As the years progress, our face begins to exhibit the effects of gravity, exposure to the sun (ultraviolet rays) and facial expressions made millions of times (smile, chewing, grimacing, frowning, whistling, smoking motion) and the negative effects of smoking. The structures that are located under the skin and make our skin look young, lively and alive gradually begin to break down and form the deep lines caused by the muscle movements under the skin called laugh lines, smile lines and crow’s feet around the eyes.
Soft tissue fillers fill these lines and wrinkles, giving the skin a smoother and younger appearance. When injected under the skin, these fillers fill wrinkles and collapsed parts of the face and swell. They also provide fullness to the lips and cheeks. Injectable fillers can be applied alone, in combination with skin rejuvenation procedures, or in combination with more radical interventions such as “face lift”.
In Which Regions Can Fillers Be Applied?
Injected fillers help fill deep facial lines, wrinkles, folds, sunken cheeks, local depressions in the skin and some types of scars. Apart from this, they can also be used to make the lips look more lively, curved or thick. It can also be used for cheekbones, chin and forehead curvature.
Fillers may not be sufficient in advanced deep lines such as radier lines on the rim seen in some people. In this case, your plastic surgeon will recommend skin rejuvenation techniques such as dermabrasion and chemical peeling. Unlike the filling of facial lines, skin resurfacing techniques remove the worn tissues in the upper layers of the skin and provide a smoother surface.
Deep folds on the face and forehead that occur as a result of more active muscle movements than normal or due to a looser skin structure than normal can be treated more effectively with cosmetic surgical procedures such as forehead lift or face lift. Fillers can also be used in addition to surgical interventions on the face. However, fillers alone cannot change the facial contour as seriously as surgery can.
Which Substances Are Used in Filling Technique?
Fillers types can be divided into three headings;
one- Biological ones:Adipose tissue, tissue cocktail, dermis, fascia grafts
2- Foreign bodies:Silicone, silicone parts, gorteks, sewing materials ( These items are not used in onep.)
3- Substances that swell tissues:Hyaluronic Acid and similar fillers
one- BIOLOGICAL FILLERS:
These are tissues taken from the person himself and used for himself.
a) Texture Cocktail
Pieces of skin removed during a facelift, tummy tuck, breast reduction or treatment of scars are made of a mixture of muscle, fascia and very little adipose tissue. The dermis layer obtained from these tissues is the most valuable. With the injection of these tissues, which have a rich vascular system, under the skin with a needle in the form of micro-grafts, the survival rate of these tissues with the surrounding vessels in the given place is over 90%.
This method is much more effective than fat injection and is preferred. The disadvantage is that it can only be obtained from cut-outs. If tissue fragments are removed from our patients during any surgery, some of them are immediately used for wrinkles on the face, and the rest can be frozen and stored.
The tissue cocktail aims to reach a result by putting the fat, fascia, tissue dermis or a mixture of these taken from the patient at that time, into the wrinkles and collapsed areas by injection. These fillers are revitalized with the blood vessels from the environment in the area where they are placed and continue to live there as the body’s own tissue. They vascularize and live here, but over time, they can also go towards melting as a part of our body by keeping up with the mimic movements and tissue meltdowns in our body. This melting may vary depending on the structures, ages and living conditions of the people. The advantage of such tissue materials is that they are human tissue.
Fat or tissue pieces can be frozen and stored for one or two years, so that our patients can be used in themselves as a ready-made substance when necessary, without taking these substances from them again.
b) Oil
“Autologous fat transplantation”or “micro lipoinjection” The fat injection procedure, known as the fat injection procedure, can be defined as the removal of fat from the abdomen, thighs, hips and other fat-containing body parts of the patient with a needle and injecting them under the skin of the face or into collapsed areas in any part of the body. The oil is most often applied to fill sunken cheeks, laugh lines between the mouth and nose, eliminate collapse and irregularities in the skin, erase forehead lines and plump the lips.
After both the donor and recipient areas are cleaned and numbed with local anesthesia, the fat is withdrawn from the specified areas with a thick-tipped syringe or a thin liposuction cannula connected to an absorbent device. After the taken fat is processed, it is injected into the recipient area. Sometimes a thin tape is adhered to the injection site. It is natural to observe temporary swelling and regional puffiness on the face after fat injection when used for purposes such as filling sunken cheeks, eliminating forehead collapse, increasing the fullness of the chin tip, except for facial lines.
It would be appropriate for patients who have been treated in large areas to rest for a short time. However, most patients return to their normal daily activities immediately after treatment. Some swelling or redness can be expected at both the recipient and donor site. You should not stay in the sun for about a week until the redness or bruises at the injection sites are gone. During this time, you can provide the necessary protection with sunscreen creams or foundation.
The continuity of the results obtained with fat injection varies from patient to patient. In some patients, this period may be expressed as a year or longer. In the majority of patients, almost half of the fullness provided in the first week disappears after a period of 3 months. Because the fullness in the first weeks depends on swelling. After three months, it is more or less obvious how much tissue is fed and remains there. New injections can be repeated after 3,6,12 months and the result can be improved. Although the first applications are made two or three times in the first year, it may be sufficient to apply once a year in the following years.
It is much more rational to apply it in the form of supplements without making your lines deeper. The advantage of this technique is that it can be taken from the body with a needle and given with a needle.
Since our patients naturally seek better results with the least amount of procedures, we have developed a more practical method instead of taking these injections each time: some of the tissues are frozen and after the first injection, your frozen fats are injected into you. If the given adipose tissue is applied with a suitable technique, at least 50% of it becomes bloody in the given place and becomes your own tissue again.
2- FOREIGN OBJECTS
The foreign bodies used in the filling technique cause great damage to the surrounding tissue, unlike breast cyclones; showing reactions such as numbness and wound opening in the tissues; Disadvantages such as deformities, artificial appearance arise from the causes and the risk of infection.
3- HYALURONIC ACID AND SIMILAR FILLING MATERIALS
These substances are substances that cause swelling in the tissues for 6-12 months and temporarily hide the wrinkles due to swelling. It is marketed under different product brand names in the market.
Does the Person Applying Fillers Carry Any Risk?
fillers , especially the use of tissues taken from you, Complications are extremely rare and insignificant when performed by a specialist plastic surgeon. Of course, patients vary in their anatomical structures, physical reactions and healing abilities.
Which Type of Anesthesia Is Used in Using Fillers?
Both the recipient and donor area are numbed with the help of local anesthesia. Additionally, sedation can be used. However, in cases where sedation (sedative) is required, it is necessary to arrange for the patient to go home by car after the intervention.
