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Types of dermal fillers

Different Types of Injectable Dermal Fillers

Visible signs of aging are usually due to volume loss. When our facial tissues thin out, the lines around our nose, mouth and cheeks start looking a little empty. That’s when dermal fillers come in! With fillers you can replace the volume that is lost and that helps smoothen wrinkles and plump back lips. But how to choose between the different types of dermal fillers?

A little background information about fillers 

Facial fillers were introduced in the late 80s and medical labs invested a lot in this field to provide us ultimately with safe and highly efficient fillers. Fillers became a trend over the years and now are considered a must for most women and constitute a part of their primary cosmetic need like basic daily skin care and makeup. 

What are facial fillers?

As mentioned earlier, dermal fillers are substances designed to be injected beneath the surface of the skin to add volume and fullness.

Permanent fillers

Permanent fillers were adapted for many years with a high complication rate especially if injected in the wrong facial plane. 

Absorbable fillers

Nowadays, we use absorbable fillers, which are considered very safe if they are used by certified Medical Doctors. Absorbable fillers and biostimulants include mainly:

  1. Hyaluronic acid fillers
  2. Polycaprolactone injections 
  3. Calcium hydroxyapatite. 

Hyaluronic acid fillers

The safest component is hyaluronic acid. First, hundreds of studies were made and published about it. Also, its consumption is huge around the cosmetic industry. And finally, there is something called hyaluronidase, which is a dissolving agent that can reverse its effects.

What to take in consideration when looking for a doctor? 

Safety comes first! Practically, having filler injections is very safe if a certified Medical Doctor who keeps always himself updated about the newest advances in his field does it. 

For example, I got my Facial Plastic Surgeon title based on 7 years of General Medicine, 2 years of General Surgery, 4 years of Otolaryngology, Head and Neck Surgery, and 1.5 years of Facial Esthetic and Reconstructive Surgery. 

On the other hand, a certified doctor needs the best tools to deliver excellent results and here comes the qualifications of the filler used. 

Choosing between the different types of dermal fillers

International certifications

It is very important to use dermal fillers that have international certifications from trustable sources like the U.S. Food and Drug Administration (FDA) or Conformite Europeenne (CE). 

Types of dermal fillers

Although hyaluronic acid fillers are made of the same ingredient, the elasticity, cohesivity, concentration, and size of the particles differ a lot between one product and other even within the same brand.

  • Thick products 

Used to fill large defects and also to lift the tissue. Those fillers (if used in the proper way), are used as a source of tissue lifting more than a source of volume increase.   

  • Flexible products
    Used in flexible parts of the face like lips. If thick fillers are used for lip augmentation, there is a higher chance of having lumps, unnatural esthetic results , or asymmetry on movement even if injected in the right place.
  • Medium thickness fillers
    Used to fill mild to moderate volume defects, and to treat medium depth wrinkles like the lines between the cheeks and mouth (nasolabial folds) or the lines below the corners of the mouth (marionette lines).
  • Thin fillers
    Used for fine lines like neck lines, small lines around the mouth and many other wrinkles caused by facial expressions.
  • The under eye filler
    Needs to be very specific in a way to be thin, easy to mold, and doesn’t recruit a lot of water to avoid the undereye puffiness or bluish discoloration.

Good brands are based on the certifications they have and also on the effort and time that the manufacturing laboratory spends improving their products. In this category the “Class A” labs are limited and here comes the role of the Medical Doctor to choose the best brands and also the best products within each brand to fulfill his practice and get the best results in all facial treated sites.

Here’s a short video showing types of dermal fillers (in arabic).

Get dermal filler injections in Lebanon and in the UAE

Dr. Georges Ziade is a trusted, experienced facial plastic surgeon operating in Lebanon and the UAE. He has a strong understanding of the anatomy and aesthetics of the face that he leverages to give his patients ideal cosmetic results.