Permanent Dermal Fillers
As we age, we start to naturally lose subcutaneous fat, or the fat that is just under the surface of the skin. We also lose collagen, hyaluronic acid, and elastin. As this happens, the skin starts to lay over the muscle, with less padding between the delicate skin tissue and the muscle. The muscle moves all day with facial expression, and soon the skin starts to wrinkle, stretch, and sag.
Picture tissue paper stuck onto a raw chicken. If you move the chicken’s joints and musculature, the tissue paper will wrinkle and lose its original smooth texture. If there were a layer of whipped cream between the paper and the chicken, it might not wrinkle or crease as readily. Even though this isn’t very appetizing, it demonstrates the problem.
Dermal Filler Injections
If you are starting to notice that your skin doesn’t bounce back like it used to, dermal fillers might be a good solution. If you have some shallow areas at the temples, cheeks, or around the mouth, injectable fillers might be able to help you. If you are noticing small wrinkles around your nose and mouth, sometimes filling out the area will erase wrinkles.
However, there are some cases that can’t be helped with permanent fillers for your face alone. Substantial sagging under the chin, eyelids, cheeks, or neck are all signs that you need something more extensive than fillers. A partial or complete face lift or blepharoplasty might give you the results you are looking for. Trying to fill in skin that is sagging extensively will just make your face look overly full and unnatural.
Permanent Dermal Fillers for Under Eyes
The skin under the eyes is the most delicate skin on your face. And we are pretty abusive to that skin. We squint, laugh, rub our eyes, put on makeup, take our makeup off, cry, scowl, and more. So, the skin wrinkles, sags, and becomes more transparent as we live life. Also, many women start to complain about hollow areas and permanent bags under the eyes.
Anthony Youn, MD, author of The Age Fix: How To Look 10 Years Younger, says, “By the time we hit our 40s, almost everyone has some hollowing going on.” He thinks that Restylane is the best option for this problem, because it fills in the areas that have lost fullness. Best of all, if you don’t like the results, you can always reverse the effects with another injection.
He also suggests a procedure where the material that is injected into the eye is your own fat. The fat is taken from another part of the body and injected into the under eye area. “Fat grafting is less predictable, but the fat that stays can stick around for many years. I personally find that my fat grafting patients usually look a little under-corrected, when all is said and done.”
Permanent Dermal Fillers for Nose
Fillers can also be used for non-aging related problems, such as in the nose. Because many complaints are based on a dip or curve in the nose, injectables may be able to fill out those trouble spots, making the nose appear straighter.
Dr. Keith Denkler says, “Juvederm or Restylane are the best ways to start for a non-surgical nose job. The product can be smoothed out with massage or pressure, or they can be reversed with hyaluronidase injections. If the results are pleasing, a longer lasting filler such as Juvederm Voluma may be used.”
Instead of going under the knife for a full rhinoplasty, this might be a less invasive option for you.
How Long do Fillers Last?
This isn’t an easy question to answer. Says Dr. Justin Harper, “The longevity of a facial filler depends on the amount injected and the area of the face the product is injected. Products will last the longest beneath the eyes and a shorter amount of time in area of your face where a lot of muscle movement (like nasolabial folds) occurs. Restylane and Juvederm last between 6 and 12 months. Voluma lasts 24 months.”
Some fillers, even though they claim to be permanent, do lose their effectiveness over time as the skin continues to age. And, a totally permanent solution might not be the best idea anyway. If you don’t like the results, you could be stuck with them for a long time. Some injectables have a reversible procedure that you can do if you feel the results don’t meet expectations.
Dermal Fillers, Do Your Research
While injectible fillers are becoming more common, you should do your research before proceeding. Find a doctor, look up reviews, and really get educated. These injections aren’t cheap, and a bad reaction could mean weeks of disfigurement. But, the success rate continues to go up as the technology gets better. With some thought, this could be a solution for you!
Do you have more questions about permanent injectable fillers?
Dr. Finkel has answers. Schedule your consultation with the surgeon.