What are Fillers?
Cosmetic fillers are products that can restore a youthful fullness to your face.
What are Fillers made of?
There are many types of cosmetic fillers utilizing different substances. Perhaps the most common cosmetic fillers are hyluronic acid products which are materials naturally found in all of us. Others include collegan, calcium hydroxy appetite, and more. Each of these offer their unique advantages and disadvantages.
How do Fillers work?
Cosmetic fillers work by increasing volume in areas that have lost volume or adding volume to areas you wish to improve. When this gel is injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple.
What is Juvéderm®?
Juvéderm® is an injectable gel for areas of facial tissue where moderate to severe facial wrinkles and folds occur. Juvéderm® temporarily adds volume to the skin, especially around the nose and mouth and can lessen the signs of wrinkles and aging in general.
Juvéderm® is typically used around the nose and mouth but can be used as a lip augmentation agent, and to fill in hollow places and scars in the face.
What to expect
In most cases, side effects of Juvéderm® are mild and typically last 7 days or less. Side effects to Juvéderm®, should they occur, include redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching and discoloration in the area of injection.
Where can cosmetic fillers be used?
Common areas for cosmetic fillers include:
- Nasolabial lines – the lines spanning from the corner of the nose to the corner of your mouth
- Labiomental lines – the lines spanning from the corners of the mouth down
- Lower eyelid – tear trough depression below the eyelid
- Cheek augmentation
- Lip lines
- Lip augmentation
- And more…
Are Fillers safe?
Cosmetic fillers are very safe. Most of the products are similar or the same to those naturally found in your body. There are risks especially when injecting around the eyes that must be discussed prior to the procedure.
Before the Procedure
Provide a full list of health problems, medications, allergies, and other treatments to MidAmerica Plastic Surgery. Especially if you have:
- Any disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome).
- Allergies to any botulinum toxin product had any side effect from any botulinum toxin product in the past.
- Breathing problems such as asthma or emphysema.
- Swallowing problems.
- Bleeding problems.
- Plans to have surgery or have had surgery on your face.
- Weakness of your forehead muscles, such as trouble raising your eyebrows.
- Drooping eyelids any other change in the way your face normally looks.
- Are pregnant or plan to become pregnant. – It is not known if filler can harm your unborn baby.
- Are breast-feeding or plan to breastfeed – It is not known if filler passes into breast milk.
What To Expect
Treatment injections usually take 15-60 minutes. The number of injections you need will depend on multiple factors, including your facial features and the extent of your wrinkles. Dr. Ryan Diederich uses a combination of topical cream, topical cooling, and anesthetic as needed for your treatment area and needs. Most of the fillers used by MidAmerica Plastic Surgery contain anesthetic which further limits discomfort.
After a Filler Procedure
For at least 4 hours:
- Stay upright and not lie down for 4 hours
- Do not massage the injection site(s)
Avoid the following for at least 48 hours:
- Strenuous exercise
- Consumption of alcoholic beverages
- Extended exposure to sun or heat
How long do Filler results last?
The effects can last from 6 months to over 1 year; however, this depends on the product and the location.
How much downtime should be expected?
Often there is little to no downtime with these procedures. Occasionally you may develop some bruising that can often be covered with makeup.
Filler Procedure Risks
Although generally safe, side effects and complications from cosmetic fillers can include:
- Bruising and pain at the injection site.
- Flu-like symptoms.
- Vision changes or loss.
Dr. Ryan Diederich is a board-certified plastic surgeon specializing in a range of aesthetic and reconstructive plastic surgery procedures at Mid-America Institute of Plastic & Cosmetic Surgery in Glen Carbon, IL. If you’re looking for a plastic surgeon east of St. Louis, you can schedule a consultation online schedule a consultation online, or call us at (618) 288-7855 to schedule an appointment.
For more information see the American Society of Plastic Surgery topic “Dermal Fillers: Hyaluronic Acid”
*This article is intended as a guideline only. This is not intended as medical advice. There are no guarantees written or implied from the information presented here. Only a consultation can provide an appropriate evaluation and discussion regarding any procedure. Refer to your physician for medical decision making and advice.
1. Allergan, Inc. http://www.juvederm.com