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What are fillers?

Fillers are substances that are injected beneath the skin to restore volume, maintain facial contours and rejuvenate skin. These can be natural or synthetic.

What are fillers made with?

Fillers can be natural or synthetic. Hyaluronic acid is a well-known synthetic filler, widely used natural filler substance that is also found in the body. Other available fillers (synthetic / biostimulatory fillers) are made up of collagen, poly L-lactic acid, hydroxyapatite or polymethylmethacrylate.

What do fillers do?

It obscures the folds and creases by providing volume to the area of interest.

Which areas can be addressed with fillers?

Areas that can be benefited the most with fillers are tear troughs, deep nasolabial folds, dimpling above the cheeks, oral commissure lines, deep mentalis fold, lips (thinned with aging), tuned down corners of lips, jaw line and hollow temples.

How much time does it take to get a filler done?

It is a quick and minimally invasive treatment with minimal downtime i.e., 15 to 20 minutes for a single session depending on the individual and the number of areas being treated, allowing the individual to return to their normal activity following the treatment.

Q.  To whom should I consult?

This procedure is done by plastic surgeons. The surgeon will take a detailed history, perform examination, counsel you about the procedure and associated risks.You can discuss your expectation with the surgeon before getting the procedure done.

What is the procedure?

Series of small gauge tiny needles are used and the filler is injected beneath the skin. The amount administered depends upon the depth and size of the skin defect or wrinkles. Small blunt cannulas are also used to inject larger volumes.

How many sessions are needed to get the required results?

Most (but not all) fillers have an immediate visible effect, which could be temporary or long lasting depending on the filler type and area of the face to be treated. Most fillers are temporary, commonly lasts for six months to one year. Additional sessions may be needed for optimal results. The effect can be reversed with a shot of hyaluronidase, which is an enzyme that dissolves filler when it is no longer needed or in case of unwanted results.

Are there any precautions/contraindications?

Blood thinners that predispose to bleeding or coagulation problems must be stopped 5 to 7 days before treatment. Individuals may be guided to avoid strenuous activities, excessive heat and sun exposure for at least 24 hours after the treatment.

What are the side effects?

Person getting the treatment may experience some degree of local pain, allergic reaction, bruising, temporary swelling or redness or bluish discoloration known as “Tindall effect”. Some fillers can lead to the development of tiny bumps beneath the skin (granuloma/nodules). Rarely, serious complications may occur if the fillers are not used correctly. There have been few cases of blindness, skin scarring or nerve paralysis.

From where should I get it done?

The treatment should only be done by a plastic surgeon who is certified and have a thorough knowledge on face anatomy. Important points to understand:
  • You must discuss all your medical condition that you have like blood pressure, Diabetes, Asthma etc. and all previous operations.
  • All your medications (tablets) that you are taking.
  • Any allergy to any medication.
  • Family history of any illness.
  • Any bleeding disorder.
  • Always ask all questions that are in your mind, that you may have read or heard from someone.

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