During the last few decades a lot of filling-up materials have been developed; which can be given simply by injection. These materials are effective at thickening narrow lips, smoothing the wrinkles that are caused by passing time simply by changing the face’s contour. Spectacular results can be reached simply by injecting these materials and after a short ambulant treatment the patient is able to go home. Side effects and complications occur very rarely, there is no need for after-care, the normal course of life can be continued and work-time has not to be missed.
Treatment by injection can be used on different places of the face: vertical wrinkles between the eyebrows, horizontal wrinkles on the forehead, smiling wrinkles, at the outer eye-nooks, on the side, apparent crow’s feet. /at special cases /, the wrinkles in older ages, fine wrinkles around the lower and upper lips, lifting of acne or otherwise created sunken scars, smaller unevenness at the bank of nose, lip thickening, the lower edges of trench of eyes, the jaw’s tip.
Collagens: RESOPLAST, ZYDERM, ZYPLAST. These are albumins subtracted from animal skin. As they are effective only for 2-4 months long the risk of an allergic side effect is higher, and nowadays when new and more up-to-date materials have been found their application has become less common.
Hyaluronacid: REVIDERM, ROFILAN, RESTYLANE, PERLANE, ESTHÉLIS, HYLAFORM, JUVÉDERM, PRINCESS, SAYPHA and many more. These are produced by bacteriological fermentation as a big molecule-weight, sugar-like compound which also can be found in the human skin. These do not contain animal’s albumins. Their advantage is that none of them contain artificially made materials. The possibility of lasting difficulties is exceedingly small. The treatment is always made in the right measure. The disadvantage of this system is that it needs to be repeated yearly.
Polyvinyl alcohol: BIOINBLUE
Absorbable polyacrylamide preparations: OUTLINE
Lactic acid-based fillers: Poly-L-lactic acid: SCULPTRA: Also suitable for wrinkle filling and lip thickening.
Bone cement related substances: calcium hydroxylapatite: BEAUTIFILL, RADIESSE: Not recommended for lip thickening, but these contain natural tissue-related compounds that are promising for volume replacement.
These are artificial synthetic materials or synthetic compounds mixed with natural materials. It is very important to be aware that although the effects of some of these substances do not last long, the substance remains permanently in the tissues because it cannot degrade or be absorbed. Only the effect on the surrounding tissues, the induced connective tissue formation decreases over time, and thus the effect decreases. The problem may be caused by the formation of excessive connective tissue around a foreign substance in the tissues, even rarely after years, due to some external or internal effect, which is not yet precisely clarified, in the form of nodules or late allergic symptoms – swelling, redness. me. These can be unexpected and unpleasant side effects, can occur even after 8-10 years and can be difficult to treat, only possible with surgical excision, which involves a scar.
The length of effectiveness of a product must be taken into consideration together with the fact that the human face changes with the passing of time. Wrinkles and folds might rearrange and so the products given today can later generate a disadvantageous appearance. Significantly filled lips at the age of 20-30 might be attractive, but later, after 20-30 years they could turn into a grotesque or ridiculous feature. From this point of view absorbing materials are although more expensive, the most advantageous.
POLIMETYLMETHACRYLAT pmma: ARTECOLL: This product contains small acrylat pearls in microscopic proportions. These are soluted in a collagen carrier material. After the carrying material is absorbed, the pearls are forced, around the injection, to multiply cells. The result will also be guaranteed by the growing of the patient’s own connecting tissues. In some cases, the treatment has to be repeated after the first treatment, in three months time.
HYDROXYMETYLMETHACRILAT. DERMALIVE: In hyaluronacid mixed synthetic fragmentums the mechanism of function is similar to Artecoll.
SILICON OIL. Until recently this was the only product that gave permanent results and was able to be given by injection. Later synthetic products have spread widely, and their use has now replaced silicon oil. Although its price is low using it could produce lots of problems. Such as: / Skin inflammation, the creation of a touchable lump, the possibility of the input material’s wandering towards the lymphatic glands. / The treatment of these problems is complicated, sometime even its removal is hard to do. It is forbidden to use this product in the USA and in some European countries, In Hungary some years ago; this product was granted on ORKI license together with other silicon products.
POLYACRYAMID productions: AQUAMID, OUTLINE, BIO-ALCAMID: These are new products. More and more experiences have been gained about them.
The above-mentioned materials are introduced by a very thin needle, with injection technique into the treated area. If local anaesthesia is needed before the treatment, we place this on an adhesive tape with anaesthetic cream. This cream must remain for 1-2 hours long on the skin before the treatment, where about 70-80 % insensibility can be reached. Before lip filling, we produce an anaesthetic blockade similar to the dentist’s. The duration of intervention is 10-40 minutes long, depending on the area. The effect appears at once, but a smaller swelling might occur. Swelling may be bigger after the lip’s filling up, sometimes red or yellow colouring takes place because of a slight haemorrhage. Its absorption needs 1-2 weeks. So, the real result of this intervention can be seen only a week after and until that point smaller unevenness may occur. After filling the area of the mouth, the stronger mouth movement such as speaking or laughing, etc should be avoided.
During the treatment there might occur a mild flush on the treated place, or slight ache, perhaps some colouring of skin and itching. These symptoms cease generally in 12-48 hours time.
Complications occur only very seldom. Sometimes in a few percent of cases small hump can be felt. This occurs very rarely but could be very discomforting even at biting or kissing. There is only one in a thousand possibility of an allergic reaction, which might cause local skin swelling, inflammation of skin, reddening or stronger reactions. These effects need after-care.
It is also possible, although not common that effect of products may not be permanent for example the material absorbs faster. Depends on personal peculiarities.
If the patient has recently suffered from herpes there is the risk of getting a new outbreak, because of the needle prick. Aspirin or other similar drugs may cause bleeding, or hemorrhage at the pricked area.
We propose the following guidelines:
We do not propose any treatment: