Dermal Fillers

Apollo Hospitals uses the very best in Filler technology. We currently use only Temporary Fillers as they have the highest safety profile, thus giving superior results with minimal / no downtime. These fillers are made of natural substances like hyaluronic acid and give instant results.

1. What is Filler?

Filler restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds and for contouring of the lips. It is a safe and natural device used to fill the dermis (deeper skin), hence they are also known as ‘dermal fillers’. There are various brand names like – Restylane, Juvederm, Esthelis.

2. What are temporary Fillers made of?

The dermal fillers are made of non-animal-based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. The hyaluronic acid in Temporary Fillers is a crystal-clear gel called NASHA or Non- Animal Stabilized Hyaluronic Acid. NASHA is biodegradable and fully biocompatible with human hyaluronic acid and is made in a lab by bio-fermentation.

Unlike rooster-derived hyaluronic acid based products, these fillers are free from animal proteins. This quality limits any risk of animal-based disease transmission or allergic reaction. These Fillers contains trace amounts of gram-positive bacterial proteins and should not be used by patients with a history of allergies to such material. Additionally, they have the highest concentration of hyaluronic acid available in a dermal filler.

3. Are temporary Fillers safe?

Yes. They have been used by dermatologists and plastic surgeons since 1996 worldwide. There is limited risk of animal based disease transmission or allergic reaction. They are fully biocompatible and allergy testing is not required.

These Fillers contain trace amounts of gram-positive bacterial proteins and should not be used by patients with a history of allergies to such material. If you are pregnant, breastfeeding, or under 18, you should not undergo Fillers treatment.

4. Are there any side effects?

The most commonly reported side effects are redness & swelling at the injection site, which typically resolve within a few hours. Rarely, bruising and pain at the injection site is possible and typically resolves within 1 – 2 days in the skin and within a week in the lip area. The manufacturers report that the possibility of a granulomatous reaction to NASHA is extremely rare.

5. What areas can the Fillers be used on?

In the U.S. the FDA has approved Temporary Fillers for wrinkles and folds like the ones from the nose to the corners of the mouth. The Fillers are also used for plumping up thin lips, contouring uneven lips and treating depressed scars on the face.

6. How long does the Filler last?

The Temporary Fillers have been proven to deliver long-lasting results. Studies have shown that the effects generally last for about 6 – 9 months.

7. How often should I have the treatments?

Treatments are typically scheduled twice a year. We advise a top – up session when you feel that the product is almost absorbed.

8. How do the Fillers work?

The Filler works in 2 ways: Upon injection, into the mid – deep dermis, the NASHA gel adds volume and fullness to smooth the wrinkles and folds. The Filler integrates into the dermal tissue, then attracts and binds water molecules to help maintain volume.

9. How are Fillers different from Botox?

Fillers are natural cosmetic products. In contrast, Botoxis a drug that blocks nerve transmission and relaxes the underlying muscles. Many patients have been very pleased after receiving treatment with both products. They can be used in combination for superior results.

10.How are Fillers different from Bovine Collagen?

Bovine collagen is derived from animals (cows) and requires an allergy test whereas the Fillers can be administered immediately and no waiting is required.

11.Do the injections hurt?

The Fillers are injected directly into the skin in tiny amounts by an ultra fine needle, resulting in minimal discomfort. The procedure is simple and convenient, and results are practically instantaneous. To optimize your comfort during the short procedure, we will anesthetize the treatment area.

12. Is there anything I should do before treatment?

These Fillers require no pre testing, but you should take a few precautions before being treated. Avoid using Aspirin, non-steroidal anti-inflammatory medications (NSAID’s), or high doses of Vitamin E supplements prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, discuss this with your practitioner during the consultation.

48 hours after treatment

• Apply Aloe Vera to the area as needed to calm the swelling and redness if any.
• Massage the area gently for 4 – 6 hours post treatment.
• You can use make – up on the area, we advise mineral make up as it is bacteria free.
• Avoid Steam, Sauna & facials for 24 – 48 hrs post treatment.
• If you have any queries please do not hesitate to call your dermatologist.