A popular method to reduce the appearance wrinkles is to fill them with materials that are injected under the wrinkle. This treatment is suitable for gravitational wrinkles and is not suitable for expression lines.
The fillers differ from each other by viscosity, length of time they remain effective in the skin and the risks associated. Materials that remain forever as a silicone skin can cause permanent side effects and therefore are seldom used. Serious doctors prefer today the use of substances that have temporary action and side effects .
What are the wrinkle fillers?
Restylane is an example of a filler made off hyaluronic acid. This acid exists naturally in our bodies and is a natural part of our skin connective tissue. The one used for injection is synthesized in the laboratory using genetic engineering. Restylane is transparent gel. There are several types with different sizes of particles in the gel. Larger particles are more suitable for large and deep wrinkles while preparations with smaller particles suitable for injection of smaller wrinkles.
How long is the procedure?
Injection duration is approximately 30 minutes. Since the material is not produced from animals there is no need for a Test before the injection.
Does it hurt?
Without anesthesia - For most patients the pain is significant. Pain can be relieved by a lidocaine injection or a topical anesthetic cream applied 30-40 minutes before the procedure.
What will I see after the injection?
Immediately after treatment there is little swelling and redness in the injection. Day or two after the injection the swelling decreases. Lips can be asymmetric about a week.
What should I do after the filler injection?
In the first 48 hours – massage or touching the injected is forbidden. In the case of the lips – not to bite them at least two days. In addition you should avoid heat (like a sauna) or extreme cold exposure.
How to behave before treatment?
To avoid bruising in the injection, you should a week before treatment, avoid taking aspirin or any anti clotting drug, medications for pain, or supplements containing vitamin E.
What treatments can be combined with wrinkle fillers?
There is frequently a need to combine fuller injections with Botox or Dysport. Botox / Dysport are more suitable to expression lines in the upper part of the face while filler injections are more suitable to gravitational lines in the lower part f the f ace.
Fillers and Botox (Dysport) may be combined with skin tightening lasers/RF devices that allows renewal of the natural collagen , reduction of wrinkles and lifting of lower parts of the face and neck. Fractional skin resurfacing will further improve skin textures and reduce fine wrinkles.
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