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Filler Injections

A variety of ready to inject temporary and permanent filler substances are available to fill up wrinkles, fine lines, contour deformities, and volumetric deficiencies of face, cheeks, and lips .

What conditions do fillers work for?
  • Antiaging: Starting from 30s face tends to lose its natural tightness. It starts to look uneven and folds and wrinkles start appearing. Skin sags under influence of gravity and hollows and folds start appearing. Fat can be lost from certain areas of face. Lips become thinner. Fillers help to regain the youthful looks by
  1. Smoothening deep lines running from side of nose to side of lip (nasolabial folds)
  2. Filling up hollows around the eyes
  3. Highlighting cheek bones
  4. Making lips fuller and defining lip line
  5. Highlighting eyebrows
  6. Filling up other areas of face that become uneven or hollow with aging-like below angle of mouth, in cheeks
  • Lip enhancement: Full lips with defined lip line is in vogue . Fillers help achieve soft , full lips.
  • Cheek bone enhancement:High cheek boned look can be achieved with fillers.
to go to cheek enhancement surgery or
  • Chin enhancement: Small chin can be enlarged non surgically with fillers
to go to chin enhancement surgery
  • Non surgical nose correction: Nose bridge can be elevated with fillers. Minor irregularities due to injury or previous surgery can be camouflaged .
to go to nose surgery

What are fillers?

Temporary fillers are usually made of hyaluronic acid . Hyaluronic acid is natural body substance . Injectable hyaluronic acid is synthesized in lab and cross linked to last for a certain period of time after injecting into human tissue. Hyaluronic acid filler is gradually metabolized by body and disappears completely in 6 months-1 yr. Permanent fillers are not metabolized by body.

What are the different choices in fillers?
  • Temporary Fillers:
  1. Juvederm Ultra and Ultraplus: This is FDA approved hyaluronic acid filler lasting upto 1 year
  2. Restylene and Perlane:Similar to juvederm, lasts for 6 months
  3. Radiesse: It’s FDA approved Calcium Hydroxyapetite filler for deeper filling. It lasts upto 2 years.
  • Permanent Fillers:
Aquamid: This is polyacrylamide gel filler for deeper filling.

Are filler injections painful?
Fillers are injected with very fine needles. Usually local anaesthesia in form of cream or injection whatever is appropriate depending on the site, is used. Therefore pain is minimal.

How much time does it take for filler treatment?
Usually 15-30 minutes depending on number of areas.

What is the downtime after filler injections?
Area may be pink or slightly swollen for 24-48 hrs. In certain areas like lips swelling may last for upto 1 week. Bruising may occur at injection site occasionally. Most of the times one need not take break from routine activities, but it is best to do filler injection before a weekend and avoid doing filler injection 1 week or less before any important event.

What aftercare is required ?
Ice application soon after filler injection in clinic, helps minimize swelling. Avoid massaging the area for next 48 hours.

How long does the effect of filler last?
Different brands of temporary fillers are available lasting upto 6 months, 1 year and 2 years. After that time injection may be repeated to maintain the result.

Which filler is better, temporary or permanent?
Which filler right for you can be decided after individual assessment. Permanent fillers are availablein the market but their long term safety is not proven.

Which one is better for removing wrinkles- filler injections or botox?
Botox and fillers work differently, on different kind of wrinkles. Personal assessment is required to determine what is best for you. Botox and fillers can also be combined.

Are there alternatives to filler injections?
Surgical options are available for , and lip enhancement. are other alternative for certain indications. For aging eyelids may be appropriate. Advanced facial sagging may require .