Facial rejuvenation with fillers

Facial rejuvenation with fillers is suitable for:

• correction of nasolabial wrinkles (wrinkles going from the corners of the mouth towards nose),
• correction of the chin,
• correction of cheekbones,
• correction of the nose,
• correction of dark circles under eyes,
• forehead and eyebrow-lift.

Hyaluronic acid is used in cosmetic surgery for the augmentation of the tissue volume. They are also used for smoothing and reducing wrinkles as well as filling the areas of the skin and subcutaneous tissue with the lack of tissue.

Hyaulornic acid is a transparent viscose gel supplied in a sterile injection. It is a polysaccharid naturally occurring as an important constituent of the skin, subcutaneous tissue, and joints. For aesthetic purposes, non-animal derived formula is used which is why it is safe and it reduces the chance for severe allergic reactions. Hyaluronic acid dissolves with time and does not have a permanent effect. The durability of the effect depends on the formula itself and the body’s reaction to it. Because the body eventually decomposes hyaluronic acid, it needs to be constantly added to have a permanent effect. Hyaluronic acid formulas are often combined with other formulas (e.g. botulin) or with surgical procedures. For a less painful application, a cream with an anaesthetic in it is used or local anaesthetic injections. Hyaluronic acid formulas cause a temporary redness, swelling and tingling sensation which usually go away in a few days.

With each procedure comes a certain level of risk. Therefore it is important that you understand and accept possible risks and complications related to it. Despite that most patients do not develop side effects.

As a consequence of the hyaluronic acid injection or local anaesthesia, bleeding is possible which is usually limited and manifests as a limited bruise. In very rare cases the bleeding requires additional procedures, even surgical. For a minimum chance of complications it is important that the patient warns the doctor about any possible blood coagulation disorders and to stop taking all medications that could affect the process of blood coagulation, like aspirin, vitamin E, all gynco and other formulas 14 days before the procedure. If the patient is taking cumarins (Marivarin, Sintrom or others), replacement therapy should be introduced according to the doctor’s instructions.

The swelling usually occurs after the application of hyaluronic acid. After the application, visible piercing spots are also normal. Both occurrences disappear in a few days. After the use of hyaluronic acid, the skin can become red on application sites which also goes away within days. At the application sites, the surface of the skin can remain uneven, changes in the form of clods can be felt. This too disappears in time; however, an uneven surface can persist for a longer period of time, even for months. The filler can be visible through a thin skin for a certain period of time.