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What Are Dermal Fillers
Dermal fillers, sometimes called soft tissue fillers, are substances designed to be injected beneath the surface of the skin to add volume and fullness.
Substances used in dermal fillers include:
- Calcium hydroxylapatite, which is a mineral-like compound found in bones.
- Hyaluronic acid, which is found in some fluids and tissues in the body that add plumpness to the skin.
- Polyalkylimide, a transparent gel that is compatible with the body.
- Polylactic acid, which stimulates the skin to make more collagen.
- Polymethyl-methacrylate microspheres (PMMA), a semi-permanent filler
Each one of these is designed to treat different signs of aging or other cosmetic issues.
The time they take to work, as well as how long they last, also vary. Some fillers last 6 months, while others last up to 2 years or longer.
People should discuss their individual needs and expectations with their doctor to determine what filler would be the best choice for them.
Differences Between Botox And Dermal FIllers
In summary, the differences between Botox and fillers are:
- Botox: This freezes muscles to stop creases and wrinkles caused by facial expressions. These are typically found in the upper face, such as the forehead and around the eyes.
- Dermal fillers: These use hyaluronic acid and similar substances to “fill in” or plump areas that have lost volume and smoothness. This includes wrinkles around the mouth, thin lips, and cheeks that have lost fullness. They may also be used on forehead wrinkles, scars, and other areas that need extra volume for a smoother look.
- Botox results last 3 to 4 months. Dermal filler results vary, depending on which filler is used.
Because Botox and fillers are different substances designed for different uses, they can sometimes be combined in one treatment. For instance, someone may use Botox to correct lines between the eyes and a filler to correct smile lines around the mouth.
Precautions For Using Dermal Fillers
It probably goes without saying, but safety should be your top priority when considering any medical procedure. Dr. Kim says visiting a board-certified dermatologist or a board-certified plastic surgeon is one way to ensure that your physician is experienced. This extra certification step shows that the doctor completed additional training in their particular specialty. (You can find a board-certified specialist by visiting The American Board of Plastic Surgery or the American Academy of Dermatology websites.) Even though dermal fillers are available at medical spas, you should see only licensed and trained physicians for any injectable treatment. There are risks for issues like infection, discoloration, and lumps if injections are done incorrectly.
Given that this is a cosmetic procedure, you understandably want to be satisfied with the results. One way to find a doctor whose work you like is by asking friends who have had this done for their recommendations. “People are starting to be more open about injectables,” Ava Shamban, M.D., a board-certified dermatologist in Los Angeles, tells SELF.
Side Effects Of Fillers
Even non-surgical procedures have their risks. The most common side effects include bruising, redness, pain, or swelling, all of which should go away within two weeks, according to the FDA. Less frequently, people might get raised bumps under their skin that need to be treated with injections, medications, or even surgically removed, according to the FDA.
Although this is rare, filler can accidentally be injected into a blood vessel and lead to blurred vision or permanent blindness. You should call your doctor or the emergency room if your skin turns blue and you’re in a lot of pain—these are two possible signs that filler is in your bloodstream. Again, this is why you want to see an experienced doctor who is skilled in performing the procedure.
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