Neuromodulators - "botox" & Fillers

Dermal fillers are also known as soft tissue fillers, or wrinkle fillers. They are approved by Health Canada to smoothe wrinkles or create a fuller appearance in the face, including nasolabial folds, jaw area, cheeks and lips and for increasing the volume of the back of the hand. Fillers can provide a more youthful look for a fraction of what a traditional facelift costs. It is a relatively quick procedure and results can last anywhere from 4 months to 1 year.  Filler can also be used for correction of contour deficiencies, such as wrinkles and scars.  Unlike "botox" which relaxes the underlying muscle and permits the skin to relax, fillers literally fill a line, crease or area to make trouble areas go away or be less prominent.  Successful results will depend on the health of the skin, the skill of the provider, and amount and type of filler used. The time that the effect lasts depends on the filler material used and the area where it is injected.

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1. What are dermal fillers? 

Dermal fillers are substance/gels injected beneath the skin’s surface to smooth wrinkles and add volume and contour. The products are composed of stabilised hyaluronic acid (HA) which occurs naturally in the cells of the skin, or calcium hydroxylapatite (Radiesse) - also naturally found in the body. HA works by drawing in water and therefore augmenting the skin, thus reducing the wrinkle treated. It is by no means permanent and is totally biodegradable. Depending on what type of dermal fillers, results can last between 4 to 18 months.  

Radiesse is made of calcium hydroxylapatite (CaHA) gel microspheres that work immediately upon injection. CaHA is made up of ions of phosphate and calcium, which occur naturally in the human body.  The injectable gel initially does all the work of filling in the volume you want. As time goes on, though, the CaHA stimulates your naturally-occurring collagen, allowing your skin to produce more of its own filler. The hydrogen, oxygen, and carbon in the gel help to create a structure that mimics connective tissue.  Eventually, the CaHA absorbs back into your body, leaving your collagen in its place. Because of the science behind Radiesse, treatment results can last for well over a year — even up to two years for some people.

2. What areas can dermal fillers be used for? 

The face loses volume and contour when we age, the bones and the soft tissue dissolve and contribute to appearance of sagging. Dermal fillers may be used to replace this volume loss and restore the structural support, giving the patient a more youthful appearance. The aim is to make the face more harmonious and rejuvenated.  For instance, the lips may be injected to improve their shape, size, symmetry and proportion. The cheeks may be injected to make a face more defined and attractive. An underdeveloped chin may be injected to make it appear more projected and proportionate. The nose may be injected to improve the shape and its contour.  

3. What does the procedure entail and is it painful? 

It can be painful if the procedure is carried out by injector who is not as skilled.  Generally, basic dermal filler procedures require no anaesthetic as the dermal filler contains local anaesthetic. It is simple and straight-forward, involving a few tiny injections directly into the skin, and takes between 15-30 minutes. Make-up can be applied immediately after the procedure and you can go straight back to work. Result can be seen immediately. Optimal results can be maintained over a long period of time through regular repeated treatments. The procedure varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.  

4. How soon will I see any result and how long does it last? 

Results are seen instantly after the treatment, although this gradually improves over the course of the following 2-4 weeks. Results can last between 9-18 months although optimal results can be maintained over a long period of time through regular repeated treatments. The longevity varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.  

5. Are dermal fillers safe? 

Yes. We use only products with proven safety record and are Health Canada approved.   

6. What are the key benefits of having my treatments at Lips N Lines Plus? 

We only use market-leading brands. We will not compromise on our standards and use the highest grade of dermal fillers for more dramatic results with better lift and tissue support. Consultation and treatment plans are customized to the individual and based on your desired outcome. Treatments are virtually pain-free – we use anaesthetics to numb the area being treated for increased patient comfort. We are well known for our methods of achieving beautiful yet incredibly natural cosmetic results with minimal pain, bruising and down time. 

7. Are there any side effects? 

Today’s dermal fillers have come a long way since the first-generation of collagen injections. Advanced injection techniques, coupled with the use of micro-cannula (blunt needle) and improved product safety means that significant side effects are extremely uncommon but may include:  

Injection-related reactions: These reactions may include redness at the injection site immediately after the treatment. 

Bruising: Occasionally bruising can occur. However the use of micro-cannula (blunt needle) dramatically reduces the risk of bruising. Contour irregularities can and do occasionally occur. Massaging can usually smooth out any ‘lumpiness’ however if persistent the filler can be easily and rapidly dissolved. 

Infection: As with all injections, this procedure carries a risk of infection. The syringe is sterile and standard precautions associated with injectable materials are taken. 

Necrosis: This is one of the worst possible complications of dermal filler, fortunately, this is extremely rare. It happens when the dermal filler is accidentally injected into a blood vessel and it subsequently blocks the blood supply to the skin/tissue in that area. 

Blindness: This is a very rare complication. There have been approximately 100 cases worldwide and is caused by injecting dermal filler into blood vessel that has a connection with the artery which supplies blood and oxygen to the eye. There is no treatment so far for this that has been successful, however knowing what to watch for and immediate follow with specialized intervention are important. 

8. Are there any after-care instructions? After your treatment, we will again go through with you any after care advice in order to maximise your treatment benefits and avoid any undesirable side effects.  You can resume normal activities, drive yourself home or return to work immediately after the treatment. As with any type of injection there may be some slight redness immediately afterwards. Cover-up makeup may be applied. The results seen immediately after the treatment is not necessarily the final results. This is because over the following 2 weeks, the treated area(s) will gradually improve. For 1-2 weeks after the treatment you are advised to avoid extreme heat (sun bed, sunbathing, saunas) or intense cold.