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Facial fillers are injections which fill out wrinkled or uneven areas of the face. They include Restylane, Hydrafill, Juvederm, Collagen, Perlane, Sculptra and even your own tissues taken from another part of your body.

Many of us notice fine lines developing on the face in our thirties. These can often be the result of muscular activity or sagging. The lines that form on your face are areas where the body's own collagen has thinned and broken leaving a depressed line.

The wrinkles around the eye can often be due to muscle activity and may be improved with Botox. If the lines are very deep or are due to skin sagging e.g. the lines that run from the nose to the corners of the mouth (nasolabial folds), then filler may often soften or sometimes even eliminate the line. The filler is injected into the skin itself to plump up the depressed line in the skin. When the lips are injected we place the filler on the inside of the lip to turn it out a little.

Facial Fillers:

Three important factors to consider when selecting a facial filler are :

1) longevity

2) cost

3) ease of administration

Injectable fillers can:

·  Plump thin lips

·  Enhance shallow contours

·  Soften facial creases and wrinkles

·  Improve the appearance of scars

 Frequently Asked Questions (FAQs) about Fillers Treatments.

What's Fillers for?

The visible signs of facial aging occur over time as a result of sun exposure, heredity and life style.
One of the earliest signs of aging is a loss of facial fullness and the development of wrinkles. Softening of these facial lines and the restoration of volume and fullness in the face often can be achieved non-surgically with injectable fillers.

If you would like to restore facial contours, or reduce the appearance of lines and creases, injection therapy with soft tissue fillers may be right for you.

Injectable fillers can:

·  Plump thin lips

·  Enhance shallow contours

·  Soften facial creases and wrinkles

·  Improve the appearance of recessed scars

What to expect during your consultation?

The success and safety of your soft tissue augmentation procedure depends very much on your complete candidness during your consultation. Yo will be asked a number of questions about your health, desires and lifestyle.

We will discuss:

·  Why you want the procedure, your expectations and desired outcome

·  Medical conditions, drug allergies and medical treatments

·  Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs

·  Discuss any past treatment with injectable fillers, facial shaping or Botox® therapy or other facial rejuvenation procedures

Dr Khan may also:

·  Evaluate your general health status and any pre-existing health conditions or risk factors

·  Discuss the options available to you for facial rejuvenation

 ·  Examine and measure your face

·  Take photographs for your medical record

·  Discuss your options and recommend a course of treatment

·  Discuss likely outcomes of soft tissue augmentation and any risks or potential complications

What are the different types of fillers?

·  Collagen is a natural protein that supports the skin. Injectable collagen formulas derived from human dermis include Cosmoderm® or Cosmoplast®. Zyderm® and Zyplast® are forms of bovine collagen that, unlike human derived collagen, require prior allergy testing. The results may last 2 to 4 months.

·  Hyaluronic Acid is a natural substance found in our bodies. It is well suited to plump thin lips and fill facial creases such as nasolabial folds. It may also be appropriate for some surface wrinkles and concave scars. The results may last 6 months or longer.

·  Hydroxylapatite is a mineral-like compound found naturally in human bones, suspended in a gel-like formulation. It is the heaviest of facial fillers and is recommended to fill deeper creases such as nasolabial folds, marionette lines and frown lines, as well as to enhance fullness of the cheeks and other facial contours.

·  Human fat, harvested from your own body, can be reinjected to enhance facial fullness, fill deep creases and to build up shallow contours. Fat injection requires a more extensive procedure than other injectable fillers because it uses liposuction techniques to extract the fat prior to injection.

We use Hyaluronic acid based fillers and Sculptra at Skin Clinic Wales.

What happens during the Fillers Treatment Process?

Step 1. We will carefully evaluate your facial appearance and skin tone, and examine the areas of your face to be augmented with injectable fillers.

Step 2. Strategic points on your face may be marked as guides to the appropriate injection sites for the filler.

Step 3. The injection sites will be cleansed with an antibacterial agent and icing or a topical numbing agent may be offered to make more sensitive patients comfortable.In some cases, the filler itself will contain an anesthetic agent. In other cases local anesthetic may be administered to the treatment site.

Step 4. Injection takes only a few moments per site and a few minutes for a course of treatment.

Step 5. Following injection, any markings will be cleansed and icing may be offered to alleviate any temporary, minor discomfort. Makeup may be carefully re-applied so long as care is taken not to apply pressure to the treatment area. Filling wrinkles or recessed scars involves multiple injections. In some cases where deeper injection of fillers is required, a local anesthetic may be used prior to treatment.

Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks.

Will it hurt to have fillers?

The face is a sensitive area but the area is numbed with ice or an anesthetic creme making the injections tolerable.

For Lips Augmentation  the area will be numbed with local anesthetic injections to make the procedure  pain free.

Complications from fillers are uncommon.

The risks vary depending on the specific filler used and the relative permanence of the filler substance and include:

·  Fillers derived from non-human sources may require a pre-treatment allergy test

·  Infection at the injection site

·  Fillers that are not completely fluid and contain microscopic granular substances carry a risk of  clumping as a result of facial movement and the natural aging process. Over time, these can result in lumps or nodules that may require surgery to treat

·  Acne-like skin eruptions

·  Antibodies to filler material may reduce the effectiveness of future injections

·  Asymmetry

·  Bleeding, bruising and swelling

·  Filler material may migrate from the original site and produce temporary paralysis of other muscle groups or other unintended effects

·  Skin might die (skin necrosis)

·  Skin rash, itching and swelling

·  Skin redness

·  Skin sensitivity

·  Under or over correction of wrinkles

An improved appearance is visible almost immediately, although minor swelling or bruising may appear at the injection sites.

With some fillers, a slightly  over-filled appearance may be initially present. These conditions will resolve within a few hours, or at most a few days.

What to Expect after the treatment?