Q. What are the conditions of a good dermal filler?
Francisco de Melo: The biggest disadvantage of dermal fillers is that the effect is short-lived and repeated injections are required to maintain the effect. HA fillers have particularly short duration. Ellanse, Radiesse, and Sculptra are biostimulators and have longer duration of efficacy. However, only a seasoned doctor can bring optimal results. From my personal experience, Ellanse S lasts for 18 months and Ellanse M lasts for 3 years.
I do not use permanent fillers as their side effects can also be permanent. Durability is not the only aspect of an ideal filler. Below are the conditions of a good filler.
1. Safe
2. Biological
3. Long lasting (<3years)
4. Does not cause immune reactions
5. Non toxic
6. Able to revert or slow down the aging process
7. Affordable
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Q. What are the most common side effects and what is your knowhow on preventing or reducing side effects?
Francisco de Melo: As fillers are not pharmaceutical products but more of biomedical products, I think the term ‘complication’ is more applicable than side effects. Prevention is the best way to minimize complications. Only doctors with proper training and knowledge should carry out filler procedures. The most common complications are swelling and bruising. They can be reduced by correct injection techniques and selection of an appropriate filler type. Complications of permanent fillers include inflammation and immune reaction. Most complications are preventable when using the correct type of filler for the area.
Q. Which fillers would you recommend for beginners and experts?
Francisco de Melo: I recommend HA fillers for beginners as their effect can be reversed using hyaluronidase. For experts, I recommend biostimulator fillers such as Ellanse.
Q. What is the most important aspect of the dermal filer injection?
Francisco de Melo: I would say knowledge and experience are the most important. Minimally invasive plastic surgery is also a type of medical procedure. Therefore, it is important to document the correct diagnosis and treatment plan to closely follow up the patient.
-The End-
