Fillers in the nasolabial folds, under the eyes, in the lips, in the cheekbones. Correction of the nose, nasolacrimal groove. Facial contouring

Currently, there are many ways to deal with age-related changes. One of the first signs of aging is the formation of wrinkles in the nasolabial area. To eliminate them, cosmetologists increasingly offer to resort to injections with certain drugs. Fillers smooth out existing wrinkles and add volume to facial features.

What are fillers?

The term "filler" is borrowed from a foreign language. It has a common root with the English word fill - to fill. Fillers are preparations with a gel-like texture... They are used to eliminate cosmetic imperfections of the face and body by partially replenishing the missing volume. Injected into the problem area by injection.

In most cases, fillers are used to:

• eliminate wrinkles;
• correction of the shape of the nose, lips, chin;
• giving volume to lips, cheekbones, cheeks;
• face contour correction.

Fillers composition

All fillers differ from each other in composition and viscosity. The specialist will select a specific drug based on the existing problems and the area of ​​influence.

In addition to the main active ingredient, the filler may contain:

• vitamin complex;
• mineral supplements;
• anesthetic substance.

The density of drugs ranges from 16-25 mg / ml and depends on the component that makes up the basis of the drug.

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Pros and cons

Fillers are used to smooth wrinkles, nasolabial folds, facial contours and other body parts. The procedure has its own advantages and disadvantages.

Despite the existing drawbacks, correction of appearance with the help of fillers continues to gain more and more popularity in comparison with classical plastic surgery.

Indications

Fillers in the nasolabial folds or in any other areas of the face and body are used to solve a number of aesthetic problems.

Indications for the procedure:

1. Decreased skin elasticity.
2. The presence of wrinkles.
3. Pronounced nasolabial folds, nasolacrimal groove.
4. Bags and dark circles under the eyes.
5. Loss of definition of the contour of the face.
6. Insufficient volume of lips, cheekbones, chin.
7. The presence of asymmetry in the face or body.
8. Sagging skin in the neck and décolleté area.
9. The presence of stretch marks or post-acne.
10. Elimination of the unfortunate consequences of plastic surgery.

Fillers can be used to increase breast volume.

Contraindications

Not everyone is allowed to administer subcutaneous fillers. Contraindications to the procedure are divided into 2 types: temporary and permanent.

The presence of permanent contraindications makes it impossible to inject fillers. With the elimination of time constraints, correction with fillers is allowed.

Side effects

Injection of fillers under the skin usually does not lead to unpleasant consequences.

In rare cases, the following phenomena can be observed:

• pain, itching, redness at the injection sites;
• swelling and bruising in the treated areas;
• asymmetry of the face or body;
• the occurrence of inflammation at the injection sites.

These phenomena are of a short-term nature and do not require special treatment, with the exception of inflammation.

The most serious complications after subcutaneous fillers are:

• drug migration;
• the formation of lumps under the skin;
• manifestations of allergies;
• violation of blood circulation;
• introduction of infection.

The greatest impact on the occurrence of these phenomena is exerted by the professionalism of the cosmetologist and the chosen clinic. With sufficient experience of a specialist and compliance with sanitary and hygienic standards, the risk of their development is minimized. The occurrence of these consequences requires professional intervention.

Filler types

Fillers are divided into 3 groups:

• absorbable - have a temporary effect;
• non-absorbable - give permanent results;
• autologous - show long-term results.

Non-absorbable fillers are practically not used in cosmetology today due to the large number of side effects. The most important of these is the possibility of filler migration. Under the influence of age-related changes, the injected drug can be displaced into the appeared voids. This leads to the formation of bumps under the skin and asymmetry.

One of the non-absorbable fillers is silicone.

Absorbable drugs are included in metabolic processes and, over time, are completely removed from the body. To achieve a permanent result, you have to repeat the procedure after a certain period of time.

Autologous fillers are obtained from the patient's own tissues. Typically, adipose tissue is taken from one place and implanted in another. This type of filler is the safest because there is no risk of allergic reactions.

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Hyaluronic acid based

Hyaluronic acid is present in human tissues. The body produces this substance on its own. With age, its "production" slows down. With a lack of acid, the skin becomes dry and loses its elasticity. The first appearance of wrinkles is associated with a deficiency of hyaluronic acid.

