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Dermal Fillers – Are They Worthwhile?

  • Posted on October 2, 2010 at 10:09 am

Dermal Fillers include substances like collagen, hyaluronic acid, poly-L-lactic acid, polymers and calcium hydroxyapatite. Sometimes a patient’s fat or donor fat is used but most dermal fillers are synthetic. New substances are being discovered and used on a regular basis. These substances are used for cosmetic facial enhancement and include brand names like Juvederm, Artefill, Radiesse, Restylane and Hylaform.

Dermal fillers are used to eliminate crow’s feet, wrinkles, to enhance features, to reduce acne scars or scars from injuries or to reduce gauntness due to illness or aging. Cheeks, lips, around the eyes, the bridge of the nose and the jaw line are common areas for the injection of dermal fillers. Patients can get similar and permanent results from facelifts but dermal fillers are much less invasive and their effects are easily reversible. Different dermal fillers have different properties and some last longer than others. Dermatologists can come up with a different mix of dermal fillers for each patient according to the needs of that patient.

Some dermatologists prefer human collagen because it doesn’t need to be skin-tested. Hyaluronic acid does not need to be tested either and binds to water to give skin more volume. When using a patient’s own fat, the doctor usually removes it via a micro-liposuction treatment to the buttocks, thighs or stomach. Calcium hydroxyapatite tends to last longer because it degrades slowly. Bruising, bleeding, pain during injection and pain for a few days after injection are common side effects of the use of dermal fillers. There have been reports of some allergic reactions. Each different substance carries its own possible risks.

You are probably wondering if dermal fillers work. The effect of dermal filler injections depends on several things, including what substance is used for what procedures. Effects last as long as eight months. If a patient is not impressed with the results of the procedure, he or she does not need to have it repeated and the effects will disappear on their own over time. Dermal fillers also give you an idea of what you would look like if you had the same procedure through cosmetic surgery. As the effects disappear you can decide whether you’d like to have the procedure repeated or if you will opt for cosmetic surgery.

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