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Everything you need to know about Dermal Fillers in Singapore – With David Loh

DR DAVID LOH

dr_david_loh
Dr David Loh is the immediate past president of the Society of Aesthetic Medicine in Singapore, having published on his filler injection techniques. His publications on the management of filler complications is often cited in scientific journals.

 

Growing old gracefully has taken on a new meaning in the last few years.

In the past, it referred to growing old “without any work” done. These days, with plastic surgery so pervasive, growing old gracefully means growing old with “only minimal work” done. And B*tox and Fillers are as minimal as it gets in aesthetics. Let’s talk about dermal fillers in this blog, shall we?

facial_filler_faqs

 

Frequently Asked Question on Dermal Fillers

What areas are best treated with dermal fillers?

All areas on the face, from the forehead down to the chin can be safely and effectively treated with dermal fillers. Here are the more common areas that are treated.

  • Forehead augmentation and projection can contour the forehead;
  • Nose, lips and chin augmentation bring out the beauty in the central facial features;
  • Cheek and under-eye augmentation support the skin over the cheeks. This decreases the appearance of the under-eye hollows, the nasolabial folds and the jowls;
  • The temples and lateral cheek augmentation creates a natural lifting of the face.

At David Loh Surgery, we excel in the art of dermal filler injections having published our special injection technique (The DL Lift) as an instructional guide for doctors in PRIME, International Journal of Aesthetic and Anti-Ageing Medicine in 2018.

 

What are the prices for dermal fillers like?

The price for dermal fillers costs $800 per syringe of 1ml. Check out our price list

  • Treatments like the nose and lips often require only 1ml.
  • Treatments like forehead, cheek and chin augmentation require 2-3mls per area, but they do not need to be done all in one go on the same day.
  • Then there are treatments like The DL Lift (our treatment named after Dr David Loh) may require 4-5mls of fillers each time. The DL Lift is also sometimes called a Liquid Facelift
  • Skin hydration boosters also cost $1000 per syringe of 1ml. To hydrate the under-eye skin, the skin over the cheeks including the nasolabial folds, and around the lips, patients will need 2-3mls of skin hydration boosters.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

Are filler injections painful?

All of the reputable brands of modern fillers contain an anaesthetic called lidocaine which takes away the discomfort of filler injections. You shouldn’t settle for less.

The only sensation you will feel is the tiny needle entering the skin, and the sensation of movement (not pain) when the cannula is moved under the skin.

Are fillers injection results immediate?

Yes, the results are immediate and “what-you-see-is-what-you-get”. Plus minus 10%-20% perhaps because of slight initial swelling. In fact most of the time, the results are natural enough and the patients are presentable enough to go out and meet friends immediately after a treatment. This actually gave rise to the term “lunchtime facelifts”.

Is there any recovery time (downtime) when getting filler injections?

The chances of getting a tiny bruise with filler injections is about 10%-30% depending on which areas are being treated. Also with multiple areas of treatment, there is also a higher chance of getting at least one bruise.

No doctor can guarantee bruise-free injections; after all needles and cannulas are involved in the process of filler injections. If a bruise occurs, it will need to run its natural course taking a 7-10 days to slowly disappear. Most of the time bruises are tiny and can be easily covered with a bit of makeup.

Besides bruising, which of course causes some swelling, there is often some swelling which unrelated to the bruises. This is a natural process in filler injections. This post injection swelling usually takes 3-7 days to subside.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

 

How safe are filler injections?

preperation_facial_filler

Filler injections are only as safe your doctor’s knowledge of the anatomy of the face. So don’t settle for non-medically trained injectors like beauticians. In fact, best to approach doctors that do filler injections frequently than those who do not.

With proper training and experience, filler injections are generally very safe.

Our doctors are trainers for other doctors. Dr David Loh has published in medical literature on the prevention and management of filler complications. One of the papers have been awarded a Best Paper (Gold) Award by the Plastic and Reconstructive Journal (PRS Global Open) in 2019.

