We dispel the most common myths about fillers, and also tell you how to make sure that your cosmetologist can be trusted.
Collections of stars flashing on the Internet who overdid plastic surgery, “horror stories” from social networks and myths created by illiterate doctors have led to the fact that many are afraid of fillers and aesthetic medicine. Alexandra Malakhova, dermatologist, cosmetologist and owner of the Malakhova_Medical clinic, tells what fillers are, how to understand that your cosmetologist is a professional, and why you should not be afraid of injections.
What are the
Many consider the introduction of fillers a plastic surgery: this is a common misconception, hence all the fears. Fillers are fillers for local injections without surgical intervention (see also: “Alternative to braces: creams, fillers and masks with lifting effect”). They can correct the volumes of the nasolabial, lacrimal and nasolabial furrows, give additional volume to the lips, chin and cheekbones, as well as remove wrinkles in the lip area.
This year fillers are as relevant and necessary as in previous years. Cosmetology does not stand still, there are new, improved drugs that effectively solve various aesthetic problems. Often, the installation of fillers is the best option.
All fillers are divided into two groups — hyaluronic and with fillers from chemicals. Hyaluronic acid is a common component of cosmetics, and the second type of fillers include the well-known Radiesse preparation (calcium hydroxyopatite), polylactic acid and silicone, which is practically not used in modern plastic surgery.
About the subtleties of application
The most reasonable and competent introduction of fillers is possible only when working with the ligamentous apparatus of the face (the middle third of the face).
For example, when correcting cheekbones, thick and dense fillers (Teosyal Ultra Deep or Radiesse) based on calcium hydroxyapatite or hyaluronic acid are used (see also: “Beauty-examination: is hyaluronic acid safe”). The most important thing is to install the filler on the bones. This can be done with both a needle and a cannula. If the doctor gives the injection correctly, the drug will create a kind of substrate, continuing the bone, and serve as a support for all other tissues. Then the face will look natural and fresh.
The most common mistake of cosmetologists is the introduction of the drug superficially, into the upper layers of the skin. In this case, the filler will make the facial features heavier, make them less mobile and pronounced. Most often, this point scares patients who do not know anything about injections, but it is important to understand that it is the professionalism of a specialist in this case that sets the tone for the result. An experienced cosmetologist knows all about the intricacies of working in different anatomical zones and is unlikely to allow the appearance of a “rubber” face effect.
At a preliminary appointment with a cosmetologist, specify which areas the filler will be injected into and which drug the doctor is going to work with. The choice of drug density depends on the area into which the injection will be administered. To correct cheekbones or chin, it is recommended to choose resistant and less plastic fillers based on hyaluronic acid. Fluid and more plastic preparations are used to work on wrinkles in the lip area. And when working, for example, with the nasolacrimal furrow, the drug Teosyal Redensity 2 shows good results.
Another important point is the amount of the drug. The principle of “little and exactly on target”, as a rule, works most effectively. Instead of injecting more than 1-2 ml of the drug at a time, it is better to come to an additional appointment for further correction: it is definitely not worth overdoing it (this applies to injections into the lacrimal and nasolacrimal furrows, the border between the cheek and the under-eye area).
It is worth emphasizing: as in any issue related to beauty correction, everything is very individual, but, in any case, it is useful for the patient to learn the main theoretical points before entrusting his face to a specialist (especially when there are so many prejudices on this score).
Myths about fillers
Myth 1: filler spreads over the face
The filler never spreads over the face. A person’s face is conditionally divided into many zones – the drug cannot move from one to another. Moreover, high-quality fillers tend to be fixed – they are “fixed” in tissues and overgrown with collagen.
Myth 2: fillers give swelling
Only incorrectly inserted fillers can give serious swelling. If the filler is installed deep on the bone, then this is physiologically impossible. The lymphatic vessels and the entire lymphatic drainage process run at the same depth – the filler does not collect a lot of water and, accordingly, does not give such an effect of puffiness. However, again, everything is individual, and there are a number of patients with a genetic predisposition to edema. In this case, after visiting a cosmetologist, you should limit yourself to eating and drinking, which cause additional puffiness.
Myth 3: fillers are for life
Each person has an individual filler stability, but in practice the effect lasts up to a year and a half, sometimes a little more. The durability of the filler depends on how the body breaks down hyaluronic acid and similar components. In scientific terms, this is a feature of an individual group of hyaluronidase enzymes. One of the most “durable” fillers is Radiesse. It does not attract water and has proven itself perfectly even in patients with deformed-edematous type of aging.
dermatologist, cosmetologist and owner of the Malakhova Medical clinic. Work experience: 10 years. Alexandra’s clients include athletes, artists, TV presenters, and politicians.