What is Facial Filling?
Facial filling is a treatment applied to reduce wrinkles and lines in the skin, fill in specific areas, and generally make the face look younger. A filler is injected under the skin for this procedure. Filler materials are usually made of natural or synthetic substances and often provide temporary, sometimes permanent, results.
Hyaluronic acid is one of the most commonly used substances for filling. Hyaluronic acid, naturally found in our body, is a substance that moisturizes and plumps the skin. Hyaluronic acid-based fillers can plump lips, give volume to cheeks, and cover fine lines and wrinkles around the forehead, nose, and mouth.
Calcium hydroxyapatite (such as Radiesse) is a filler substance. This can fill deeper wrinkles and lines by adding volume to the cheekbones or jawline.
Some fillers, like poly-L-lactic acid (e.g., Sculptra) or polylactone (e.g., Ellansé), can stimulate the skin to produce its collagen. These fillers typically provide longer-lasting results.
How is Facial Filling Applied?
The facial filling procedure typically involves the following steps:
Consultation: The procedure starts with a consultation with a healthcare professional. At this point, you’ll begin discussing your goals, expected results, potential risks, and treatment options.
Preparation of the Treatment Area: The treatment area is first cleaned. Sometimes an anesthetic cream or a cold compress may be applied to alleviate discomfort from injections.
Injection: The doctor then injects the filler substance under the skin using a syringe. Depending on the application area and the substance used, this might require several different injections.
Evaluation of Results: After the injections are completed, healthcare personnel evaluate the results and can add additional filler material if necessary.
Recovery: The procedure generally heals quickly. The injection site may swell or bruise, but this usually passes within a few days.
What is Facial Filling Used For?
Facial filling is a common practice in both aesthetic and dermatological treatments. The most common applications for facial fillers are:
Reducing Wrinkles: Reducing wrinkles, lines, and fillers on the face can make the skin look younger and smoother. Commonly used areas include lines around the mouth, forehead lines, and “crow’s feet” around the eyes.
Lip Plumping: Fillers are used to shape and plump the lips. This can help enlarge the natural lip volume or fill the volume that decreases with age.
Plumping Cheeks and Cheekbones: Fillers improve the overall contour of the face by making cheeks and cheekbones more plump.
Techniques are used for lines extending from the sides of the nose to the corners of the mouth (nasolabial folds) and from the corners of the mouth to the jawline (marionette lines).
Shaping the Chin and Jawline: Fillers are used to shape and plump the chin and jawline.
Improving Skin Quality: Some fillers can improve the appearance of the skin by increasing its collagen production.
What is the Age Limit for Facial Fillers?
There is no specific age limit for facial fillers. However, aesthetic filler procedures are generally not applied to those under 18 years old. As most facial fillers are intended to alleviate age-related skin changes, they are typically requested by individuals in their 20s, 30s, or older. Specific signs of aging, such as fine lines and wrinkles, volume loss in the skin, or sagging in certain areas, usually make an individual a suitable candidate for filler treatment. Most of these become apparent in the 30s and become more prominent as age advances. Nevertheless, facial fillers can also be used to address skin issues stemming from genetic or lifestyle factors. These skin concerns are typically not age-related.
What are the Types of Facial Fillers?
Facial fillers can be made from various materials and used for different purposes. Among the most popular facial filler types are:
Hyaluronic Acid Fillers: Popular because it is a substance that maintains skin moisture and provides fullness. These fillers can reduce wrinkles, fine lines, and lip volume. The effects of hyaluronic acid fillers are usually temporary, varying between six to eighteen months.
Calcium Hydroxylapatite Fillers: Used to treat skin sagging and deep wrinkles. Calcium hydroxylapatite can stimulate collagen production in the skin for a long-term effect. This type of filler typically lasts between 12 to 18 months.
Polylactic Acid Fillers: Polylactic acid fillers stimulate the skin’s own collagen production, tightening and rejuvenating it. These fillers are used to improve sagging, fine lines, and skin quality. The treatment usually lasts long and might require several sessions.
Polycaprolactone Fillers: Used to increase collagen production to tighten and rejuvenate the skin. The effects of these fillers can last for a long time and might require several sessions.
