Dermal Fillers – Restylane, Aquamid, Juvederm

Dermal fillers are frequently used in our practice for volume restoration for face. They are used to fill out the lips, and are also highly successful in reducing crows’ feet, wrinkles around the lips, nose and mouth, and lines on the cheeks and forehead. They can also plump out hollow cheeks, reshape the chin or nose bridge and tip, or fill acne scars. They are injected through a fine needle and during the procedure, you can decide together with Dr Chan, in front of the mirror, what the final cosmetic result should be. The fillers we use are either FDA-approved or are CE-marked.

Pre procedure Information

How Long Does It Last?

Durability of results depends on brand and type of filler chosen. A rough guide is as follows:

Hyaluronic Acid Filler (Restylane and Juvederm) – 6 to 15 months

Hydrophilic polyacrylamide gel (Aquamid) – 5 to 10 years

Duration also depends on many factors, such as skin type, lifestyle, age, the degree of perfection demanded by the patient and the injection technique of the practitioner.

Procedures for face like nose and lip augmentation etc.  take about 15 to 20 minutes.

Am I suitable

During the consultation, the doctor will assess you for suitability for the treatment and make his recommendations.

How long will I need to take off work

This procedure is classed an in-office procedure with no downtime. Patients can return to normally scheduled activities immediately.

Will I need Someone to Arrange accompanied Transport home

Not generally necessary.

About The Procedure

After discussion with Dr Chan about the areas to be augmented and what we are trying to achieve in terms of results, the area will be cleaned, prepped and numbed with local anesthesia if necessary or iced to reduce sensation if the treatment area is small. The filler of choice will be injected and molded by Dr Chan. The results are visible, with the full effect showing once any swelling and bruising has subsided. For the one-year filler, repeat treatments may be needed every six to nine months to maintain the appearance.

About the products

· Aquamid (CE Marked)

AQUAMID (polyacrylamide) is a hydrogel, making it a dynamic implant with a constant exchange of water molecules between the gel and surrounding tissue. It is non-immunogenic, non-allergenic, atoxic, biocompatible, long-lasting, immediate in effect and simple to use. AQUAMID is a semi-permanent filler.

· Juvéderm (FDA Approved)

Juvéderm® is a brand of smooth consistency gel made of hyaluronic acid—a naturally occurring substance in your skin that helps to add volume and hydration. It is HA filler approved by the FDA to last up to one year or longer. Like for most filler brands, there is a wide range of different products under the Juvederm label that have different textures, HA concentrations and viscosities designed to augmenting different areas of the face. We carry JUVÉDERM Voluma XC, JUVÉDERM™ Ultra Plus XC, JUVÉDERM™ Ultra XC, JUVÉDERM™ Refine , NEW JUVÉDERM™ VOLIFT® with Lidocaine, NEW JUVÉDERM™ Volbella with Lidocaine

· Restylane (FDA Approved)

Restylane (hyaluronic acid), a soft tissue filler approved by the FDA to treat facial wrinkles. Restylane is an injectable gel that acts as a filler to remove the wrinkle.

Post Procedure & Recovery

There may be slight bleeding where the needle was inserted, plus on occasion, mild bruising or redness which will disappear in a few hours or days. For facial fillers, a review and a top-up session will be booked one week later to ensure beautiful, balanced results.

Will There be Any Pain/Discomfort?

For facial augmentation procedures, discomfort is very slight and can be limited with numbing of the treatment site with the application of an ice pack (which will also limit bruising) or a numbing injection or cream.

What Activities am I allowed To do

You can return to your normally scheduled activities immediately after the procedure.

What should I avoid

For all filler procedures, please avoid taking any blood thinners or medications like aspirin which can heighten the chance of bruising a week before and after the procedure. Avoid swimming for 1 to 2 days after the procedure.

Potential risk and complications

Bruising

Bruising is normal as with any type of injection, but not all that common given that there is an entire network of blood vessels underlying the skin on your face. Should any bruising occur, it is likely to resolve within a couple of days.

Numbness

Prolonged feelings of numbness are unusual unless a local anesthetic has been used. In the latter case, the numbness should fade within a day or two.

Additional FAQ

FAQ1 will the filler migrate from the injection site?

Answer 1 Migration of filler from injection site is rare and unlikely if care is taken not to massage or squeeze the treated areas within the first week of the procedure.