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DERMAL FILLERS

The vast array of facial filler options available today can be confusing and the guidance of a Consultant Plastic Surgeon is invaluable when deciding on the treatment best suited to your particular case. Facial fillers may be temporary or permanent, may be natural or synthetic, may be made from collagen or hyaluronic acid or other materials, may be available in different particle sizes, may be stand-alone treatments or combined with anti-wrinkle injections like Botox or performed as a compliment to surgery. Plus there are many formats and brands available.
dermal fillers
facial fillers

How do dermal fillers work?

Fillers act as padding under the skin to fill out lines and hollows. Typically, fillers are used to reduce wrinkle depth rather than to eradicate them completely. They are injected using fine needles to strategic point on the face to plump and smooth the skin and the results are immediate.

Where are dermal fillers typically used?

  • Lips
  • Smoker’s lines (upper lip)
  • Nose-to-lip lines
  • Secondary smile lines on the cheek
  • Corners fo the mouth where they droop down
  • Frown lines and forehead
  • Crow’s feet
  • Depressed scars
  • Hollow cheeks
  • Lost volume in cheeks

Fillers are also sometimes used to improve the appearance and contour of the nose or the chin, for example. Beyond the face, similar products may also be used to treat the back of the hands to restore volume.

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Various products

There are many different products on the market. Some information is provided below about the individual products but your surgeon will help you find the right treatment for you.


JUVÉDERM VOLBELLA®
This is a new product developed especially for the lips and this is extra long-lasting. It is a completely new type of filler that will give a soft and natural look and will last up to 12 months. Volabella is using the VYCROSS™- technology, which will give a product that is soft and smooth and makes the effect last for up to 12 months.

JUVÉDERM ULTRA
All faces are individual, with different needs and with different expected results. For this reason there are different versions of ULTRA.

JUVÉDERM VOLUMA
This hyaluronic acid filler gives volume that can correct volume loss and contour defects of the face. Voluma will restore volume in chin, cheeks and cheek bone, if it has become thin or loose due to weight loss as a result of aging skin.

JUVÉDERM HYDRATE
This product maintains the moisture in the skin and helps make it smooth, soft and elastic. When the hyaluronic acid content of the skin is restored, the skin regains its natural shine and luster. In comparison with other products, HYDRATE also contains mannitol, which has an antioxidant effect. The antioxidants prevent free radicals in the skin which may breakdown the hyaloronic acid. It is the addition of mannitol that results in HYDRATE having a prolonged effect.

JUVÉDERM ULTRA SMILE
This product was developed to be even smoother than other fillers with hyaloronic acid. Its smooth consistency makes it easy to inject, and results in an even result with a natural feeling and appearance.

 

Restylane Lip volume and Restylane Lip refresh

These are espescially developed to shape and augment lips and are specially adapted to match the sensitive tissue in the lips.

Lip Volume – suitable if you wish to give your lips volume.

Lip Refresh – ideal if you wish to rejuvinate and restore the moisture in your lips.

The lip products contains lidocaine (local anaesthetic) to reduce pain from the injections.

Restylane Skinboosters (Vital and Vital Light)
This series of products aims to rejuvenate the skin with improved elasticity and structure and will give the skin a healthy glow. The skinboosters rejuvenates your skin in a natural way, smoothing out the skin from the deeper tissues outwards. These products can be used to rejuvenate skin on the face, neck, decolletage as well as the back of your hands.

Restylane Perlane
This is a product that removes wrinkles and skin creases between the eyebrows, between the nose and mouth as well as marionette lines, or laughing wrinkles. We also use this product to treat scars, acne-scars, to shape the nose, for facial contouring and to enlarge lips.

Restylane SubQ
This product can help restore lost volume in the face in a natural way. Carefully added volume in cheeks and chin, SubQ will mark these area and the appearance will be more distict and youthful.

We do not recommend products that are non-absorbable, i e not taken up by the body, which leave a permanent result. The reason is that we try to avoid situation where injected material has to be removed, which would leave unwanted scars.

Does it hurt?

It can be uncomfortable to have fillers injected though it is not generally very painful. Some fillers contain an anaesthetic ingredient, and in some cases the Consultant Plastic Surgeon may use a topical anaesthetic to numb the area. There can be some swelling or redness for a day or two after treatment.

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How long will it last?

This will depend on a number of factors, not least the type of filler used. Hyaluronic acid fillers can last up to a year or more but it varies from person to person and from one area of the face to another. It can also be affected by genetics, age, skin type, lifestyle, muscle activity and the injection technique used. It's important to follow the advice of your Consultant Plastic Surgeon in order to maximize the effects of your treatment.

 To avoid bruising it is recommended that you avoid certain medications 2 weeks before your treatment; acetylsalicylic acid (Aspirin) and non-steroidal anti-inflammatories, NSAID (Nurofen, Ibuprufen, Ponstan, Difene, Naproxen etc). It is also good to avoid Omega 3 and 6, and Vitamin E in supplement or herbal remedies.

You may also like to read more about our unique SoftLift technique, which uses a combination of fillers and other non-invasive treatments to achieve a non-surgical anti-aging effects.

For a surgical alternative, please read more about fat grafting.

What does it cost?

The overall cost of a fillers depends on who much of the product is needed to achieve a good result. You can read more about our prices for different procedures and treatments here. See prices for fillers If you would like to discuss dermal filler treatments in further detail with our Consultant Plastic Surgeon, please call 01 491 5738, email info@aestheticinstitute.ie, or fill in one of our contact forms to arrange an appointment.