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Dermal filler applications

As I mentioned in my previous articles, from the beginning of the thirties, approximately 1-2 ml of volume is lost from fat, connective and muscle tissues on our face every year. To compensate for this loss of volume, hyaluronic acid fillers that give the volume of the connective tissue are often preferred. In addition to hyaluronic acid, ‘smart’ fillers that increase collagen production, which is one of the basic building blocks of connective tissue, can also be preferred due to their ease of use and relatively longer life, even if the filler used is melted by the body. While hyaluronic acid fillers have a permanence of 4-18 months depending on the cross-link structure, ‘smart’ fillers are called semi-permanent due to their effects that can last for 1-4 years. In addition to increasing the volume of the skin, fillers are also used to fill deep wrinkles, plump lips and shape the nose without surgery.

Filling is not applied to pregnant and lactating people, people with connective tissue disease or autoimmune disease. Ginko biloba, blood thinners, vitamin E, green tea, aspirin and painkillers/rheumatic drugs should be discontinued at least three days before. If your doctor deems it necessary before the application, your photo will be taken in order to follow up and evaluate the response to the application. Before the procedure, anesthetic agent can be applied by cream or injection method (many brand products on the market also contain local anesthetics). After waiting for a certain time, the skin is cleaned with an antiseptic substance and the application is made by injection method. After the application, a light massage and ice application can be made. Excessive physical activity, lying on the face and applying pressure to the application areas should be avoided for at least 6 hours after the application. Since the anesthesia is given in the application of lip augmentation, nothing should be eaten or drunk until the sensation returns (2-3 hours).

After the filling application, redness, swelling, bruising, bacterial and viral infection (herpes), palpable masses, asymmetry and rarely allergic reactions and discharge swelling (cyst/abscess) may develop in the application area. The most important undesirable effect of filler injection is disruption of blood flow. This situation, which arises with sudden pallor and severe pain at the injection site, may occur either by injection of the filler material directly into the vein or by the accumulation of filler to create pressure on the vascular structures. As a result, tissue necrosis, persistent wounds, sunken or raised scars from the skin and very rarely vision loss may develop. It is important to reach your Dermatology or Plastic Surgery specialist, who can diagnose these conditions early and manage the treatment process correctly, which can be seen despite preventive methods such as correct application technique, appropriate filler selection, use of blunt-tipped cannula and pre-injection aspiration. I wish you healthy days.