Want to try injectable fillers?
A more youthful and rested look with no anesthesia and no need to go under the knife? Hmm, it had us wondering if we should try injectable fillers.
Small wonder that in withing the past five years, non-surgical procedures like injections of Botox and dermal fillers is the most popular nonsurgical procedure for women in their 20s and early 30s, up 45 per cent in that age group, according to the American Society for Aesthetic Plastic Surgery, which includes Canadian doctors. It’s a trend that will likely continue as more of us consider anti-aging alternatives that fall between a facelift and a wrinkle cream. A survey of more than 800 Canadian women by Leger Marketing found that one in four was open to getting an injectable treatment, and 34 per cent considered injectables to be an everyday procedure akin to teeth whitening and hair colouring.
How fillers work
Second in popularity to Botox in non-invasive anti-aging procedures, fillers add volume to the face, usually by filling in wrinkles and lines, and sometimes by plumping up areas of the face that have lost fat pads (such as the cheeks, under-eye area and temples), causing the skin to sink and sag, explains Calgary dermatologist Dr. John Arlette.
Most patients who see Vancouver dermatologist Dr. Frances Jang for dermal fillers start treatments in their 30s, 40s or 50s, but patients range in age from their 20s (usually for lip plumping or, occasionally, filling smile lines) even up to their mid-80s.
The subtle improvement that dermal fillers can provide is a selling point for many. “Patients say they don’t want to look dramatically different,” says Jang.
Treatment takes as little as 20 minutes, and in some cases you get immediate results. Jang cautions about expectations, though.
“Patients in their 50s or older sometimes opt for dermal fillers because they’re opposed to a facelift or don’t want to spend the time or the money,” she says. But by that age, “no matter how much you get, [fillers can’t] give you the same end result as a facelift if there’s too much skin laxity and volume loss. You really have to re-drape and tighten the skin,” which is what a surgical facelift does.
First-generation dermal fillers, introduced in the early to mid-1980s, were made of animal collagen. They had to be topped up every three months and required a patch test first because they caused allergic reactions in about three percent of patients. But, those fillers have given way to a range of new formulations as of recent.
Some may contain lidocaine to make treatment more tolerable. And some doctors now inject with cannulas (tubes with a blunt tip) rather than needles, an innovation that, along with lidocaine, has reduced pain and discomfort by 90 per cent or more,” according to Toronto dermatologist Dr. Benjamin Barankin.
What can go wrong when you try injectable fillers
Dermal filler injections should be administered by a physician, or a nurse under a physician’s direction.
When considering your options, ask who will administer the filler, what kind of training or credentials they have, and how many procedures they have done in the past – more is better.
Don’t choose based on the lowest price, says Jang. “I’m not saying the most expensive is the best, but you want someone who will listen to you, has been doing it for a long time and has a good reputation.”
Among the more common complaints? That results either aren’t visible, or that too much filler was used, resulting in a pillowy or lopsided-looking face; lumps or bumps in the skin; and bruising.
Lips can be tricky, too, says Barankin. A doctor who uses too much filler or uses the wrong type can leave you with “duck lips” (think Kylie Jenner). Opt for a doctor who takes it slow, he says. “You can always add more filler later if it wasn’t enough.”
Although the new generation of dermal fillers is far less likely to prompt an allergic reaction, there is still a risk of that and other side effects.
Ask your doctor beforehand about possible side effects and risks of the procedure, and what you should do if they occur.
Health Canada reports incidents of pain, bruising, redness, swelling, nodules (raised bumps), abscesses, infection, skin discoloration and hyper-pigmentation. There can be lumpiness from improper placement of the material.
When to steer clear of injectables
Health Canada advises postponing a dermal filler treatment if you have inflamed or infected skin, or pimples, cysts, rashes or hives. Do not try injectable fillers if you have a bleeding disorder, a tendency to excessive scarring or a history of severe allergies, particularly those marked by anaphylactic shock.
Check out our cheat sheet on various injectables options to help you decide if you should try injectable fillers.