We live now in the era of technology and science expansion.
This couldn't skip the cosmetic market. We are living our grandmothers' dream life now and the times, when the age was something, that should be hidden passed by.
Not only in my life, but also in my practice I dear to think, that impossible doesn't exist.
The history of use of dermal fillers reaches XXI century, when the first trials of using parafin as a skin filler took place.
Since then there were trials of using many products to bring back desired volume of the face, but most of them where related side effects.
The hyaluronic acid has been first isolated in 1934 and then synthesized to be first used as dermal filler in 1996 and completely revolutionized the cosmetic market and the way we perceive aging of the face.
HA (hyaluronic acid) dermal fillers are transparent, bio-compatible, non-allergenic hydro-gels. Hyaluronic acid is a part of our extra-cellular matrix in the skin and other tissues. Physiologically it creates environment, which increases their reproduction and protects against damages. Naturally the HA molecule life time takes about two weeks. After this period of time it is metabolised by endogenous hyaluronidase.
HA dermal fillers are cross-linked, which protects them against endogenous hyaluronidase activity. This prolongs their lifetime after injection in the skin. After a few days the filler absorbs the water and expands, creating elastic, hydrogenous support at the bottom of the wrinkle, fold or muscle.
At the same time injection of exogenous hyaluronidase, dissolves HA filler within few minutes, which allows to deal with emergencies, as well as reverse undesirable result.
Plump up lips, enhance or fill in shallow areas on the face, decrease or remove eye shadow or wrinkle under the eyes, fill in or soften the look of recessed scars, fill in or soften static wrinkles, especially on the lower face: bunny lines, under the eyes, marionette lines, but also brow lines and forehead lines as well as enhances the volume on cheeks and lips and definition of the jawline and chin as well as correction of shape – for example the nose.
In general HA fillers are used to plump up deep fat pads, which affects face features with time, as well as superficial fat, to smooth wrinkles and folds
Hyaluronic Acid is a natural substance that is already found in our bodies and it is produced by bacteria during microbiological process (invented to produce human insulin), which assures that it is bio-compatible and won’t cause any allergic reaction to it.
These products also last much longer than collagen fillers, due to cross-linked presence, which contributed to their instant fame and success. There are also many other types of dermal fillers available today, including some semi-synthetic options.
Calcium hydroxyapatite fillers or a mix of organic and non-organic materials. They tend to have longer lasting results and are much thicker, but in our Clinic we stick to hyaluronic acid fillers only.
Now many dermal fillers have the lidocaine mixed in during manufacturing, which can help reduce the discomfort some patients feel. Lido-free option is kept for patients allergic to anaesthetics. The dermal filler has come a long way over the years and will only continue to develop.