What is Filler?

There are many types of fillers on the market. The one used at The Melbourne Smile Centre for facial rejuvenation is a newer generation version called Hyaluronic Acid which creates a softer, more natural result. Hyaluronic Acid is natural constituent of the facial structure and encourages hydration, so it absorbs ten times its weight in water. Therefore, not only does filler fill in a defect (such as a hollow) in the face, or enhance a structure such as lips, it also adds moisture to that particular sight which improves the overall appearance.

Fillers work to fill out or tent up hollows in the face that are naturally occurring genetically, with age or fatigue. They can also improve the look of thin crepey skin whilst filling out the hollows in the face. Common areas treated with filler include the lips, the trough under the eyes, the cheekbones, the nasolabial lines and frown lines.

There are multiple types of filler even within the same brand and they often relate to the density of filler which sits in parts of the face. Different parts of the face require different density fillers such as the thinner areas of the face under the eye will require a lighter weight filler. In the lips we tend to use a moderate to medium density filler. Also, in the nasolabial lines and frown lines that medium body filler tends to last longer in the tissue but can also increase the volume effects. We tend to use higher density fillers to enhance cheekbones and enhance or prevent droop of the facial third. Ageing occurs in the middle third of the face where everything starts to sag down. The filler itself helps to elevate that middle third and acts to minimize the amounts of medium body filler that we’d need for the lower parts of the face. We tend to work in an upward to downward fashion in order to treatment plan and utilize the different density fillers available.

Do I need Botox if I also get Filler?

It depends on what you want to treat. Botox is usually one aspect of treatment when we’re looking at full facial rejuvenation. The important thing as part of The Melbourne Smile Centre’s facial rejuvenation treatment plan is discussing the importance and health of skin such as looking at the use of sunscreens and creams and other forms to help improve the texture of skin. Botox is very useful for minimizing the effects of lines in the skin that are active. They also can prevent the reverse or negative effects that are achieved with fillers. Fillers are used to lift facial tissue which is sagging due to ageing but Botox can also be used to prevent muscles that pull on that middle facial third from acting and therefore reversing the effects of the filler. So, as a result it is important to have a look at three different arms of the facial treatment phase.


Who is suitable for Filler?

Filler can be used in any age group male or female and ultimately it depends on the patient’s desires and needs. Because it’s a natural product and ultimately is dissolved by the body, it’s also a reversible treatment so that treatment doesn’t mean forever results. Of course, that means maintenance and need for top ups, but this will depend on the density of filler and how long each filler will last. The thinner density for example lasts anywhere between 4-6 months, the medium density fillers last 6-12 months, the denser fillers can last up to 18 months.


What are the benefits of Filler?

Fillers are often mistaken with Botox as a form of facial rejuvenation. They do two different things. Botox is useful to help reverse the effects or the desired outcomes from fillers. Fillers are very useful to basically replenish volume in the face and also to lift structures that have sagged due to ageing. As a reversible agent over the ensuing 3 up to 18 months, fillers will naturally dissolve and what’s useful about them is that they enhance the moisture at the sight of where filler is injected to improve the skin texture and also improve and even out the hollows and defects in the face.


Side effects?

Although rare, there are also possibilities of complications when injecting fillers. The important thing about that is going to someone who can understand the limitations of filler when it comes to injecting to a site and that relates of course to the anatomy at that site. At that site there are certain structures in the face that have certain vessels that, if blocked, have no backup blood supply and as a result can cause death of skin in the area or in the very worst-case blindness. They’re the rarer complications. Fortunately, there are options out there that can be used in emergency situations to reverse the effect or dissolve the effect of fillers if detected earlier enough. Sometimes, however clinicians aren’t aware of the effects and patients can have problems if the amount of filler used at a site is overdone.

As our facial rejuvenation practitioners at The Melbourne Smile Centre have both medical and dental qualifications, we understand both the anatomy when it comes to treatment, but also the constituents that make up a beautiful smile. That is to say, that you’ll be in extremely safe and expert hands here.

If someone is unsure about whether or not they want to have filler in a particular area then it’s often nice to start slowly with a lower volume and then stage the treatment over multiple visits over 2-3 weeks apart. The nice thing about filler is that, if you don’t like the result then the treatment is reversible so long as particular resorbable fillers are used and not those that are permanent. There are still permanent fillers that exist in the market so you need to do your research to understand which types of fillers you’re having injected.


Why go to The Melbourne Smile Centre for Filler?

As medical and dental practitioners, it’s important to understand that the anatomical knowledge that we have here is important in ensuring that certain amounts of fillers aren’t overdone in certain areas which will impair blood supply and cause complications.

After visiting the Melbourne Smile Centre and working with Dr. Paltoglou to find ways to optimize that smile, we often find that the face (which is the frame of the smile) may need a bit of enhancement. Having a filler to improve the shape or contour of the lips, and perhaps also improve or minimize the lines in the face that frames that smile is important and is sometimes an important aspect of a patient’s treatment outcome.