Cosmetic Injectable Fillers For correction of facial folds and wrinkles
TEMPORARY fillers
Restylane, Perlane and Restylane Fine Lines are “fillers”,
gels that are injected directly into the skin using an ultrafine
needle to correct facial lines and folds. The gels are composed
of hyaluronic acid, one of the building blocks of skin. The gels
bind water in the skin, where they remain for 6-12 months. The duration
of the treatment depends on many factors, such as age, skin type,
lifestyle and muscle activity. As the gel particles are absorbed
over time, they are gradually replaced by water, and disappear unnoticed
from the body.
These gels are similar to products that are used inside the eye
during cataract surgery to protect delicate ocular tissues, as well
as during certain types of knee and jaw operations.
The difference between the three products is the gel particle size.
Restylane is used for wrinkle correction and lip enhancements. Perlane
is used for shaping facial contours, such as cheeks and chin, as
well as to correct deep folds around the nose and mouth. Restylane
Fine Lines is used to correct thin, superficial lines, such as those
that occur around the eyes. Depending on the cosmetic result desired,
a combination of products may be used. These products can also be
combined with Botox Cosmetic™ as required.
Since 1996, Restylane products have been successfully used in more
than 1.5 million treatments in over 60 countries. They are not derived
from animal sources and are fully biocompatible. As such, there
is no risk of transmitting diseases or causing allergic reactions
in patients who are sensitive to common foods such as eggs. No allergy
testing is required prior to treatment. Patients should refrain
from using aspirin, nonsteroidal anti-inflammatory medications,
St. John’s Wort or high doses of Vitamin E supplements prior
to treatment, because these may increase bruising or bleeding at
the injection site. In patients who have previously suffered from
facial cold sores, there is a risk that the needle punctures could
contribute to another recurrence.
Semi-permanent fillers
Dermalive and Dermadeep are semipermanent fillers, products that
are injected into the skin in order to correct wrinkles, folds and
skin imperfections, as well as to remodel facial contours. They
are made of flexible, nonresorbable acrylic hydrogel fragments and
hyaluronic acid. Acrylic hydrogel is a type of material used for
years in lens implants placed in the eye after cataract extraction.
Hyaluronic acid is one of the building blocks of the skin, and is
also used in temporary fillers. The hyaluronic acid acts as a carrier
for the acrylic hydrogel fragments, which act as microscopic implants
in the skin. Over time, the body absorbs the hyaluronic acid as
it builds collagen around the fragments of acrylic hydrogel, resulting
in smoothing of folds and wrinkles. Dermalive and Dermadeep differ
in the size of their particles and this determines the cosmetic
effects obtained from each product. On average, two treatments are
required to achieve the desired cosmetic result, with a wait of
three months after each treatment in order to allow time for the
body to build collagen around the implants.
These products are not derived from animal sources, and do not require
skin testing prior to treatment. They last in the skin for years,
but do not stop the aging process. Therefore, retouching sessions
may be required after several years. Potential complications, including
lumps, redness, swelling, infection and granuloma formation, are
relatively rare. A pre-treatment consultation will help determine
the best combination of products for each individual patient.
117 King Street East, Second Floor at the Oshawa
Clinic, Oshawa, Ontario, L1H 1B9 Phone: (905) 721-4914 Fax: (905) 721-4918