Injectable filler

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Injectable filler (injectable cosmetic filler, injectable facial filler) is a soft tissue filler injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. Most of these wrinkle fillers are temporary because they are eventually absorbed by the body. Some people may need more than one injection to achieve the wrinkle-smoothing effect. The effect lasts for about six months or longer. Successful results depend on health of the skin, skill of the health care provider, type of filler used.

In the US, fillers are approved as medical devices by the Food and Drug Administration (FDA) and the injection is prescribed and performed by a health care provider. Fillers are not approved for certain parts of the body where they can be unsafe, including the penis. In Europe and the UK, fillers are non-prescription medical devices that can be injected by anyone licensed to do so by the respective medical authorities. They require a CE mark, which regulates adherence to production standards, but does not require any demonstration of medical efficacy. As a result, there are over 140 injectable fillers in the UK/European market and only six approved for use in the US.

Video Injectable filler

Materials used

Fillers are made of sugar molecules or composed of hyaluronic acids, collagens, which may come from pigs, cows, cadavers, or may be generated in a laboratory, the person's own transplanted fat, and biosynthetic polymers. Examples of the latter include calcium hydroxylapatite, polycaprolactone, polymethylmethacrylate, and polylactic acid. In 2012, "Artiste Assisted Injection System" was launched in the US market to assist in the delivery of dermal fillers. A study concluded that the injecting device can achieve reductions in patient discomfort and adverse events by controlling the rate of flow of injection of the filler the practitioner is using to fill in the lips and frown lines .

Maps Injectable filler

How it works

Dermal fillers, also known as "injectables" or "soft-tissue fillers," do just what their name suggests: they fill in the area under the skin. Some fillers are natural and some are synthetic, but they all work to improve the appearance of aging skin in the following ways:

• filling in wrinkles, fine lines and deep creases
• improving other imperfections like scars
• filling out thin or wrinkled lips
• plumping up cheeks
• treating fat loss secondary to HIV . Fillers were found to give a temporary acceptable therapeutic effect in HIV-infected patients with severe facial lipodystrophy which is caused by the highly active antiretroviral therapy. A systemic review concluded that the injectable fillers resulted in high patient satisfaction, however, further research is needed to determine the safety of it's use .
• contouring the jaw line and other areas of the face

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Risks

Risks of an improperly performed dermal filler procedure commonly include bruising, redness, pain or itching. Less commonly, there may be infections or allergic reactions, which may cause scarring and lumps that may require surgical correction. More rarely, serious adverse effect such as blindness due to retrograde (opposite the direction of normal blood flow) embolization into the ophthalmic and retinal arteries can occur. Delayed skin necrosis can also occur as a complication of embolization. Embolic complications are more frequently seen when autologous fat is used as a filler, followed by hyaluronic acid. Though rare, when vision loss does occur, it is usually permanent.

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See also

• Wrinkle
• Botulinum toxin

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References

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External links

• In Pictures: Seven Of The Most Popular Injectable Facial Fillers
• How to Navigate the Anti-Ageing Maze And Not Get Lost (a book about injectable fillers and their practical use)

Source of article : Wikipedia