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Dermal Fillers – The Truth

Posted Dec 18 2009 12:00am

Questions regarding early interventions to ward off aging are common here at the blog. One of the most common considerations is that of dermal fillers. The market in fillers has exploded over the last 10-15 years. They are being marketing heavily and looked at with more interest in this down economy.

The concept of fillers is simple: plump up tissue that seems too small or saggy. This works to an extent although we have all seen the results when maybe too much has been used…the dreaded trout pout. In reality many early lip injections (even well done ones) look kinda large until they settle down that is unless they are planned in stages to be more discreet.

There are several categories of fillers. The safest also lasts the least amount of time, the hyaluronic acid fillers. These include Hylaform, Captique, Restylane, Perlane, Prevelle and Juvederm. They can be used in most areas and when used properly have a low chance of forming lumps or bumps. Perlane, Prevelle and Juvederm are “cross linked” to last a little longer, but the longevity here is in the 4-6 month range.

Some newer semi-permanent fillers have been introduced that can last up to a year. Radiesse is one such filler with some limitations. It is more likely to form lumps and bumps and is better injected in sessions with small amounts added each time. It is best used in thicker tissues such as the chin and the laugh lines to decrease the chance of lumpiness.

The permanent fillers are not safe. Stay the hell away from them! Silicone injections can be a nightmare in many cases as we have described it before. Checks posts here tagged “Injection Hell” to read more about this if you wish.

The bottom line on fillers is take it easy on the amount and go to a reputable injector to make the experience as safe as it can be.

Best Regards,

John Di Saia MD

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