The downward shifting and loss of subcutaneous and connective tissue is notably observed in an aging face. Fillers can be injected in the affected areas and reduce the effect of aging. The common aging changes visible in the lower face are prominent nasolabial folds and melolabial folds. Injectable fillers are routinely injected in these folds and thus reducing the aging effects. Others instances for fillers use are acne scars, volume loss following trauma and volume loss from other reason. Filler is also used extensively for volume augmentation of lips, chin and cheeks.
Commercially available hyaluronic acid gel fillers are zuvederm and restylane.
Zuvederm is available in different types depending on the cross linkages of molecules. The viscosity of juvederm Ultra , Zuvederm Ultra Plus, Zuvederm Voluma, Volift and Volbella vary. Each one of these injectable fillers is used for a specific clinical condition. Zuviderm Voluma is primarily used for volume augmentation of deficiency of chin or cheek bones and other deeper areas. Juvederm Ultra – it is softer to inject and used for lips enhancement or under eye correction Zuvederm Ultra Plus- it is used to fill the deep folds in the nasolabial area or labiomental area. Volift and Volbella is launched recently and it last longer as well. Volift is used to plump up the thin lips. Volbella is primarily used for under eye correction. Both volift and volbella stays longer upto one and half years. Hyaluronic acid filler is a cross linked naturally occurring polysaccharide with no potential immunogenicity in its pure form. In the skin, it forms the elastoviscous fluid matrix in which the collagen fibres, elastic fibres, and other structures are embedded.
Prior to the application of fillers, local anesthetic cream is applied on the area and it takes around 1hr for the numbness to set in. How much amount to fill is a very important question. The volume of fillers depends on the indication and severity of the volume loss.
The outcome is depended primarily on the expertise of the Cosmetic Surgeon. This procedure is an office procedure and you can resume your work after the procedure. Avoid massage and facial manipulation for 2-3 days.