Menu Botox
Dermal fillers: hyaluronic acid and Radiesse
We are working with two dermal fillers with complementary properties, as we will see later on.
Wrinkle filling remains essential in the facial aesthetic approach. However it is important to understand the tissue alterations responsible for the appearance of the wrinkles we want to treat..
It is, for example, completely useless to treat the nasolabial fold if the cheeks have not been restored previously with volumizing injections. These injections lead to face remodeling by restoring sagging areas (cheekbones) or hollows (cheeks, hands).
 |
This typical example shows a patient with a very deep nasolabial fold. However, just pressing the skin with a finger highlights the “valley of tears” running down from the dark circle initiated in the inner eye angle. It is the cheek fall that is responsible for the development of a nasolabial fold. |
 |
The “valley of tears” and the nasolabial fold have been highlighted on this picture. The cheekbone must absolutely be remodeled before injecting anything into the nasolabial fold. |
|
|
This picture presents the immediate postoperative results. The cheek volume is restored and the nasolabial fold has almost completely faded away. The redness will last a few hours, as well as a slight oedema, that will sometimes subsist 48 hours. |
The product is introduced with a fine needle, more or less deeply according to the wrinkle to treat. Experience is essential to introduce the product deep enough to obtain a volumizing effect, but not too deep as it would reduce the product life time. Slight redness and swelling may appear and persist from a few hours to a few days.
|
Several products can be used. The practitioner chooses the product according to the indications (depth of the wrinkle, its location) and with the patient’s agreement. Allergies, granulomas or superinfections have been reported exceptionally. It is essential to assess contraindications before the treatment, to choose an appropriate product and inject it thoroughly. |
|
 |
The most frequent complication is the haematoma, as a result from the bleeding of a blood vessel. These disappear after a few days and can easily be hidden behind some make-up. |
A local anaesthesia is systematically performed in the treatment of the nasolabial fold to insure total comfort during the session.
 |
The injections are almost painless, a bit like dentist injections. Nerve block – unfortunately not used much yet – offers unequalled comfort both for the patient…and the physician. |
There has been significant progress in the last years with the marketing of products displaying both an excellent tolerance and long-term effects.
The two products we frequently use are the Teosyal (hyaluronic acid) and the Radiesse (calcium hydroxyapatite).
| < Prev | Next > |
|---|
