Spec. Dr. Serap Maden: "Filling method is preferred to remove facial wrinkles in the aging process"
Stating that wrinkles on the face increase over time during the aging process, Spec. Dr. Serap Maden expressed that aging is a condition that occurs due to the effect of gravity and the impairment of the ability of cells to renew themselves by time. Noting that both facial sagging and volume loss along with wrinkles and skin folds are experienced in the aging process, Spec. Dr. Maden expressed that some factors such as decrease and downward displacement in fat layers under the skin, volume loss in cheekbones or in jawline bones that support the face make the face look older. "As facial tissues thin out due to aging, lines become etched around the nose and mouth and cheeks look a little hollow. All these conditions cause some facial changes like dark circles under eye or under-eye bags, collapse on the middle face, and prominence in the lines coming down from the edge of the nose and shrinking in lips. Filling applications are preferred to restore the facial volume loss, to smooth wrinkles, to enhance facial contours, to plump the lips and restore a more youthful appearance. In addition, fillers can be used to correct tissue losses caused by an accident, a disease or a surgical procedure. ”
Fillers with Hyaluronic acid content are the most common fillers used for wrinkles
Highlighting that fillers with Hyaluronic acid content are the most common fillers used for wrinkles, Spec. Dr. Serap Maden stated semi-permanent fillers with hydroxyapatite content and polycaprolactone content are also frequently used today. Expressing that fat removed from the patient's lower abdomen or other areas through liposuction can be used to restore volume in cheeks, facial temples, lips or forehead, Spec. Dr. Serap Maden stated that there are also permanent artificial fillers such as silicone and plastic products but they are not preferred due to some risks they have.
Properties of fillers containing hyaluronic acid
Expressing that hyaluronic acid can be used safely as a facial filler as it is a natural component of the skin's connective tissue in the body, Spec. Dr. Serap Maden stated that the fillers containing hyaluronic acid are frequently used due to their low risk of side effects and their ability to restore facial volume and smooth wrinkles leading to fresher-looking skin in the long run. Expressing that hyaluronic acid has the ability to restore the moisture that the skin needs and it is responsible for giving skin a plump, hydrated look and replenish the body's natural production of hyaluronic acid, which diminishes due to aging, Spec. Dr. Serap Maden delivered further information: "“Fillings containing hyaluronic acid are synthetically produced form of hyaluronic acid that fills the gap between our cells in our body. As they are produced in a laboratory environment, they are sterile having no risk of infection. Compared to other fillers, they have much lower risk for allergic reactions”.
Spec. Dr. Serap Maden: "We use different types of facial fillers by taking into consideration the anatomical structure of face and which part of the face to be filled"
Expressing that different types of facial fillers are used by taking into consideration the anatomical structure of face and which part of the face to be filled, Spec. Dr. Serap Maden underlined that some factors such as to smooth the wrinkles, to contour the jaw line, restore volume in the cheeks, and treat deeper wrinkles and skin folds, to smooth deep wrinkles around the mouth and nose and to restore facial volume lost due to aging and how long the effects last up are taken into consideration prior to application. “The density of the filler containing hyaluronic acid affects the consistency and the durability. Fillers other than hyaluronic acid which have a long lasting effect are used to support the bone structures and to contour the jaw line and eyebrow edges, restore volume in the cheekbones, and treat deeper wrinkles and skin folds. Medium-density fillers are used to smooth the wrinkles in the middle face area and around the nose and mouth. Thin skin fillers are preferred for thin skinned areas such as under eye and fine wrinkles on the surface. Fillers can also be used to correct deformities in the nasal region" noted she.
For what are facial fillers applied?
Expressing that facial fillers are substances that temporarily soften wrinkles on an outpatient procedure, Spec. Dr. Serap Maden delivered detailed information: "Fillers are used not only in smoothing the wrinkles around the eyes and correcting the bags under the eyes, softening the lines become etched around the nose and mouth, plumping the lips, removing the wrinkles on the forehead, enhancing and restoring volume to sunken cheeks, smoothing out a chin crease but also in improving symmetry among facial features, in non-surgical nose aesthetics, in nasal correction, in removing acne scars and correcting deformations caused by accidents or trauma”.
Spec. Dr. Serap Maden: "Fillers melt faster in sportsmen and smokers"
Explaining that the body gradually and naturally absorbs the particles of the fillers containing hyaluronic acid in 6 to 12 months, Spec. Dr. Serap Maden stated that the results are temporary and re-assessment should be made within six or nine months following the first application and additional applications can be performed if needed. “The melting time of the fillers in the body may vary depending on the amount of hyaluronic acid content, density, application area and lifestyle of the patient. While fillers do not easily melt in stationary regions, fillers in dynamic areas such as mouth surroundings where mimics are frequently used melt faster. In addition, fillers melt faster in those who do more sports or smoke heavily” said she.
Spec. Dr. Serap Maden: "The filling procedure needs to be performed by dermatologists or plastic surgery specialists"
Stating that non-surgical filler treatment is still a medical procedure that requires specific training, knowledge and skill to ensure safe treatment and natural-looking results, Spec. Dr. Serap Maden highlighted that the filling procedure should be carried out in a clinical environment by experienced dermatologists and plastic surgery physicians having specific training, extensive knowledge of facial anatomy, a well-developed aesthetic eye, and a surgeon’s skill and precision. She drew attention that filling should not be performed in those with known allergies to fillers, in pregnant women, in breastfeeding mothers ,in those with clotting disorders, in those with connective tissue disease, and in those whose immune systems are suppressed.