Dermal fillers are products used to replace and restore volumes in areas of deficiency. There are numerous types of fillers available on the market. They can be classified into either permanent or temporary depending on how long they last. They can also be classified into synthetic or autologous. Synthetic products are made in the laboratory whilst autologous products use your own tissues such as fat.
Injections to restore volume and enhance
Mr Nassab recommends using temporary synthetic fillers such as hyaluronic acid fillers. Hyaluronic acid products such as Juvederm and Restylane have been used for a very long time and have a good safety record. Mr Nassab does not use synthetic permanent products and would discourage use of them. There have been many long term problems noted from the use of permanent synthetic products. The only permanent filler that would be recommended is autologous fat.
Frequently Asked Questions
There are a number of different types of hyaluronic acid fillers. How long they last depends on the type of product but generally they can last from 6 months up to 18 months. The softer products such as Volbella or Juvederm 3 last about 6-9 months. The intermediate ones such as Juverderm 4 or Volift last between 9-12 months. The thicker products such as Voluma can last up to 18 months. These are just rough guides as it also depends where the filler is injected. Your body may also break down the products more quickly.
Autologous fat as a filler can produce long lasting or even permanent results. Initially after the procedure some fat will get absorbed by the body. The procedure may need to be repeated to give the desired amount of volume.
Hyaluronic acid fillers are one of the most popular cosmetic treatments in the world. They are relatively safe and complications are uncommon. The potential risks with fillers include:
Bruising, Swelling, Bleeding
It is normal to get some swelling after any filler treatment and this usually takes a few days to settle. Some patients may like the initial volume after treatment that reduces after a few days so they think the filler has dissolved but this is actually the swelling improving. Some patients patients may also experience bruising or bleeding which is can be related to medication being taken. Some medicines such as aspirin and herbel supplements can increase your risk of bleeding and bruising. It is important you inform Mr Nassab of any regular medications or supplements being taken.
Allergic reactions to hyaluronic acid products are vary rare. If you have a history of severe allergic reactions or anaphylaxis then you should not have the treatment.
All patients have some degree of asymmetry and fillers are often used to try and correct asymmetries. Some patients will, however, notice slight asymmetries after treatment as they become more aware and scrutinize their face more after treatment.
Nodules or Granulomas
These are uncommon with hyaluronic fillers but can occur. Granulomas are lumps that form as a reaction to a foreign substance in the body. These are more common with permanent fillers and certain types of temporary fillers. If lumps form with hyaluronic acid fillers they can often be dissolved with an injection of hyalase. Granulomas from other fillers may need surgical removal.
Sometimes fillers can migrate or move from the area of injection to the surrounding area. This can be caused by rubbing or injury to the area.
Infections are uncommon after these treatments.
Necrosis or death of the skin is a rare complication of filler injections. This occurs if the filler blocks tiny blood vessels or if the pressure from the filler reduces the blood supply to the skin.
There are a few reports of blindness following filler injections. This is a very rare complication with about 100 cases worldwide. This arises when filler enters the bloodstream around the face and travels to the vessels in the back of the eye.
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This patient desired fuller lips.
This is the immediate result following lip fillers.
I can't thank my surgeon Dr Reza Sedghi Nassab, he's been fantastic, answered all my questions, made me feel at ease & felt in safe hands. He's a very good surgeon with a lovely bedside manner.DMBreast Augmentation
Such a professional service was offered, with care and patience and I was very reassured during the whole process. I would highly recommend Reza Nassab as a Plastic Surgeon.AFBlepharoplasty
Reza Nassab is a great surgeon. From our very first meeting to the last 6 week check he has been professional, friendly and helpful. So happy i went with him for my operation.RGBreast Augmentation
I can not thank reza nassab for the amazing work he has done on my tummy tuck,he has given me my smile and confidence back which I haven't had for years.LBTummy Tuck