When people smile, frown and make other repeated facial movements, lines known as dynamic wrinkles can form. In the early stages of wrinkle formation the use of localised muscle relaxants can assist in the prevention of deeper wrinkles. With the passage of time many of these wrinkles become more long term or static wrinkles and will deepen and become more noticeable. Static wrinkles are commonly seen as vertical lines around the lips, as fans of lines at the outer edge of the eyes and as deep vertical lines between the eyebrows and descending from the outside of the nose.
Facial fillers – also known as dermal fillers – are a range of substances and products that can be inserted or injected into the middle or dermal layer of the skin to fill the indentations caused by wrinkles and scarring. Temporary fillers last for 6 to 18 months depending on factors such as type of filler, skin structure, lifestyle and age.
Long Term polyacrylamide gel fillers are a revolutionary product for aesthetic surgery which are now available to treat a number of aging and aesthetic concerns. Dr Lanzer was the first surgeon in Australia to use this product clinically and has been achieving highly successful results with the product since 2002. A number of aesthetic corrections can be successfully performed using more long term facial fillers, ranging from creating a fuller mouth, more beautiful and more prominent cheekbones or smoothing a fold of skin at the corner of the mouth. Fillers can be used to lift or build up a flattened nose tip, to lessen the visibility of an unsightly scar or eradicate an asymmetry caused by injury.
Hyaluronic Gel Filler (temporary)
Hyaluronic acid is a support fluid which occurs naturally in human skin, depletion of this fluid can cause loss of volume, which in turn leads to folds and wrinkles in the skin. Hyaluronic gel fillers work with the body’s own hyaluronic acid reserves to restore or increase the skin’s volume; smoothing and lifting lines and folds, and providing an anti-ageing result. Hyaluronic Gel Filler can also be used to remodel cheeks and cheek bones, jawlines and noses.
The choice of hyaluronic acid as the basis for a wrinkle filler makes good sense. Hyaluronic acid is a nontoxic, biodegradable, biocompatible polymer naturally found in human skin. Compared to older protein-based products like bovine collagen, it has simpler structure, is more stable, and contains no known allergens. This means there is no need for a test dose and treatments can be undertaken immediately on consultation.
Hyaluronic Gel Filler is suitable for treating
- Lip line and lip body, to provide shaping, definition and fullness
- Perioral wrinkles, these are the “smokers” or vertical lines which occur above and below the mouth
- Nasolabial lines and folds, the creases which run down from the outer edge of the nose
- Marionettes and chin lines running down the chin from the outer edges of the mouth, giving a marionette like appearance to the face
- Cheek lines and wrinkles
- Forehead and eye wrinkles, the so-called frown lines and crow’s feet which occur both horizontally and vertically on the forehead and between the eyebrows, and also fanning from the outer edges of the eyes
- Tear troughs, the sunken appearing depressions directly beneath the lower eyelid
- Acne pitting and other scarring
- Prejowl sulcus
In most patients facial fillers such these last for 6 to 18 months, depending on factors such as type of filler, skin structure, lifestyle and age. Treatment is quick and simple whilst showing spectacular improvement. Results are clearly visible in all patients within just half an hour of treatment.
Polyacrylamide gel filler (permanent)
Polyacrylamide more long term filler is a completely transparent gel containing 97.5% water and 2.5% polyacrylamide – which is a biologically inert, non-biodegradable polymer. Polyacrylamide gel filler is injected into the skin with a fine needle and the area is then manipulated by the surgeon to achieve the desired result. After a short time the gel feels as if it was a natural part of the skin.
Following treatment the polyacrylamide particles become enmeshed with the skin’s own connective fibres and, as a result, the gel rarely moves away from the injection site. This means that procedures performed with polyacrylamide gel filler are generally considered more long term and a well-placed augmentation may last without further treatments or touch-ups for a long time. This also means that it is vital to consult with a highly experienced surgeon for this treatment; Dr Lanzer has been working successfully with polyacrylamide gel fillers since 2002.
Polyacrylamide Gel Filler is suitable for:
- Fuller, more defined lips
- More prominent, sculpted cheekbones
- Creating a more defined chin or smoothing a dimpled chin
- Reducing the nasolabial fold (the line from the nose to the corner of the mouth)
- Minimising down-turned corners of the mouth (downward folds from the corner of the mouth)
- Smoothing furrows between the eyebrows
- Smoothing deep wrinkles, scar tissue and acne scars
- Procedures generally require neither hospitalisation nor general anaesthetic.
- Aesthetic corrections are more long term for the majority of patients.
- Provides a simple and gentle alternative to surgery.
- A very fine needle is used, so that the discomfort of the procedure is minimal.
- Polyacrylamide is the same material which is used for making soft contact lenses.
- Dr Lanzer explains that he has used Polyacrylamide more long term filler since 2002 and whilst aesthetic corrections are more long term in the majority of patients, absolute permanency cannot be guaranteed
- Allergy or infection to more long term filler although rare would be a difficult problem
- While acrylamide itself is a neurotoxin, the manufacturers of polyacrylamide for implants take steps to remove the residual acrylamide from the gel
- Many doctors refuse to use more long term fillers especially around the mouth due to fear that the site may change structurally over the years
- Pain may be felt on injection and there may be bruising and swelling
Frequently Asked Questions
What is a prejowl sulcus
A prejowl sulcus is a hollowing of an area along the jaw line, on either side of the chin that is accentuated by the formation of jowls.
How long with the results of Hyaluronic Gel Filler treatment last?
In most patients facial fillers such these last for 6 to 18 months depending on factors such as type of filler, skin structure, lifestyle and age.
How long with the results of Polyacrylamide Gel Filler treatment last?
In most patients the corrections are more long term however this cannot be absolutely guaranteed.
What is the recovery time after using a filler?
At first, the corrected area may be a little tender and swollen, but this usually subsides after a day or two.
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Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by Dr Lanzer. It is a good idea to understand your surgical procedure well, and to obtain further advice from another Specialist Cosmetic surgeon such as a Dermatologist like Dr Lanzer.
All photographs represent one person’s experience, and results may vary for each patient. All photographs are of actual patients of Dr Lanzer. The visible change in these photographs has occurred as a result of the procedure/s undertaken.