Fillers replace volume under the skin to fill wrinkles or enhance facial features. Soft tissue fillers, also called dermal fillers, facial fillers, or simply "fillers", are used to fill up defects in the soft tissues, typically wrinkles, folds and dents in the face. Some fillers are intended to add volume, for example to the cheekbone or the chin and are often used for lip enhancement.
There are many products on the market. The most important distinction is between non-permanent fillers, which disappear spontaneously after a while, and the permanent fillers, which stay embedded in the tissues forever. Most non-permanent fillers are quite safe to use. Still, it is advisable to demand fillers that are generally accepted, or FDA approved, such the ones based on hyaluronic acid, collagen and calcium hydroxyapatite microspheres. Always demand to know which product your physician is going to use.
Fillers are injected directly into the area to be treated, often after application of a topical anaesthetic cream. The effect is immediate, and lasts between two to 18 months, depending on the type of product and the treated area.
Fillers take ten to twenty minutes.
Usually topical anaesthetic cream, sometimes a local anaesthetic injection.
Possible side effects include transient swelling (mainly when used in the lips), redness, tenderness, and bruising. Application of a cold compress after treatment can minimise these side effects.
There is widespread consensus that, although they may seem appealing, permanent fillers are not to be recommended lightly as they sometimes induce adverse reactions which are very difficult if not impossible to treat without surgery. A non-permanent filler will slowly resorb over time and thus need to be repeated; however, they are far less likely to cause permanently visible lumps or late reactions that may occur with permanent fillers. For all fillers, risks include irregularities or lumpiness, over- or under-correction, asymmetry and infection.
If present, swelling and redness usually settle after 24 to 48 hours. Most patients can go back to their activities immediately with some make-up.
Filler treatments provide volume and enhance facial features as well as either partially or entirely correcting wrinkles and folds. Although results vary between individuals, Non-permanent fillers may last up to twelve months before needing to be repeated.
WHEN YOU CHOOSE A DOCTOR WHO IS A MEMBER OF APRASSA, YOU CAN BE ASSURED THAT YOUR SURGEON IS QUALIFIED IN ALL ASPECTS OF COSMETIC AND RECONSTRUCTIVE SURGERY.
The Association of Plastic, Reconstructive and Aesthetic Surgeons of Southern Africa was formed in 1956. It currently has over 169 members from all around South Africa. All our members are fully qualified Plastic surgeons that have been approved for APRASSA membership and will endeavour to provide you with excellent care throughout your plastic surgery journey.