FILLERS FOR OVERVIEW
Injectable fillers are gels that are used to add volume for the purpose of rejuvenation and enhancement. When used for rejuvenation, they reverse the effects of aging, most commonly in the face, neck and hands. When used for enhancement, they augment facial features and improve facial proportions. After they have been injected, fillers also stimulate collagen production in the treated areas, which creates useful additional volume. The fillers we use are made of hyaluronic acid, a naturally occurring substance that is present in our skin and tissues.
FILLERS FOR REJUVENATION
Fillers are most commonly injected into areas of volume deficiency caused by aging, which manifest as grooves, hollowing, and contour depressions in the face. When used in this way, fillers will restore lost volume and rejuvenate the face, making it look more youthful (because youthful faces do not exhibit these grooves, hollows and depressions).
When the right type of filler is injected into certain locations, it can even exert a powerful lifting effect on the cheeks, so that the net effect of the filler is not just “filling”, but “lifting and filling”.
When used to address the aging face, fillers are most commonly injected into the grooves below the lower eyelid (the tear trough), the mid cheek groove (malar groove), the laugh line (nasolabial groove), and the droopy corner of the mouth (marionette line). Other facial areas that can become hollow with age and which would also benefit from filler injections are the temples, the forehead and the sides of the cheeks.
Fillers can be used in two ways for rejuvenation of the face, neck and hands. The first technique involves injecting the filler under the surface of the skin into grooves, depressions, areas of hollowing, and deep wrinkles and lines. These problems occur as a result of aging, and correcting them with fillers is a powerful technique of non-invasive rejuvenation.
Furthermore, when a thick and viscous filler is injected deeply into the malar grooves that commonly appear in the middle part of the cheek as we age, it can not only fill these grooves and but can also exert a powerful lifting effect on the midface. This produces a significant rejuvenating effect that surpasses what is achievable with other more liquid fillers as well as what is achievable with fat grafting (because fat is too soft to be able to produce a significant lifting effect).
The second technique of filler injection is to inject a liquid filler more superficially and directly into the skin. This method of using fillers focuses on improving the quality of the skin. There are two specific treatments that use this second technique: Skin Booster treatments and Sunekos filler treatments. Please see the respective sections for details of these two treatments.
FILLERS FOR ENHANCEMENT
Apart from rejuvenating the aging face, fillers can also be used to enhance the face when they are used to augment (add to) areas of primary volume deficiency (lack of volume not due to aging but due to genetic makeup). For example, the forehead can be made fuller and more rounded, the bridge of the nose can be made higher, the cheekbones can be made to look higher and fuller, the lips can be filled to give them more volume and to correct the vertical lip wrinkles that appear with age, and vertical length and forward projection can be added to the chin, all by filler injection.
Filler injections are non-invasive office based procedures completed under topical anesthesia with numbing cream. The fillers contain local anesthetic so this makes the injections even more comfortable. The results are immediately visible, since the effects of the filler are physical rather than pharmacological. Bruising and swelling can occur post-treatment, but Dr Huang takes specific technical measures to ensure that these side effects are either absent or mild. Hence, there is normally no downtime.
Since fillers are not permanent, they may need to be replenished every six to twelve months, depending on the type of filler and the area treated. This is because the filler gradually and naturally dissolves away in the tissues. However, after a few treatments, the interval between treatments tends to become longer.
The treatment intervals for Skin Booster and Sunekos filler treatments are different and they are covered in the respective sections for these two treatments.
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