Dermal Filler Injections in Brighton

As the face ages it loses volume and elasticity.  Hyaluronic acid is naturally found in skin and retains water, hydrating the skin and replacing volume for a younger fresher appearance.  Dr DeGiovanni is a Consultant Dermatologist who is experienced in the use of injectable fillers. She uses the Juvaderm® product range, market leaders with products that deliver a natural smooth look. Click here for more information on juvaderm®.  This innovative range of products can last up to 12-18 months.

Dr DeGiovanni uses fillers to subtly enhance and define the skin for a natural looking result. She adds volume to lips, treats smokers lines around the lips, nasolabial folds (creases between the nose and mouth), marionette lines (vertical creases at the corner of the mouth) , and frown lines.
Injectable fillers can smooth out facial folds and wrinkles, add volume to the lips, and contour facial features that have lost their volume and fullness due to aging, sun exposure, illness, etc.  Facial rejuvenation can be carried out with minimal complications.  These dermal fillers are injected under the skin with a very fine needle or a blunt cannula where appropriate to produce less bruising.  This produces natural appearing volume under wrinkles and folds which are lifted up and smoothed out.

The results can often be seen immediately.  Hyaluronic acid is a molecule found in many body tissues naturally.  It binds water molecules and hydrates the tissue.  Natural hyaluronic acid levels decrease with age. This combined with gravity and other factors such as genetics, sun exposure, and smoking can contribute to an aging face.

Hyaluronic acid fillers are not animal derived.  The fillers Dr DeGiovanni uses biodegrade with time so they are not permanent and re-injection is necessary.  The normal duration for the aesthetic effect is 6-12 months depending on the site and other factors such as sun exposure and smoking.

Potential Risks with Filler Injections

The majority of patients do not experience complications however it is important that you understand the risks, potential complications, and limitations of filler injections.  If you have any questions please make sure you discuss them at your consultation. Further information is found in the package insert sheet.

Limitations and contraindications

Total satisfaction with the treatment cannot be guaranteed as the effects differ between patients and are dependent on other factors. A complimentary review is offered at 2 weeks to assess the results.

  • You should not have dermal fillers if you are pregnant or breastfeeding.
  • You should not have fillers if you have a known allergy to the filler local anaesthetic or the other excipients.
  • You should avoid fillers if you are prone to keloid scarring, have uncontrolled epilepsy or suffer from porphyria.
  • If you are prone to cold sores it would be sensible to take a course of aciclovir as dermal filler injections can reactivate cold sores.

Common side effects

Pain is frequently associated with the injection of dermal filler.  Local anaesthetic cream is usually applied before the treatment and for some areas a local anaesthetic injection may be recommended.  The fillers contain some local anaesthetic. Paracetamol can be taken regularly if required once this wears off.

Bruising, bleeding, redness and swelling may occur around the injection site.  Aspirin, anti-inflammatory medication, platelet inhibitors, anticoagulants, Vitamin E, Ginko Biloba, St John’s Wort and other herbal or homeopathic remedies may contribute to a greater risk of bleeding.  If not medically indicated, please avoid taking these for 10 days before filler injection.

Localised reactions can occur resulting in stinging itching redness and swelling. This may last for several days.  Occasionally lumpiness, and visible yellow or white patches may occur.

Rare side effects

Skin infections occur in less than 1 in 2000 cases.

There is a risk of scarring. Patients who are prone to keloid scarring should avoid dermal filler injections. If you develop a complication such as infection, allergy, bleeding, or nodule formation, the risk of scarring is higher.

Necrosis (damage and breakdown of the skin with or without a scab), can rarely occur if a blood vessel is blocked. Discolouration of the skin at the injection site, abscess formation, nodule formation (granulomas), to the product and haematomas (Blood clots under the skin), have all been rarely reported.  Allergies to the product have been reported. While rare, such side effects and their treatment may last for several months.

After your treatment

  • Avoid vigorous exercise for 72 hours.
  • Avoid extreme facial expressions, alcohol consumption and applying make up for 24 hours.
  • Avoid extreme sun exposure, UV light, freezing temperatures and saunas for 2 weeks after treatment.
  • Try to avoid sleeping on one side. Sleeping on your back with a wedge pillow is advised to avoid movement of the filler.

 

To make an appointment with Dr Degiovanni, or to seek advice on any aspect of dermatology, please visit our contact page.