Facial Fillers FAQ
Facial fillers such as Restylane, Perlane, and Juvederm are naturally occurring gels that are injected into the skin as a "filler" in order to add volume to aging skin, lips and to lift up wrinkles and folds. Most fillers consists of hyaluronic acid, which is a natural component of the skin. Once injected into the skin, fillers work by creating volume.
During treatment, the crystal-clear gel is injected into the skin in tiny amounts with a very fine needle. The gel produces volume under the wrinkle, which is lifted up and smoothed out. When enhancing lips or facial contours, Fillers add volume and shape to the treated area.
Treatment with fillers is a very quick and easy process. As no allergy testing is needed, the treatment can be carried out at the same time as the consultation. A treatment generally takes 5-10 minutes. The time differs somewhat, depending on the correction you wish to have performed.
Fillers can be used for smoothing out folds and wrinkles, lip enhancements and shaping facial contours. Commonly treated areas are the nasolabial folds (from the root of the nose to the angle of the mouth), the glabellar lines (between the eyebrows), the droopy mouth corners, and thinning lips, although other sites can also be treated.
Majority of people find the injections relatively painless, especially if an ice pack is used before the treatment. In addition, a local anesthetic injection is can sometimes be given. Dr. Naficy and his trained staff of Registered Nurses and Health care Assistants also use an advanced cooling device to reduce discomfort.
The results can be seen immediately although they continue to improve for a few hours after treatment.
Immediately after the treatment, you can expect slight redness, swelling, tenderness or an itching sensation in the treated area. This is a normal result of the injection. The discomfort is temporary and generally disappears in a few days. Most of our patients can apply make-up the same night and have no need for recovery. After a lip treatment, the lips may become swollen and for a few days.
In some instances Restylane can produce very dramatic results although it is not a replacement for surgical rejuvenation. Fillers are often used in conjunction with surgery to fill out wrinkles that cannot be removed by surgery.
The rate of reactions to fillers is very low. However, after the treatment some common injection-related reactions may occur, such as swelling, redness, pain, itching, discoloration and tenderness at the injection site. These typically resolve spontaneously within a few days after injection into the skin.
Treatment with injectable fillers during pregnancy or lactation has not been tested.
The length of time the effect of a filler treatment lasts is very individual and depends on many factors, such as the structure of your skin, location of treatment, lifestyle, age, the degree of perfection demanded and the injection technique used. Fillers tend to last longer (up to 12 months) when placed in areas that have less movement, such as around eyes or cheeks. Around the mouth and lips, fillers typically last 4-6 months.
The correction will gradually disappear until your skin looks like it did before the treatment. Follow-up injections will help you maintain your correction.
Even though no allergy testing is typically needed, before receiving filler injections patients should avoid using aspirin, Vitamin E supplements and other medications that may thin the blood and can increase bruising. See the complete list of medications to avoid.
Medications to avoid [16kb PDF]
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