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Writer's pictureRoss Hawkins

A Comprehensive Guide to Dermal Fillers


Dermal filler injections
Dermal filler injections

Dermal fillers have revolutionised the field of aesthetic medicine, offering non-surgical solutions for facial rejuvenation and enhancement. In this comprehensive guide we will explore everything you need to know about dermal fillers, from their types and composition to the application techniques, potential side effects, and best practices for achieving safe and beautiful results.


What are dermal fillers?

Dermal fillers are non-surgical cosmetic products injected into the skin to restore lost volume, reduce the appearance of wrinkles, and enhance facial features. They can address a wide range of concerns, making them a popular choice for individuals seeking facial rejuvenation without the downtime associated with surgery.


How dermal fillers work?

Dermal fillers work by replenishing lost volume and stimulating collagen production. The most common type of filler - hyaluronic acid, attracts and holds water in the skin, instantly plumping the area. Other fillers work differently, either by providing a scaffold for collagen growth or by stimulating the production of collagen itself.


Dermal fillers can be used for various purposes, including:


  • Smoothing out fine lines and wrinkles.

  • Enhancing lips and cheekbones.

  • Correcting under-eye hollows.

  • Softening nasolabial folds (smile lines).

  • Contouring the jawline.

  • Reshaping and restoring symmetry to the nose.


Choosing the right dermal filler

Selecting the appropriate dermal filler is a critical step in achieving satisfactory results. Factors to consider include the area to be treated, the desired duration of effects, and individual skin characteristics. Your injector will advise you on the appropriate filler for the area you wish to treat. They will consider:


  • The area of concern (e.g., lips, cheeks, wrinkles)

  • Desired longevity of results

  • Allergies or sensitivities to filler ingredients

  • Your skin type and goals

  • A skilled provider will use a combination of fillers for different areas of the face and

  • Formulate customised treatment plans to ensure a natural, harmonious result.


The procedure for dermal filler

Understanding what to expect during a dermal filler treatment can ease any apprehensions and help ensure a smooth process.


Preparing for the treatment:


  • Avoid blood-thinning medications and alcohol before the procedure. This will reduce your risk of bruising.

  • Arrive with a clean, makeup-free face.

  • Ensure your injector is aware of any allergies you may have.

  • Inform your injector if you suffer from cold sores, any skin conditions or have an active skin infection.


The injection process for dermal fillers:

  • The provider will cleanse the treatment area and apply a topical numbing cream.

  • Using a fine needle or cannula, the filler is injected into the targeted areas.

  • The provider may massage or mould the filler.


Post-treatment care for dermal filler:


  • Do not touch the treated area.

  • You may experience some swelling, redness, and bruising, which is usually temporary.

  • Follow post-treatment instructions provided by your provider.

  • Avoid blood thinners and alcohol to minimise risk of bruising.

  • Do not use a swimming pool, bath, sauna or jacuzzi as sitting in stagnant or shared water can increase your risk of infection.

  • Most people can return to their normal activities immediately.


Areas that can be treated with dermal fillers:


  • Dermal fillers can enhance lip volume, shape, and definition.

  • Results are typically natural-looking.


  • Filling the cheeks can provide a more youthful and lifted appearance.

  • Volume loss in the cheeks is a common sign of aging.


Under eyes (Tear Troughs)

  • Dermal fillers can correct hollows and dark circles under the eyes.

  • Results can create a refreshed and rested look.


  • Filling smile lines can soften their appearance.

  • Results can make the face appear more youthful.


  • Jawline fillers can create a more defined and sculpted appearance.

  • Ideal for those seeking a more V-shaped face.


  • Chin filler can make an underbite appear significantly less noticeable.

  • Provides harmony in the silhouette of the face

Nose

  • Dermal fillers can be used to make the nose appear straighter and smaller in noses where there is a ‘dorsal hump’.

  • Filler can be used to achieve symmetry in the broken nose.


Managing dermal filler risks and side effects

While dermal fillers are generally safe, it's essential to be aware of potential side effects and how to manage them.


Common side effects:

  • Temporary swelling and redness at the injection site.

  • Mild bruising that usually fades within a few days.

  • Slight discomfort or tenderness.


Rare side effects:

  • Allergic reactions (very rare with hyaluronic acid fillers).

  • Infection (minimized by strict sterile technique).

  • Lumps or irregularities (can often be corrected).

  • Blocked blood vessels or arteries (the filler would be dissolved immediately)


Avoiding complications:

  • Choose a qualified and experienced provider.

  • Be honest about your medical history and allergies.

  • Follow aftercare instructions diligently.

  • Contact your provider if you experience any concerning symptoms.


Dermal filler aftercare

Taking care of your skin after a dermal filler treatment is essential for achieving the best results and minimizing potential complications.


What to do after the procedure:

  • Swelling and bruising may be present for a few days.

  • Avoid strenuous exercise for at least 24 hours.

  • Protect your skin from sun exposure.


Long-term results:

  • Dermal filler results are not permanent but can last several months to several years, depending on the type of filler used.

  • Maintenance treatments are often necessary to sustain the effects.


Follow-up appointments:

  • Regular follow-up appointments with your provider are crucial.

  • Adjustments or additional treatments may be recommended


Frequently asked questions for dermal filler


How Long Do Dermal Fillers Last?

  • The duration varies by filler type and individual factors.

  • Hyaluronic acid fillers typically last 6 to 18 months.


Are dermal fillers painful?

  • Providers often use topical numbing agents.

  • Discomfort during treatment is minimal, and most patients tolerate it well.


Who Can Administer dermal fillers?

  • Dermal fillers should be administered by trained and licensed medical professionals.

  • Look for providers with experience and a strong reputation.


Final word on dermal fillers

Dermal fillers offer an accessible and effective solution for facial rejuvenation and enhancement without the need for surgery. By understanding the different types of fillers, the treatment process, potential side effects, and aftercare, individuals can make informed decisions about their aesthetic goals. Always consult with a qualified and experienced medical professional to achieve the best and safest results with dermal fillers.


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