If there was only one treatment that you could do for your under eye problems, it would have to be under eye fillers. As you grow older, your eyelids become thinner, drier and darker. You also develop hollows under your eyes. We call this ‘tear trough’.
Under eye hollows make you look dull, tired and sleep deprived. Friends may often ask you, “didn’t you sleep at night?”, or “are you sick?”.
Dermal fillers, also known as injectable implants, soft tissue fillers, lip and facial fillers, under eye filler, nasobial fold filler, nose filler, cheek filler, laugh line filler, chin filler, neck filler, or wrinkle fillers are medical device implants approved by the FDA for use in helping to create a smoother and/or fuller appearance in the face, including nasolabial folds (the lines extending from the sides of the nose to the edges of the mouth), cheeks, chin, lips, and back of the hands.
Since some dermal fillers are naturally absorbed over time, patients may need to repeat the procedure after some time to maintain the desired effect. Successful results will depend on the underlying tissue structure and the volume and type of filler used. The time that the effect lasts depends on the filler material and the area where it is injected.
A dermal filler works by raising or puffing up particular areas of the face. It is most commonly used in areas that succumb to sagging skin, which creates a hollowed look. The specific manner as to how the procedure works depends on the type of fillers being used. Existing options include:
Hyaluronic acid : The most commonly used type of dermal filler, a hyaluronic acid filler works by drawing fluid to the specified part of the face that needs a lift. This substance is used in popular filler brands such as Juvederm, Captique, and Restylane; the effects of these fillers typically last around 9 months to 1 year.
Fat graft : A fat graft, also known as an autologous fat, refers to fat cells that are taken from another part of the patient's own body then injected into the recipient site. Since the injected filler is made of actual human fat, the effects of this type of treatment can last for years.
Polymer : Filler brands like Sculptra uses a man-made and biodegradable polymer substance. This is another long-lasting option, with effects lasting up to two years.
Calcium hydroxylapatite : This is the main substance used in another popular filler brand Radiesse, which can keep wrinkles and skin aging at bay for up to 12 months.
Bovine collagen : Fillers like Zyderm and Zyplast use bovine collagen. However, due to the nature of this substance, the patient has to undergo an allergy test at least 4 weeks prior to undergoing the treatment to ensure that he or she will not have any adverse reactions to the injectable filler.
Microscopic plastic beads : Because bovine collagen treatment does not offer permanent results, it is often mixed with microscopic beads that are made of polymethyl methacrylate or PMMA that stay under the skin for good even when the collagen melts away; they therefore effectively extend the effects of the treatment to at least 5 years.
A filler treatment can be carried out by a dermatologist or a cosmetic surgeon. Regardless of which material is used as the filling agent, a greater part of the process is generally the same. The patient first receives a local anesthesia to numb the facial area. Once the anesthesia has settled in, the surgeon or dermatologist injects the filler into the predetermined area, just under the skin. For fat graft, however, the fat that will be used as the filling agent is first harvested from another part of the body.
Each procedure will take approximately 15 minutes. However, depending on the severity of the condition and the size of the treatment area, succeeding sessions may be necessary. If so, each session is spaced at least two weeks apart.
As you age, your skin’s elasticity begins to decrease, which can lead to wrinkles, fine lines, and sagging skin. The prospect of permanent furrows on your forehead or crow’s feet by your eyes is not one that many people look forward to. Fortunately, dermal fillers can be used to reverse common signs of aging. With the help of a trusted injector, you can restore your youth and confidence with plump, smooth, and beautiful skin.
While a lot of the treatments that we do require few days or even weeks to show effect, this one has immediate results, and clients get to enjoy their desired transformation as soon as they leave the office. But in order for you to enjoy this transformation, there are some Dos and Don’t that you need to be aware of, either before or after the procedure. Here are some of them:
Understand your problem areas. Many of my patients come thinking that their nasolabial fold NLF (the fold between the cheeks and the nose) is too deep and asking to fill it. A careful examination and measurement of the face reveals that the cheek has significantly lost volume and so exacerbated the depth of the NLF. In this case we need to address the loss of volume in the cheeks before we treat the NLF.
