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Permanent Fillers injection (Natural and Synthetic Permanent Fillers) fillers


As time passes, we loss the plump cheeks and smooth face contour (youthful face). The subcutaneous fat (fat just under the skin) gradually decreases making our skin thinner and lines and wrinkles start to appear. A permanent face filler can permanently restore the youthful look to your face. It is important to know that permanent fillers can't correct the loose skin caused by age. If the jowl area or the neck has loose skin, the permanent filler will fill the hollow area in the face but a surgical procedure such as a face or neck lift may be needed to rid the face of the excess skin and give you best results.
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What are the available Permanent Fillers?

- Natural Permanent Fillers: Fat injection, Tissue grafts (as Dermofat, dermis, fascia and muscle)
- Synthetic Permanent Fillers: Esteform™, Macrolane, Aquamid, Artecoll, DermaLive or DermaDeep

N.B. Synthetic Permanent fillers can cause suboptimal result with lumpy feel. Granulomas can form within tissue with some of the fillers. Removal of a permanent filler would be extremely difficult if necessary US FDA has not yet approved any permanent synthetic filler for clinical use.

Natural  Permanent Fillers:

- Fat injection

Fat is harvested by liposuction using special technique and processed to remove tissue debris and injected as beads in layers to increase the viability. There is no chance of allergy or rejection. Works well for hollow under eyes, deep lines and sunken cheeks.

- Tissue grafts

Dermafat, dermis, fascia and muscle are viable permanent fillers. They are most useful in lip augmentation. Although this is not non surgical, the fact that the results are permanent make it an attractive option. Grafts can be harvested from locations where the incisions can be well hidden.


Synthetic Permanent Fillers:

- Esteform™

Esteform is a Polyacrylamide gel filler used as an endoprostheses for soft tissue augmentation and contour correction. Esteform is a permanent filler made of synthetic products that are not readily broken down or removed by the body. This means that once Esteform is injected in the face or body it has lasting effects.

Esteform is famous for face filling and improving the face contour. It is also used in the body for augmentation purposes. It is mainly injected in the cheeks, temples, nasolabial folds and along the jaw line and face contour. It can also be used as a non-surgical approach for chin augmentation, buttock augmentation, calf augmentation, nose refinement, correction of facial or body asymmetry or anywhere in the body.

- Aquamid

Aquamid™ is a transparent, injectable polyacrylamide gel for correction of soft tissue deficiencies and tissue augmentation. The sterile gel consists of sterile water bound to 2.5 % cross-linked polyacrylamide and does not contain micro particles.

After the injection of Aquamid™ a thin layer of the body's own connective tissue surrounds the gel, enabling Aquamid™ to become a stable part in the connective tissue. Aquamid™ can be removed shortly after the injection if necessary. If the gel has to be removed at a later stage, a surgical procedure might be necessary, the success rate of which is variable.

- Artecoll

Comprised of Plexigas beads in fillers, Artecoll is a "permanent" filler that is expected to last at least 5 years or more.

- DermaLive / DermaDeep

One of the newer fillers, DermaLive and DermaDeep are a combination of hyaluronic acid and acrylic hydrogel, which are minute particles; fillers builds around the particles, giving the fillers their volume.

DermaLive is used for augmenting lips and smoothing out deep wrinkles. DermaDeep is very effective on nasolabial folds and for chin and cheek augmentation.

- Macrolane

Macrolane is a breast and body-contour filler marketed by Q-Med in the UK since early 2008. It claims to be s a less invasive alternative to surgical breast enlargement, offering an increase of one cup size through injections that only take between 30 and 90 minutes - referred to as the "30 minute boob job".
The treatment involves injecting stabilised hyaluronic acid into the breast, buttock or other areas, and then moulding to the desired shape. The procedures requires a local anaesthetic, and will likely cause bruising, swelling and discomfort for a few days. The effect only lasts for 12 months, after which further injections are required.

However, the procedure has drawn criticism as its long-term effects are relatively unknown. In Addition, this treatment is reasonably expensive. Also, you will need for multiple injections each year in order to maintain the effect. There is a number of cases of erection problems and pain associated with erection when injections were used to increase penis size, prompting a mandatory investigation into the safety of the product.


Are You a Good Candidate for Permanent Fillers injection?

Everyone is a candidate for permanent filler injection. In general you would be a good candidate for filler injection if you seek to fill hollow areas in your face or body or restore lost fat.