The other aspect about safety with regard to dermal fillers is the filler material itself. As a filler material, hyaluronic acid fillers have been safely used on millions of patients since the 1990s. Without mentioning brands here, we are of the opinion that only biodegradable non-permanent fillers are safe. This is because they do not hang around long enough to cause granulomas or infections. And as the face changes, as it inevitably will over the years, fillers can be topped up to suit the changes associated with aging.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

 

About David Loh Aesthetics

Dr David Loh is one of the first trainers and mentors in aesthetic medicine in Singapore. He developed and published in medical literature his filler injection techniques as instructional pieces for other doctors. He also published in medical literature his works on the prevention and management of filler complications.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

 

What is the “overfilled syndrome”?

The “overfilled syndrome” is an unfortunate term coined by some doctors with the intention to disparage the work of other doctors. These doctors bring up isolated incidents of overfilled media celebrities to discourage patients from have filler injections. Perhaps these doctors are themselves not skilful enough nor experienced in filler injection, hence they try to divert clientele to the non-injection treatments. As a patient-consumer, you should be able to discern this kind of marketing tactics.

What you need to know is that you would need an incredible amount of filler material (maybe >20 syringes) to reach the kind of caricatured appearance of some of these celebrities. The so called “overfilled syndromes.” These celebrities can afford it but most patients would not be able to, and most conscientious doctors would hold back the patients before they even reach that kind of look.

The fact of the matter is that most patients with early signs of aging actually would benefit a great deal from filler injections into the fat compartments that have begun to shrink. This not only reverses the early signs of aging, but it can even prevent sagging.

Overfilled syndrome can easily be avoided as long as there is clear communication between doctor and patient. Clear goals and expectations are aligned prior to the procedure, and the  doctor has restraint in his or her approach, with  the  aim of creating a natural result while resolving the  concerns of facial aging such as sagging and volume loss.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

 

The Only Way is Up

Improving Appearance is what we do everyday. Not making our patients look like someone else, but making them more confident through the art of the DL Lift and other techniques of filler injections. Bring out their best features and still being themselves. This is the essence of Enhancing Confidence.

 

 

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

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在新加坡做皮肤填充术必须了解的知识

DR DAVID LOH

dr_david_loh

在过去几年里，优雅地变老有了新的含义。

过去，它指的是对于变老“毫不作为”。如今，随着整容术的普及，优雅地变老意味着“花极少的精力”变老。肉毒杆菌素及填充术在医美学上是最基本的整形术。在这篇博客中，我们来讨论一下皮肤填充术，好吗？

filler_faqs

关于皮肤填充术的常见问题

哪些部位最适合接受皮肤填充术？

从前额到下巴的所有面部区域都可以安全有效地进行皮肤填充术。以下是较常见的填充部位。

  • 额头丰盈和突出可以勾勒前额的轮廓；
  • 隆鼻、隆唇和隆下巴使面部的中央区域更加美丽；
  • 隆脸颊和眼部下方可支撑脸颊上方的皮肤。这会减少眼下凹陷、鼻唇沟和下颌垂肉的出现；
  • 隆太阳穴和侧面颊可自然提升面部轮廓。

皮肤填充术是新加坡罗大卫医美诊所（David Loh Surgery）的专长，并于2018年在国际美容与抗衰老医学杂志PRIME上公开发表了我们的特殊注射技术（DL-Lift) ，作为美容医生的指导文献。

皮肤填充术的价格是多少？

皮肤填充术每针（1毫升装）的价格是800新币。详情请浏览我们的价目表

  • 丰鼻丰唇等部位通常只需要1毫升。
  • 丰额头、丰脸颊和丰下巴等部位，每个部位需要2-3毫升，但不需要在同一天一次性注射完所有部位。
  • 还有一些治疗方法，比如DL-Lift（我们以罗大卫医生的名字命名的标志性治疗方法），每次可能需要4-5毫升的填充剂。DL Lift有时也被称为液态拉皮
  • 皮肤保湿水光针每针（1毫升装）的价格也是1000新币。为了给眼睛下方的皮肤、脸颊（包括鼻唇沟）和嘴唇周围的皮肤保湿，患者需要注射2-3毫升的Volite皮肤保湿水光针

注射填充剂会痛吗？

所有知名品牌的现代填充剂都含有一种叫做利多卡因的麻醉剂，可以消除填充剂注射带来的不适感。

您能感觉到的唯一不适是小针刺入皮肤，以及顿针管在皮肤下移动时的操作感（而不是疼痛感）。

注射效果是否立竿见影？

是的，效果是立竿见影的，“所见即所得”。可能有10%-20%的差距，那是因为起初会有轻微肿胀。事实上，大多数情况下，治疗效果都很自然，患者在接受治疗后可以立即出去见朋友。“午餐时间整容”这个词就是这么来的。

