Choosing Your Cosmetic Injectable Dermal Filler
There is a very wide range of cosmetic injectable fillers in the world. They provide a quick and relatively inexpensive way of removing wrinkles and folds in the skin, especially of the face. They range from hyaluronic acid types (some lasting up to three months, others up to a year, such as Juvaderm or Juvederm), collagen types (human or beef derived), types designed to last longer (and so are considered semi-permanent or permanent) such as polymethylmethacrylate and polyacrylamide gels, cadaver-derived bio-implants (such as alloderm), or your own body fat.
What does a doctor look for when deciding on choice of fillers?
-Whether the filler lasts a short time or longer
-whether there are side effects
-whether there are allergy reactions
-whether the filler result looks and feels natural
-whether the filler is easy to inject
Your doctor will be in the best position to advise you regarding the filler he uses, and whether it is appropriate for the desired effect. A point to note is that it is very difficult, if not impossible, to manually remove the filler after injection. Sometimes, no matter how good or pleasing the result of the injection, you may change your mind after the injection of the filler, and may request the doctor for a change. It is in anticipation of situations like this that sometimes influence the doctor to inject a type of filler that does not last too long in your body, and is reabsorbed within a few months, so that your face/shape/wrinkles returns to square one for your next foray into making yourself look better.
Certain other considerations have to be looked at in the choice of fillers. Is it natural or biodegradable in the body? Does the body react to it? Are there side effects that may come on such as formation of inflamed bumps or allergic reactions to the filler? The longer-lasting non-hyaluronic acid based fillers, or the collagen-based fillers, may have a higher chance of causing inflammatory granulomas, or allergic reactions. Hyaluronic acid is a naturally occurring substance in the body, so the chances of the body reacting to it is very rare. Injectable hyaluronic acid fillers come in two forms, the non cross-linked variety which can last 1 - 3 months, and the cross-linked variety such as Juvaderm (or more correctly,Juvederm by Allergan) which is formulated to last up to 1 year, and is FDA-approved.
Your Own Fat: In theory, a very ideal source of filler material. After all, it is your own, and there definitely is no problem of allergy. However the problems anticipated are
1. whether you have spare fat,
2. whether the process of fat suction/removal to get fat cells for processing before injection is associated with the dangers of liposuction such as bleeding, pain, embolism, and distortion of body structure,
3. whether the achieved state of correction of your wrinkles or folds will stay long, and
4. whether the certain reabsorption of fat in your received area is going to be smooth or will it leave irregular lumpy leftovers.
See your doctor before you make any decision. He will be able to advise you as to the best course of action, whether you should use a particular brand such as Juvaderm for your naso-labial folds, or otherwise.
Filed Under filler types |
Tagged With choosing your filler, collagen, fat, hyaluronic acid filler, Juvaderm, polymethylmethacrylate
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