Soft Tissue Filler

What is a Soft Tissue Filler? 
 
 
“What is a soft tissue filler?”, “How does it work?”, “Is it Dangerous?”, “How long does the procedure take?”, “Does the procedure hurt?”, “Will it take affect right away?”, “How long will one injection last?”
 
A Soft tissue filler is usually composed of a gel containing hyaluronic acid (HA).  HA is naturally found within our joints – synovial fluid, which  helps in cushioning our joints.  There are different products on the market and they vary in volume and consistency.  
 
A soft tissue filler, as the name suggests, helps in softening facial lines and it is also used for lip definition or volumization.  There are also other fillers which helps in rehydration and rejuvenation of the skin.  Soft tissue fillers can also be used for reshaping certain features on the face, such as correcting the nasal bridge or treatment of some acne scars.  
 
The most important thing to remember is that, in the event of minor bruising, please allow for 3-5 days of down time.  Unlike wrinkle relaxants, soft tissue filler injections require more time and detailing.  Most client will experience some degree of swelling and bruising.  There are several factors that may cause bruising:
 
– age
 
– smoking
 
– alcohol
 
– use of anti-inflammatory medications (aspirin, nurofen, voltaren, mobic, celebrex etc)
 
– use of anti-coagulants (warfarin, heparin, clexane or clopidogrel)
 
(WARNING: DO NOT STOP these medications)
 
– use of vitamins (Vitamin E, fish oil, evening primose oil and Iron supplement)
 
– Green tea, Garlic, Ginkgo biloba, Ginseng, St John’s Wort
 
Dr Leslie Baumann  (M.D. Prof of Dermatology -University of Miami Florida) recommends these medications or supplements should be avoided for at least 10 days prior to cosmetic procedures. Please note that you MUST NOT STOP your anti-coagulants – YOU should speak to Dr Louisa for more information.
 
During the consultation, Dr Louisa will discuss ways to reduce swelling and bruising. You will be given written post treatment care plan to take home.  The bruising can be covered up with a good mineral concealer and make up.  Dr Louisa recommends INIKA® Mineral make-up range.  
 
In order to minimize discomfort, Dr Louisa will use local anaesthetic: either topical creams or nerve blocks, to numb the area.  Should a nerve block be used (similar to going to the dentist), you may experience numbing of the mouth area for up to 4 hours after the treatment.  Please be careful not to eat anything too HOT or too HARD to avoid thermal injury.
 
You will notice the effects straight away.  The effects will improve with time as the HA gel particles attract water and making it longer lasting.  Dr Louisa will give you written post treatment instructions and tips on improving the life of the product.  Depending on the treatment area, usually, the dermal filler may last up to 6-9 months.
 
There are many techniques used with dermal fillers and these range from fanning, ferning and bridging.  Most recently, Dr Louisa has started using the cannula technique.  This technique only requires a single entry point to the skin.  By using a long blunted cannula (feeder/tube – with no sharp ends, apart from a very small opening on one side of the tiny tube), Dr Louisa is able to gain access to a larger area without having to use a sharp needle.  With this technique, clients are most satisfied with very minimal bruising. This technique also helps in reducing the development of nodules and lumps.