Dermal fillers are injectable implants made of up gel like substance and are used to help smooth skin lines and wrinkles. As the name implies, they are injected into or beneath your skin using a needle or a cannula.
Dermal fillers exist in many forms and are often distinguished by their composition, duration of effect, biodegradability of components and mode of action. In addition to filling up the lost volume, dermal filler treatment also stimulates the inflammatory process leading to fibroblast proliferation and collagen production through mechanical stretching of the dermis which in turn improves the quality of the skin.
The treatment with dermal fillers is less invasive compared to surgical procedures, and quite often reversible. Dermal fillers can restore and revolumise skin and facial contours to form a more youthful appearance and the effect lasts longer than the botulinum toxin injections.
At our clinic, we use the premium range of Hyaluronic acid based dermal fillers as they are the safest fillers available among all categories of fillers. Hyaluronic acid is naturally produced by our body and is found naturally in human skin and cartilage. The fillers made from Hyaluronic Acid undergoes natural degradation over a period of time, and their life usually varies from 6-18 months depending on the type of product, the depth or plane of the injection, the area treated, body’s metabolic rate and some environmental factors like heat.
Hyaluronic acid fillers not only restore the volume of tissue lost due to ageing, but they also help in improving the contours and to improve the hydration of the skin and other tissues of the face. Hyaluronic acid molecules can hold 1000 times its own body weight of water and therefore improves the hydration of skin, deep fat pads and lips when injected as dermal fillers, giving a youthful appearance to the skin.
There are many different types of Hyaluronic acid fillers available in the market. These different fillers vary in thickness, consistency, and cross-linking of the molecules, coinciding with their varying indications. Thicker fillers may be used to augment the jawline, chin or cheeks. Medium thickness fillers are good for the lips, nasolabial folds and marionette lines. Thinner fillers are better to correct the fine lines and wrinkles.
The treatment time usually takes from 20 to 40 minutes depending on the amount of filler used. The results are usually seen immediately, improve over the next 2 weeks and can last from 6-18 months depending on the filler used and individual patient characteristics.
If you are looking for Dermal filler treatment in the Hunter Valley or Maitland area, Please book a cosmetic consultation with one of our doctors and our doctors will guide you as to what dermal fillers are right for your skin.
Elixir @ Hunter skin cancer clinic is a doctor led cosmetic and skin cancer clinic, and we will ensure that you get a personalised approach to your treatment so that you get your desired results.
The various types of dermal filler treatment done at our clinic are:
The horizontal forehead lines are a common aesthetic concern, predominantly when they are visible at rest and when they run deep. These lines are due to the contraction of muscle called ‘frontalis’, and are typically linked with emotions associated with being surprised. In addition, natural ageing process and sun damage over years lead to elastotic changes in the skin, and manifest as a reduction in skin’s elasticity, resulting in static forehead wrinkles.
Dermal fillers can be used to improve static or resting forehead wrinkles which have failed to improve with the use of botulinum toxin anti-wrinkle injections. Dermal fillers provide volume restoration to the forehead, helping to balance the face as well as smooth any forehead concavities and wrinkling.
The glabella or frown lines often express emotions of unhappiness. Frown lines can be smoothed out satisfactorily with a combination of anti wrinkle botulinum toxin injection followed by augmentation with fillers if needed. Dermal fillers are mainly used to improve deep frown lines which have failed to improve with the use of botulinum toxin anti-wrinkle injections.
Temples or Temporal region
As part of the ageing associated bone loss, the temples can lose volume creating hollowness or concavities in the temples. Patients presenting with visible blood vessels and hollowness in the temple and lateral forehead region can benefit from filler augmentation with fillers.
Dermal fillers can be used to replace the volume in the temple area, and it can help in stretching the upper facial skin, and also create a minor lift of the brow and cheeks without any scarring. This treatment can simultaneously treat the lateral canthal lines or Crow’s feet lines. This non-invasive treatment is quite useful in recontouring and correcting the facial aesthetics while also promoting collagen production and rehydration of the skin.
