By: Aesthetic Makeover  11-11-2011
Keywords: Wrinkles

What are injectable dermal fillers?

Injectable dermal fillers are injectable gels made from naturally-occurring substances, including collagen and hyaluronic acid. Dermal fillers are injected just under the skin in order to add volume to aging skin, lips and to fill and lift wrinkles and folds. Dermal fillers add volume for a more natural youthful appearance.

The majority of dermal fillers contain hyaluronic acid as their main active ingredient. Hyaluronic acid based dermal fillers include Restylane and Juvederm. Hyaluronic acid is a natural component of the skin.

Injectable dermal fillers are used to fill wrinkles, lines, folds, and scars (eg. acne scars). Dermal fillers are also commonly used to give a fuller appearance to the lips.

The most common areas treated with injectable dermal fillers are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, and acne scars.

How do injectable dermal fillers work?

The skin is made of two layers, an outer layer called the epidermis and an inner layer called the dermis. The area between these two layers contains a jelly-like substance called hyaluronic acid. When we are young, our skin contains plenty of hyaluronic acid. However, when we age the hyaluronic acid between the layers of our skin diminishes. This decrease in hyaluronic acid causes the skin to lose its natural volume and fullness and creates wrinkles or folds. Dermal fillers replace the natural hyaluronic acid and add volume and firmness to the skin.

How are Dermal Filler Treatments Performed?

Before the procedure begins, some clinics and most patients prefer to numb the face with a topical anaesthetic cream. If the procedure is for lip augmentation, anaesthetic injections can be used.

During the procedure, the dermal filler gel is applied under the skin in tiny amounts using a very fine needle. The procedure can be uncomfortable.

The dermal filler treatment procedure can take up to an hour to complete. However, most treatments only take 5 to 10 minutes.

If the procedure is on a smaller area many people can resume their regular daily activities right away. If larger areas are treated longer recovery times may be required, up to a couple of days. The gel produces volume under the wrinkle, which is lifted up and smoothed out. When enhancing lips or facial contours, Fillers add volume and shape to the treated area.

How Long Does It Take To Have A Dermal Filler Treatment Done?

Cosmetic procedures involving dermal filler treatments are usually very quick and easy. Most dermal filler treatments take from 5 to 30 minutes. The time to complete the procedure differs somewhat, depending on the type and extent of the correction that you wish to have performed.

Do Injectable Dermal Filler Treatments Hurt?

This answer to this question depends on the person. Some people have much more sensitive pain responses compared to other people. The level of discomfort also depends on the areas being treated. Treatments around the lips and nose tend to cause the most discomfort. The use of topical anesthetic creams or ice packs before the procedure can greatly reduce the level of discomfort.

How Quickly Do You See Results After The Injectable Dermal Filler Procedure?

The results of a dermal filler procedure can be seen right away. The results do tend to improve for a few hours after treatment.

How Long do Injectable Dermal Filler treatments last?

The Results obtained with dermal fillers typically last 6 to 9 months. The results may last up to a year in some people. How long results last varies from person to person. Dermal fillers are gradually broken down and absorbed by the body, so the lines, wrinkles or lips will ultimately return to their previous appearance without follow up treatments.


What Are The Common Dermal Filler Side Effects?

Some side effects of dermal fillers include:

  • Bruising
  • Mild swelling and redness
  • Itching
  • Discoloration
  • Tenderness
  • Rarely, redness, tenderness, and swelling develops a few weeks after treatment
  • Also rarely granulomas can form. (Granulomas are inflammatory lumps under the skin that can last for months.)
What Types Of Dermal Fillers Are Used at Aesthetic Makeover Studio?

Hyaluronic acid: (Restylane, Perlane, Juvederm, Juvederm Plus) The synthetic hyaluronic acid dermal fillers are the most common fillers in use today. If you see the term NASHA, this stands for Non-Animal Stabilized Hyaluronic Acid. The hyaluronic acid products used today are made by genetically copying human hyaluronic acid.

What Problems Can Be Treated With Injectable Dermal Fillers?

Fillers can be used for smoothing out folds and wrinkles, lip enhancements and shaping facial contours. Commonly treated areas are the nasolabial folds (from the root of the nose to the angle of the mouth), the glabellar lines (between the eyebrows), the droopy mouth corners, and thinning lips, although other sites can also be treated.

What Will I Look Like Immediately After The Dermal Filler Procedure?

You should expect to see some redness and swelling. This is quite normal with dermal filler treatments. If you are having a lip augmentation treatment done with dermal fillers your lips may be swollen for a few days afterwards.