Fillers, which are based on hyaluronic acid, practically do not cause allergic reactions. This is due to the fact that the main substance is extracted from rooster combs or certain bacteria, and in its composition the acid is as close as possible to that produced by the human body.

Fillers with hyaluronate have different densities. The higher the viscosity of the preparation, the longer it will remain under the skin and maintain the effect of the procedure.

With the introduction of such a filler, hyaluronic acid accelerates the processes of cell regeneration, which has a positive effect on its condition. Fillers with hyaluronic acid trigger the skin's self-rejuvenation processes.

The most popular drugs in this group:

• RESTYLANE, Sweden;
• Perlane, Sweden;
• JUVEDERM, France;
• SURGIDERM, France;
• Belotero, Germany.

With collagen

Fillers in the nasolabial folds, lips, cheekbones and other parts of the body may contain collagen. This protein is present in many tissues of the human body. In the process of life, its production slows down, and the structure undergoes changes. The result of such metamorphoses is loose, saggy skin.

Fillers with collagen increases its content in the body and improves skin tone. Collagen from the outside accelerates the body's production of its own substance. Collagen for cosmetic purposes is divided into 2 types: animal and human.

Animal collagen is obtained from the tissues of pigs or bulls. In its structure, it is close to human protein and is perfectly absorbed by the body.

Animal protein products:

• ARTECOLL;
• ARTEFILL.

Human collagen is obtained from a donor or synthesized artificially. Artificial collagen practically does not provoke allergies. It is obtained in the laboratory using the patient's own skin cells. Donor collagen is obtained from other people who donate this product.

Human collagen preparations:

• COSMODERM;
• COSMOPLAST;
• CYMETRA.

With poly-L-lactic acid

Poly-L-lactic acid is a bio-based polymer. Used in the manufacture of surgical absorbable sutures. Fillers with this substance require a course of injections at intervals of several months. The acid increases the body's production of its own collagen. The substance is completely biocompatible and is not rejected by human tissues.

Fillers with poly-L-lactic acid are used in the area of ​​the nasolabial triangle. They help reduce wrinkles and straighten wrinkles around the lips. Fillers can be used to add volume to the cheekbones and cheeks, and to heal scars. The most popular drug in this group is Sculptra.

With polymethyl methacrylate microspheres

Polymethyl methacrylic microspheres (PMMA) are an artificial polymer. It is widely used in medicine. PMMA - round microscopic particles. They are not absorbed by the body.

For the production of fillers based on polymethyl methacrylic microspheres, they are added to a gel-like solution containing bovine collagen. The drug is used to correct the shape and volume of the lips or to eliminate nasolabial folds. Popular filler with PMMA is ArteFill.

Are the injections painful?

The painfulness of the subcutaneous filler procedure depends on the pain threshold and the patient's sensitivity. Compliance with the technology of the procedure and the use of high-quality materials minimizes discomfort during injections.

Some drugs contain anesthetics such as lidocaine. It allows you to reduce the patient's sensitivity. Many clinics practice the use of local anesthetic drugs that are applied to the treated surface just before the injection.

Filler areas

Fillers in the nasolabial folds and other parts of the face and body are most often used to fill in the missing volume.

The following areas can be corrected with such drugs:

• lips;
• cheeks and cheekbones;
• nasolabial triangle;
• area under the eyes;
• lacrimal grooves;
• the chin;
• neck;
• chest and neckline;
• arms.

The drug is selected by a specialist depending on the area to be treated and the desired results.

Into nasolabial folds for nose correction

Fillers are injected into the nasolabial folds to eliminate skin breaks in this area. Wrinkles in the area of ​​the nasolabial triangle appear early enough due to the mobility of this area. The drug fills the formed voids and lifts the skin. The result is the smoothing of even deep wrinkles in this area.

Fillers can be used to correct the shape of the nose. This procedure is an alternative to the classic plastic surgery - rhinoplasty. The drugs give a visible but temporary effect. To maintain the results obtained, periodic repetition of the procedure is required.

With the help of injections, you can give the organ the desired shape, eliminate bumps and depressions. It is impossible to radically change the length of the nose with fillers.

On the lips

Lip muscle tone may decrease with age. This leads to the loss of the clear contours of the mouth and the natural volume of the lips. Injecting fillers into this area of ​​the face helps to give the lips the desired volume and shape.

In the cheekbones

Most often, cheekbone fillers are used by patients over 40 years old. As we age, the muscles in this part of the face sink under the influence of gravity. Fillers help restore the cheekbones to their former roundness.

