Overview
What are dermal fillers?
Dermal fillers are non-surgical cosmetic treatments used to bring a more youthful appearance by restoring volume or fullness to the face and lips. They work by reducing or eliminating lines, wrinkles and folds in the skin and the effect is seen immediately after treatment.
As skin ages, both naturally and because of other factors such as sun damage, smoking, and poor diet, we lose collagen, fat and other natural moisturising substances from our skin. These can be thought of as the natural 'scaffolding' that keeps it looking young and feeling firm. With less of these, our skin becomes thinner and we start to see lines, wrinkles and folds developing. This is usually more noticeable on our faces. Put simply, dermal fillers are used to restore that lost volume in the face by plumping out lines, wrinkles and folds.
What are dermal fillers made of?
Various kinds of safe, natural and man-made materials are used as dermal fillers; these have been specifically developed over the years for use in the skin.
Two kinds of dermal fillers are usually suggested for the face: semi-permanent and non-permanent. The semi-permanent type (e.g. Radiesse and Sculptra) lasts up to 18 months. The non-permanent fillers, such as, Hyaluronic Acid (HA) derived Hydra Fill and Restylane, last for around 6-12 months, depending upon the site of application and the formulation of the material used.
How are fillers supplied?
Dermal fillers are supplied in a pre-filled sterile syringe for injection. They are manufactured in different thicknesses; some are more gel-like, and others are more liquid.
The thicker ones are used to restore the deeper folds or wrinkles such as those between the nose and corner of the mouth. The thinner ones are used more superficially for fine lines such as crow's feet.
Is the treatment uncomfortable?
A local anaesthetic cream is used to make the treatment as comfortable as possible. For treatments near the mouth, such as lip treatments, your practitioner will freeze the area with an injection which is similar to a dental anaesthetic.
After the treatment your practitioner will give you aftercare instructions to maximise its benefits.
Are there any adverse effects?
Many thousands of dermal filler treatments have been carried out in the UK and even more around the world, with few serious or lasting side effects.
Most people can return to their normal daily life immediately after the treatment. However, your practitioner will explain the possible side effects during the initial consultation.
The commonest side effects are related to the fact that you have had injections in the area being treated, they typically last only one to three days.
These side effects can include slight bleeding and mild bruising, swelling may also occur around the area. If you have lip treatment swelling can last 3-5 days, otherwise it is transient.
Allergic reactions to dermal filler treatment are rare but can include: redness, itching, swelling, and hardness, or small bumps under the skin. These side effects may last for weeks or months and sometimes longer, fortunately they are very rare.
If you have a history of cold sores, dermal filler treatment in that area might cause them to break out again. Your practitioner will advise you to use a topical anti-viral treatment such as Zorvirex immediately after the treatment and for a few days afterwards, to reduce the possibility of a recurrence.
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