Fillers can be used to restore volume to create balance, harmony of the facial features as well as to bring out youthful contours. Some years ago, we embarked on a new way to use fillers. Instead of just focusing on softening static lines like the nasolabial folds, we used the fillers to re-volumize the face.
Then in 2018, Dr Phoon Yi Shan and Dr David Loh described a technique called the DL Lift. This technique predicts the differential shrinkage in the various fat compartments of the face and directs the injection to selectively re-inflate them, restoring tension in the SMAS, which translates to a mild lifting effect of the face. This technique is published in the Prime International Journal of Aesthetic and Anti-Ageing Medicine.
Aging comes with a downward migration of the face and a loss in volume over the cheeks. The DL Lift allows doctors to effectively soften lines like the naso-labial folds, nasojugal groove and the marionette lines, and also lift the jowls which making the face fatter. In fact, by lifting the face, the patient often appears slimmer.
Fillers can also project and enhance facial features when used on the lips, chin, the nose, the forehead or the malar area. There’s a lot of artistry in this aspect.
OUR CHOICE OF FILLERS
Safety above everything else, our favorite range of fillers are from the Juvederm, Belotero and the Restylane family. These are premium brands and they each have characteristics with give the best results for certain areas.
We also use autologous fat (patient’s own fat) as fillers. And then there are also fillers that are FDA approved with a long history of safety and efficacy that are not made of hyaluronic acid, like Radiesse.
Here are important considerations for our choice of fillers:
- We rule out anything “permanent”. We only use non-permanent fillers that are totally biodegradable after injection into the skin.
- We prefer to use fillers that are totally predictable. We need to know exactly how it behaves once injected.
- The filler has got to be smooth, even-textured and moldable at any depth.
- The filler has got to last around 12 months (even longer for deep volumizing fillers) after injection.
- Hyaluronic acid fillers are preferable because they can be easily dissolved with hylase, in the event of misplacement or adverse reactions.
Hylase, an enzyme that dissolves hyaluronic acid, allows fillers to be infinitely adjusted or instantly removed whenever needed.
All modern fillers contain a local anaesthetic in the product. Incorporating lidocaine into the hyaluronic acid, it takes all the fear and pain out of having fillers injected. We cannot imagine going back to fillers without the lidocaine.
We do NOT use semi-permanent or permanent fillers made from polyacrylamide, poly-lactic acid or silicone.
Faces will change over time. We will all continue to age and sag. Why inject something into the face that lasts a lifetime, when it is better to adjust it periodically to suit the “evolving” face.
Permanent fillers can potentially cause granulomas (skin reacting to foreign material) after a period of time in the skin. There’s no easy way to remove the granulomas. We can offer only limited help by injecting minute amounts of kenacort deep into the granulomas to prevent any further swelling. Remember: Hylase only works to dissolve hyaluronic acid fillers.
NB: Never agree to free-particle silicone injections for the face or the breasts. If you must have polyacrylamide, Sculptra or Ellanse injected, be sure the doctor can deal with the granulomas or skin reactions that occur later on. Good luck.
The art of facial sculpting and contouring is brought about mainly through the skillful application of good quality filler products.
Call us on +65 6733 5300 for an aesthetic makeover with fillers. Or email us.
Speak with us at (+65) 6733 5300 or send us an email.