Fillers

What are dermal fillers?

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow's feet become more apparent.

The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity and lifestyle.

What dermal fillers can do

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars
  • Reconstruct contour deformities in the face
  • Decrease or remove the shadow of the lower lids

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

What dermal fillers can't do

For some patients, surgery such as a facelift, brow lift or eye lift may be the best approach. Nonsurgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results, but may help delay the time when consideration of a facelift becomes appropriate. It is important to remember that dermal fillers are temporary treatments for facial aging and that ongoing treatments will be needed for long-term results.

Who is a good candidate for dermal fillers?

You may be a good candidate for dermal fillers if you:

  • Are physically healthy
  • Don't smoke
  • Have a positive outlook and realistic goals in mind for the improvement of your appearance
  • Are committed to maintaining good skin health.

What is the cost of dermal fillers?

The average cost of dermal fillers vary.

Cost is always a consideration in elective procedure or treatment. The cost of dermal filler injections may vary based on the expertise and qualifications of the person performing the treatment, the type of procedure used, time and effort the procedure or treatment requires, as well as the geographic location of the office. Many plastic surgeons offer patient financing plans, so be sure to ask.

Your satisfaction involves more than a fee.

When choosing a plastic surgeon for dermal filler injections, remember that the surgeon's experience and your comfort with him or her are just as important as the final cost of the procedure.

The following is a list of the average cost of several popular types of dermal fillers, according to 2017 statistics from the American Society of Plastic Surgeons and are priced as a per syringe cost. Most patients need multiple syringes to achieve desired results.

  • Calcium hydroxylapatite (e.g., Radiesse): $662
  • Fat: $1,951
  • Hyaluronic acid (e.g., Juvederm, Restylane, Belotero): $682
  • Polylactic acid (e.g., Sculptra): $903
  • Polymethyl-methacrylate microspheres (e.g., Bellafill): $855

Health insurance does not cover dermal fillers, but many plastic surgeons offer patient financing plans, so be sure to ask.


Case Study

Step 1 – Facial assessment & mapping

If you choose to utilize packaged soft tissue fillers, the plastic surgeon, or his specially-trained nurse, will evaluate your facial appearance and skin tone and examine the areas of your face to be augmented.

Strategic points on your face may be marked as the appropriate injection sites for the filler. Photographs may be taken of the areas to be treated.

Step 2 – Cleansing & anesthetizing

The injection sites will be cleansed with an antibacterial agent.

Pain at the injection site may be ameliorated by use of a very cold instrument to chill the skin, anesthetic ointment to numb the skin or injection of local anesthesia.

While not painless, the injections are usually easily tolerated.

Step 3 – The injection

Injection usually takes only a few moments per site. The process of injecting, massaging, and evaluating the result is performed, and additional filler added as needed.

Depending on the number of areas to be treated, the whole process may be as short as 15 minutes, or as long as an hour.

Step 4 – Clean up & recovery

Once the results are deemed satisfactory, any markings will be cleansed off.

You may be offered an ice pack to reduce swelling and alleviate discomfort. Although the area may feel a bit tender for a day or two, it is usually not painful enough to require any medication.

Specialist

During your dermal fillers consultation be prepared to discuss:

  • Your goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Any past treatment with soft tissue fillers, botulinum toxin therapy, laser or other non-surgical facial procedures, as well as any prior facial surgery

Your surgeon may also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Discuss your available options
  • Examine and measure your face
  • Take photographs
  • Recommend a course of treatment
  • Discuss likely outcomes of using soft tissue fillers and any risks or potential complications

Your plastic surgeon will carefully explain:

  • Your course of treatment
  • The type of filler recommended in your case and why
  • Expected results
  • The longevity of the result

Be sure to ask questions. To help, we have prepared a checklist of questions to ask during your dermal fillers consultation.

It's important you understand all aspects of dermal fillers. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of pre-treatment stress. Don't be shy about discussing these feelings with your plastic surgeon.

Disclaimer

The decision to use fillers is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of dermal fillers are acceptable.

Your plastic surgeon and/or staff will explain, in detail, any risks.

You will be asked to sign consent forms to ensure that you fully understand the procedure, as well as the risks and potential complications.

Severe complications from dermal fillers are uncommon. Potential risks vary depending on the specific filler used and the relative permanence of the filler substance and include:

  • Acne-like skin eruptions
  • Asymmetry
  • Bruising, bleeding from the injection site, swelling
  • Damage to the skin that results in a wound and possible scarring
  • Infection at the injection site
  • Lumps
  • Palpability of the filler under the surface of the skin
  • Skin rash with itching
  • Skin redness
  • Under- or over-correction of wrinkles
  • Blindness
  • Skin necrosis (ulceration or loss of skin from disruption of blood flow)

These risks and others will be fully discussed prior to your consent.

It is important that you address all your questions directly with your plastic surgeon. Although good results are expected from your procedure, there is no guarantee that you will be satisfied with your results. Because significant complications can occur from dermal filler injections, it is important to be in the care of a board certified plastic surgeon who understands the risks and is trained and prepared to deal with any complications that may occur.

In some situations, it may not be possible to achieve optimal results with a single procedure. Most fillers do dissipate over time. To maintain your correction, you will need to consider repeating the injection process at intervals.

Frequently Asked Questions About This Procedure

Use this checklist as a guide during your dermal fillers consultation:

  • Are you certified by the American Board of Plastic Surgery?
  • Are you a member of the American Society of Plastic Surgeons?
  • Were you trained specifically in the field of plastic surgery?
  • How many years of plastic surgery training have you had?
  • Do you have hospital privileges to perform this procedure? If so, at which hospitals?
  • Is the office-based surgical facility accredited by a nationally- or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?
  • Am I a good candidate for this procedure?
  • What will be expected of me to get the best results?
  • Where and how will you perform my procedure?
  • How long of a recovery period can I expect and what kind of help will I need during my recovery?
  • What are the risks and complications associated with dermal fillers?
  • How are complications handled?
  • How can I expect my skin to look overtime?
  • What are my options if I am dissatisfied with the cosmetic outcome of my procedure?
  • Do you have before-and-after photos I can look at for each procedure and what results are reasonable for me?

© 2019 Cosmetic Kerala