By: Tarah Heath, RN, LE
Read time: 3 minutes 45 seconds

What’s included

How long have dermal fillers been around?
What do dermal fillers treat and where can dermal fillers be used on the face and/or body?
What results can I expect from my treatment?
What is the pain level like and is there downtime?
Are there any patients that wouldn’t be a candidate for dermal filler?
Are patients generally pleased with their results from filler?

Dermal Filler Q&A

Q: How long have dermal fillers been around?

A: Injectable products, or dermal fillers, have been traced all the way back to the 1890’s when doctors attempted to fill out facial defects by transplanting fat from the arms into the face. However, dermal fillers really started making their debut in the 1970’s when bovine collagen, or collagen derived from cows, were introduced. The problem with this type of filler was that since it was foreign to the human body, a sensitivity test was needed to make sure you weren’t allergic to it. Although bovine collagen filler still exists today, the FDA approved use of hyaluronic acid fillers in the early 2000’s, changed the world of dermal fillers. Hyaluronic acid is a natural substance found in our bodies, therefore no skin testing is needed, and it’s very safe. These products also last longer than collagen fillers. There have been many advancements with dermal fillers over the years, which include new types of fillers, including some semi-synthetic options, as well as fillers that stimulate your own body’s collagen production. Over the years lidocaine has also been added to fillers, therefore reducing the discomfort some patients feels with the injections. Another advancement has been the use of microcannulas, as an alternative injection technique that can be used to insert the filler. 

Q: What do dermal fillers treat and where can dermal fillers be used on the face and/or body?

A: Dermal fillers are used to correct moderate to severe facial wrinkles and skin folds, as well as correct contour deficiencies, such as acne scars. There are multiple areas that filler can be used. Areas on the face include cheeks, nasolabial folds (smile lines), lips, chin, temples, tear trough, nose, and jawline. Areas on the body include earlobes, neck, chest, breasts, knees, hands, and buttocks.

Q: What results can I expect from my treatment?

A: The results from dermal filler can vary greatly from person to person. It all depends on the area being injected, the filler material used, the amount of product used, and the health of the person’s skin being injected. It also depends on whether or not a series of treatments are needed to get the desired effect. For example, a 60 year old female patient who has a good deal of volume loss in their face will need approximately 5-6 syringes of hyaluronic acid filler to correct the volume loss, whereas a 40 year old female patient will probably need 2-4 syringes. Maximum results with hyaluronic acid fillers are usually seen within 5-7 days, but fillers that build collagen and need series of treatments will see their maximum results within 6-9 months. The time that the effect lasts depends on the filler material used and the area where it is injected. If done well, fillers can take years off a person’s appearance!

Q: What is the pain level like and is there downtime?

A: With the use of topical lidocaine before injection, as well as the added lidocaine to most hyaluronic acid fillers and icing during the injections, people usually find the procedure very tolerable. Downtime can range from 1-7 days depending on whether bruising occurs or not. Some common side effects are bruising, swelling, redness, and tenderness. If patients are properly educated before treatment on stopping all blood thinners about a week before treatment, it can greatly reduce the downtime they may have.

Q: Are there any patients that wouldn’t be a candidate for dermal filler?

A: Some contraindications include: inflamed or infected skin, such as active acne or rashes; history of any bleeding disorder; history of severe allergies or anaphylaxis. And if a patient has any allergies to collagen or eggs, they would not be able to use dermal fillers that contain these materials.

Q: Are patients generally pleased with their results from filler?

A: It’s all about setting realistic expectations with the patient, and educating them on the best treatment plan needed to achieve their goals, i.e. how much filler it will take to get the desired results. If this is done well, then patients are generally very happy, as dermal fillers can really create a more youthful appearance.

Call us today for your complimentary consultation with our highly-trained nurses to find out if dermal filler is right for you!

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