Dermal fillers continued…

How Long Will My Results Last?

Dermal filler results, like most medical treatments, vary from patient to patient. The type of HA filler used, its location on the face and the relative depth of its placement (e.g. superficially in the skin through to deep to the facial muscles) also influence result longevity. Typically HA fillers will last 6 months to 2 years, and can be ‘topped up’ at any point.

How are dermal fillers different from Botox®?

Dermal fillers are injectable gels that provide volume and are used to treat wrinkles and folds resulting from a loss in volume beneath the surface of the skin.  Botox® is not a filler and has no volume effect. Botox® relaxes muscle activity to stop the overlying skin being repeatedly creased, allowing the skin to repair itself and hence improving the wrinkles.

Other Fillers

The safety, consistency and reliability of hyaluronic acid fillers makes them very versatile and Dr. Masters rarely, if ever, uses other filler materials. Added to this, unlike other materials, HA fillers can be ‘melted away’ overnight with an enzyme treatment (hyaluronidase). Dr. Masters does not advocate the use of permanent injectable fillers.  Description of other fillers...

What about safety and side effects?

The vast majority of people experience no side effects from filler treatment at all. Like all medicines however there is the potential for unwanted effects and complications. Most of these are minor and resolve within a few days. Dr. Masters will discuss these issues with you as part of your consultation prior to any treatment.

The risks include: asymmetry, bleeding/bruising, infection, itching, filler migration, skin necrosis, redness, skin rash/sensitivity, swelling, temporary numbness, and under/over-correction of wrinkles.

Juvederm® is Medsafe approved for use in New Zealand and because HA is naturally present in the skin, and not derived from animals, there is no need for an allergy test before treatment.

Caution: In the wrong or inexperienced hands, delivery of dermal fillers can be dangerous. In addition to seeking a doctor who is trained and qualified in Plastic Surgery, make sure your injector has specific experience with these types of injections.

How do I prepare for a filler procedure?

Dr. Masters will provide thorough pre-treatment instructions and answer any questions you may have. In the weeks before your injections, you’ll be asked to refrain from taking aspirin, ibuprofen, vitamin E, St. John’s Wort, and any other medications that could cause bruising. Be sure to inform Dr. Masters of any medicines you are taking. If you have a history of cold sores, he may recommend taking anti-viral medications as a precaution.   Regardless of the type of procedure to be performed, hydration is very important before and after treatment for safe recovery.

What happens during dermal filler injections?

Fillers can be administered the same day as your consultation because of their minimally invasive nature, low downtime, and safety record, but Dr. Masters preference is to meet, assess and consult with all new patients well before any treatment is planned. Most patients find consulting a Plastic Surgeon stressful enough, never mind making considered decisions knowing that a treatment is about to happen.

Dr. Masters knows the value of taking the time to complete a comprehensive assessment of your concerns, aspirations and facial changes before recommending a treatment plan. Together, you’ll decide on which filler treatments are best suited to you and prioritise the injection sites to target.  Unlike some providers, Dr. Masters advanced training and specialist status means he can treat all areas of the face and being a Plastic Surgeon, Dr. Masters is uniquely qualified to suggest alternative and additional treatments which may be more suited to your concerns.

On your treatment day you will be asked to not wear any makeup, your face will be cleaned and then your treatment planned by marking strategic points on your face to guide the filler placement.

Depending on the location being treated a small amount of local anaesthetic may be injected to numb the area. Filler treatments can be uncomfortable, but most of the dermal fillers Dr. Masters uses also contain some local anaesthetic to make their administration and the post-treatment phase more comfortable.

The injections themselves utilise the finest needles possible for the product being administered. Once the treatment is finished your skin is re-cleansed and the markings are removed.

Dr. Masters recommends not to rub the treated areas and make up should not be applied until the following day. Cooling packs can be applied to reduce any residual discomfort and limit unwanted swelling. You are likely to experience a little swelling and/or bruising, which should fade within a few days.

 

TAPPS

JUVEDERM is a Prescription Medicine containing linked hyaluronic acid. It is used for the filling of medium and deep facial wrinkles by injection into the skin for creating definition and volume. They should only be administered by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Cautions: It should not be administered in an area that has been treated with another type of dermal filler. People with autoimmune disease, or who are pregnant, breastfeeding, under 18 years; or have a predisposition to keloid formation and hypertrophic scarring. Possible Side Effects: Injection site inflammatory reactions (redness/ swelling/itching/pain on pressure); induration or nodules; discolouration; weak filling effect; bruising; abscess formation, granuloma, necrosis in glabellar region, hypersensitivity. If you have any side effects or concerns speak to your doctor.