Fat Fillers: Fat from another part of the body can be used for facial filling. Fat fillers correct facial contours and volume loss in the skin. In some cases, fat fillers might need repeated sessions, but the result can be permanent.
Hyaluronic Acid Temporary Facial Fillers Facial fillers can be made from various materials and used for different purposes. Among the most popular facial filler types are:
Hyaluronic Acid Fillers: Popular because it is a substance that maintains skin moisture and provides fullness. These fillers can reduce wrinkles, fine lines, and lip volume. The effects of hyaluronic acid fillers are usually temporary, varying between six to eighteen months.
Semi-Permanent Fillers Containing Polycaprolactone Semi-permanent facial fillers contain polycaprolactone (PCL). Polycaprolactone is a polymer and is commonly referred to by its abbreviation, PCL. These fillers create a long-term effect by enhancing collagen production in the skin.
Characteristics of PCL fillers include: Long-Lasting Effect
PCL fillers generally offer more prolonged effects. They stimulate collagen production in the injected area, making the skin appear firmer and younger. This can maintain the effect for an extended period. PCL stimulates the skin’s natural collagen production. This helps the skin become more elastic and reduces wrinkles and sagging.
Volume and Fullness: PCL fillers can provide added volume and fullness in areas of volume loss. They can accentuate cheeks in areas like the jawline and cheekbones.
Permanent Effects: The effects of PCL fillers typically last for a long time. These fillers’ effects can usually last between one to two years.
Semi-Permanent Fillers with Poly-Lactic Acid One type of semi-permanent facial filler contains PLA. PLA allows the body to produce collagen in a naturally degradable manner. These fillers rejuvenate the skin, making it tighter and more voluminous.
Some features of poly-lactic acid fillers include:
Collagen Stimulation: Poly-lactic acid in the injected area stimulates the skin’s natural collagen production. By increasing collagen production, it enhances skin elasticity, fullness, and firmness. In the future, the filler may preserve the skin’s natural collagen.
Volume and Contour: Fillers with poly-lactic acid make the skin more voluminous in areas of volume loss and enhance facial contours. They can add volume to areas like the cheeks and cheekbones.
Long-Lasting Effect: Fillers with poly-lactic acid can often have prolonged effects. They are administered over several months, with results becoming evident over time as collagen production increases. Effects typically last between 1 to 2 years.
Natural and Compatible: Since it’s a substance found in the body, poly-lactic acid is usually well-tolerated and harmonizes well. Allergic reactions are rare. Fillers with poly-lactic acid are typically used for skin rejuvenation, enhancing facial features, and addressing volume loss. Permanent Facial Fillers Permanent facial fillers offer long-term results. These fillers are typically made from materials designed to be permanent.
Some permanent facial filler options include: Polymethyl Methacrylate (PMMA): Used as a permanent filler, polymethyl methacrylate is a synthetic polymer. PMMA is used to correct volume loss, scars, and deep wrinkles. This filler remains permanently in the skin and often has a long-lasting effect.
Silicone: Another substance used for permanent facial fillers is silicone. This filler is used to correct scars and deep wrinkles. Silicone has long-term benefits, but since it’s permanent, it’s challenging to reverse. While permanent facial fillers may be preferred by some for their lasting results, their permanence can make reversal challenging or require intervention. It’s essential to consider the drawbacks of permanent fillers, especially considering skin aging and individual aesthetic preferences.
Considerations Before Getting Facial Fillers
There are several things to consider before getting facial fillers: Consultation: It’s essential to discuss with healthcare providers in advance. This will help you share your desires and expectations, understand how the treatment will be applied, and learn about the results. It’s also crucial to provide information about your medical history and any allergies or medications.
Past Allergic Reactions: Due to the potential of allergic reactions to filler materials, it’s essential to inform your doctor about any previous allergic reactions or sensitivities.
Medications and Supplements: Before starting filler treatment, provide information about any medication, supplement, or herbal product you are currently taking. Some supplements or drugs can increase bleeding risk or interact with each other.
Alcohol and Tobacco: Alcohol and tobacco can hinder post-treatment healing and increase side effects. It’s essential to avoid alcoholic beverages and quit smoking during and after the treatment.
Aspirin and Blood Thinners: If you are taking blood thinners or aspirin, you should discuss this with your doctor before starting treatment. Such medications can increase bleeding risk.
