No.1 Clinic for Dermal Filler by Dr. Pemika

How much is Filler ? What should I know before doing it

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Last updated date: 11 March 2024

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What is filler? Is it a liquid silicone?
How does Filler help my face look younger ?
What cause Filler to move ?
Which brand of Filler makes my face rotten ?
How do you inject fillers so that the face doesn’t look bigger ?
Filler vs Fat Filling, which one is better ?
If I exercise or go out in the sun, will the filler melt ?
If injected and I don’t like the result, do I have to just scrape it off ?
Is it true that you should not get filler injections if you are planning to undergo surgery ?
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What is Filler ? Is it a liquid silicone?

Genuine fillers consist of 100% hyaluronic acid without any silicone or other compounds mixed in. Hyaluronic acid (HA) is a natural component which can be found in human cell and also a substance for collagen fiber. When HA combined with water, it will be Gelatin-like substance packed in the syringe. Filler is used to ‘Fill’ the grooves and folds, to make them fuller and smoother. Result in younger-looking face.

Hyaluronic acid is water-soluble and gradually dissolves over time, disappearing completely. Therefore, a single filler injection lasts 6-12 months, not permanently, unlike silicone, which does not dissolve in water and remains permanent throughout one’s life.

How does Filler help my face look younger?

When we are young, we have fat that makes our face look fuller and look younger. This fat is called baby fat. As you get older, baby fat naturally decreases causing grooves and sagging such as grooves under the eyes, nasolabial line and marionette line. Baby fats are not common fats, they are different types of fat. Therefore, even if you are fatter, your cheek grooves under your eyes are still the same.

The solution is to find something to replace the missing baby fat. Today, the most accepted, safe and effective way are fillers.

What causes Filler to move ?

Filler doesn’t ‘normally’, move after injection so you must ensure that the person providing the service is experienced, knowledgeable and understands human anatomy as well as the properties of the filler. Injecting filler is delicate and must be injected in the right skin plane with the right amount in order to create beautiful and safe result.

Filler migration can be caused by many reasons:

Poor injection technique: injecting into wrong skin plane
Using fake filler
Injecting too much filler in one area

Which brand of filler makes my face rotten?

Side effects from filler injections that are commonly seen in the news are: inflammation, infected, swollen, red, deformed. This can caused by many factors.

Inadequate hygiene during injection and after injection causing germs to contaminate the needle hole and subsequent infection.
Injecting fillers into the veins This occurs when the injector accidentally injects filler into a blood vessel, leading to a lack of blood supply to the tissue in that area and resulting in tissue necrosis. This risk is significantly reduced when the injector has knowledge, experience, and exercises caution.
Caused by the injected substance such as a fake filler (Not 100% pure hyaluronic acid), unknown substances can stimulate the body to cause inflammation and infection. This factor is common due to the fact that many fillers are adulterated today.

We advise patients to do injections at reputable hospital or clinic that has been certified by legal distributor that uses genuine fillers. Also, remember to get treatment from an expert and experienced doctor to prevent unwanted side effects or complications.

How do you inject fillers so that the face doesn’t look bigger?

As mentioned above, injecting fillers is not merely about pumping volume into the face to make it look fuller or puffed up. It is an art that goes hand in hand with scientific knowledge. Both the doctor and the patient must understand the expected results before proceeding with the treatment. No patient wants their face to look unnaturally large or swollen. If the injector has sufficient expertise and knowledge, proper and beautiful filler injections will not make the face look bigger. On the contrary, fillers can be used to contour the face, making it appear slimmer and younger.

Filler vs Fat Filling, which one is better?

Nowadays, there are many options for face augmentation. Two popular options are filler injections and self-fat injections. Both methods are injecting substance into the face and only last temporary. The differences is in the details and the advantages and disadvantages of each method. Therefore, it depends on your preference and readiness.

If I exercise or go out in the sun, will the Filler melt?

No. After injection, the filler will gradually dissolve by itself. It takes approximately 6-12 months to dissolve, but for patient who has an active metabolism it may dissolve faster than usual. Filler will gradually dissolve and will remain in the same place. So filler will not melt and migrate to different area.

Activities such as intense exercise, sun bathing, onsen, sauna increase more which increase metabolism which make the filler dissolve faster and may last for only 4-6 months. Doing light exercise, going out in the sun for only a while and taking a hot shower won’t have much effect so you don’t have to worry that filler will dissolve faster if you do these activities.

If injected and I don’t like the result, do I have to scrape it off?

When the patient has injected filler and doesn’t like the result, if it is a real fillers you don’t need to scrape it off because there is “filler dissolver” which can 100% dissolve the filler. It will disappear immediately after the injection. However, if you want to do filler injection you should wait for 2 week after you have done dissolving treatment.

Is it true that you should not get filler injections if you are planning to undergo surgery?

In surgery, the surgeon must remove any foreign substances present in the tissues of the area to be operated on, including any fillers in those tissues. There are several methods to remove fillers.

The first method and most familiar way is to scrape it off which can be done during surgery. The disadvantage is that patient may have a lot of bruising and swelling.
The second method is to dissolve the filler. As mentioned earlier, genuine fillers can be completely dissolved. This should be done at least one month before the actual surgery date to ensure that the filler is fully dissolved.

Therefore, if you plan to undergo surgery after having filler injections, it is possible to do so. If the surgery and filler injections are in different areas, such as having under-eye fillers and then undergoing nose surgery, there’s no need to worry about interference. However, if the filler and surgery are in the same area, like having chin fillers and then deciding to get permanent chin augmentation, you should wait for the filler to naturally dissolve or have it dissolved before the surgery to minimize any impact on the surgical procedure.