Women as young as 21 years old can use it to enhance their cheeks, improve their face contour or enlarge their buttocks, calves, arms, etc…

However, Permanent fillers can't remove hanging skin in your jowl area or neck, that can only be achieved by surgery. You also need to know that they can't be injected every where in the face, it can only be injected in areas where there is bone support beneath the area being injected. For other fine lines and creases on the face like the marionette lines (creases at the corner of the lower lip) or fine lines around the mouth, a less viscous, superficial filler is needed, such as the temporary filler Juvederm.


Preparing for Your Procedure

Before your procedure, We will perform a complete evaluation with you to discuss your concerns with the hollow areas in your face or body and determine the role of fillers in their treatment. If some of the areas of your concern can't be treated with these type of fillers, We will suggest a combination with other less permanent fillers and may be Botox to give you best results.


How is Permanent filler injected?

The duration of your procedure varies significantly according to the areas being treated. For the face filling, it takes approximately 30 minutes. For the hands it takes around 20 minutes. For body contouring like butt and calf augmentation it takes around 45 minutes.

The procedure is done using local anesthetic in the areas to be treated. Then the Permanent filler is injected in a calculated amounts in specific plans.

After injection, a pressure and massage are applied to the treated areas to ensure the proper distribution of the filler. After the procedure is finished ice packs are applied to minimize the swelling.
 
 
What is After Your Procedure?

After your procedure you will notice that your face is a bit red and swollen. Some of the swelling is due to the local anesthetic which usually subsides 4 to 6 hours after your procedure.

Early lumpiness is common and may be removed by massaging the lumpy area while applying pressure to it.

On the second day you will notice that your face has swollen, this swelling subsides gradually over the following 3 to 7 days according to the scale of the treatment. Some bruising may occur on the 2nd day especially if you have a fair complexion, you can hide that with concealer and make up as it subsides until it is gone usually by the 10th day.

You may resume your normal activities immediately after your procedure is completed.


How Much Do Permanent Filler Injections Typically Cost?

Although price is a factor when deciding on surgery, the most important factor is that you feel you are getting a good quality, natural-looking result from the procedure.

Permanent Filler injection costs are variable according to the amount and the used material. Usually the cost is ranging from 1000 to 1500 U.S. dollars for fat injection. However the cost of synthetic Permanent filler injection is ranging from 1500 to 3500 U.S. dollars. When dealing with costs, you also need to take into consideration the fact that the procedure may need to be repeated. Most medical insurance providers do not cover the procedure.



FAQ from patients when considering undergoing Permanent Filler injection?


Q - What is the type of anesthesia, and when I can return to normal life?
A - Local anaesthesia, and you can practice your normal life 2 hours.

Q - What are the symptoms that may occur in the first five days after Permanent Filler injection procedures?
A - Soreness and there may be edema or swelling at the treated area.

Q - When can we get the final results?injection
A - The final results is achieved after the first two weeks.

Q - Is the injected areas seems naturally?
A - Yes, especially if used in buttock or breast augmentation.

Q - What is ideal age for Filler injection?
A - It could be done at any age if indicated.

Q - If you are not Egyptian, What is the minimum period for follow up?
A - Five days.

Q - What are the contraindications of fat injection procedures?
A - There are no absolute contraindications but the patients should inform their surgeons about any allergies, serious medical conditions, and medications they may be taking.

Q - Where will the Filler injection procedures be performed?
A - In outpatient bases (clinic).

Q - How much does fat injection procedure cost and what elements factor into that cost like hospital fees, anesthesia, and so on?
A - Ranging from 500 to 1500 U.S. dollars. Medical insurance dose not cover facial rejuvenation procedures.

Q - What is the surgeon’s level of experience in performing Filler injection procedures?
A - Consultant or Doctoral in Plastic surgery.

Q - What percentage of patients experience complications with Filler injection procedures?
A - 8 - 15%

Summary of Permanent Fillers (Natural / Synthetic) Injections:

The time of the procedure: from half to two hours.
Type of anesthesia:
Local anesthesia.
Location:
clinic.
Expected Side effects:
Temporary swelling and pain.
Recovery time:
return to work after 2 hours and the final outcome within 2 weeks.
Cost:
according to procedure ranging from 500 to 3500 U.S. dollars.
Results: Years and sometimes permanent results.