Skin ageing is a complex biological process
80% of facial skin ageing is attributed to UV-exposure.
Dermal Fillers are substances injected beneath the skin surface to increase the fullness and volume of the specific facial area.
Dermal filler may last 12-18 months.
The desired results obtained with dermal filler improve over time and when Hyaluronic acid fillers are used in combination with Botulinum toxin, it is of greater value in terms of longevity.
Botulinum Toxin is to be injected one week prior to dermal filler, especially where the perioral region is concerned.
As a dental practitioner, I love to perform procedures involving TASTEFUL and SUBTLE plumping up of the lips and skin around the mouth.
These areas include the:
- Lips (you are not supposed to walk out of a practice looking like a duck)
- Vermillion border
- Nasolabial lines (nose-to-mouth lines)-the most common sites treated with soft tissue filler.
- Melomental lines (marionette lines)
- Vertical lip lines and
- Cheeks
I only consider treating with dermal filler if patients are above a certain age (usually > 30), has realistic expectations and are aware of possible “down-time” in terms of bruising.
The upper third of the face is a highly specialised area in terms of vascularity supplying the eyes. Most of my patients whom I believe will benefit from Dermal Filler placed in this region (for example under the eyes, forehead or temporal fossa) are referred to specialists in the field, usually Dermatologists, Plastic surgeons or Ophthalmologists who perform facial cosmetic procedures.
The dermal filler that I use consists of Hyaluronic acid which is a natural occurring substance in the body. The functions of HA include hydration, lubrication of joints, it also has the space-filling capacity and it also serves as a framework through which cells migrate. The Hyaluronic acid in the skin accounts for 50% of the total HA found in the body