Dermal fillers: Complete guide to filling to rejuvenate your face

Are dermal fillers the miracle solution to rejuvenate and enhance your face? You may be wondering what a dermal filler is and how it can transform your appearance.

This comprehensive guide will answer all your questions and provide you with detailed information on applications, benefits, risks, and much more.

Get ready to discover everything you need to know to make an informed decision and achieve natural and lasting results.

What is a dermal filler?

A dermal filler is an injectable product used to fill wrinkles, restore volume, and improve skin texture.

The principle of action is based on the injection of specific substances under the skin to fill in hollows and wrinkles, or to increase the volume of certain areas of the face.

Fillers work by filling the spaces between skin cells, which helps to smooth out wrinkles and restore volume to hollow areas.

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They can also stimulate the production of collagen and elastin, thereby improving the quality of the skin.

Types of fillers

Superficial fillers

Superficial fillers are used to treat fine lines and wrinkles. They are typically injected into the superficial layer of the skin, known as the papillary dermis.

These fillers are often composed of hyaluronic acid, a substance naturally present in the human body. Hyaluronic acid has the ability to retain water, which helps to fill in wrinkles and hydrate the skin.

Superficial fillers are particularly effective for treating wrinkles around the eyes, forehead wrinkles, and wrinkles around the mouth.

Deep fillers

Deep fillers are used to treat deeper wrinkles and volume loss. They are injected into the deeper layers of the skin, known as the reticular dermis and hypodermis. These fillers are often composed of hyaluronic acid or calcium hydroxyapatite, a synthetic substance that stimulates collagen production. Deep fillers are particularly effective for treating nasolabial folds (the lines that run from the nose to the corners of the mouth), frown lines (the vertical lines between the eyebrows), and marionette lines (the folds that run from the corners of the mouth to the chin).

Biological fillers

Biological fillers are composed of natural or synthetic substances that stimulate the production of collagen and elastin, thereby improving skin quality. These fillers are often used to treat wrinkles and fine lines, as well as to enhance skin texture. Biological fillers may consist of polylactic acid, a synthetic substance that stimulates collagen production, or calcium hydroxyapatite, a natural substance that stimulates the production of collagen and elastin. Biological fillers are particularly effective for treating wrinkles and fine lines, as well as for improving skin texture.

Composition of fillers

Applications of fillers in aesthetic medicine

Treated areas of the face

Dermal fillers can be used to treat various areas of the face, including frown lines, nasolabial folds, cheekbones, lips, and chin. Fillers can also be used to address dark circles, forehead wrinkles, and wrinkles around the mouth. Fillers are particularly effective for filling in wrinkles and fine lines, as well as restoring lost volume. They can also be used to improve skin texture and to restore volume to hollow areas.

Body Treatments

Fillers can also be used to treat certain areas of the body, such as the hands, buttocks, and breasts. Hand fillers are often used to fill in hollows and wrinkles, as well as to improve skin texture. Buttock fillers are used to increase volume and enhance the shape of the buttocks. Breast fillers are used to increase volume and improve the shape of the breasts. Body fillers are particularly effective for filling in wrinkles and fine lines, as well as restoring lost volume.

Expected results

The results of dermal fillers are generally immediate and can last from several months to several years, depending on the type of filler used. Hyaluronic acid-based fillers provide immediate results and can last from 6 to 12 months. Calcium hydroxyapatite-based fillers offer immediate results and can last from 12 to 18 months. Poly-L-lactic acid-based fillers provide gradual results and can last from 18 to 24 months. The results of dermal fillers depend on several factors, including the type of filler used, the area treated, and the individual characteristics of the patient.

Filler injection procedure

Preparation

Before the injection, a consultation with a practitioner is necessary to assess the patient's needs and expectations. The practitioner will examine the patient's skin and discuss the expected results and potential risks. Local anesthesia may be applied to reduce discomfort. The practitioner will also clean the area to be treated to prevent infections. It is important to discuss all medications and supplements that the patient is taking, as some may increase the risk of bleeding or bruising.

Injection technique

The injection technique depends on the area to be treated and the type of filler used. The practitioner injects the product using a fine needle or a cannula. Needles are often used for superficial injections, while cannulas are commonly used for deep injections. Cannulas are thin and flexible tubes that help minimize side effects and improve results. The practitioner will inject the filler in small amounts to achieve natural and harmonious results. It is important to follow the practitioner's instructions after the injection to minimize side effects and maximize results.

Duration and frequency of sessions

The duration of the session varies depending on the area to be treated and the number of injections required. Sessions can last from 15 minutes to one hour. The frequency of sessions depends on the desired results and the longevity of the filler. Hyaluronic acid-based fillers generally require touch-up sessions every 6 to 12 months. Calcium hydroxyapatite-based fillers typically require touch-up sessions every 12 to 18 months. Poly-L-lactic acid-based fillers usually necessitate touch-up sessions every 18 to 24 months. It is important to discuss with the practitioner the expected results and the frequency of sessions to achieve optimal outcomes.

Advantages and disadvantages of fillers

Aesthetic benefits

Dermal fillers offer numerous aesthetic benefits, including:

• Filling of wrinkles and fine lines: Fillers can fill in wrinkles and fine lines, smoothing the skin and reducing signs of aging.
• Restoration of lost volumes: Fillers can restore lost volumes, thereby giving volume back to hollow areas and improving the shape of the face.
• Improvement of skin texture: Fillers can enhance the texture of the skin, making it smoother and firmer.
• Immediate and lasting results: The results of dermal fillers are generally immediate and can last from several months to several years, depending on the type of filler used.

