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Injectable Facial Derma Fillers

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What Are Injectable Fillers?

Injectable fillers are materials injected into the skin or just under the skin to flesh out wrinkles, fill in folds, and create a younger, fresher look. They can also be used to plump out the lips; add prominence to the cheeks, chin, or jaw; and can be used to raise indented scars. A common site on the face for injectable fillers is the nasolabial folds that run from either side of the nose to the corners of the mouth.

These filler products are also referred to as "soft tissue augmentation materials" or derma fillers, and their use is called tissue augmentation. Some products are temporary fillers that are absorbed by the body after a time, and some are semipermanent or permanent products, which last longer or indefinitely, but can be difficult to remove if necessary. The use of injectable fillers is considered a minimally invasive cosmetic procedure.

Facial Injectable Fillers Types

There are many types of injectable fillers used in cosmetic medicine and, for some of these types, there are several brands available. More filler products are being approved by the U.S. Food and Drug Administration (FDA) every year and others are under clinical trial. In addition, some filler products that have been approved for other medical problems are used "off label" in cosmetic medicine. This means that they have not been approved specifically for cosmetic use, but because a physician can use an FDA approved drug for conditions other than the original approved use, it is legal. The best example: Botox was originally approved for use in treating crossed eyes, but was used cosmetically for many years before the FDA approved cosmetic use.

The temporary derma fillers, those products that are absorbed by the body in a few months, can give you an opportunity to see the effects a filler would have on your face. If you don't like how you look, you only have to wait a few months and the effect goes away. You will need to be retreated to maintain the effect if you like it, and these repeated treatments may add up in cost.

Semipermanent and permanent wrinkle filler products last longer. They are either not absorbed completely by the body (semipermanent) or absorbed very little or not at all (permanent). The effects last, which means they may be cheaper in the long run than absorbable products, but you may also be stuck with results that you don't like. And if the fillers migrate from where you wanted them, or if they were poorly placed, they may not be able to be removed or can be removed only with difficulty.

Many types of fillers can cause an allergic reaction or other skin reaction. Most dermatologists and cosmetic surgeons will strongly advise that you have an allergy test done before you use a filler and before any subsequent treatments. This test consists of having a bit of the filler product injected into the skin on your arm and watching the area for a few days or a week. Some filler products are not known to cause allergic reactions. Fat injections, which are your own fat taken from somewhere else, will not cause allergic reactions.

The product that has been most often linked to allergic reactions is bovine collagen. However, it is possible to develop an allergy to any filler, although this is very rare with some types.

With all injectable fillers, there is the possibility that the filler will form lumps or bumps due to poor placement or because it moved out of place. The body may also react poorly by forming a granuloma, a nodule around bit's of the filler.

With any of the injectable fillers it is possible that you can have an infection at the injection site, although this is rare, or an acne-like reaction. You may also have asymmetrical results, especially if one part of your face absorbs the filler faster than another part.

Several of the most commonly used common injectable fillers are:


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