Eyebrows are key facial landmarks, and their colour, position, curvature and thickness dictates the aesthetics of the upper face significantly. Low set brows communicate a tired expression, whereas high set eyebrows make the face appear fresher, younger and more alert.Dermal fillers can be used to replace the lost volume of atrophied fat pad in the eyebrow area, and this improves the stability of the eyebrows and the upper eyelid.
Lateral Canthal Lines or Crow’s Feet
Dynamic lines of the Crow’s feet which manifest on smiling are basically treated with anti wrinkle botulinum toxin injections. The deep and static crow’s feet lines which fail to improve with botulinum toxin injections can be treated with filler augmentation. It is also recommended to improve the quality of skin for these deep lines with the use of Radiofrequency Microneedling and Fractional Laser resurfacing before injecting them with dermal fillers for a better and long lasting effect.A combined approach with initially botulinum toxin injection for the dynamic wrinkles followed by Dermal filler augmentation in 2 weeks is also appropriate in many cases.
Under Eye or Tear Trough Fillers
The area under the eyes can get fine lines and wrinkles or dark circles as part of the ageing.The area of skin around the eyes and skin around the lips are very thin with very little soft tissue support of fat under the skin, and so, these are the first areas of the face to display signs of ageing. Dark shadows at the lower eyelid with formation of the tear trough and fine wrinkles in the lower eyelid are a major concern for patients as they are often associated with a tired and burned out appearance.These fine lines and wrinkles can be treated with a combination of Radiofrequency microneedling, Fractional Laser skin resurfacing, Anti-wrinkle injections and Tear trough dermal fillers.
The midface region is an important characteristic of a youthful attractive face. A prominent lateral cheekbone is considered as an attractive and youthful feature of the face. Adequate fat pad support is essential for a well contoured mid and lateral cheek region.With ageing-related loss of the soft tissue and associated bone resorption, the lateral cheek loses volume and the underlying structures become more prominent. In addition, the loss of skin elasticity combined with the effect of gravity, the upper fat of the cheeks along with the overlying skin slowly slip off their bony support and migrate downward towards the lower part of the face.
Filler treatment in the upper cheek area helps to restore the harmony of the midface region. Cheek augmentation fillers are used to replace the lost volume, thus improving the contour of cheeks and listing the sagging midface. This also helps to volumise the flattened midface and the area under the eyes.
Nasolabial Fold Fillers
Nasolabial folds are the skin folds located between the nose and the upper lip. These folds usually get prominent due to loss of volume in the cheek area which happens with ageing. These folds appear as the lines from the corner of the nose to the corner of the mouth. The structure of the cheek bones flatten with age, causing the skin on your cheeks to droop downwards creating prominent nasolabial folds.
The presence of nasolabial folds alone does not represent a negative aesthetic feature. However, if the natural and harmonious balance of the face becomes impaired by the prominence and depth of nasolabial folds, filler augmentation treatment can restore the harmony. The aim of using dermal fillers is to soften or smoothen the appearance of nasolabial folds during natural facial expressions.
Perioral Lip Lines
The perioral lip lines or radial lines on the upper and lower lip constitute a significant concern in some patients. The fat layer under the skin in the upper lip is very thin and so, this area is prone to get fine lines and wrinkles from contraction of the underlying lip muscles which are in close contact with the skin.These lines can be treated in several ways and the best results often come from the combination of treatments. Botulinum toxin, Dermal fillers, Radiofrequency microneedling and laser resurfacing can all be combined to give a better result, depending on the patient’s needs. Using dermal fillers alone may be good for superficial lines, but for deep lines, it is often better to combine dermal filler treatment with radiofrequency microneedling and fractional laser resurfacing.
