Fillers replace lost volume and restore the harmony of the face. They are used primarily to rebalance the weight distribution of the face thereby regaining a youthful, heart-shaped face.
Only when facial balance has been restored can fillers be used to deal with specific features such as the lips or the tear trough.
Hyaluronic acid (HA) has been used safely as a filler for over twenty years. Hyaluronic acid is the natural hydrating agent of the skin and deeper layers; it is a large sugar molecule found in high concentrations in the skin, the joints and the eye. It is a clear colourless gel. Fillers are made in highly sophisticated, sterile laboratories and are subject to rigorous controls. Hyaluronic acid is broken down by enzymes found in the body known as hyaluronidases. HA fillers can be long-lasting but not permanent.
HA fillers can be engineered to suit every area of the face; strong, supporting for deeper areas; flexible and fine for mobile areas such as the mouth, soft and gentle for the tear trough. Even the skin has its own filler.
Filler safety has improved dramatically due to the introduction of the cannula, a needle with a blunt tip. This is gently introduced into the areas of the face to provide volume and enhancement in the knowledge that no important structures can be broken, entered or severed, thanks to the blunt tip.
At Bijoux we use fillers with a long safety history; Juvederm, Belotero, Restylane.
In general fillers last between 6 – 12 months depending on the quality of the tissues to be treated. Results are immediate although they can be a bit puffy for a few days.
HA is a natural antioxidant and has many interesting actions in the skin. For us its ability to stimulate new collagen is a positive benefit and explains why fillers can have longer lasting effects than we expect. Whilst a minimally invasive procedure, the traumatising effect on the tissues can also stimulate new collagen and tissue tightening due to the natural healing response brought about by the release of growth factors by the procedure itself.
Fillers can be used for the following areas:
- Sides of face
- Tear trough
- Nose to mouth area
- Lipstick lines
- Marionette lines
Sculptra is made from poly-L lactic acid and stimulates the production of collagen. Once injected it adds to and replaces lost volume. Whilst the results of HA fillers are immediate, results from Sculptra take about 4 – 6 weeks to show as the collagen is created over this time. Gradually the face softens, fills out and lifts. Nobody really notices but you just look fresher, younger and brighter. Several treatments are required over a period of time. As a rough guide one vial per decade is recommended. The results from Sculptra can last up to four years.
Sculptra is also injected using a cannula. The area treated must be massaged for a week following the treatment and can be a bit more tender that a HA filler. Although the treatment protocols have become more sophisticated and scientific, there remains a very small risk of lumps.