Ideal filler: No, a course of therapy ideally planned by a doctor

Many doctors, and especially their patients, would like to find such an ideal filler for facial correction, which could solve any age-related problems, was long-term and absolutely safe. So far, it has not been possible to create an ideal filler, however, it is quite possible to obtain an ideal result from injection procedures if the course of treatment is planned correctly.

What other secrets of achieving the perfect result of face correction, Svetlana Larkina, PhD, chief physician of the "Center for Intensive Cosmetology and Anti-Aging Therapy", Odessa, shared with readers of estet-portal.com.

What are the main differences between facial correction using hyaluronic fillers and fillers based on calcium hydroxyapatite

Preparations based on hyaluronic acid work to replenish the volume of tissues,  and calcium hydroxyapatite fillers, in addition, activate the synthesis of their own collagen fibers. The duration of the preservation of the effect of the procedures performed for these fillers varies: the effect after injections of calcium hydroxyapatite can last up to 2 years or more (due to the formation of a new dermal matrix), and after the use of fillers based on hyaluronic acid - from 6 to 15 months.

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These types of fillers have different preferred areas of application. Calcium hydroxyapatite is designed to replenish natural volumes and contours, as well as to fill deep wrinkles and folds. With its help, you can ideally correct the shape of the chin, cheekbones, improve the oval of the face, arm the arms, stomach, but they do not work with it in mimic active zones – nose bridge, eye orbit, lips. To correct the shape and volume of the lips, as well as to remove fine wrinkles, preparations with hyaluronic acid are best suited.

For preparations based on hyaluronic acid, additional injection of the preparation into the same zone is possible after 1-2 weeks, and when working with fillers based on calcium hydroxyapatite, such an additional correction is possible no earlier than after 6-8 weeks, because the final the effect after the introduction will gradually increase during this period.

Which drug is suitable for a particular patient – an individual question that can only be solved by a cosmetologist after examination, analysis of the patient's face morphotype and its individual characteristics.

One thing is clear: for fillers based on calcium hydroxyapatite, absolute contraindications, in addition to general ones, are keloid, hypertrophic scars and a history of systemic skin diseases. But for allergy sufferers and patients with a tendency to edema, these drugs are preferable.

Is it possible to combine these fillers for effective correction

To create a harmonious image, it is often necessary to correct several areas of the face, and make it better with various fillers. It is ideal to work with fillers from one manufacturer, especially now there is already a filler that combines calcium hydroxyapatite and hyaluronic acid at the same time, which gives the doctor new opportunities.

What complications can occur after such procedures

The risk of complications in contouring is low and, according to various sources, is from 1 to 5% of cases. Like any injection procedure, the introduction of fillers is possible only in a medical institution by a certified doctor who has undergone special training in a particular drug.

Incorrect injection technique and poor knowledge of anatomy can lead to drugs entering the blood vessel with subsequent tissue necrosis and scarring, despite the high quality of the drug. The ability to prevent these terrible complications, and in case of occurrence, to plan and start treatment as soon as possible, is taught at various congresses, cadaver courses. Today, every doctor is obliged to know the danger zones and work in them only with a cannula.

Although both hyaluronic acid and calcium hydroxyapatite are biocompatible drugs with human tissues, sometimes there are cases of tissue reaction to the introduction of drugs in the form of allergic responses, inflammation, the formation of granulomas or fibrous capsules.

Research of the patient's history and compliance with the rules of drug administration minimizes the risk of developing such complications.

When people ask me if there is an ideal filler, I always answer: a properly planned course of treatment, combining various methods and drugs, taking into account the patient's personal characteristics, lifestyle and previous interventions, allows you to get the Perfect result!

To find out more, register and attend the Conference Portrait of a Difficult Patient. Correction of socially significant zones», which will take place on February 9, 2017 in Kyiv. This is an opportunity to listen to presentations by leading speakers and watch live demonstrations by experts from around the world. Don't miss your chance to expand your knowledge so that you can work with "difficult patients" as efficiently and safely as possible.