Dermal fillers are one of the most widely used treatments for restoring smoothness and facial volume. Injected by an expert healthcare professional, they fill in space and absorb water to create a smoother, fuller appearance or enhance the contours of the face.
A common complaint of ageing is the general loss of volume in the face and less ‘bouncy’ skin. As we age, our supplies of collagen and elastin decline, and the fibres themselves become weaker and less springy. The surrounding fluids that cushion and support these fibres also begin to ‘dry up’ resulting in wrinkles, ridges, and a general loss of volume in the skin. Dermal injectables can address the depressions and loss of volume associated with ageing, and is why dermal fillers are most commonly used to fill nasolabial folds, marionette lines (from the edge of the mouth to the chin), the jawline, cheeks, lips and the under eye area.
- What are dermal fillers?
- Who are dermal fillers for?
- How do dermal fillers work?
- When should I get dermal fillers?
What are dermal fillers?
Dermal fillers come in various formulations, each of which works differently in softening the lines, folds, creases and loss of volume associated with age and/or exposure to enviromental aggressors. Fillers are also effective for augmenting contours of the face; to create fuller lips, a more defined jawline or plumper cheeks, for example. The most popular fillers are derived from hyaluronic acid, a water-binding sugar that is already produced in the skin. Hyaluronic acid fillers are usually well tolerated and the effects, if undesirable, can often be reversed by injecting an enzyme called hyaluronidase, which helps to dissolve hyaluronic acid fillers. Other fillers are composed of synthetically derived substances, such as calcium-based microspheres. However, these synthetic options cannot be reversed and the effects last longer, which could be problematic if the results are unfavourable. More recently, fillers have been created using the patient’s own cells with results lasting up to two years.
Who are dermal fillers for?
Fillers are appropriate for any skin type and address a multitude of age-related concerns. They can fill in hollows under the eyes and eliminate the depressions caused by deep creases, wrinkles, or scars, as well as plump up larger areas such as the cheeks and temples.
Recently, researchers have also discovered that injectables stimulate fibroblasts to synthesise additional collagen, so doctors are now increasingly seeing younger patients who use fillers as a preventative treatment to slow ageing¹. They are also popular for augmentation and contouring (fuller lips, a wider jawline, etc). Fillers are not recommended to be used by pregnant or nursing women.
How do dermal fillers work?
A syringe needle injects a gel-like substance into the skin at various depths. A series of injections evenly disperses the filler. This filler substance fills up the area, resulting in improvements such as smoother nasolabial lines or fuller cheekbones. Although the discomfort associated with receiving dermal fillers is minimal, it is not entirely pain free.
A treatment generally begins with the application of a numbing cream. After approximately 30 minutes, the numbing cream is removed and a series of injections are administered into the target areas. Certain areas may be more sensitive during injection. For example, under eye fillers may cause more discomfort to the patient than cheek fillers.
Some soreness, bruising, and swelling may occur in the days, or even weeks, following the procedure. Many factors affect the severity of these side effects, such as the speed of the injections and the site of injection. Another factor is the material used for the filler. Fillers that provide semi-permanent results, as often seen in cheekbone fillers, are associated with more swelling and discomfort. Due to the potential side effects associated with dermal fillers, it is important that they are performed by a licensed skincare professional.
When should I get dermal fillers?
A single session of an injectable has the potential to last up to five years, depending on which kind of filler is used. Less permanent options, such as those composed of hyaluronic acid, are more quickly absorbed, usually within 6 months. This especially holds true if the filler is injected in a region with a lot of movement. Facial fillers do not increase sun sensitivity, making them a great year-round option. However, until the initial swelling has subsided, patients should avoid excessive heat exposure, including prolonged sun exposure.
It is recommended to incorporate an at-home skincare regimen after dermal fillers; always consult with your skincare professional for individual at-home advice.
This article is intended as general information only. You should seek advice from a professional before altering your diet, changing your exercise regimen or starting any new course of conduct.
How to ensure proper aftercare for dermal fillers
If you’re considering dermal fillers, you’ve probably given some thought to the best facial filler aftercare, to strengthen the skin barrier and maximise the results. If you haven’t yet, now is the time! Don’t worry, you won’t be left in the dark about what to do (and what to avoid), as after any cosmetic procedure like dermal fillers, you should receive comprehensive filler post-care instructions from your practitioner.
On the flip side, there are things you definitely should do – particularly maintaining a gentle and hydrating skincare routine post procedure. SkinCeuticals HA Intensifier Multi-Glycan is a next-generation corrective serum suitable for use on lips and use in between injectable treatments*. It leaves the skin looking plumper and more contoured, and instantly hydrated for up to 48 hours**. This fragrance free formula contains a high concentration of 1.3% pure hyaluronic acid, 12% Proxylane™, and post-biotic ferment to increase glycosaminoglycans, such as HA, preserving its levels in skin’s uppermost layers.
If you have had dermal filler in your lips, keep the area hydrated and comfortable with an emollient treatment such as SkinCeuticals Antioxidant Lip Repair. This restorative concentrate contains vitamin E and silymarin to offer comfort to damaged and ageing lips while counteracting environmental ageing signs.
Remember, the care you take post-procedure, including what to do after filler, plays a pivotal role in achieving and maintaining the desired outcome. Always adhere to your clinic's facial filler aftercare advice to ensure the longevity of your results.
What to do after filler?
Your practitioner should recommend suitable after-care post filler. However, discover some skincare specific tips below:
- Gentle Skincare Routine: Opt for gentle skin care products. Avoid exfoliants, retinols, and chemical peels until your practitioner gives the go-ahead. Instead, integrate hydrating products suitable for use post fillers* like the SkinCeuticals HA Intensifier Multi-Glycan, to support skin hydration.
- Protect Skin with Sunscreen: Apply a broad-spectrum SPF 50+ sunscreen daily to protect the treated areas from UV damage, which can degrade the filler faster.
Antioxidant Lip Repair
Emollient treatment helps smooth and refine lip surface
Hyaluronic Acid Intensifier Multi-Glycan
A hyaluronic acid volumising and plumping serum.
Aftercare is vital for maximising the benefits of dermal fillers and ensuring smooth recovery. By following these aftercare tips diligently and seeking guidance from a skincare professional, you can maintain beautiful, natural-looking fillers for longer. Discover SkinCeuticals products for post injectables care.
*To discover which SkinCeuticals cosmetic skincare product is suitable for use with your aesthetic treatment, consult your practitioner. If you are considering an aesthetic treatment, always consult a Medical Professional. Only apply on healed skin.
**Instrumental test on 25 subjects
