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| Raj Acquilla > Cosmetic Treatments, Dermal Fillers |
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What are dermal fillers?
Dermal fillers are injectable products that soften and correct lines, wrinkles and folds in the skin. In addition, they are commonly used to augment and enhance the lips, cheeks and facial contours.
Which dermal filler should I choose? There are a variety of dermal fillers on the market, which vary in their composition, however the most commonly used material is hyaluronic acid (HA). This is a natural, non-animal based, stabilised clear gel which hydrates and volumises the tissue. Most patients choose a HA product due to:
• Safety – over 10 million treatments performed over 10 years
• Natural – tissue tailored HA resembles the skin’s own material
• Long lasting – but not permanent (typical results last 3-12 months)
• Non-animal - reducing the risk of adverse reactions (only 1 in 20 000)
• Quick and simple – most treatments take < 30mins to complete
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| Hyaluronic acids |
| Product |
Material |
Indication |
Lasts |
Cost |
| Restylane |
Non animal stabilised
hyaluronic acid
(NASHA) particles in gel matrix |
Lips, lines, wrinkles |
3-6m |
£240 |
| Perlane |
Folds + contouring
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6-12m |
£290 |
| SubQ |
Cheek augmentation |
12m |
£575 |
| Macrolane |
Breast augmentation
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18m |
£2000 |
| Juvederm Ultra |
Lips, lines, wrinkles, folds + contouring |
<12m |
£150 |
| Hyaluronic acid gel + local anaesthetic |
Teosyal
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Monophasic HA |
Lips, wrinkles + folds
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6-9m |
£300 |
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| Collagen stimulators |
| Product |
Material |
Indication |
Lasts |
Cost |
| Sculptra |
Poly-L lactic acid |
Volume + contouring |
2-3 yrs |
£390 |
| Radiesse |
Calcium hydroxyl-apatite microspheres |
Facial shaping and contouring
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<2 yrs |
£325 |
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| Collagen |
| Product |
Material |
Indication |
Lasts |
Cost |
| Zyderm |
Bovine collagen |
Fine lines + Wrinkles |
<3m |
£300 |
| Evolence |
Cross linked collagen |
Wrinkles + folds
| 12m |
£400 |
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Treatment with dermal filler
• Informed consent with pre-treatment photos
• Local anaesthetic cream or injections used to increase comfort
• Dermal filler injected into skin via small gauge (27-31G) needle
• Injection sites massaged to promote even integration into tissue
• Tissue expansion associated with slight burning / stinging sensation
• Immediate results noticed but may be exaggerated due to swelling
• Procedure takes around 30 minutes to complete
• Results last 3-12m depending on product and volume |
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Aftercare
- DO NOT apply make up or creams for at least 6 hours
- DO NOT expose the treatment areas to extreme heat (eg sunbeds / sauna) for at least 2 weeks, as this may affect product durability
- DO gently massage the treatment areas for up to 2 weeks to avoid unevenness
Possible side effects
- Immediate redness, swelling, burning and itching around the treatment site are COMMON and should settle within the first few hours
- Bruising and swelling lasting up to 2 weeks are LESS COMMON and should resolve spontaneously
- Slight blue discolouration of the treatment area is LESS COMMON
- Cold sores may RARELY erupt following lip augmentation – this should be treated with Zovirax cream from the pharmacy
- Tissue infection / abcess is RARE and can be treated with antibiotics
- Granuloma (tissue nodules) are VERY RARE and can be treated with injection of steroid into the affected area
- Tissue necrosis (sores) is VERY RARE and usually resolves
- Hypersensitivity / allergy is VERY RARE and can be treated with antihistamines
You should avoid dermal filler treatment if any of the following are relevant:
- History of severe allergy or anaphylaxis
- Known bruising or bleeding disorders
- Anticoagulant and immunosuppressant drugs
- Pregnancy / breast feeding
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Click here for more information or to arrange a free consultation with Dr Raj Acquilla
Alternatively call 01606 882115 |