Potential side effects

The potential side effects of dermal fillers include:

• Redness: Redness may occur after the injection and usually disappears within a few hours.
• Swelling: Swellings may occur after the injection and usually disappear within a few days.
• Ecchymoses: Bruises may appear after the injection and usually disappear within a few days.
• Infections: Infections are rare but can occur if the area to be treated is not properly cleaned before the injection.
• Allergic reactions: Allergic reactions are rare but can occur if the patient is allergic to one of the components of the filler.

Contraindications

Dermal fillers are contraindicated in individuals with a history of allergic reactions to the components of the fillers, as well as in pregnant or breastfeeding women. Dermal fillers are also contraindicated in individuals with active infections or autoimmune diseases. It is important to discuss contraindications and potential risks with the practitioner before proceeding with the injection.

Choose your practitioner

Required qualifications

It is essential to choose a qualified and experienced practitioner to ensure optimal results and minimize risks. The required qualifications include training in aesthetic medicine and practical experience. Practitioners must also be registered with the relevant authorities and undergo continuing education to stay updated with the latest techniques and innovations. It is important to verify the qualifications and experience of the practitioner before proceeding with the injection.

Questions to ask during the consultation

During the consultation, it is important to ask questions about:

• The qualifications and experience of the practitioner: Ask the practitioner about their qualifications and experience in aesthetic medicine.
• The types of fillers used: Ask the practitioner what types of fillers they use and why.
• The expected results and the duration of effects: Ask the practitioner what the expected results are and how long they will last.
• The potential side effects and contraindications: Ask the practitioner what the potential side effects and contraindications of dermal fillers are.
• Post-injection instructions: Ask the practitioner what instructions to follow after the injection to minimize side effects and maximize results.

Cost and duration of results

Average prices of dermal fillers in France

The prices of dermal filler injections vary depending on several factors, including the area treated, the type of product used, and the amount injected. Here is an overview of the average rates observed:

These rates are indicative and may vary depending on the practitioners and clinics. It is recommended to consult several professionals to obtain accurate quotes and compare offers.

Longevity of effects

The longevity of the effects of dermal fillers varies depending on the type of filler used and the area treated. In general, results can last from 6 months to 2 years.

Hyaluronic acid-based fillers provide immediate results and can last from 6 to 12 months.

Calcium hydroxyapatite-based fillers provide immediate results and can last from 12 to 18 months.

Polylactic acid-based fillers provide gradual results and can last from 18 to 24 months.

The results of dermal fillers depend on several factors, including the type of filler used, the area treated, and the individual characteristics of the patient.

Alternatives to dermal fillers

Non-invasive treatments

Non-invasive alternatives to dermal fillers include botulinum toxin injections, chemical peels, and laser treatments.

Botulinum toxin injections are used to treat dynamic wrinkles, such as forehead lines and crow's feet.

Chemical peels are used to exfoliate the skin and improve skin texture. Laser treatments are used to stimulate collagen production and enhance skin texture.

These non-invasive treatments offer temporary results and require follow-up sessions to maintain the results.

Surgical interventions

Surgical interventions, such as facelift or blepharoplasty, can also be considered for more lasting results.

Facial lifting is a surgical procedure that allows for the removal of excess skin and fat, as well as tightening the facial muscles.

Blepharoplasty is a surgical procedure that removes excess skin and fat from the eyelids.

These surgical interventions offer lasting results but require a longer recovery period and carry higher risks.

Trends and innovations in the field of fillers

New dermal filler products

Hybrid fillers combining multiple components

• HArmonyCa: This innovative product combines hyaluronic acid and calcium hydroxyapatite. It offers a non-surgical lifting effect by tightening the skin and improving its quality, without adding excessive volume. HArmonyCa stimulates collagen production through its microspheres of calcium hydroxyapatite, while hydrating the skin with hyaluronic acid.

New generation hyaluronic acid fillers

• Profhilo: This innovative treatment is distinguished by its high concentration of low molecular weight hyaluronic acid. It primarily acts as a moisturizing agent rather than a traditional volumizing product, providing deep hydration and a radiant glow to the skin.

Fillers based on new technologies

• Fillers based on the IPN (Interpenetrating Polymer Network) concept: This new generation of hyaluronic acid utilizes a polymer interlacing technique without a crosslinking agent. This technology promises qualities at least equal to those of existing products, with the advantage of a non-toxic approach.

These new products aim to provide more natural and long-lasting results, with better tolerance and a reduction in side effects. They represent the latest advancements in the field of dermal fillers, addressing the growing demand for non-invasive and effective aesthetic treatments.

Advanced techniques

Advanced injection techniques, such as the use of cannulas instead of needles, help to minimize side effects and improve outcomes. Cannulas are thin, flexible tubes that allow for reduced side effects and enhanced results. Advanced injection techniques also include the use of micro-cannulas, which are even thinner and more flexible cannulas, and the use of micro-injection techniques, which further minimize side effects and enhance results. These advanced injection techniques provide more natural and long-lasting results, as well as better tolerance and a reduction in side effects.

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