进行皮肤填充术是否需要恢复期（请假停工）？

皮肤填充术造成轻微瘀伤的几率约为10%-30%，具体取决于填充部位。此外，对多个部位进行填充时，很可能至少会有一处瘀伤。

没有哪个医生能保证注射过程不会产生瘀伤；毕竟填充剂注射过程会用到针头和套管。如果出现瘀伤，则需要7-10天的自然过程才能慢慢消失。大多数时候瘀伤很小，用化妆品很容易掩盖。

除了瘀伤，当然也会有一些肿胀，还有一些与瘀伤无关的肿胀。这是填充剂注射的自然过程。注射后肿胀通常需要3-7天才能消退。

皮肤填充术有多安全？

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只有当医生了解面部解剖结构时，皮肤填充术才有安全保障。所以不要随便信任那些没有受过医学训练的注射师。其实，最好找那些填充经验丰富的医生，而不是那些缺乏经验的医生。

如果接受了适当的培训并有足够的经验，皮肤填充术通常来说很安全。

我们的医生是其他医生的培训导师。罗大卫医生在医学文献中发表了关于预防和处理填充并发症的文章。其中一篇论文于2019年被《整形外科医学期刊》（PRS Global Open）授予最佳论文（黄金）奖。

关于皮肤填充术安全性的另一个方面涉及填充材料本身。自20世纪90年代以来，透明质酸填充剂作为一种填充材料已安全用于数百万患者。这里我们不谈品牌，我们认为只有可生物降解的非永久性填充材料是安全的。因为它们停留的时间不足以引起肉芽肿或感染。至于面部的变化，随着时间的推移，变化是不可避免的，我们可以补充填充剂以延缓与衰老相关的变化。

关于新加坡罗大卫医美诊所（David Loh Surgery）

皮肤填充术是罗大卫医美诊所的专长。请阅读关于这位填充专家（填充剂注射）的媒体报导。

罗大卫医生是新加坡首批美容医学培训师及导师之一。他开发并在医学期刊中发表了他的填充剂注射技术，作为其他医生的指导文献。他还在医学期刊中发表了他关于预防和处理填充剂并发症的著作。

David Loh 医生是新加坡最早的美容医学培训师和导师之一。他开发并在医学文献中发表了他的填充注射技术，作为其他医生的指导文章。他还在医学文献中发表了有关预防和治疗填充并发症的著作。

什么是“过度填充综合征”？

“过度填充综合征”是一些医生为了贬低其他医生的技术而臆造出来的一个诋毁术语。这些医生指出某些媒体名人过量填充导致面部僵硬扭曲的孤立事件，以打消患者进行皮肤填充术的念头。也许这些医生本身在皮肤填充术方面不熟练，也没有经验，因此他们试图诱导客户接受非注射治疗。作为一个有辨别力的医美消费者，您必须分辨这种营销策略。

要知道，您需要大量注射填充剂（可能超过20针）才会达到这些名人那种不自然的样子。所谓的“过度填充综合征”也只有这些名人负担得起，大多数普通患者根本无法承受，而大多数尽职尽责的医生都会在患者变成那种样子之前阻止他们。

事实是，往已经开始塌陷的脂肪区注射填充剂对大多数有早期衰老迹象的患者都大有好处。这不仅可以逆转衰老的早期迹象，甚至可以防止下垂。

自2006年以来，罗大卫医生一直在不断开发填充剂注射技术。他指导了几代年轻医生，是一名倡导者，并发表了关于填充术抗老化的著作。除非患者强行要求医生给他们过度注射，否则不存在所谓的过度填充综合症。任何有良知的医生都会阻止患者过度使用皮肤填充剂。

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Qualms no more about Cosmetic Surgery

If aesthetic treatments and cosmetic surgery are still taboo, it is because of the stereotypes still perpetuating in popular media. These stereotypes tend to portray aesthetic treatment or cosmetic surgery patients as being vain or narcissistic, or that they cannot reconcile with their bodies (a condition called body dysmorphia syndrome). And that cannot be further than the truth!

