Dermal fillers such as Radiesse, Juvederm, and Restylane are sometimes referred to as volumizers as they work by plumping the skin. They are different from Botox injection. Although both procedures involve injection, Botox relaxes the muscle and so it will no longer contract, eventually smoothing out the appearance of wrinkles.
With proper examination of the anatomy and meticulous injection, dermal fillers results are supposed to look natural, according to California Surgical Institute website.
The list below explains how natural results are achieved from dermal fillers.
- Physical exam
The ideal filler will depend on several factors such as the treated site and the patient’s expectation. It is important to note that some materials can last for 4-6 months (hyaluronic acid-based products), while others can persist for about two years (Poly-L-lactic acid fillers).
Thicker fillers, i.e., they have thicker consistency, generally suit patients with markedly deep facial wrinkles or significant depression. Thinner fillers, meanwhile, favor areas with thin skin such as the lower eyelid to prevent visible bumps and other surface irregularities.
- Going the conservative route
Over-correction or over-injection can lead to unnatural look, which the media has referred to as the pillow face or chipmunk cheek. Hence, some doctors will start with only one syringe and then ask their patients to wait 2-3 weeks (or until their swelling has subsided) so they can decide for themselves if additional treatment is needed.
- Eye for detail
Dermal filler injection must only be performed by a qualified doctor. It is important to note that some states are somewhat lenient that they allow nurses and aestheticians to perform the procedure.
A good rule of thumb is to have the procedure done by a board-certified plastic surgeon or dermatologist who performs it on a regular basis.
The right injector can prevent asymmetry, “done” look, and other dead give-away of dermal fillers.
The success of dermal fillers results boils down to precision. For instance, it is critical to inject the medial aspect of the nasolabial folds or laugh lines to prevent cheek ptosis/sagging.
- Post-injection care
Patient cooperation will also determine the final results. A good rule of thumb is to avoid extreme heat or cold, massage or pressure on the treated area, and strenuous physical activities for at least two days.
The postop-injection management mentioned above prevents inadvertent shifting of the fillers, asymmetry, and excessive bruising and swelling.
- Simultaneous Botox (only if warranted)
Some patients need Botox to further achieve natural results from fillers. In such cases, the consensus is to inject Botox first, then proceed to fillers after about a week.