Fillers in Dubai | Dr Matteo Vigo

Fillers in Dubai | Dr Matteo Vigo

The use of injectable facial fillers is one of the fastest growing areas in the field of cosmetic surgery. Many advances in have been made in the last 5 years that have led to safer, more predictable and longer lasting fillers.

As one ages, the face loses volume. This creates more prominent wrinkles and skin folds while features become less distinct. Dynamic wrinkles caused by facial movement such as smiling and frowning appear. Injectables were designed to subtly reduce these signs of aging.

Most fillers work by restoring the volume of a part of the face or filling the lip or wrinkle and are gradually digested by the body. Hyaluronic Acid Fillers: These were the first of the new fillers to be FDA approved. Hyaluronic acid is a naturally occurring carbohydrate which occurs in skin. It is a clear gel with a thick consistency. Since skin testing is not required, injections may be done on the same day as the initial consultation. Manufacturers have manipulated particle size (thickness) and crosslinked molecules to offer both normal and longer duration products.

Juviderm and Teosyal are examples of normal duration products that are injected in more superficial lines and have easier flow characteristics. Juvederm Voluma and Teosyal Redensity II are examples of longer duration products are usually injected into deeper lines and folds.

The newest advance has been the addition of local anesthetic, Lidocaine, to the filler to reduce discomfort upon injection.

Guide to Dermal Fillers for Facial Rejuvenation

Guide to the Types of Dermal Fillers

Your Guide to Skin Concerns

Everything You Ever Wanted To Know About Lip Injections

 

Who is a Candidate?

  • Facial fillers are administered over a wide age range.
  • Younger patients seeking fuller, plumper lips or cheeks
  • Older patients seeking volume restoration, wrinkle reduction and fuller lips.
  • Men who wish reduction of folds and volume restoration to look younger.

Intended Results

  • Redefinition of the volumes in the face
  • Fuller and plumper lips.
  • Softening of superficial and deep wrinkles.
  • Softening of wrinkles which appear during facial movement (smiling, frowning, concentrating and looking surprised).

Procedure Description

  • This procedure is usually performed in the office.
  • Most surgeons use a topical anesthetic cream and also administer local anesthetic injections prior to injecting fillers.
  • Ice may be applied before and after injection.
  • Immediate swelling may create the appearance of over treatment – this swelling generally resolves in several hours.

Recuperation and healing

  • For most patients, fillers can be injected in the lips or wrinkles and they can return to work the same day. It is considered a lunch treatment
  • Occasionally a patient swells more than expected, especially in the lips. A first time patient may want to schedule the initial injection on a day close to the weekend.
  • It is a good idea not to schedule filler injection right before an important social function.

Note

Fillers in Dubai – The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation with your cosmetic surgeon. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.

 