Start taking Arnica two days before your appointment. This is not mandatory, but it helps reduce the risk of bruising especially when doing lip fillers.
Tell your doctor if you are pregnant or planning to get pregnant.
Tell your doctor if you have any history of cold sores. Your doctor can prescribe you an antiviral prior to your treatment to limit any flare of your condition.
Apply Arnica topically and/or continue to take oral arnica at home. This will help reduce chances of bruising. Eating pineapple can also help with bruising too!
Put an icepack on the injected area to reduce swelling. This is important especially on the first day after treatment.
If you have any pain, take Tylenol. If you have increased swelling or itching, try over the counter antihistamines like Zyrtec, Benadryl or Claritin.
You can starting using your sunscreen and makeup immediately after, but you need to be very gentle while rubbing the area treated.
If you had cheek fillers, try to sleep on your back for the night. A good trick to help you stay on your back is to put your hair up in piggy tails. This way every time you try to turn to your side, your hair will stop you.
Avoid taking any Over-the-Counter blood thinners one week prior to your treatment. Such blood thinners include Aspirin, Motrin, Aleve, or Ibuprofen. If you are on a prescribed a blood thinner, make sure to let your injector know to take all precautions.
Avoid over the counter supplements like St. John’s Wort, Gingko biloba, primrose oil, garlic, ginseng, and Vitamin E. If you are on any, stop using them at least 1 week before your treatment.
Avoid topical products such as Tretinoin (Retin-A), Retinol, Retinoids, Glycolic Acid, or any “anti-aging” products. These can cause irritation to the skin, and increase risk of bruising or even infection.
Do not drink alcohol 24 hour before your treatment.
Don’t rub the area treated unless instructed to.
Avoid itching, or picking around the injection site.
Avoid applying intense heat to the treated area, that includes hot tubs, saunas, sunbathing or tanning.
Don’t drink alcohol the day of treatment, and try to avoid it for 2 days after.
Avoid exercising for 2 days or until swelling subsides.
Filler treatment sessions may cause some symptoms right after each procedure. The following symptoms are normal and temporary, typically lasting up to 3 days after the procedure:
If symptoms do not go away after 3 days or they seem to be getting worse, it is best to go back to the dermatologist or surgeon who performed the procedure. Prolonged symptoms may be signs of possible complications linked to dermal fillers, which include:
Due to the large number of dermatological clinics and doctors offering dermal fillers, patients are advised to take extra care in choosing the doctor they will work with. There is a risk that the fillers used are not included in those approved by the U.S. FDA, and this exposes the patient to the possibility of uncontrolled adverse reactions.
The cost of Dermal Fillers varies from ₹ 15,000 to ₹ 27,000 per 1 ml in Lucknow, India.
Why does the cost of vary?
The longevity of the Dermal fillers
Type of Dermal Filler
Brand of Dermal Filler used
And How much do Dermal Fillers cost in India?
The cost of Dermal Fillers in India is $ 200 to $ 500 per 1 ml, in terms of Euros the cost varies from € 250 to € 600 per 1 ml. (*This is the approx. cost and may vary depending on the current exchange rate)
To help get an approximate idea about the cost of Dermal Fillers for different areas of the face, it would be best to consult our dermatologist in Lucknow.
Is there downtime?: This varies with the filler. Most fillers do not cause downtime. Be sure to ask your dermatologist whether you will have downtime.
When will I see results after getting a filler?: This also varies with the filler. Most fillers fill the skin, so they produce immediate — or close to immediate — results. A filler also can stimulate your body to produce collagen, but this takes time.
How long will the results from fillers last?: Most fillers offer temporary results and require repeat treatments to maintain the results. Temporary fillers offer one key advantage. These can be injected as needed to replace lost fullness. This is advantageous because no matter what we do, our skin continues to age.