Dermal Fillers (Restylane / Q-med and Juvederm)

What is Hyaluronic Acid?

Hyaluronic acid is a naturally occurring sugar molecule that hydrates the skin and supports its normal biologic functions. Naturally occurring, hyaluronic acid in the body is gradually lost due to sun exposure, hormonal changes and aging. As a result, skin begins to lose hyaluronic acid and collagen, resulting in fine lines, wrinkles and loss of fullness and elasticity.

Natural hyaluronic acid is quickly turned over by the body. However, hyaluronic acid gel used for cosmetic injections, is formulated to last longer by "cross-linking" the gel molecules. The gel will be naturally metabolized by the body into water after around 6-18 months (depending on the type of hyaluronic acid gel, and the metabolic rate of the individual).

Hyaluronic acid gel can also be quickly degraded by the injection of the enzyme hyaluronidase. This makes hyaluronic acid gel even safer as a dermal filler, as any inadvertent, unfavourable cosmetic results can be quickly reversed.

There are several hyaluronic gel products with different particle sizes and consistency, to optimize the outcome for different conditions. The Restylane / Q-med range includes Restylane, Perlane, Sub-Q, and Vital, and the Juvederm range includes Ultra, Ultra Plus, Ultra 4, and Voluma. Most have a local anaesthetic incorporated in the gel to make the treatment more comfortable. Our doctor will choose the one(s) most suitable for you.

What can Hyaluronic Acid Dermal Fillers do?

Hyaluronic acid dermal fillers can be used for:

  1. Rejuvenating facial contours.
  2. Improving hydration and firmness of skin.
  3. Enhancing/augmenting facial features (lips, nose, chin, cheeks).
  4. Reducing wrinkles and depressed scars.
  1. Rejuvenating facial contours - reversing the hollows and furrows that come with age:

    • Tired looking eyes, due to hollowness under eyes.
    • Furrows around the nose (nasolabial folds) due to sagging of cheeks.
    • Marionette lines ('puppet lines') running down from the corners of the mouth.
    • Hollow Cheeks and temples, which make the face look gaunt.
  2. Improving firmness and skin texture:

    • Apart from filling up hollows and furrows by a special "intradermal" injecting technique, skin hydration and collagen production can both be improved.
    • The results are very natural looking, as small volumes ('threads') are put in during each injection – preventing an unnatural puffed up look.
    • The results are long lasting - improvement outlasts the duration of the filler material itself as collagen production sets in.
    • This procedure is especially good for lifting cheeks, improving lower cheek lines ('bracket lines' around the mouth), nasolabial folds and Marrionette lines.
    • Skin firmness around the neck and hands is improved.
  3. Enhancing / augmenting facial features:

    • Lips: enhancement for naturally thin lips, or lip thinning due to age.
    • Nose: for a straighter profile.
    • Cheeks: to create or recreate the youthful roundness of cheeks.
    • Chin: correct short chins for a more balanced look.
  4. Filling up wrinkles and depressed scars

    • The procedure can fill up lines on forehead, around mouth or on the neck.
    • It does not affect muscle movement (as in the case of botulinum toxin injection), so will not alter facial expression.

About the Procedure

The procedure is quick, usually taking 5 - 30 minutes, depending on the site and extent of treatment area.

Comfort levels have been improved with the newer filler products, which incorporate local anaesthetics. However, the application of numbing cream prior to the treatment is still recommended in most cases, and the lip area may also require a local anesthetic injection.

After the Treatment

You will see an immediate improvement in treatment areas. Depending on the location of the filler injections and the type of filler used, some redness, swelling and tenderness may occur. These side effects typically resolve themselves spontaneously, anywhere between a few days and up to a week after each treatment. Bruising is also possible and can take up to two weeks to subside. If you are taking aspirin or any other similar medication, be aware these may increase bruising and bleeding at the filler injection site.

*Results after "intradermal threads" with hyaluronic acid gel – natural reduction of furrows around nose and mouth and firmer cheeks

*Long lasting improvement in under eye area after hyaluronic acid gel injection
*1 year after single treatment

*Long lasting improvement for uplifting cheeks and reducing furrows around nose and mouth after "intradermal threads" with hyaluronic acid gel
*1 year after single treatment

*Please note that results may vary among individuals.