Dermal fillers is a term used to indicate treatments which improve your looks by simple injections. These injections may boost your looks by enhancing your facial profile, creating fuller lips and smoothing out lines and wrinkles. All sorts of materials can be used. The most popular material so far is synthetically derived, stabilised hyaluronic acid. As hyaluronic acid, a natural constituent of the body, helps bind water in the skin, its loss with age allows the skin to appear dry and lax. This loss of fullness can be restored by dermal injections of fillers at the site of lines and wrinkles, as well as into lips for added definition, fullness and sensuousness. Certain types of fillers can be used to enhance facial contours e.g. mid face or cheek enhancement. Other popular areas include the nose to mouth lines and Marionette lines. Fillers can also be used to resculpt the jawline and chin area.
We often use cannulas to inject dermal fillers rather than needles. Cannulas are blunt ended therefore less likely to cause damage to underlying structures such as nerves and blood vessels. This makes the treatments safer for you and more comfortable. There is also less likely to be bruising and swelling with treatments and often there is none at all.
We only use premium brand fillers sourced from the manufacturers approved retail partners.
Brands we use routinely include Restylane, Aliaxin, Stylage, Teoxane, RHA, Juvederm.
COVID-19 infection and vaccinations - What we know in regard to dermal fillers
mRNA vaccines are known to be highly immunogenic and can activate an immune response in foreign body implants (including dermal fillers) Other triggers are known to be infections - including COVID-19 - dental procedures and excessive UV exposure. It is thought currently that delayed onset nodules/reactions occurring due to COVID-19 infection may be more protracted and difficult to resolve given the often profound immune response induced by COVID-19.
Current UK Aesthetic guidance is that dermal filler procedures should not be undertaken if COVID-19 vaccination is planned within 2 weeks or within 3 weeks of having received it.
Specialised fillers designed and licensed for treating dark circles and hollows are used in the tear trough area. Is it surprisingly not a painful treatment and there is usually very little bruising. Results although often immediate, tend to improve over a few weeks. Not everyone is suitable for this treatment and sometimes it is done in conjunction with mid face (or cheek) fillers to get the best results.
Dermal fillers can be used to temporarily correct the structure of the nose. It can be used to smooth our bumps or make it look less angular, or raise the tip. The procedure typically takes less than 30 minutes and although not without discomfort, most patients would consider it most definitely worth it! It is certainly less complicated than a traditional surgical rhinoplasty and less expensive, though there are potential risks, as with all aesthetic procedures, and these would be discussed prior to any treatments.
A word about lips...
At Belvista Medics be assured that the aim with lips is to provide subtle enhancement rather than an obviously false look! Lip treatments are especially good for smoothing out the fine lines around the mouth which are so ageing, as well as adding volume for those who want it. We lose volume from our lips as we age and also from the underlying supporting tissues which is why our lips get smaller as we age. Our goal is often to try and restore this volume loss and recreate a more youthful lip.
Treatments normally last less than 30 minutes and there is no need for pre-testing. You will see the results immediately, though there may some swelling and perhaps some bruising which may mask the final result. In addition, some of the fillers 'attract' water and therefore the results improve with time.
Pain relief can easily be arranged although it is not required by all patients. Lip treatments sometimes require a local anaesthetic. Otherwise, prior to your procedure, a topical anaesthetic cream is applied to the treatment area.
Immediately after the treatment, you can expect a slight redness, slight swelling, tenderness and an itching sensation in the treated area. This is a normal result of the injection.
The discomfort is temporary and generally disappears quickly. When it comes to lip augmentation, the swelling may last longer. During this time, the lips can look somewhat uneven. This means that the result directly after the treatment should not be regarded as the final result. A touch-up treatment 2-4 weeks after the initial treatment may be necessary to achieve an optimal correction and duration.
Common side effects as from any injection might occur - redness, swelling, pain, itch, discolouration, bruising. These usually resolve within a few days and within a week for lips.
Hypersensitivity reactions have been reported in approx 1 in 2000 treatments and usually show as swelling at the injection site. Other skin reactions are generally self-limiting, with more severe reactions being very rare.
If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores.
If you are using aspirin or any similar medication (e.g. Plavix), be aware that these may increase the risk of bruising and bleeding at the injection site.
Often a cannula rather than a sharp needle can be used to reduce the discomfort of the treatment and reduce the bruising associated with treatment.
Make-up in the specific area will need to be removed prior to treatment and when possible a pre-treatment photo taken.
A consent form for treatment will need to be signed.
A topical anaesthetic cream may be offered, which will help, though will not completely relieve all of the discomfort. It just hurts while it's being injected!
Frequency of treatment:
The effects of fillers generally last between 6-12 months but this varies depending on the area and the individual. Generally, fillers last longer in areas with less movement.