What are hyaluronic acid (HA) dermal fillers?
Hyaluronic acid (HA) dermal fillers are used to replenish loss of soft tissue volume under the skin. They are also used in a variety of non-surgical facelifts, primarily for the treatment of lip augmentation, reducing fine lines and wrinkles, and non-surgical reconstruction of certain facial areas, such as the nose and cheeks.
Dermal fillers are temporary and contain hyaluronic acid (HA), which occur naturally within our skin. Hyaluronic acid is vital for the skin’s moisture levels, as approximately 50% of the body’s total Hyaluronic acid (HA) is in the skin, this assists in maintaining the skins structure, elasticity, tone and appearance. Hyaluronic acid (HA) dermal fillers are therefore biocompatible and biodegradable; they are clinically approved.
HA filler brands used at Avanthills Aesthetic Skin & Laser Clinic are Juvéderm® Belotero, and Teosyal®. The type of filler used will usually depend upon the area that requires treatment, or client preference dependent upon clinical considerations. To explain, a thinner HA filler would be required for a non-surgical nose job, where as a thicker HA filler would be needed to restore volume in cheeks or for chin augmentation or jaw augmentation.
Frequently asked questions
What treatments can be achieved with derma fillers?
Hyaluronic acid (HA) fillers are used to temporarily soften and contour lines, folds, and wrinkles in virtually any area of the face:
Nasolabial lines: to treat smile lines and deep creases running from the nose to the mouth that can make you look older than you really are
Mouth corners, oral commissures, and marionette lines: to treat ageing folds running down from the mouth angle
Perioral lines: to eliminate small vertical lines running from the lip border towards the nose, sometimes called ‘smokers’ lines’ or ‘lipstick bleed lines’
Lip definition: to contour both your lip and enhance your cupid’s bow
Lip augmentation: to plump out the lips in a subtle and natural way, avoiding trout pout
Periorbital lines: to smooth out smile lines or laughter lines around the eyes, which can make you look tired
Glabellar lines: to smooth out frown lines between the eyebrows
Forehead lines: to do away with horizontal lines across the forehead – without resulting in a frozen look
Tear troughs: to eliminate lower eyelid dark circles and dark eye hollows.
Derma fillers can also volumise the face for a non-surgical face lift in certain areas and improve facial contours:
Cheekbones: to enhance cheekbone definition to regain a flattering curve
Cheeks: to volumise and firm for a more youthful face
Cheek fat pads (Malar fat pads): to volumise the fat pad and lift the cheeks
Sagging jawline (Pre-jowl sulcus): to volumise the cavity at the side of the chin
Chin: enhance facial proportions or profile and correct a dimple chin
Jaw: define the jawline
Temple cavity: to avoid an unflattering shadow effect by volumising that hollow or depression in the temples
Nasal bridge: to re-shape the nose as a non-surgical nose job
Ear lobes: to firm and re-shape sagging and thin ear lobes for ear rejuvenation.
How are Derma Fillers performed?
Hyaluronic acid (HA) fillers are injected into the dermis, the deeper layer of the skin’s structure that deteriorates over time due to factors such as ageing, sun damage, facial muscle use and hormonal changes, and into the subcutaneous tissue, or directly onto the bone (an advanced practitioner technique). As the composition of the dermis changes, fewer elastin and collagen fibres are produced within the dermis and skin loses elasticity.
Treatment is simple and safe if carried out by a qualified health professional, who is an experienced and fully qualified technician, following a detailed consultation in a safe, clean and appropriate environment, to examine the areas to treat and decide on the best HA filler for you.
Before carrying out the treatment, A qualified health professional may administer a topical local anaesthetic cream or anaesthetic injection (nerve block) to enable a comfortable and pain free treatment. However, some HA fillers have a built-in anaesthetic.
A small amount of HA filler is injected either at several points or as a bolus, in one go, with a very fine needle directly into the wrinkle contour to add volume (soft tissue augmentation) and give a fuller, more youthful appearance.
The treatment can take 30 minutes to 1 hour depending upon area to be treated and you can resume most normal daily activities immediately afterwards (please refer to aftercare protocol).
How soon will you see results of the treatment?
The results of HA filler will be seen Immediately after treatment, the lines on your face should appear diminished and smoothed out. However, if your treatment includes lip augmentation and or definition, your lips will appear fuller and more defined. If there is significant swelling, the treatment should settle after a few days, if you remain concerned or you have any pain please contact the clinic for further advice
How long do Derma Fillers last?
Temporary HA injectable fillers are slowly absorbed into the body and the effect usually wears off after 4-6 months, but some may last 12 – 24 months depending on which HA filler is used. The length of time depends on multiple factors such as your lifestyle, age, smoking status, sun exposure, and your overall skin structure.
Points to consider
Any clinical procedure carries a risk of complications, which is why it is always highly advisable to have cosmetic treatments safely performed by a qualified health professional, in a safe, clean and appropriate environment.
Avanthills Aesthetics Skin & Laser Clinic practises in a safe, clinical environment which follows strict guidelines in making patients fully aware of any possible cautions and complications, and in offering post treatment advice. A full consultation will take place prior to any treatment being given.
Are there any side effects to treatment with Derma fillers?
Many of the side effects are short-lived side effects, associated with the injection process include bleeding, swelling, tenderness and redness which should settle within a few hours, and bruising which settles within a few days. If the lips have been treated, the swelling can be significant and may take several days to settle.
There is a minimal risk of infection as the needle breaks the natural barrier to infection when creating a small wound in the skin. Please therefore avoid touching the area or using any unsterile make-up for 6 hours after treatment, although mineral make-up or sterile medical make-up can be used immediately. You may experience some itching and discolouration at the site of treatment which should settle within a few days.
Rarer complications include the formation of a small cyst, granuloma or nodule in the treated area which is generally due to an immunological reaction and will either eventually settle spontaneously after a prolonged period or may require treatment.
If you’re an overseas patient, advance booking is highly recommended in case a course of treatments is required.
Contraindications & cautions on not administering HA fillers?
While pregnant or breast feeding
If you are highly sensitive/ allergic to ingredients in the compound
After recent use with Roaccutane in the last 12 months
After treatment with permanent fillers or implants
If you are susceptible to keloid or hypertrophic scarring
With certain medical conditions: auto-immune disorders/ skin cancer/ angina/diabetes/ epilepsy/ hepatitis/Immunocompromised conditions/bleeding disorders
In combination with certain medications: anticoagulants/aspirin/anti-inflammatories/ steroids
If the areas to be treated are inflamed or infected