CHOOSE YOUR TREATMENT Dermal Fillers
Dermal fillers, as the name suggests, are literally used to fill in lines and
wrinkles.There are a number of different brands on the market, the majority of which these days are made from hyaluronic acid - a substance that is naturally produced by the body to keep skin hydrated.
What is it?
The original filler was made from collagen, derived from cows, and had a fairly major limitation in that patients needed to have a skin test four weeks before treatment - not exactly a walk-in, walk-out procedure!
So when Restylane, an HA filler, hit the market in 1996 it was pretty much an overnight success and several others have since followed
suit.The best-known of these are the Juvéderm and Belotero lines, although newcomers like Uma Jeunesse have been making waves of late.
Fillers don’t have to be made out of hyaluronic acid, however, and there are some new contenders made from different substances. Ellansé, for example is a longer-lasting filler (most have a duration of six to twelve months) that is made from polycaprolactone - a material that is used medically for things like dissolvable stitches. The vast majority of the temporary fillers on the market are bio-resorbable, which means that after a period of time the product will be broken down and re-absorbed by the body.
Most ranges have several products of varying viscosity, which can be used for different treatments - aside from wrinkle-filling, dermal fillers can be used as a non-surgical option for Lip Augmentation (p 100), as well as nose reshaping, cheek enhancement and tear trough rejuvenation - more below.
The non-surgical eye bag removal is a remarkable procedure with a real wow
factor.This 'tear trough' technique is one of the most exciting advancements of modern anti-ageing medicine and, along with the non-surgical nose shaping procedure, it is certainly among my biggest specialties. In my opinion, in 95 per cent of cases of patients presenting with lower eye bags or hollows the surgical option, blepharoplasty, is now completely unnecessary.
I employ a careful multiple puncture technique and using a meticulous approach we are able to remove the appearance of lower eyebags and hollows completely to the amazement of our patients - and with no unevenness or lumpiness as we place the filler under
84 The Cosmetic Surgery Guide Who does it?
● Plastic Surgeon ● Face Surgeon ● Eye Surgeon ● Cosmetic Doctor ● Cosmetic Dermatologist ● Cosmetic Dentist ● Cosmetic Nurse
Who is suitable?
Pretty much anyone is a candidate for dermal fillers, and according to some practitioners almost anything can be achieved with them, so it’s definitely worth having a consultation to find out what fillers can do for you.
What’s the treatment like?
A local anaesthetic cream may be applied - although some ranges, like Juvéderm, have an anaesthetic built in.
To treat wrinkles, the filler will be injected quite superficially into each individual line, and then massaged to ensure that the product is evenly dispersed, so you don’t end up with any lumps.
Cheek enhancement is usually performed using a higher viscosity filler, which is injected deeper into the dermis to create a volumising effect.
For tear trough rejuvenation - which is a relatively new treatment to deal with dark circles and fill those ageing hollows under the eyes - multiple tiny quantities of the dermal filler are injected in the under-eye area.
Dr Nick Milojevic on tear trough removal using dermal fillers the muscle and close to the bone.
This safe procedure lasts only about ten to fifiteen minutes, is relatively painless, and our patients can carry on with their lives immediately, without the long downtime and scars that the surgical alternative will always produce.
In most patients, one to two ampoules of hyaluronic dermal filler are enough for great results, and my favourite filler in this region is Restylane Perlane. Even with older patients with big puffy eye bags,we can now achieve great non-surgical results, as we have done in over 2,000 successful procedures.
www.miloclinic.com
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88 |
Page 89 |
Page 90 |
Page 91 |
Page 92 |
Page 93 |
Page 94 |
Page 95 |
Page 96 |
Page 97 |
Page 98 |
Page 99 |
Page 100 |
Page 101 |
Page 102 |
Page 103 |
Page 104 |
Page 105 |
Page 106 |
Page 107 |
Page 108 |
Page 109 |
Page 110 |
Page 111 |
Page 112 |
Page 113 |
Page 114 |
Page 115 |
Page 116 |
Page 117 |
Page 118 |
Page 119 |
Page 120 |
Page 121 |
Page 122 |
Page 123 |
Page 124 |
Page 125 |
Page 126 |
Page 127 |
Page 128 |
Page 129 |
Page 130 |
Page 131 |
Page 132 |
Page 133 |
Page 134 |
Page 135 |
Page 136 |
Page 137 |
Page 138 |
Page 139 |
Page 140 |
Page 141 |
Page 142 |
Page 143 |
Page 144 |
Page 145 |
Page 146 |
Page 147 |
Page 148 |
Page 149 |
Page 150 |
Page 151 |
Page 152 |
Page 153 |
Page 154 |
Page 155 |
Page 156 |
Page 157 |
Page 158 |
Page 159 |
Page 160 |
Page 161 |
Page 162 |
Page 163 |
Page 164 |
Page 165 |
Page 166 |
Page 167 |
Page 168 |
Page 169 |
Page 170 |
Page 171 |
Page 172 |
Page 173 |
Page 174 |
Page 175 |
Page 176 |
Page 177 |
Page 178 |
Page 179 |
Page 180 |
Page 181 |
Page 182 |
Page 183 |
Page 184 |
Page 185 |
Page 186 |
Page 187 |
Page 188 |
Page 189 |
Page 190 |
Page 191 |
Page 192 |
Page 193 |
Page 194 |
Page 195 |
Page 196 |
Page 197 |
Page 198 |
Page 199 |
Page 200 |
Page 201 |
Page 202 |
Page 203 |
Page 204 |
Page 205 |
Page 206 |
Page 207 |
Page 208 |
Page 209 |
Page 210 |
Page 211 |
Page 212 |
Page 213 |
Page 214 |
Page 215 |
Page 216 |
Page 217 |
Page 218 |
Page 219 |
Page 220 |
Page 221 |
Page 222 |
Page 223 |
Page 224 |
Page 225 |
Page 226 |
Page 227 |
Page 228