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Fillers in Dubai FAQs

Dermal fillers are substance/gels injected beneath the skin’s surface to smooth wrinkles and add volume and contour. The products are composed of stabilised hyaluronic acid (HA) which occurs naturally in the cells of the skin. It works by drawing in water and therefore augmenting the skin, thus reducing the wrinkle treated. It is by no means permanent and is totally biodegradable. Depending on what type of dermal fillers, results can last between one to two years. Dermal fillers are very safe and have been used for over a decade. The most popular brand of dermal filler has sold over 20 million syringes.
The face loses volume and contour when we age, the bones and the soft tissue dissolve and contribute to appearance of sagging. Dermal fillers may be used to replace this volume loss and restore the structural support, giving the patient a more youthful appearance. The aim is to make the face more harmonious and rejuvenated. For instance, the lips may be injected to improve their shape, size, symmetry and proportion. The cheeks may be injected to make a face more defined and attractive. An underdeveloped chin may be injected to make it appear more projected and proportionate. The nose may be injected to improve the shape and its contour.
It can be painful if the procedure is carried out by injector who is not as skilled. Generally, basic dermal filler procedures require no anaesthetic as the dermal filler contains local anaesthetic. It is simple and straight-forward, involving a few tiny injections directly into the skin, and takes between 15–30 minutes. Make-up can be applied immediately after the procedure and you can go straight back to work. Result can be seen immediately. Optimal results can be maintained over a long period of time through regular repeated treatments. The procedure varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.
Results are seen instantly after the treatment, although this gradually improves over the course of the following 2–4 weeks. Results can last between 9–18 months although optimal results can be maintained over a long period of time through regular repeated treatments. The longevity varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.
Yes. We use only products with proven safety record. Hyaluronic acid (HA) is a substance which occurs naturally in the cells of the skin, thus there is no risk of allergic reactions. Even people with food sensitivities can receive these fillers safely. The brands of dermal fillers I use are available in more than 90 countries and have been used as an injectable cosmetic treatment for more than two decades with an excellent safety record.
Today’s dermal fillers have come a long way since the first-generation of collagen injections. Advanced injection techniques, coupled with the use of micro-cannula (blunt needle) and improved product safety means that significant side effects are extremely uncommon but may include: Injection-related reactions: these reactions may include redness at the injection site immediately after the treatment. Bruising: occasionally bruising can occur. However the use of micro-cannula (blunt needle) dramatically reduces the risk of bruising. Contour irregularities can and do occasionally occur. Massaging can usually smooth out any ‘lumpiness’ however if persistent the filler can be easily and rapidly dissolved. Infection — as with all injections, this procedure carries a risk of infection. The syringe is sterile and standard precautions associated with injectable materials are taken.
Dermal fillers continue to be highly popular due to the natural hyaluronic acid formula featured in most Dermal Fillers brands. Hyaluronic acid occurs naturally in the body but can deplete over time due to ageing or environment, it requires no allergen tests as it does not use animal DNA. It is biodegradable and absorbs over time into the skin leaving no by-products or waste. Dermal fillers aim to be the perfect solution for delaying the ageing process or filling in any depressions left from weight loss or illness. They can be used to get rid of fine lines, wrinkles, shadows and hollows around the eyes, lips and nose area. Dermal Fillers can also help replace lost volume in the face focusing on the cheek and nose area, it can be used to plump up lips and contour the face according to preference. It is a stress-free alternative to invasive surgery and will dissolve naturally over time. Most popular dermal fillers can last between 6-9 months, up to a year or longer depending on the individual strength and formula used. Individual treatments are tailored to each client and customer depending on personal circumstance, lifestyle and requirements. Fillers in Dubai - Alidya Alidya is an anti-lipostrophic agent designed and approved for the treatment and prevention of cellulite. Patented by the same surgeon who developed Aqualyx, it is the first registered medical product to be applied as an injectable treatment for cellulite. Fillers in Dubai - ALIAXIN SR Shape & Restore ALIAXIN SR Shape & Restore is ideal for dermal remodelling. Use Aliaxin SR to replenish facial fullness with natural and well-defined contour. Characteristics The hyaluronic acid gel in this formulation characterises its use in treatments where the primary aesthetic objective is to recover the harmonious balance of the face. It is therefore ideal for dermal remodelling, where the key concerns are profile, contour and symmetry. Benefits of Aliaxin® SR •Remodelling of the face •Replenished facial fullness •Natural and well-defined facial contours •Allows homogeneous diffusion in the tissue and extended areas of the face •Stable •Long lasting Fillers in Dubai - AQUASHINE BTX AQUASHINE BTX is an innovative anti-ageing hyaluronic acid filler with biomimetic peptides. Aquashine BTX is ideal to correct moderate to severe facial wrinkles and folds and to restore the shape of the face. This product is an ideal solution for mature skin and is designed for face and tissue remodelling. Results from using AQUASHINE BTX can last for up to 12 months. Benefits of Aquashine BR: • Correction of moderate to severe wrinkles and folds • Face and tissue remodelling • Restores the shape of the face Fillers in Dubai - AQUALYX® AQUALYX® is an injectable, gel-based aqueous solution, a non-surgical reduction of stubborn fat under the skin. Aqueous solution with a microgelatinous base, modulating and favoring the action of external ultrasound waves for the non-surgical in the treatment of localized adiposity. This is a form of injection lipolysis, lipotherapy or intralipotherapy. It is marketed for aqualysis or aquaplasty treatment as a means of body contouring. Clinical data shows that the application of AQUALYX is effective and safe, leading to an increase in contoured appearance. Characteristics AQUALYX was developed to treat localised pockets of fat underneath the surface of the skin. It can be used to treat fat pockets on the back, chin, stomach, underneath the buttocks, hips, thighs and knees. It can also be used to treat pseudo-gynaecomastia, the development of fatty tissue around the nipple, resulting in a breast-like appearance in men (due to weight gain rather than the growth of actual breast tissue as seen in genuine male gynaecomastia). This is sometimes referred to as Motolese`s Solution. AQUALYX was developed by Professor Pasquale Motolese, president of the Italian Society of Aesthetics and Medicine and was first introduced in 2009. Manufactured by the Italian firm Marllor, it was first launched in the UK in 2013 and is distributed in the UK by Healthxchange Pharmacy. What is AQUALYX? AQUALYX is an aqueous compound solution, with slow-release sugar that reduces the biological half-life of the solution, minimising side effects. The ingredients are a polymer from phospate buffered saline, agarose, sodium deoxycholate, water for injection purposes (87%). The buffer system within AQUALYX ensures that the 12alfa-dihydroxy-5beta-24oico cholanic acid sodium salt is delivered to the target area. Deoxycholic acid has been used in various fields of human medicine since its discovery. Present also in the human body, deoxycholic acid is used in the emulsification of fats for the absorption in the intestine. How does it work? The solution is injected into the treatment area whereby the 12alfa-dihydroxy-5beta-24-oico cholanic acid sodium salt of AQUALYX alters the surface tension of the fat cell membrane and increases the permeability of the membrane. An ultrasound device is then applied over the surface of the skin in the targeted area and this causes the movement of liquids both inside and outside the fat cells. The fat cells start to balloon and break up, leading to the drainage of micro droplets of fatty liquid into the body, which is then metabolised through the lymphatic system and excreted. What happens during treatment? One AQUALYX treatment typically consists of two injection sites. A local anaesthetic, lidocaine, will usually be administered before the treatment commences. The practitioner may prefer however to add the lidocaine anaesthetic to the AQUALYX solution so that the two are injected together. Either method should minimise discomfort during the procedure. The practitioner will use an ultrasound device in conjunction with the AQUALYX injections to assist in the dissipation of the fat cells. Treatment regime: the time taken for a treatment session will depend upon the size of the area and indication being treated. Treatment can take between 30 - 60 minutes per treatment and you will typically require 2 - 8 treatments, 4 weeks apart. Some people may see significant results after 1 or 2 sessions. Treatment for fat pockets underneath the neck and chin, for example, may require 1 - 3 treatments of 2 - 3 injections, while treatment for fat pockets on the hips and thighs may require 8 treatments. Fillers in Dubai - BCN ADIPO BCN ADIPO claims to improve the appearance of cellulite and localised fat on the surface of the skin. It has been developed to combat cellulite and