Facial fillers are substances (usually similar to those naturally found in the skin) that are injected to help rejuvenate facial skin by replacing soft-tissue volume loss: they reduce or eliminate wrinkles, raise scar depressions, fill folds, enhance lips or cheeks; in short, they replace the natural volume that was lost over time. Unfortunately, over the years, the natural aging process as well as sun exposure and muscle movement (even smiling!) thins the skin and creates features that were not present in youth. General loss of volume, deep lines between the eyebrows, "marionette lines", deep nasolabial folds are all a part of this, and usually seen as an undesired part of aging.
Facial fillers' role is to try to eliminate those facial features that were not a part of your younger face. They are temporary to long-lasting substances, injected in the area where the correction is needed. Several fillers are available, depending mostly on the anatomical depth where the filler is needed (the closer to the surface, the softer and more natural-feeling it should be!) Hyaluronic acid (found in Juvederm products, for example) is the natural filler substance found in the body; it is so basic to skin tissues and universally accepted that it does not necessitate allergy testing prior to its use.
Filler injection is fairly short, usually 10 to 30 minutes, mostly dependent on the amount of filler injected and the number of areas being treated. It is a minimally painful procedure involving a series of injection with a tiny needle, but the individual's experience and sensitivity can of course vary. At Advanced Smile and Dental Art, due to our extensive training, we can provide you easily with additional comfort options such as local anesthetics ("Novocaine") or Nitrous Oxide ("laughing gas", a popular adjunct!)
Some possible side effects include bruising, temporary redness/swelling, some discoloration or pain/tenderness, numbness, and some surface irregularities at first. "Lumps" (granulomas) are a rare issue.
Facial fillers will usually last from 6 months to a year, although their effect often seem to last longer (especially for the denser, deeper injected fillers). Optimal maintenance of esthetics requires additional treatments. Just as in Botox treatments, our observations over time has been that it is better to perform a smaller correction on a recurrent basis, than to wait for a complete loss of the esthetic gains prior to a new complete rejuvenation attempt.
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