetic doctor based on the low price might be the most expensive choice if the initial cosmetic results are so poor that aesthetic doctor must be paid to repair the work of the first surgeon if the repair is possible. In Makeovervacations we always choose the top aesthetic doctor in town even if it’ll cost a little bit extra, for the sake of high quality & best results. do click here to read about our surgeons.
I AM INTERESTED! WHAT DO I DO NEXT?
If you are considering dermal fillers we encourage you to contact us to schedule a consultation and/or treatment at Makeovervacations office. During this visit we will listen to your concerns and discuss your options. After careful analysis, we will tell you whether you are a suitable candidate for this procedure and inform you of the alternatives and potential risks of the procedure.
You are most welcomed to ask us directly