Diet and Hydration: Following a healthy diet and drinking adequate water before treatment can help improve skin condition. Planning: Consider your social plans after treatment. There can often be slight swelling or bruising after fillers. Thus, planning the treatment well before any significant event or trip is essential.
Calcium Hydroxylapatite Semi-permanent Facial Fillers Semi-permanent facial fillers consist of CaHA (calcium hydroxylapatite) fillers. CaHA is a form of calcium and hydroxylapatite mineral found naturally in the body. These fillers are used to treat problems like deep wrinkles, skin sagging, and volume loss. Several properties of calcium hydroxylapatite fillers are:
Long-Lasting Effect: Compared to hyaluronic acid fillers, calcium hydroxylapatite fillers can be more effective for a longer period. Generally, they can maintain their effects for twelve to eighteen months.
Collagen Production: Calcium hydroxylapatite can help produce collagen in the injected area. This allows the skin to look tighter and younger. Collagen might continue its effect even after the filler dissolves.
More Durable: As calcium hydroxylapatite is a harder substance, it provides a more durable option for filling. This can help ensure the filler stays firm and in place.
Post-Facial Filler Precautions After a facial filler treatment, pay attention to the following:
Follow Doctor’s Instructions: It is vital to carefully adhere to the guidelines provided by your treating physician. This can include directives on when to massage the treated area, the application of cold compresses, and the use of topical creams or ointments for post-treatment care.
Avoid Touch and Pressure: Touching, rubbing, or applying pressure to the treated area can cause the filler to move or disperse. Thus, it’s crucial to avoid physical contact and stress post-treatment.
Apply Cold Compress: Swelling and bruising in the injection site can be reduced with cold compresses. Use cold compresses in the days immediately following treatment. However, ensure no excessive pressure is applied and ice doesn’t directly touch the skin.
Sun Protection: The skin in the treated area can be sensitive to the harmful ultraviolet (UV) rays of the sun. It’s essential to use a wide-brimmed hat or sunscreen to protect from the sun after treatment. Also, limit your exposure duration and intensity.
Mind Your Sleeping Position: Paying attention to your sleeping position can help reduce post-treatment swelling and bruises. Keeping your head elevated can assist in quicker subsiding of swellings.
Medication Caution: Your doctor might permit the use of painkillers or topical creams. Stay in communication with your physician about permissible medications and use them as directed.
Stay in Touch with Your Doctor: If you notice any abnormalities during recovery or have concerns, it’s essential to speak with your doctor. They might schedule post-treatment check-ups or provide a follow-up appointment.
Facial Filler Prices in 2023
Facial filler prices can be influenced by various factors. The type of filler used, size of the treatment area, number of treated areas, experience of the healthcare provider, and location can all influence cost. Thus, it’s essential to get a direct quote from a local aesthetic center.
Facial filler treatments are typically priced per milliliter (ml). Costs can vary based on geographic location, experience of the healthcare provider, and type of filler used. Always consult a local provider for actual costs, as these figures are just estimates.
Frequently Asked Questions
How long do facial fillers last?
The longevity of facial fillers depends on the type of filler and the treated area. They typically provide a temporary effect. Hyaluronic acid fillers, a common choice, usually last between 6 to 18 months. The duration can vary based on the filler’s density, injection area, and other factors. Other semi-permanent fillers, like calcium hydroxylapatite or polylactic acid, can last longer, generally from 1 to 2 years or more. Fillers like silicone or polymethyl methacrylate (PMMA) are permanent, but their removal can be challenging and may require intervention.
Which filler is the most permanent?
Filler longevity is determined by its type. While fillers like hyaluronic acid offer temporary effects, lasting typically 6 to 18 months, semi-permanent ones like polylactic acid or calcium hydroxylapatite can last a year to two or even longer. Permanent fillers, such as silicone or PMMA, stay indefinitely in the injection site and require careful consideration due to potential complications.
When are the effects of facial fillers noticeable?
The effects of facial fillers are typically immediately visible. After injection, an immediate increase in volume and fullness can be observed. However, side effects like swelling, redness, or bruising might appear in the first few days post-treatment. These effects are usually temporary and fade on their own. While the healing process can vary, improvement is typically seen within a few days. Full results might take a few days as the filler settles, and any swelling or side effects diminish.