restore firmness of the skin, and can be used on the face to improve aesthetic conditions such as the visibility of double chins. How does Adipo work? Adipo is an anti-cellulite cocktail that contains L-carnitine and caffeine, which work in combination to mobilise accumulated fat, releasing it so that it can be burned by the metabolic system. Caffeine is useful in improving the circulation as well as tightening and toning the skin to ultimately reduce the appearance of cellulite. Who should not use Adipo? It is not recommended for use on individuals suffering from cardiac disorders or stomach ulcers. It should not be used during pregnancy and breastfeeding. It should not be used in conjunction with any product containing yohimbine. Fillers in Dubai - Belotero® Lip Contour Lidocaine Belotero® Lip Contour Lidocaine is an injectable hyaluronic filler that treats lip contour, mid oral commissures and gives optimal volume and definition for patient specific results. This filler is designed to define the outline of the lip for a more youthful appearance. Characteristics Belotero® Lip Contour is used for lip augmentation, giving enhancement to the upper and lower lip. Lip Contour also contains 0.3% lidocaine to reduce the pain during treatment. Benefits of Belotero Volume: •Increased lip volume for a natural appearance •Balance the lip shape •Enhanced curves and contours •Reduced drooping and fuller shape •Long-lasting results Fillers in Dubai - Belotero® Intense Belotero® Intense contains the second highest concentration of hyaluronic acid at 25.5mg/ml which works to restore and significantly increase the volume of face skin tissue. This makes it suitable for filling in deeper lines and wrinkles including nasolabial folds, marionette lines, corners of the mouth and the chin. This filler also suitable for lip augmentation and deep oral commissures. Characteristics Belotero® Intense is very malleable therefore it adapts to your facial contours easily and has a natural, smooth finish once administered. This filler is designed to be injected into the deep dermis. Intense has a good resistance to degradation, but is fully biodegradable and hypoallergenic once used. This product can minimise the skin irregularities to give you a excellent result. Benefits of Belotero Intense •Excellent tissue integration •Corrects fine to deep lines •Optimal filling capacity •Creates facial volume Fillers in Dubai - Belotero® Soft Belotero® Soft is formulated for superficial injections to correct fine lines and wrinkles as well as lip enhancement. This is also suitable for the correction of facial atrophic scars. Belotero Soft is optimised for deep skin rehydration due to its excellent cohesivity and its water binding capacity and needs to be injected into the superficial to mid-dermis by a legally approved practitioner. Characteristics Belotero® products are designed for you to tailor an aesthetic solution for every patient depending on the skin’s structural and functional needs. The different formulations can be used individually or in combination. Benefits of Belotero Soft •Excellent cohesivity and water binding capacity •Corrects fine lines and wrinkles •Deep skin rehydration •Indicated for fine lines such as crow’s feet and perioral lines Fillers in Dubai - Belotero® Balance Belotero® Balance is a prescription injection that is approved to temporarily smooth out and fill in moderate to severe nasolabial folds. This is a sterile, non-pyrogenic, viscoelastic, colourless, transparent gel of crosslinked sodium hyaluronate of non-animal origin, in a physiological phosphate buffer. Characteristics Belotero® Balance is an injectable filler designed to increase the volume of skin tissue. This filler enables moderate volume enhancement of the desired area and fills all types of wrinkles and corrects scars. Balance integrates seamlessly into the skin, allowing for immediate and smooth correction of medium to deep lines in the superficial and mid dermis. Benefits of Belotero Balance •Correction of medium to deep facial lines •Volumizing effect •Optimal skin integration Fillers in Dubai - Belotero® Volume Belotero® Volume is an injectable gel filler designed to add support to the overlying skin and to restore volume. This can be used to replace lost volume and smooth unwanted wrinkles in different areas (cheeks, cheekbones, chin and temples). Characteristics Belotero® Volume has an excellent malleability that makes it ideal for modelling and restoring facial volume. This treatment can be used to reverse the effects of ageing by replacing the lost volume in your face. The powerful volumizing effect and high plasticity help replace lost tissue and rebuild facial contours, resulting in a natural-looking appearance. Benefits of Belotero Volume •Restores lost facial volume •Smoothes out wrinkles •Optimal modelling capacity Fillers in Dubai - Belotero® Hydro Belotero® Hydro is specifically designed for deep rehydration treatment and skin rejuvenation. The recommended injection sites for skin rejuvenation with Belotero Hydro are