Page 10 - FACETHETICS
P. 10

FACIAL FILLERS

DR SEEMA ALICE MATHEW

MDS, MOMS RCPSG (UK), FIDI, DIP (MEDICAL COSMETOLOGY)
                                     MAXILLOFACIAL SURGEON

  A beautiful face defines the individuality of a person. Time      Which dermal fillers to use?
  and again various cosmetic procedures utilizing botox,
  fillers, chemical peels and laser resurfacing have been           Fillers vary in their chemical make-up, degree of softness and
  performed to enhance the facial contours, sagging and             longevity. Choice of fillers depends on the area to be augmented -
  volume loss in the facial region. The use of facial fillers have  for example - softer fillers are used for correcting finer lines,
  been popularized due to awareness among patients and              nasolabial folds and under-eye regions, while sturdier fillers can be
  practioners and achieve superior results in rejuvenating the      considered necessary to enhance cheekbone regions, age-related
  face.                                                             volume loss and lip sculpting and plumping.

  Facial fillers are basically injectables to eliminate wrinkles,   Dermal fillers procedure steps
  raise depressed scars, enhance lip contour and replace
  volume loss. They are made-up of hyaluronic acid, collagen        A healthy well motivated patient with a realistic outlook and goal in
  and calcium hydroxyapatite materials. Longevity of the            mind to improve their appearance is an ideal candidate for dermal
  fillers depends on the type of fillers used. Hyaluronic acid is   fillers. It is vital to explain to your patient the steps and outcome of
  a natural filler substance in our body and they can be            the procedure and obtain an informed consent. The injection of
  synthetically derived from bacteria which is further              dermal fillers can follow the below mentioned steps:
  processed into the injectable form by adding it to vehicles to
  improve its consistency.                                          Facial assessment and mapping

  Age doesn’t catch one by surprise; the ageing skin goes           Targeted points are marked on the face. Pre-operative photographs
  through a process of tissue loss, with the outward show of        are mandatory to access the outcome of the procedure.
  deeper nasolabial folds, drooping marionette lines, deep
  mentalis fold, with thinning of the lips and appearance of        Cleansing and anaesthetising
  fine lines and wrinkles. It’s not only the aging skin that
  benefits from fillers, fillers                                    An appropriate cleanser can be used all over the face. Injection site
  now have found its uses in                                        discomfort can be ameliorated by using cold to chill the skin,
  high lip line individuals,
  asymmetric lips, lip                                                                  anaesthetic ointments and local anaesthetic
  augmentation. Further                                                                 injections in minimal amounts.
  aesthetic dental procedures
  create a beautiful and                                                                Dermal filler injection
  attractive frame around the
  teeth. In the hands of a                                                              Injection per site takes about few seconds.
  maxillofacial and plastic surgeon, fillers can be used to                             After injecting the preferred site it’s a must to
  improve malar prominences, chin aesthetics and lip                                    mould the area and evaluate the results to
  sculpturing apart from restoring ideal skeletal relations in                          access if additional filler augmentation is
  the maxillofacial region with the various orthognathic and                            required.
  cosmetic surgical procedures. Handling fillers makes one
  feels like a master craftsman by restoring beauty and             Clean up and recovery
  perfection.
                                                                    Once the targeted results are achieved, any marking on the face can
E                                                                   be cleaned and ice pack application can be provided to reduce the
                                                                    swelling and alleviate discomfort. The injected area may feel a little
I                                                                   tender for few days, but not painful enough to require any
                                                                    medication.
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                                                                    “ Elegance is when the inside is as beautiful as the outside”
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