Filling Applications
What is Fill?
We have all seen it when we visit various museums: earrings made of ivory, gold, silver, etc., necklaces, bracelets, combs, perfume bottles, containers for preparing mixtures… All this is proof that women have tried to look younger, more beautiful and attractive for centuries. For this purpose, they have benefited from various herbs, creams and mixtures.
Although we consider the person in front of us as a whole, the first area that draws our attention in a person when starting to communicate is the face. Scientific studies have revealed that the perception of the face as beautiful or ugly is largely independent of culture. The human brain detects and records extremely quickly whether a face is beautiful or not. In general, all women are aware of this, and they pay a lot of attention to their faces.
The need for the face to look young, fresh, bright and fit has led to the creation of companies producing facial creams, lotions and peeling products. However, tissue losses due to melting and thinning of the skin and subcutaneous adipose tissue during facial aging could not be prevented with these creams. Fillers have been produced to restore the volume and fullness lost due to aging or trauma, to reduce wrinkles, and to moisturize the skin from the inside. The fact that it can be done without surgery, easy to apply, getting immediate results, and having less side effects has increased the prevalence of these applications, and more reliable products have been put into use thanks to the R&D studies in this field.
Temporary, semi-permanent and permanent fillers are the most popular of the temporary fillers containing hyaluronic acid, because permanent fillers are more likely to have side effects. These fillings, which are generally in gel form, are used by injection and cannot be withdrawn from the area where they were injected.
Hyaluronic acid is a natural molecule that is already found in our body at a very high rate and can be obtained technologically from bacteria. Therefore, the possibility of allergic reaction is lower than those of animal origin. It has no carcinogenic effect. Although it is mainly used on the face, fillers can also be used in other parts of the body.
Since the skin and subcutaneous tissue thickness is not the same in every part of the body, companies develop and produce products with different molecular sizes and cross-link ratios to be injected into different body parts. The place where these products will be used and the depth of injection are different from each other. While more fluid fillers with less cross-linking ratio are used for the under-eye area with a thin skin texture, products with high cross-linking ratio and high molecular weight are used to add volume to the chin or cheek area.
Since hyaluronic acid is a water-holding molecule, it adds volume to the area where it is injected in the body and can be applied practically in polyclinic conditions. As mentioned before, there are different products to apply to different areas, and only an expert can know which of these products will be used on which area, and different products can be applied for problems in different parts of the body in the same session.
Filling application areas; grooves descending from the corners of the nose to the corners of the mouth, lips, under eye, between the eyebrows, cheeks, chin, neck, hands and other places with tissue loss in the body. Sometimes, if the nasal ridge has become too curved or collapsed due to nose surgery or trauma, filling can be applied to give height to the ridge of the nose. Mild facial asymmetries, whether congenital or acquired, can be corrected with filler injections. The filling process can be applied to anyone, whether male or female, who has completed puberty (considering additional health problems).
Its effect lasts for 8-12 months depending on the applied area, product brand and type and the differences in the personal characteristics of the person applied. In this time, it is destroyed and destroyed in the body without harming the body. If the result obtained is not liked by the person who has been filled, permanent fillings are irreversible and getting rid of these materials may require some difficult surgical interventions. The advantage of fusible fillers is that there are some substances that will melt them, and if you have a little patience, it will melt itself.
Before starting the application, local numbing can be done with anesthetic creams or needles, as well as some brand products have pain relievers in their injectors. The application time is about 10-20 minutes.
After the filling is done, redness, swelling and bruising may occur depending on the sensitivity of the place where it is made. Side effects that may occur in filling processes; pain, swelling and discoloration at the injection site. Very rarely, granuloma and abscess may occur. Although the permanence of animal or silicone-containing fillers is higher; risk of allergic reaction, formation of cysts and granulomas is also higher. People who use aspirin should stop aspirin 1 week before the filling application and should not use it for 2-3 days after the application, otherwise intense bruises may occur in the application areas.
Applying ice after the filler injection prevents or reduces the development of bruising. Since hyaluronic acid acts by holding water, it is recommended to drink plenty of water for the first few days.
Recently, bioexpander has become popular in skin rejuvenation and wrinkle treatment. Bioexpander is also a type of hyaluronic acid. Since it is very thin, this filler can be used safely, especially around the eyes, like light filling. Since it contains pure hyaluronic acid, it also increases the vitality of the applied area.
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The information on this page varies from person to person.
Kenan Selçuk TUNCAY
Otolaryngologist