Juvederm and Restylane fillers utilized by all doctors in-house.

Carboxy therapy uses natural carbon dioxide gas to help improve the appearance of stretch marks, scars and cellulite.

It has been used by the medical community in Europe for over 60 years, having been investigated in France in the 1950s by a group of cardiologists (heart specialists) who used the therapy to treat patients with various illnesses caused by blood circulation and fat accumulation problems in their arteries.

Subsequently the therapy was applied to women with cellulite problems, where circulation is known to be sluggish, and is now widely used for a variety of other aesthetic indications in Europe, and North and South America.

How Does Carboxytherapy Work?

Every time we breathe in oxygen to our lungs the oxygen is picked up by the red blood cells that are in the tiny blood vessels within our lungs. As the heart beats it forces these blood cells into the arteries and on a journey around the body to where they’re needed. When they encounter an area with high levels of carbon dioxide, which has been created by the hard work or cellular metabolism of some particular cells, the red blood cells drop their oxygen molecules to ‘feed’ these cells and picks up the carbon dioxide that they have produced. They then carry the carbon dioxide back to the lungs and we exhale to get rid of it. We then breathe in more oxygen and the whole process starts again.

Imperfections on our bodies such as dark under-eye circles, scarring and cellulite are thought to be caused, in part, by the poor circulation of blood to those areas, and therefore a poor supply of oxygen. Carboxytherapy is said to work simply by tricking the body, as by injecting a small amount of carbon dioxide gas into the area, it will increase the dispatch of oxygen laden red blood cells to the area to pick up the new ‘waste’ carbon dioxide which the body will then naturally eliminate via the lungs over time. By increasing the amount of oxygen getting to the area the cells will become more active and thus speed up any healing or new cell production required to rejuvenate the area.

What can Carboxytherapy be used to treat?

The most common aesthetic indications for treatment with carboxytherapy are for cellulite and localised fat reduction (small areas), scars, stretch marks (striae), and wrinkle reduction, but it can also be used to improve dark under-eye circles.

Carboxytherapy can be safely used to treat the eyelids, face, neck, arms, stomach, buttocks, and legs.

Improvement in Stretch marks before (top picture) and after 4 treatment sessions with Carboxytherapy

Improvement in wrist scar before (left picture) and after 5 treatment sessions with Carboxytherapy

What happens during the treatment and how long will it take to recover?

During your first consultation with us, a medical history will be taken, to ensure that there are no reasons why you shouldn’t have the treatment, and you would normally be asked to sign a consent form at this time which means that you have understood the potential benefits and risks associated with carboxytherapy.

There are several machines that are used to administer the carbon dioxide gas, but the basic components are the same. There is a tank of carbon dioxide gas that is connected by plastic tubing to a flow-regulator. The flow-regulator slows down the speed of the gas according to the rate selected by the physician. The gas emerges from the flow-regulator into sterile tubing that has a filter connected at the exit to remove any trace impurities before the gas is run through a tiny needle attached to the opposite side of the filter. The pure gas is now ready to be injected beneath the skin via the tiny needle.

Because of differences in the techniques used to treat the eyelids, stretch-marks, scars, and fat deposits, the sensation is slightly different depending upon what is actually being treated, and a numbing cream can be used prior to treatment if required.

The treatment of stretch-marks and scars is relatively painless because this skin doesn’t have the same ability to sense pain. Some pressure from the gas may be felt as the stretch-marks are distended, and they can feel a bit itchy, but again this subsides in about five minutes once the gas is absorbed by the body. Scars generally feel no pain because there are no nerves in scar tissue.

The treatment of cellulite and fatty deposits on the arms, abdomen, and legs has a unique sensation of its own. This is because a larger amount of the gas is injected directly into the offending fat deposits and allowed to expand. While the gas is expanding, you may feel some pressure in the area being treated that feels similar to when the arm is squeezed by a blood pressure cuff. The areas will feel warm and tingly for up to 24 hours after the treatment as the circulation to the area is improved.

The average carboxytherapy treatment takes approximately fifteen to thirty minutes to complete and depends upon the area and the severity of the problem being treated.

Follow-Up Treatments:

Stretch marks (known medically as striae) respond better to treatment when they are most recent and still red in colour, rather than when older and of a more faded, silvery appearance. Newer striae will most likely require to be treated once a week for 2 – 4 weeks, although in some cases a single session is enough, depending on their severity. Older stretch marks will need 3 – 12 treatment sessions at 3 - 4 weekly intervals.

