Dermal fillers are the hottest trend in the cosmetic enhancement field due to their accessibility and minimal downtime after procedure. Their ability to act as both volume enhancers and wrinkle fillers makes them a very attractive option among a range of patients. According to the American Society of Plastic Surgeons, there were nearly 2.5 million filler injections last year, making dermal fillers one of the most common cosmetic procedures. Whilst dermal fillers have been used within the cosmetic industry for over 40 years, it was the introduction of Hyaluronic acid in the 2000’s which boosted their prevalence. HA fillers are now widely used and accepted amongst celebrities and non-celebrities alike. With no sign of slowing down it seems that dermal fillers will continue to be used to enhance natural beauty and reverse the signs of ageing for years to come. With this in mind, we are giving you the low down on the hottest cosmetic treatment.


What Are Dermal Fillers and How Do They Work?

Dermal fillers consist of small amounts of gel that are injected into areas which require volume. As we age our bodies naturally stop producing collagen and elastin which contributes to an ageing appearance. The non-animal substance used within dermal fillers mimics the body’s natural collagen and works to fill in wrinkles and add volume to soft tissue. Once injected the fillers provide support and structure to the skin, creating a plumped and youthful appearance. Dermal fillers can provide a safe, long lasting look but are also easily dissolvable if you change your mind. Fillers can be administered into different parts of your face such as around the eye, cheeks, mouth, nose and jawline as well as directly into the lip tissue to create a plump pout.

Which Type of Dermal Filler Should I Choose?

There are numerous forms of dermal filler that serve a range of functions;

Hyaluronic Acid (HA), the most commonly used formula within the dermal filler world. HA is present in many hydrating serums such as Revolax, Juvederm, Restylane and Belotero. It is a naturally occurring substance that is found within the skin and supports moisture and volume. HA fillers are often mixed with lidocaine to ease any pain and discomfort after the procedure.

 Poly-L-lactic Acid acts as a collagen stimulator and is mainly used to fill out facial contours and correct deep-set wrinkles and folds. As the substance is a naturally occurring nontoxic monomer (lactic acid) it is highly biocompatible and biodegradable. This type of filler can last up to two years.

Calcium Hydroxylapatite or Radiesse, is made from Calcium Microspheres a natural substance found in our bones. This type of filler can add volume to the cheeks, chin and nose. This filler can last up to 12 months.


Cross linked vs Non-Cross linked?

When exploring the world of dermal fillers, you may come across several confusing phrases, one such phrase being “cross linked”. Hyaluronic Acid in its natural form is broken down at a rapid speed, in order to slow down the decay process it must be transformed into a thicker gel. By cross-linking polymer chains the product becomes thicker and more difficult to breakdown when injected into the body. Products that have been cross-linked can produce longer lasting results that breakdown slowly over time creating a natural finish.


Different Viscosities Produce Different Results

The viscosity of a dermal filler refers to the thickness of the gel formula, different viscosities produce different results. Many dermal filler brands have a range of products with varying viscosity in order to achieve the best result in different areas of the skin. The viscosity used is dependent on the areas of treatment and depth of the wrinkles. Market leading dermal filler, REVOLAX’s range consists of 3 viscosities. REVOLAX Fine, the thinnest formula is used for superficial wrinkles and can be used in more delicate areas of the skin, whilst REVOLAX Deep offers a thicker formula and can be used to treat persistent wrinkles and also to contour the lips. Finally, REVOLAX Sub-Q, is the highest viscosity and smooths severe wrinkles and even contours the nose, chin and jawline. Other dermal filler products also offer a range of viscosity’s designed for one or more areas of the face or body such as Juvederm’s Ultra range.

Can Dermal Fillers Be Dissolved?

Hyaluronic acid dermal fillers such as Revolax, Juvederm, Teosyal and Belotero can be dissolved using an enzyme called Hyaluronidase. The naturally occurring enzyme is injected at a high concentration in order to dissolve the unwanted filler.

Dermal Fillers: Not Just for The Face

Whilst the reputation of pout plumping and smoothing wrinkles precedes dermal fillers, they are not just for use on the face. Dermal fillers can also be used to rejuvenate your neck, hands and décolleté. Brands such as Restylane, FillMED and Aquashine have products that offer mesotherapy treatment which uses vitamins and minerals to rejuvenate the face as well as other areas of the body. Further to this, dermal fillers can also be used to enhance natural curves. Products such as HYAcorp MLF1 & 2 use highly cross-linked HA filler to enhance areas such as buttocks and can last up to 8 months.

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