Dermal Fillers
Dermal fillers which are materials that can be injected into the dermis in order to induce tissue augmentation, are often used to tackle facial lines and wrinkles and are frequently used in combination with botulinum toxin. They are also effective in plumping up lips and filling lines around lips.
There are currently many types of dermal fillers in use and more are being developed every day.
The most important distinction is between permanent (for example silicone, Aquamid and Bioalcamid), semi-permanent (collagen combined with polymethyl methacrylate or hyaluronic acid combined with acrylic hydrogel) and biodegradable (hyaluronic acid and collagen) dermal fillers.
While biodegradable dermal fillers are characterised by a limited short-term durability, requiring repeated injections every 3-12 months (according to age of the patient and severity of the condition), permanent and semi-permanent fillers have safety disadvantages associated with the permanency of their effects such as granulomas and migrating issues and consequently are not used in our practice.
In our clinic we mainly use hyaluronic acid (Restylane, Perlane, Juvederm, Isogel, Teosyal) and collagen (Cosmoderm, Cosmoplast, Zyderm, Zyplast, Evolence).