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Fillers

Home / Procedures / Skin & Hair / Fillers
What are fillers?

Fillers, also known as dermal fillers, are injectable substances used to enhance or restore facial features. They are popular non-surgical cosmetic procedures designed to:

  • Add volume: Fillers plump up wrinkles, lines, and folds, creating a smoother and fuller appearance.
  • Enhance contours: They can be used to define cheekbones, jawlines, and lips.
  • Improve symmetry: Fillers can help correct minor facial asymmetries.

Here’s a breakdown of what fillers are made of and how they work:

  • Types of Fillers: Different fillers contain various materials, each with its own properties and longevity. Common types include:
    • Hyaluronic acid (HA): A natural substance found in the body that hydrates and plumps the skin. Temporary, lasting 6-18 months.
    • Calcium hydroxylapatite (CaHA): A mineral similar to what’s found in bones. Provides longer-lasting volume correction, typically lasting 1-2 years.
    • Poly-L-lactic acid (PLLA): Stimulates collagen production for a gradual volumizing effect. Results develop over time and can last 2-5 years.
  • How Fillers Work: The specific mechanism of action depends on the filler material. HA fillers plump the skin by attracting and binding water molecules. Other fillers, like CaHA and PLLA, provide structure and support, stimulating collagen production for a longer-lasting effect.
How is a filler procedure performed?
  • The first step is a consultation with a qualified dermatologist or plastic surgeon with experience in facial fillers.
  • During the consultation, discuss your desired outcome, medical history, and any medications you take.
  • The doctor will assess your facial anatomy, recommend suitable filler types and injection sites, and explain the procedure details.
  • You’ll also have the opportunity to ask questions and ensure you understand the potential risks and benefits of filler injections.

Prepping for the Procedure:

  • Depending on the doctor’s recommendation and the type of filler used, you might need to avoid certain medications or supplements that could increase bleeding risks.
  • If you’re prone to cold sores and getting lip fillers, antiviral medication might be prescribed to prevent an outbreak.

The Filler Injection Process:

  1. Numbing Up: A topical anesthetic cream might be applied to numb the injection area, or local anesthesia might be injected for deeper filler placement.

  2. Marking Up (Optional): The doctor might lightly mark your face with a pencil to map out the injection sites and ensure symmetrical placement.

  3. Injection Time: Using a fine needle, the doctor precisely injects the filler into the targeted areas. The amount of filler used and the injection technique will vary depending on your desired outcome and the specific filler product.

  4. Shaping and Molding: After the injections, the doctor massages the treated area to ensure even distribution of the filler and achieve the desired look.

  5. Post-Injection Care: Ice packs might be applied to minimize swelling and discomfort. The doctor will provide specific aftercare instructions, which might include avoiding strenuous activity, sun exposure, or applying makeup for a short period.

How can I select a trustworthy surgeon?

When choosing an aesthetic plastic surgeon, it’s essential to consider the following factors:

  1. Qualifications: Does the surgeon possess the necessary education, training, and certification?

  2. Experience: Does the surgeon have extensive experience performing ear surgery?

  3. Pediatric Experience: If the patient is a child, does the surgeon have experience operating on pediatric patients?

  4. Results: Do you find the surgeon’s before-and-after photos satisfactory?

  5. Comfort Level: Are you comfortable with the surgeon and their approach to your procedure?

  6. Membership: Is the surgeon a member of The Aesthetic Society?

After finding a board-certified plastic surgeon with significant experience in ear surgery, you’ll need to schedule a consultation.

What to expect during a consultation?

Typically, there may be a consultation fee due to the comprehensive nature of the appointment. During the consultation, you’ll have the opportunity to discuss your aesthetic goals. The surgeon will assess your suitability for ear surgery and evaluate the shape, size, and position of your ears. They may also take photographs for further analysis. Be prepared to provide your complete medical history, including past surgeries, medical conditions, allergies, and current medications.

Questions to ask your surgeon: It’s crucial to be proactive during your consultation. Here are some questions to consider asking:

  • Am I a suitable candidate for ear surgery?
  • Are my desired outcomes realistic?
  • Can I see before-and-after photos of previous ear surgeries?
  • How many ear surgeries have you performed?
  • Which surgical approach is best suited to my needs?
  • Where will the incisions be made, and will they be visible?
  • What type of anesthesia do you recommend?
  • What is the expected cost of the procedure?
  • What can I do to ensure optimal results?
  • What is the anticipated recovery period?
  • What are the potential risks and complications?

After the consultation: Following the consultation, your surgeon will provide personalized recommendations and information, including:

  • Proposed surgical approach
  • Expected outcomes
  • Financial considerations
  • Risks and complications
  • Anesthesia options
  • Preoperative preparation
  • Postoperative care instructions
  • Similar case studies
  • Answers to any additional questions

With thorough research and consultation, you’ll be equipped to make an informed decision regarding your surgery and surgeon. If uncertainties persist, don’t hesitate to seek further clarification or explore consultations with other surgeons.

How do I prepare for a filler injection?

Consultation is Crucial:

  • Schedule a consultation with a qualified dermatologist or plastic surgeon experienced in facial fillers. This is your chance to discuss your desired outcome, ask questions, and ensure you’re on the same page with your doctor.

  • Open Communication: Be upfront about your goals, medical history, and any medications or supplements you take. This information helps the doctor assess your suitability for fillers and choose the most appropriate type for your needs.

  • Realistic Expectations: Discuss what realistic results to expect from fillers. Fillers can enhance your appearance, but they won’t dramatically change your facial features. Understanding this will help you set realistic goals for the procedure.

Pre-Procedure Do’s and Don’ts:

  • Do avoid certain medications: Aspirin, ibuprofen, and other blood-thinning medications might increase bruising risks. Discuss with your doctor if you need to temporarily stop taking them before the procedure.

  • Do disclose cold sores: If you’re prone to herpes outbreaks, especially if considering lip fillers, let your doctor know. They might prescribe antiviral medication to prevent an outbreak around the injection sites.

  • Do minimize sun exposure: Sun exposure can worsen swelling after filler injections. Try to avoid excessive sun tanning or sunburns in the weeks leading up to the procedure.

  • Don’t wear makeup to the appointment: Avoid applying makeup on the day of your appointment. This allows the doctor to properly assess your facial features and marking injection sites if needed.

How long does it take to recover from fillers?

Recovering from filler injections is generally quick, but there can be some temporary side effects. Here’s a breakdown of what to expect:

Immediately After:

  • Mild swelling, redness, tenderness, and bruising at the injection sites are common. These typically subside within a few days to a week.
  • Cold compresses can help reduce swelling and discomfort.

The First Week:

  • The initial swelling and redness should gradually improve.
  • Avoid strenuous activity, excessive sun exposure, and extreme temperatures (hot saunas, cold pools) as they can worsen swelling.

Beyond the First Week:

  • Most side effects should resolve completely within 1-2 weeks.
  • The final results of the filler become more apparent as any residual swelling disappears.

Remember:

  • Individual healing times can vary depending on the type of filler used, the amount injected, and your body’s response.
  • If you experience any concerning symptoms like severe pain, fever, or signs of infection, contact your doctor immediately.
How long will my filler results last?
    • Type of Filler: Different fillers are made from various materials and have varying lifespans:
      • Hyaluronic Acid (HA): Most common type, known for its temporary results lasting 6 to 18 months.
      • Calcium Hydroxylapatite (CaHA): Provides longer-lasting volume correction, typically lasting 1 to 2 years.
      • Poly-L-lactic Acid (PLLA): Stimulates collagen production for a gradual volumizing effect, with results lasting 2 to 5 years.
    • Your Body’s Metabolism: How quickly your body breaks down the filler material influences how long it lasts. A faster metabolism can lead to shorter-lasting results.
    • Injection Technique and Placement: The doctor’s technique and the targeted injection sites can affect how long the filler stays in place.
What are the risks associated with fillers?

While filler injections are generally safe when performed by a qualified professional, there are some potential risks and side effects to consider. Here’s a breakdown of what to be aware of:

  • Temporary Side Effects: These are common and typically resolve within a few days or a week. They include:

    • Swelling
    • Redness
    • Tenderness
    • Bruising
    • Itching

  • Allergic Reactions: Allergic reactions to the filler material or anesthesia used are rare but possible. Signs include swelling beyond the injection site, hives, or difficulty breathing. Seek immediate medical attention if you experience these.

  • Infection: Proper hygiene and sterile techniques during the procedure minimize infection risk. However, there’s always a slight chance, especially if aftercare instructions aren’t followed properly.

  • Asymmetry: Uneven placement of fillers can lead to asymmetry. Choosing an experienced doctor and discussing your desired outcome openly can help reduce this risk.

  • Vascular Occlusion: In rare cases, filler can accidentally be injected into a blood vessel, blocking blood flow. This can lead to skin death (necrosis) or vision problems (if injected near the eyes). Immediate medical attention is crucial.

  • Granulomas: Small bumps can form around the injection site due to the body’s reaction to the filler. These typically resolve on their own but might require treatment in some cases.

  • Scarring: Scars are uncommon but can occur, especially with deeper filler injections.

Source: Information adapted from theaestheticsociety.org