the face, neck, décolletage and back of the hands. Characteristics Belotero® Hydro can used to restore skin radiance and elasticity. This is the perfect solution to lasting moisturised skin. Hydro is uniquely developed and formulated to enhance skin hydration. Belotero Hydro consists of sodium hyaluronate gel (of non-animal origin) in a physiological phosphate-citrate buffer. Benefits of Belotero Hydro •Deep skin hydration •Restores skin radiance and skin elasticity •Skin rejuvenation •Treatment areas: Face, neck, décolletage and back of the hands Fillers in Dubai - Cingal Cingal provides the benefit of a cross-linked hyaluronic acid and a fast acting steroid to effectively treat the symptoms associated with osteoarthritis. It is the first and only approved viscosupplement that combines Anika’s pioneering cross-linked hyaluronic acid formulation of Monovisc with a well-established and approved steroid to treat inflammation and provide additional short term pain relief. Benefits of Cingal: The addition of steroid provides fast and short term pain relief within the first few days of injection Hyaluronic acid viscosupplement provides long lasting pain relief which may last up to 6 months Convenient single injection treatment Contains a highly concentrated and non-animal based hyaluronic acid Has a record of strong safety profile in both initial injection as well as repeat injections Who should not use Cingal? It is not advisable for the following to use Cingal: individuals with a known hypersensitivity to hyaluronic acid or to preparations containing triamcinolone hexacetonide, individuals with infections or skin diseases around the proposed injection site. Associated Side Effects: Common side effects may include pain, swelling, heat, itching, bruising or redness around the injection site. Reactions are generally mild and should not last long.
Although wrinkles can signify wisdom, or at least some level of maturity, there is no question that newly born infants also have wrinkles. The real concern that most of us have is that certain types of wrinkling are associated with the aging process. In our current “pop” culture, people do not view aging positively. Generally, the treatment of normal skin aging that does not result in a functional abnormality is termed “cosmetic.” Most cosmetic procedures are not covered by health insurance. Many products and procedures promise to reduce wrinkles. Some do little or nothing (like the products that claim they reduce “the appearance of fine lines,” which means that they don’t reduce the lines themselves). Others can achieve a fair amount of success. Although all of our skin ages, sun exposure dramatically enhances the rate at which this occurs. Changes brought on by sun damage (photoaging) include dry skin (really roughness), sagginess, skin growths like keratoses, lentigos (“liver spots”), and wrinkles. Just compare the skin on the face and neck of a poorly pigmented farmer to the skin of his buttocks. Most wrinkles associated with aging appear on the parts of the body where sun exposure is greatest. These sites are the face, neck, the backs of the hands, and the tops of the forearms. Wrinkles come in two categories: fine surface lines and deep furrows related to muscular contraction. Some deep furrows are anatomical in nature and have little to do with aging. Generally, it is only the aging wrinkles that really bother people. There are two basic approaches to the amelioration of these signs of aging: prevention and treatment. Topical wrinkle treatments are, in general, much more effective for fine lines. Deeper creases may require more invasive techniques, such injection of fillers, local muscle paralysis, or plastic surgery. There is a special form of wrinkling called “cellulite” that produces a “cottage cheese-like” appearance to the skin. Cellulite most commonly appears in the hips and buttocks of women and is due to fat deposition in certain anatomical areas in the dermis. What are risk factors and causes of wrinkles? Smoking Degree of natural skin pigmentation (more is better) Sun and ultraviolet exposure Heredity (some families wrinkle more) The loss of subcutaneous fat on a person’s body (people with more subcutaneous fat have fewer wrinkles) Some of these factors are beyond our control. The main preventive measures we can take are to minimize sun exposure and not smoke. These measures can, at best, delay wrinkles. Sun protection factor SPF numbers on sunscreen labels refer to protection against UVB radiation (the “sunburn rays”). Higher SPF numbers (50) are better at protecting the skin than lower numbers. Broad-spectrum sunscreens offer protection against UVB and UVA radiation (longer-wave ultraviolet light). UVA rays are abundant in sunlight and produced by tanning salon light bulbs; they may not cause immediate sunburn but do produce aging and an increase skin cancer risk over time. (Sorry, but there is no such thing as a “safe tan.”) Sunscreens that block UVA indicate this on the label and contain ingredients such as Parsol, Mexoryl, and