What happens to the face when you start aging? Fat and volume loss, loss of collagen and loss of elasticity make the once full and curvy youthful face have wrinkles and folds, furrows and sunken valleys, uneven contours and thin skin. Some diseases such as HIV cause lipoatrophy. The result? A deflated and fallen appearance to your face. With modern civilization, more individuals are looking for facial rejuvenation, one of them being the use of dermal fillers.

The product

This technology was used as far back as the early 1890s when it was discovered that fat can be transferred from one part of the body to the face to make it look youthful. With the progress in research, several materials have been discovered to be useful in dermal fillers including:


Collagen is injected in the facial subcutaneous tissue to remove wrinkles.

Hyaluronic acid (HA).

This is synthetic and produces immediate results that last. It is indicated for filling moderate to severe wrinkles, lipoatrophy and contours around the nose and mouth.

Calcium hydroxylapatite.

These are biodegradable and are used to smooth out wrinkles and correct lipoatrophy.

Poly-L-lactic acid.

This is used to enhance volume. It takes a long time but the results are not immediate. It is used mainly to correct lipoatrophy.

Fat transfer.

In this procedure, fat cells are harvested from one body site to another for volume replacement.

This is a permanent procedure mainly used in volume replacement.

Polymethlmethacrylate (PMMA).

Involves the use of PMMA microspheres that are injected in the nasolabial region. It is permanent and requires numerous injections.

What determines the type of dermal filler to use?

Before you use filler on any patient, you need to consider several factors that depend on the patient and not on the product. This will lead to better aesthetic results leading to more patient satisfaction. Let’s look at how you evaluate the patient for dermal filler.

Has the patient used filler before? What was the result?

If the patient is using a filler regimen and it is working wonders for them, there is no need to change unless a different regimen offers better result or safety.

Permanent vs reversible dermal filler?

Does the patient want a regimen that will be permanent or does he just need a temporary solution? Advice the patient on the benefits of temporary and permanent solutions to make them understand the implications and decide what is best for them.

Is the patient ready to take some time off to recover?

Patients who have time will tolerate fat transfer or large volume procedures. Those who require quicker recovery will be good candidates for thinner hyaluronic products or collagen.

Is the patient having another surgical procedure at the same time?

Such patients don’t need to undergo another surgical procedure so use the chance to transfer fat when they are under anesthesia.

How old is the patient?

Older patients have lower immunity thus their response to a foreign body injection will be reduced. They are more suited to a permanent product.

How thick is the skin of the patient?

The depth of the skin will determine how different products will be camouflaged. Thin skin can show lumps if thick products can be used.

So, would you like to bring back the youthful look to your face? Head straight to a specialist near you for dermal filler.


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