Most of the drugs used for this area are aimed at increasing the body's production of its own collagen.

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Under the eyes

Swelling, bruising and bags under the eyes can eliminate fillers for this area. With their introduction, the missing tissues are replenished, the skin tone increases, and its condition improves. Filler preparations are able to smooth out wrinkles around the eyes. For the orbital area, drugs with a low density are used.

Head-on

Fillers are able to remove wrinkles in the nose and forehead. To do this, it is necessary to inject the appropriate drug into the forehead area.

For hair

Hair fillers are a non-injection procedure for their complex restoration.

The drugs used for these purposes contain:

• ceramides;
• collagen;
• amino acids;
• keratin;
• complex of vitamins.

Fillers restore the structure and nourish the hair follicles. The preparations protect hair from thermal and chemical effects.

For the nasolacrimal groove

Injection of fillers into the orbital area helps to smooth the nasolacrimal sulcus. It is localized slightly below the bony line of the orifice.

For complex facial rejuvenation in cosmetology

Fillers based on hyaluronic acid are used for complex facial rejuvenation. The substance, entering the body, starts regenerative processes. The skin becomes firm, hydrated and elastic. When using such funds, there is a smoothing of wrinkles, a decrease in pigmentation.

Filler creams can be used to maintain youthful skin. These drugs are intended for external use and have a very short-term effect.

They may contain:

• hyaluronic acid;
• collagen;
• vitamin and mineral complexes.

The products provide a lifting effect, smooth wrinkles.

Rehabilitation

To prevent the possibility of side effects, it is recommended to follow a few simple rules.

Rules to follow during the rehabilitation period:

• for several weeks after the procedure, you cannot visit the bathhouse, sauna, swimming pool, solarium and gym;
• for 10 days you can not sleep "face in the pillow";
• kissing is not recommended for 7-10 days;
• do not massage the treated area for 30 days;
• it is recommended to stop using peels and scrubs for 10-15 days.

To prevent edema, ice should be applied to the treated surface immediately after the procedure. It is allowed to apply it throughout the entire rehabilitation period.

Duration of effect: results before and after

The duration of the preservation of the result is different depending on the drug used:

1. The results of using a hyaluronic filler are stored for 0.5-1 year and depend on the specific product and its density.
2. Collagen fillers give the shortest lasting effect. The result of the procedure lasts for 2-6 months.
3. The results from the injection of fillers with poly-L-lactic acid persist for 24 months.
4. The result from the use of drugs with polymethyl methacrylic microspheres can last up to 10 years.

The results from the injection of fillers are noticeable immediately after the procedure. The exception is preparations with hyaluronic acid and poly-L-lactic acid.

Hyaluronate-based fillers are most effective a few days after the procedure. During this period of time, the acid molecules are completely saturated with moisture and reach their maximum volume. Poly-L-lactic acid gives lasting results after a course of treatments.

Price of procedures in Moscow, St. Petersburg, regions

The cost of removing nasolabial folds depends on the drug used, its quantity and the clinic in which the procedure will be performed. The table shows the average price of 1 standard injection.

Feedback on the effectiveness of the method

The network is dominated by predominantly positive reviews about the introduction of fillers into the nasolabial folds. Most of the patients felt a little soreness during the procedure. After the injection, everyone noted the formation of edema at the injection site, which disappeared on its own after 2-4 days.

Some women developed bruises that had to be treated with special ointments. After the passage of edema and hematomas, there is a smoothing of skin folds in the area of ​​the nasolabial triangle. The patients noted the long-term effect of the procedure. For most of them, the result was noticeable 1 year after the injection.

You can also find negative statements regarding the procedure for correcting nasolabial wrinkles with fillers. Some patients complain of severe edema that has not gone away even after a week. Some people who have tried fillers noted the absence of any visible effect.

The presence of such phenomena is explained by an incorrectly selected drug or insufficient qualifications of the master who made the injections.To fight the signs of skin aging, it is not necessary to go under the knife of a plastic surgeon.

A variety of fillers are capable of eliminating wrinkles in the area of ​​the nasolabial folds, nose bridge or under the eyes. The procedure for their introduction differs from surgical intervention in greater accessibility and less trauma.

Article design: Oksana Grivina

Fillers for nasolabial folds

Before and after using fillers to correct nasolabial folds: