TYPES OF DERMAL FILLERS
Hyaluronic Acid Fillers | CaHa Fillers | Autologous Fat Grafts
Among the many brands of Hyaluronic acid fillers, our favorite starts with the letter J. Within the J family are various “products” each uniquely designed for specific tasks. VY24 is “strong” and is used for nose and chin projection. VY20 effectively volumizes the forehead, temples and cheeks. VY18 is soft and is ideal as a Lip Filler. VY12 is a skin hydration booster.
VY24 - Sculpt It VY20 - Fill It Lip Fillers VY12 Skin Booster
CaHa is a calcium based filler that triggers the production of collagen and fibrous tissue. Autologous fat grafting is a procedure using fat from another area as a filler on the face. Nanofat are the smallest particles of fat grafts, and they are believed to be rich in “stem cells“. Fat transfer is another term, used interchangeably with fat grafting, and refers to grafting fat to other body parts as buttock or breast enhancements.
Everything You Need to Know About Filler Injections with
Dr Shauna Tan
WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.
Fillers can be used to restore volume to create balance, harmony of the facial features as well as to bring out youthful contours. Around 2009, 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.
THE DL LIFT
Then in 2018, 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 without 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
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 CaHa.
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.
NOT RECOMMENDED
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.
SILICONOMAS
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.
OUR DOCTORS
At David Loh Surgery, we are dedicated to helping patients achieve their aesthetic goals through proven treatments and a personalised approach.
Established in 2002, when the field of aesthetic medicine was still in its infancy, our practice was among the first in Singapore to introduce Ulthera, a non-surgical facelift procedure, and to perform V LipoSelection.
Our team of experienced physicians combine decades of expertise with a commitment to a range of aesthetic treatments, including BTX, Dermal Fillers, Ulthera, Microneedling-8, and various lasers.
Improving appearance, enhancing confidence.
AESTHETIC MAKEOVERS
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 9114 for an aesthetic makeover with fillers. Or WhatsApp us.