In the case of cellulite reduction, the introduction of the CO2 under the skin is combined with manual massage to help evenly distribute the gas and make it circulate within the tissues. When it comes into contact with the fat cells, it can stimulate a metabolic reaction or fat burning mechanism within the body. The vasodilatory effect in the small blood vessels surrounding the fat cells increases the amount of oxygen and blood flow to the area which eliminates the build up of fluids and toxins between the cells causing lymphatic drainage, and also improves the elasticity of the deeper skin areas by stimulating the production of new collagen, leading to a rejuvenation in the upper layers which reduces the tight, cottage cheese or orange peel look to the skin associated with cellulite.

As the blood circulation improves and the natural fat burning continues, the area becomes firmer over time with a reduced circumference, although multiple treatment sessions and top-up maintenance sessions every 6 months will be required.

There is no cure for cellulite or stretch marks, and, in our experience, many of the creams sold that claim to get rid of both of these problems do not work. Professional "in clinic" treatments will give you significant improvement - but you need to be realistic and understand that it is unlikely that they will disappear completely.

Recovery time:

Most clients find that they can return to work and normal activities immediately after treatment.

Does it hurt and what could go wrong?

Treatment is generally fairly painless, although some people will feel a slight discomfort, pressure or stinging sensation as the gas is delivered to the tissues, sometimes described as a ‘crackling’ sensation, depending on the area treated. A topical anaesthetic can be applied to the skin if required.

Side effects include minor swelling, redness, bruising and pain at the injection sites lasting anywhere from 1 – 5 days, depending on the area treated, and in the case of cellulite treatment a warm sensation in the region for up to 24 hours. Bruising is common when treating the arms and legs, so carboxytherapy might not be a good idea if you plan on wearing a swimsuit the following week.

The risk of any scarring is very rare with this procedure.

Who should not have Carboxytherapy?

As long as you are generally healthy and don’t have any skin diseases or infections in the area treated, there are few medical reasons why people can’t undergo this treatment.

Although there is no evidence that this treatment is harmful for pregnant women, you would generally be advised to wait until after you have given birth before embarking upon a course of treatment.

Product Summary

First launched in the U.S. in 1988 by founding Dermatologists Drs. Van Scott and Yu.

Generic name

Glycolic Acid.

Is this a superficial, medium or deep peel?

Superficial to Medium depth peel.

What skin problems does it claim to treat?

Using a Neostrata peel regimen, you`ll see healthier, younger-looking skin.

It visibly diminishes the look of fine lines and wrinkles, smoothes and softens skin, increases hydration and suppleness, and balances irregular skin tones. It can also improve oily/acne prone skin. Higher strengths can help to reduce the appearance of acne scarring and certain pigmentation problems.

Nesotrata peels can be used on the face, the neck, the chest and the hands and can be used on all types of skin including: fine skin, normal skin or greasy or thick skin. It can also be used safely and effectively on black and Asian skin.

Should be used by

Trained members of the medical profession only. It should not be used by beauty therapists.

Product range

Neostrata 20%: 20% glycolic acid

Neostrata 35%: 35% glycolic acid

Neostrata 50%: 50% glycolic acid

Neostrata 70%: 70% glycolic acid - Used for more aggressive treatment of sun damaged skin.

There are a number of special creams and lotions available to be used in combination with Neostrata peels.

Peels not to be used in

Pregnant or breastfeeding women.

Peel program

The NeoStrata Skin Rejuvenation System is a glycolic acid peel system that can only be performed as an in-office procedure by a trained professional. It provides controlled and predictable removal of surface skin cells, stimulating skin renewal to improve the appearance of the skin. You will notice a difference in your skin texture immediately. The procedure is fast and convenient, taking only about fifteen minutes. And with virtually no recovery time, you can be back to your normal routine the same day. There is no significant pain or discomfort or need for anaesthesia.

It takes usually 4-6 treatments at three to four week intervals to achieve the desired effect.All body areas appear to respond well to treatment with glycolic acid; however, the arms, hands, neck and chest all improve at a slower rate than the face.

Reported side effects

Most patients can undergo glycolic peeling without any side effects. The treated skin is virtually normal in appearance. The fact that the patient underwent a peel in usually undetectable to others. Although rare, a patient may experience mild sloughing, producing some weeping or scabbing. Some redness is temporary and normal. Any of these side effects may be covered with make up.

Rarely, if scabs are picked, scarring may occur or areas of hypopigmentation (lighter coloured skin) or hyperpigmentation (darker coloured skin) may result from a peel. Your practitioner will discuss these potential side effects in a consultation.

Keywords: Wrinkles