benzophenones. Procedural options Glycolic acid peels: These superficial peels can make a very slight difference in the intensity of fine wrinkles. Deeper peels: These peels use ingredients like salicylic acid and trichloroacetic acid and penetrate somewhat deeper into the skin. Deeper peels do a better job of smoothing fine lines. The deeper the peel, however, the greater the risk of side effects such as long-lasting pigment changes (changes in the color of the skin) and scarring. Such peels may require anesthesia. Mild sedation helps ease short-term but intense discomfort. Microdermabrasion: This refers to “sanding the skin” with a machine containing silica or aluminum crystals; many estheticians offer this service, usually in “packages” of six or seven sessions. Microdermabrasion does not change skin anatomy, though it may make the face feel smoother. Cosmetic products marketed as “home microdermabrasion” are just mild exfoliants -- harmless but not likely to produce any meaningful change in wrinkles. Dermabrasion: This is a true surgical procedure, often performed under general anesthesia. The treating physician uses a rotating instrument to sand the skin down. Depending a great deal on the skill and experience of the operator, dermabrasion can result in excellent improvement but can also produce significant side effects, including scarring and permanent changes in skin color. Laser resurfacing: Using instruments such as the carbon dioxide and erbium lasers, physicians can achieve results similar to those of dermabrasion with greater reliability and precision. A medical professionals passes the laser several times over the area to be treated until the damage reaches the middle of the dermis, the skin’s second layer. This helps stimulate the body’s natural collagen synthesis (production), which plumps up sagging skin and wrinkles. Some dermatologists perform laser resurfacing under “conscious sedation,” in which the patient remains awake and receives intravenous medications to calm and ease pain. Doctors combine this sedation with the application of topical anesthetic creams such as EMLA, as well as injections of local anesthetics like lidocaine. Patients may need to repeat procedures to maximize improvement. Skin takes a long time to heal (weeks to months) after resurfacing. In addition, this procedure, like dermabrasion, can cause permanent pigment changes and scarring. Fractional resurfacing: Newer lasers work through a modification of traditional laser resurfacing. Treatments affect not the whole skin but instead only evenly spaced spots surrounded by undamaged skin. Healing is much faster than traditional resurfacing, with less “downtime” afterward. Patients may need several treatments to achieve full benefit. Non-ablative laser resurfacing: Newer lasers attempt to stimulate collagen synthesis under the skin without damaging the epidermis. Studies and clinical experience suggest that such procedures can improve fine wrinkles, though not as much as laser resurfacing. Several treatments may be necessary. These procedures are almost painless and there is little or no redness, peeling, or downtime afterward. Heat and radiofrequency: Another variation of noninvasive facial rejuvenation is to heat tissue using radiofrequency devices and infrared light sources. Techniques are still in development, but results to date suggest that such treatments are safe and can produce visible and lasting improvement, though not as much as surgical techniques like facelifts (rhytidectomy). Cosmetic surgery: Surgical facelifts, brow lifts, and similar operations can be very helpful for selected patients. Thread lift: In this procedure, a barbed, medical professionals insert a stiff thread into facial skin in the appropriate direction and the tissue is pulled to catch on the barbs, producing a lifted appearance. Whether or not the effect is sustained is controversial, but there is no doubt that in the short term there can be a modest cosmetic benefit using only a local anesthetic associated with minimal downtime. Botox: Injection of botulinum toxin, the muscle poison, can paralyze facial muscles that produce the “frown lines” on the forehead, fine lines around the eyes, and other wrinkles. Improvement lasts several months, and patients must have repeated injections to sustain improvement. Dermal Fillers: Medical professionals inject fillers into the skin to increase volume and flatten wrinkles and folds. In the past, the most popular filler was collagen. More recently, health care professionals use new filler substances such as hyaluronic acid (Restylane, Juvederm) and calcium hydroxylapatite (Radiesse), lactic acid (Sculptra), and autologous fat transplants because their effects can last six to nine months or even longer. Anyone considering any of the cosmetic procedures should be sure to consult doctors who have experience in one or several of these techniques. Patients should fully inform themselves about the risks and potential benefits of the procedure they are considering before going forward.