The vast majority of patients who come forward for aesthetic treatments and cosmetic surgery are actually highly motivated and very driven individuals. Their underlying motivation is about taking control over their appearance and hence their destiny. Whether it is to find a life partner or to look sharp for job and business prospects, aesthetic treatments and cosmetic surgeries give them a sense of empowerment over their own destiny. It is this sense of empowerment that defines the modern day patient for aesthetic treatments.

Modern day aesthetic treatments with little or no downtime fits fits right into this whole frame of mind. Where the individual takes control over his or her destiny, appearance and competitiveness.

And very often, they are so empowered they will travel the world to seek out the best treatments and best practitioners.

And these individuals usually have no qualms about admitting to having work done. So there you have it, the modern day aesthetic and cosmetic surgery patient.

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Ultherapy V-Lift

[vc_row][vc_column][vc_column_text]The Ultherapy V-Lift is a non-invasive, non-surgical method to reduce the width of the lower and face. It sculpts the face while giving it a mild facelift-type effect.

Ultherapy is FDA approved since 2009 to lift a sagging face. It does this by tightening not only the skin, but the layers under the skin which we call the SMAS. This is a tough layer comprising muscles and the fibrous tissue. This is a strong supporting layer for the face.

Sound waves are focused by Ultherapy to leave tiny shockwaves under the skin and into the SMAS. Each point of these shockwaves triggers a cascade of collagen regeneration that translates into firmer and tighter skin. The results progressively improve over a period of several months.

What most patients experience is a mild facelift type effect that gets better as the months go by. All just after one treatment of Ultherapy.

It’s safety profile is unparalleled. In over a thousand cases done at David Loh Surgery since 2009, no one has suffered any form of injury from Ultherapy. Which sometimes happens with most other RF, IPL or laser treatments. The worst that can happen with Ultherapy is a mild mosquito-bite looking type of reaction in the skin, we call wheals. These will typically settle within a few days.

Ultherapy works particularly well in the lower face and under the chin. If fired deliberately into the fat fads in the jowl areas and under the chin, it can reduce these fat pads ever so slightly. Which is great because we can achieve a gentle sculpting of the face. These effects on the lower face we have term as The Ultherapy V-Lift.

The Ultherapy V-Lift is available at David Loh Surgery at both Novena Medical Centre and Wheelock Place. Our clinic is one of the first to start using Ulthera in 2009.

[/vc_column_text][vc_single_image image=”4424″ img_size=”full” add_caption=”yes”][vc_column_text]Read more:

Ultherapy, Facial Sculpting using Ulthera, Ultherapy page in Chinese, Ultherapy in Russian, Thread Lifts vs Ulthera[/vc_column_text][/vc_column][/vc_row]

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davidlohsurgery

How to Treat a Sagging Face | Voluma Liquid Facelift

One of the most obvious signs when we age is sagging of the lower face. The “triangle of youth” gets inverted.

In youth, the face is wider at the cheekbones, narrowing down to the chin. This is called the “triangle of youth”. With age, volume is lost under the eyes, the cheekbones and temples causing sagging and a widening of the jaw-line and jowls. The “triangle of youth” becomes inverted.

Another way of looking at it is as a “deflation of the face”. Skin that used to be taught hangs loosely as the underlying supporting fat pads have shrunk. The degree of shrinkage varies with race and lifestyle factors (like sun damage and smoking). Even the underlying bone resorbs and can cause further sagging of the face.

This concept of “deflation” has been taken to another level by the publication of The DL Lift by Dr David Loh. Where the sequential and progressive deflation of facial fat pads are demonstrated with aging. And The DL Lift is a particular type of Liquid Facelift described by Dr David Loh which addresses this problem.

The DL Lift can be done alone as a non-surgical facelift. Or it can used to complement skin-tightening treatments like Ultherapy. It can be used preventively to avert aging that is caused by the sequential deflation of facial fat pads.

“Start young with non-invasive treatments like B*TOX and Fillers to avoid the need for more extensive treatments later in life.”

Dr David Loh, the Allergan appointed trainer since 2006, has trained more than 300 doctors in Singapore the finer techniques of B*tox and filler injections. He started his aesthetic clinic in 2002. He is now a faculty of the Allergan Academy and a much sought after speaker and trainer for advanced B*tox and Filler techniques.

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