SKIN CARE CENTER
DR. AJAY MODI      MD (SKIN & VD), DVD, FAAD (USA)

Fillers :


Hyaluronic acid is a very safe injectable material that is used to restore structure and volume to the skin. Deep frown lines around the mouth, laugh lines, sunken cheeks, wrinkles and folds on the face are wiped out by injecting fillers. Fillers are also used for augmentation of the nose, brow, chin, neck, and lips.


Pre- and post-procedure instructions :


  Avoid taking Aspirin / Ecosprin / Disprin, or any other pain killer; Vitamin E and other blood thinning drugs at least 5 days prior to the treatment. This is important to avoid any oozing from the area.
  Do not take steam or sauna for 7 days after the procedure.
  Do not massage the treated area for 1 week.
  Avoid exercising or lifting heavy weights for a day.
  Avoid threading / waxing / bleaching (parlour activities) for 15 days.
  If lips are injected, do not kiss for 24 hours.


Post-procedure symptoms :


Slight bruising might occur at the injected areas, but it disappears within 3–5 days.


What are cosmetic fillers?


Fillers are flexible substances that can be injected into the skin to improve the appearance of fine lines and wrinkles, plump lips, fill hollow cheeks, repair various facial imperfections, improve scars, and elevate deep folds.Most of them have FDA approval for correction of moderate to severe facial wrinkles and folds, and correction of soft tissue contour deficiencies such as acne scars.


What can soft tissue fillers do?


The aging process generally causes a loss of volume as the underlying collagen, hyaluronic acid, and elastin fibers begin to deteriorate and fat stores in the face decrease. This most commonly occurs around the eyes, mouth, cheeks, jaw line, brow, and bridge of the nose, producing crow's feet, laugh lines, folds and furrows on the forehead, and "hills and valleys" on the lower third of the face. Soft tissue fillers have the unique ability to fill and contour these changes.

Fillers can be placed into the lips to create a fuller, more youthful look, or in the hollows of the cheeks to reduce a gaunt appearance. Facial scarring from acne or injury also responds well to soft tissue filler techniques.


What are the ABC's of fillers?


Dermatologists have developed a variety of filler substances to address a wide range of cosmetic flaws and other needs of the individual patient. Each filler brings subtle, distinctive benefits. Sometimes more than one filler may be used to achieve the best results. Some fillers provide longer-lasting results; others allow for more precision with fine lines, and still others can gradually bring the face into better balance, creating an overall rejuvenated appearance.

Filling substances commonly used by dermatologists are :
  Collagen
  Hyaluronic acid
  Autologous fat
  Poly-L-lactic acid
  Calcium hydroxy apetite



What happens during and after treatment?


Injections are usually given in a dermatologist's office. The dermatologist may ask you to stop he use of aspirin, warfarin (coumadin), alcohol since these may increase a patient's tendency to bruise.

Prior to the procedure, the face is cleaned and a topical or local anesthetic may be used. The filler is injected directly into the area to be treated using a very small needle After the procedure, there may be some temporary swelling, redness, or minor bruising at the injection sites. This usually subsides quickly.

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