Injections of dermal fillers gels used by plastic surgeons to correct many cosmetic problems, including the treatment of wrinkles, acne scars, bags under the eyes, as well as to fill the contours of the face in the cheeks, chin, lips, and between the eyebrows. The most commonly used gels for contouring made of natural materials such as collagen and hyaluronic acid (a natural element in the composition of the skin), and a plastic surgeon administered directly under the skin of the patient in order to add a desired amount of specific parts of the face.
Contouring procedure
The skin consists of outer layer, called epidermis and the inner layer of the dermis. Between these two layers of the skin is a layer of jelly-like hyaluronic acid, which decreases as a person grows older, leading to changes in facial contours. This often can be corrected by injecting dermal fillers. Gel excipient serves as a replacement of the missing hyaluronic acid and restore the volume and elasticity of the skin.
The procedure is performed in the office of a plastic surgeon, and often used as an analgesic outer anesthetic cream, although filling lip contour can be used local anesthesia. The procedure, which is considered to be a bit uncomfortable, is composed of tiny injections of the filler that is injected under the skin is very thin hypodermic needle. The procedure of contouring using gels can take up to one hour, but in most cases it takes from ten to thirty minutes. Most patients can return to their normal activities within a few minutes, but if a large area of influence, the recovery period may last up to several days.
Discomfort is usually minimal and can be easily eliminated with the help of ice packs or pain medication. Areas in which the discomfort is usually felt, this delicate skin around the mouth and nose. The results of the procedure are visible at once, and improve within a few hours. The positive effect of contouring procedure is usually stored up to nine months, and in some patients - up to one year.
The gels-fillers
Juvéderm - a dermal filler that is used for filling and smoothing wrinkles and folds on the face. It is available in newer versions that are useful to add volume to the face to tighten and enhance its contours. Juvederm is made of hyaluronic acid, which helps to maintain the skin and the amount of moisture and lubrication and elasticity of joints. Hyaluronic acid retains moisture and binds to collagen and elastin, delivering essential nutrients to the tissues that are to a large extent support the skin. Hyaluronic acid in the composition Yuviderm, as well as other excipients listed herein are not derived from animal sources.
Restylane is also made from giluronovoy acid, but is used mostly for moderate facial wrinkles, but not for tightening and contouring the face. Restylane is often used in conjunction with Botox, the results were more pronounced and prolonged.
Perlane is manufactured by the same company and the same hyaluronic acid as Restylane. The difference is that the gel particles are larger, and thus more effective for Perlane fill deeper wrinkles and it can be used to achieve more complete entity. Perlane is also often used for lip augmentation and other parts of the face that can look younger, if you add them to the required volume.
Radiesse not made of hyaluronic acid and of calcium-based microparticles, dissolved in a water-based gel. Radiesse provides immediate and long-lasting results as stimulates the production of collagen and promotes tissue regeneration. Most often it is used for smoothing nasolabial folds and vertical wrinkles extending from the corners of the mouth to the chin, as well as to increase the volume of the cheeks and fill sunken areas below the eyes.
Atefill - the first and only non-absorbable dermal filler. He is renowned for providing a permanent support structure for lasting wrinkle correction, which means that the effect of his immediate and extended. Artefill microparticles made of PMMA material used for years as part of the surgical implant. However, since it is not a natural substance, there is a risk of allergic reactions
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. Since it is believed that the result of the procedure will be permanent, physicians applying artefill usually prefer when the first procedure to introduce a small amount of the drug, adding more for subsequent procedures, if necessary. Typically, the overall result can be seen six months after the procedure.
Sculptra commonly used to treat lipoatrophy face, the lack of fat tissue under the skin, which sometimes leads to the fact that his cheeks are sunken, his face appear dents and eyes sink. The main component of the gel Sculptra is poly-L-lactose, biocompatible material which does not harm the surrounding tissues. Unlike other dermal fillers, Sculptra does not bring immediate results. It works by stimulating collagen production, so results appear gradually over several months. Generally it takes three to five steps, and the results can be up to two years or more.
Lipofilling - a procedure that uses fat taken from the patient's own body. This reduces the risk of allergic reaction as it's own tissues. However, not all fat cells in this procedure are stored when they are transplanted to another area of the body, so you can expect a high level reuptake. For this reason, doctors usually fill the treated area longer than necessary, so the patient can not look quite normal, at least for a while.
It is important to know that not all gels dermal fillers are equal, and each of them has a special purpose for which it is best suited.
Side effects
The effect is noticeable after this procedure immediately. However, there are a number of side effects. These include, for example, swelling and redness at the site of the impact, which saved about two days. But no need to worry: the backfire procedure rapidly. But after this rejuvenating effect becomes even more pronounced. The duration of the effect obtained depends on the group administered the preparation.
Unfortunately, not every introduction of the gel takes place as "smooth." Sometimes fillers can cause a whole group of the side effects of the drug, and even rejection by the body. So after gel injection must be closely monitored for several weeks after the skin and strictly follow all instructions of experts. If you have a problem - a doctor immediately.