Lips play a very important role in facial expression, and furthermore, as a symbol of sensuality can influence an individual’s level of attractiveness. Full and symmetrical lips, with upturned corners and a healthy colour are considered aesthetically appealing.As part of the ageing, the volume of the lips can go down and the corners of the mouth tend to turn down. Hyaluronic acid fillers can be used to improve the volume of the lips or to improve the definition of the lips. It is important to treat the whole of the perioral area as a single unit while treating the lips to ensure harmony of the lower third of the face.
Corners of the Mouth
Downturning of the corners of the mouth is a condition in which the muscles pulling up the corners of the mouth get weak with ageing and create a sad appearance to the face. Essentially, the downturned corners of the mouth, Marionette lines (wrinkles from corners of the mouth to the mandible) and the Prejowl sulcus (sagging skin just next to the outside of the chin) is a progression of different stages of severity of ageing wrinkles. The downturned corners of the mouth can be treated with the use of anti wrinkle botulinum toxin injection, and dermal fillers can be used to support the downturned corners of the mouth. It is recommended to treat the whole of the perioral areas as a single unit.
Surface regeneration of the lips
This treatment is to improve the hydration of the surface of the lips. The skin of the lips doesn’t have any sebaceous glands, and so the skin of the lips is prone to being dry and chapped. Improving the lip surface and hydration by providing new water binding capacity with hyaluronic acid fillers will create softer looking and more youthful lips.
Marionette Lines Fillers
Marionette lines originate from the corner of the mouth to the mandibular region. Marionette folds are basically an extension from the severe downturning of the corners of the mouth which can happen as part of the ageing process. Essentially, the downturned corners of the mouth, Marionette lines and the Prejowl sulcus (sagging skin just next to the outside of the chin) is a progression of different stages of severity of ageing wrinkles. The overall sad appearance in the perioral region can further be compounded by retrusion of the chin due to hyperactivity of the muscle in chin called mentalis. For this type of patient, all this perioral area needs to be treated as a single subunit in association with chin pathology. A combination of the anti-wrinkle injections and Dermal fillers can help with the appearance of this subunit and can help to smooth out all the lines, folds and downturned corners of the mouth.
Jawline sculpting with dermal fillers is used to enhance the contour or the jawline. It can help in improving the definition of jawline and improve the sagging jowl skin. This procedure is also used to restore the volume to the jawline that has been lost due to shrinking of bones and underlying fat pads due to ageing. The aim of the treatment is to harmonise the jawline contour, and mask some of the jowling and sagging.
A well projected and smooth chin is a key feature of a rejuvenated and a harmonious face. As part of the ageing, tissue atrophy and bony resorption leads to volume loss and regression of the base of the mandible, creating irregularity and retrusion of the chin. Dermal fillers can be used to help patients add volume and prominence to their chin area who have lost volume in the chin due to ageing. The fillers can also help with patients who have retracted chins or short chins. The aim of the treatment is to volumise and recontour the chin back to its more youthful state.
Neck and Decolletage
The skin changes with ageing creates horizontal wrinkling in the neck and decolletage area. Furthermore, age related changes in Platysma (the main muscle of the neck) manifest in the form of vertical cords or bands. They stand out prominently when the muscles of facial expression are used, like when speaking, and may impair a person’s overall aesthetic appearance.
The vertical bands are best treated with anti-wrinkle botulinum toxin injections. The horizontal wrinkles can be treated with the use of dermal fillers. The severe loss of elasticity from ageing and sun damage can be further addressed with the use of radiofrequency microneedling, fractional laser resurfacing and Intense pulsed light treatment.
Dermal fillers can be used as a non-surgical method to reshape the nose with minimal discomfort and no downtime. Nose fillers can be used to improve the shape of the nose or help to get rid of the bumps in your nose giving you a smooth shape.
The fillers can be used to improve the fine wrinkles in front of the ear or to improve the contour of the helix of the ear or to volumise the ear lobe.
Dermal fillers can be injected into the top surface of the hands to increase the volume of tissue on the hands. This treatment improves the appearance of skin on the hand, improves the skin texture and reduces the prominence of veins and tendons.