Filler treatment

Fillers are filling materials with which beauty experts inject unpleasant wrinkles and fill them in from the inside. The skin is “plumped up” and signs of aging such as crow's feet, wrinkles in anger and laughter as well as scars disappear.

Fillers have been standard in cosmetics and aesthetic treatments for a number of years. And more and more peoples are opting for cosmetic corrections. The fact that the skin ages with increasing age is a natural process that no one is spared. The skin loses moisture with age and becomes drier. Gravity and facial expressions also contribute to wrinkles digging into the face over time.

The filler treatment is - like spraying away wrinkles with Botox - a way of tightening the skin without a scalpel and getting rid of annoying wrinkles or scars. The word "filler" comes from the English term "to fill" and means "to fill".

Substances that are naturally presents in the body, such as hyaluronic acid or autologous fat, are often used. However, the organism breaks down the substances over time, which is why the smooth skin and newly gained beauty are not permanent.

You will have to have the filler treatment carried out again after a while. In addition, permanent fillers are available that are wrinkle-free for a longer period of time. Beauty experts administer fillers as injections - that is, as syringes.

Filler treatment: options for wrinkle injection

There are various options for filler treatment :

• Fillers are good for wrinkles on the face , such as crow's feet around the eyes.
• But fillers can also make other parts of the face look more beautiful, smoother and more even: lips, cheeks, nose, chin, forehead, tear troughs or dark circles .
• In addition, some fillers can be used to correct cosmetically unsightly scars , such as atrophic scars. In this cases, the body does not produce enough connective tissue and scarring forms.

There are two types of fillers: degradable and permanent fillers . Which filling material is used depends on your wishes and the type of wrinkles you have. It is always important that you get informed about the cosmetic result you want to achieve, as well as the risks and side effects, before the filler treatment. In addition, the filler treatment should be carried out by a specialist who has experience with wrinkle injections and is familiar with the anatomy of the body structures. For example, a specialist in aesthetic plastic surgery. Otherwise the result may not be as desired.

Degradable fillers

Degradable fillers are substances that occur naturally in the body. They are usually well tolerated and hardly cause any side effects. Most often, beauty specialists use the following biological substances:

• Hyaluronic acid is probably the best-known filler for wrinkle injections and is also contained in many creams and lotions. It is an important part of the connective tissue and ensures that it remains taut. Hyaluronic acid has a special ability: it can bind large amounts of water . So the skin remains plump, firm and elastic at the same time.
  
  In the meantime, there are also hyaluron fillers without syringes, for example for the lips. The method works with a small pen that contains the hyaluron. The substance is brought under the skin with high pressure and high speed. This should be largely painless because there are no punctures.
  
  Hyaluronic acid improves the contour of the face and reduces wrinkles, scars or sunken areas of the skin.
  
  Possible areas of application for hyaluron are:
• Crow's feet on the eyes
• "Worry lines" and frown line on the forehead
• Nasolabial folds - they run from the nose to the corners of the mouth
• Wrinkles between the eyebrows
• Smoker's wrinkles - vertical folds on the mouth
• Puppet wrinkles - move from the corners of the mouth to the chin
• sunken cheeks
• thin lips that can be "plumped up"
• Scars, for example from acne or burns
   
• Collagen is part of the connectives tissue and ensures that the skin stays firm. The collagen injection tightens and smoothes the skin and fills sunken areas on the face again . Collagen is suitable, for example, for wrinkles in the mouth and lips and other superficial wrinkles. It should be noted that collagen can cause allergic reactions - have this tested before the filler treatment.
   
• Autologous fat is used in so-called lipofilling. During an operation, the doctor removes the fat from another part of the body, for example the abdomen, buttocks or thighs. The autologous fat is processed in the laboratory and then injected into the desired location. The wrinkle injection with autologous fat is suitable for smoothing deeper wrinkles . Even sunken areas of the skin can be "plumped up" again using filler lifting . Autologous fat is well tolerated because it is an endogenous material. About two to three days after the procedure, you will be able to socialize again. You can hide any redness and spots with make-up.
   
• The healing process takes a little longers than other wrinkle treatments. This is because the autologous fat is removed as part of a surgical procedure. The transplanted fat tissue does not start to grow until about four weeks after the operation. Also, not all transferred fat cells survive, but the body breaks down some of them again. You won't see the final result until about two to three months after the operation - so you need a little patience.
   
• Most people tolerate biological fillers well. However, the body gradually breaks down the material. If you want to continue to be wrinkle-free, you may have to repeat the autologous fat treatment after a few years. Doctors can, however, carry out further fat injections at any time.

Semi-permanent filler

• Polylactic acid is artificially produced on the basis of the body's own lactic acid. It gives the skin more volume and stimulates the production of collagen. The polylactic acid filler is well suited for the lower facial areas, for example:
• Laugh lines
• deep nasolabial and corner of the mouth folds
• sunken cheeks (hollow cheeks)
• thin lips

Treatment with polylactic acid does not give immediate results because collagen formation is a lengthy process. So you have to wait a few months for the full effect before the first effects become visible. The effects of polylactic acid can last for about one to two years.

• Calcium hydroxyapatite is a natural component of bones and teeth - it hardens them. Calcium hydroxyapatite is also used as a filler. It smoothes wrinkles and stimulates collagen build-up . It therefore takes some time for the first effects to become visible. The substance is suitable for filling up the volume of the cheeks or chin, but also for injecting wrinkles with moderate or pronounced facial wrinkles (e.g. nasolabial or puppet wrinkles).

Permanent (non-degradable) filler

Permanent fillers are a type of implant. The body cannot metabolize and break down the substances because they contain an artificial component. So the result lasts longer. However, permanent fillers can cause side effects such as allergies or tissue lumps. The long-term consequences are also not yet fully known. Therefore, many doctors advise against permanent fillers for wrinkle injections.

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