Hyaluronic acid fillers are a type of temporary dermal filler that can reduce fine lines and wrinkles and add volume to the face and hands. Hyaluronic acid (HA) is a naturally occurring substance found throughout our bodies and does not require skin testing prior to injection.
HA Fillers
Each of the many HA fillers differs from the others with regard to a number of factors including: relative firmness, ability to lift versus fill, and how much water they attract after injection. As HA products are all unique, it is common for us to recommend a variety of HA fillers during a treatment session to achieve best outcomes.
Where are HA fillers injected?
HA fillers are used for a wide variety of applications throughout the entire face to restore a more youthful contour. An example of applications in the upper face include the temples, mid-face, cheeks, and under and around the eyes and eyebrows. In the lower face, applications can include the area around the mouth, lips, chin, jaw line, and the nasolabial folds. These products can also be used for non-surgical contouring of the nose and re-establishing volume in the earlobes. When injected properly, HA fillers produce a smooth, natural look that is not noticeable to others.
Can HA fillers be removed?
All HA fillers may be dissolved or “removed” by injection of hyaluronidase, a naturally occurring enzyme that quickly and effectively breaks down hyaluronic acid fillers. It is comforting for some first-time users to know that if they have concerns about their appearance after HA filler injection, the effects can be reversed.
How long will HA fillers last?
The duration of effect of HA products is typically measured in months to years. There is significant variability depending on the product used, where it is placed, and the individual’s body chemistry. Our goal is to achieve optimum volume correction and maintain those results. Dr. Biesman and his team will advise you on how often your filler may need to be “touched up.”
What can I expect before getting HA fillers?
There are no special preparations required prior to HA filler injection. Discontinuing the use of aspirin or blood thinners 10-14 days prior to treatment will reduce the likelihood of bruising; however, if the use of blood thinners (even baby aspirin) has been recommended by a doctor, you must obtain permission from the prescribing provider before discontinuing these products. Make sure you’ve eaten and have enough water before your appointment. We will cleanse your skin prior to treatment and will need to remove your makeup in the area of injection.
What can I expect after treatment?
Some degree of bruising and swelling can occur after HA filler injections. While this is not always the case, it is best to avoid undergoing HA injection if you have an important business or social events with in the following 24-48 hours. If bruising does occur after your treatment, we offer complimentary treatment with a laser that will help the bruising clear more quickly. Simply notify our office that you have a bruise and we will work you into the schedule at a mutually convenient time. Some patients also like to use homeopathic preparations such as Arnica Montana in advance of their treatment to help reduce the amount of bruising. We are happy to make this product available to our patients upon request.
While it is common to experience mild “soreness” or awareness of fillers after injection, true pain is extremely rare. Please contact our office immediately if you develop significant bruising, redness of the treatment area, pain, or other concerns after HA filler injection.