The Truth About Permanent Dermal Fillers

In an era where loss of facial volume and wrinkling of facial tissue is “fixable” many Australian’s are rapidly embracing the chance to use cosmetic injections to reverse and prevent some unwanted signs of facial ageing.

Let us state at Dermatology Institute of Victoria we only use temporary dissolvable fillers for your safety.  It is important for you to make an informed decision when it comes to your filler treatment.

It is important to know there are 3 types of dermal fillers in the Australian marketplace.  There are temporary hyaluronic acid fillers (last 2 years, dissolvable),  Semi-permanent fillers (last 2-3 years, not dissolvable) and permanent fillers (last 10 years to forever).

With the use of permanent fillers being published more and more in the media, it begs the question, is it worth making a lifetime commitment? We spoke to A/Professor Greg Goodman to discuss your options and whether this modality causes more harm than good.

What are permanent fillers?

Permanent fillers are dermal fillers that remain in place and do not dissolve spontaneously over time. They include occasionally ones own fat, but mostly are materials that resemble broken down contact lenses called acrylates. Silicone is also a permanent filler that has been used for many years and does have some good medical use but not when it comes to implanting into patients for cosmetic reasons.

Why are some injectors using this permanent filler method?

Injectors using permanent fillers are using this modality more frequently due to patient demands for something permanent. In part, they are also offering this because they perceive it as a point of difference to temporary fillers. Temporary fillers have the advantage that you can sometimes reverse the potential issues that might occur from the product. Sometimes the physician can buy the permanent fillers for a cheaper price and they consider this important to the consumer. Cheaper filler is not better filler. 

What are the possible complications?

Infection and inflammation of the fillers - The body may reject or respond unfavourably to permanent fillers, which are made with non-body like substances. Additionally, when permanent fillers are accidentally injected into blood vessels or the “injection danger zones,” they can cause blockages and may lead to serious complications and ischemic events. If you inject into an artery with a dissolvable filler you can treat the area and have a good chance of reversing any issue.  If you inject a permanent filler into an artery, then the skin may die with no chance of you reversing the treatment. This is why at Dermatology Institute we choose only temporary fillers for your safety.

Fillers dropping in position or changing in position - What may seem as the right amount of plumpness for more youthful lips for a woman in her early 30s-40s may look “overly enhanced” 10 to 15 years later. Also the cheeks that may look good on you today, may not look good on you in 10 years time.

Likewise, some patients may have permanent fillers injected into recessed acne scars. Although this will level out the scar when the filler is first applied, as the patient ages and experiences volume loss, the previously injected areas may become raised.

Can you reverse permanent fillers?

You can only reverse hyaluronic acid filler implantation at the present time. Other temporary fillers such as polylactic acid and hydroxyapatite do not have the ability to be dissolved but do disappear in time. Acrylates and silicone do not have any possibility of being dissolved and would need to be surgically removed if there was an issue.

 Consider the evidence before your filler treatment and meet with a professional, clinical practice to discuss your options.  We enjoy giving our patients long consultations so that you can discuss all possible adverse events and outcomes.  We pride ourselves on our treatment plans and our results.   

 At Dermatology Institute of Victoria -

Most of our injectors are clinical trainers for pharmaceutical companies and lecture regularly at conferences.  We choose to buy our temporary fillers from reputable companies from Sweden, France, USA and Switzerland.   We believe in natural results for our filler patients.

SKINCARE BY AGE

SKINCARE BY AGE

There’s a lot to be said for genetics when it comes to our skin. We are all endowed with basic structural and surface conditions that mean healthy virgin skin from birth. However, over time, environmental stressors, diet and simple aging cause our skin to deplete.

So what are some of the dermatologically recommended options available? When is the right time to start paying attention to your skin and giving it a little helping hand?

How to safely say 'yes' to skincare during pregnancy

How to safely say 'yes' to skincare during pregnancy

Does your skincare regime need an overhaul? A number of hero ingredients are actually unsafe during pregnancy and breastfeeding.

Spring your skin back into action

Spring your skin back into action

Winter is finally over and we're ready to face the world again...but has your skin got other ideas? In this weeks blog find out from the DIV team how to spring your skin back into action. 

Facial Ageing in Australian Women - Why we do it faster

Facial Ageing in Australian Women - Why we do it faster

Last week our team was dealing with a whole lot of reporters keen to talk to Assoc Prof Greg Goodman about his latest scientific publication, including Channel 7 & 9 News, ABC National Radio, Harpers Bazaar magazine and The Age newspaper.  This of course sparked our interest, so we thought we’d find out from the man himself what all the fuss was about.

Why does my pigmentation get worse in warmer weather?

Why does my pigmentation get worse in warmer weather?

Ever wondered why your pigmentation gets worse when it's warmer? In this weeks blog our team tells you why and what you can do to both prevent and improve it. 

Our team goes to Cutera University

Our team goes to Cutera University

Three of the Dermatology Institute of Victoria’s team members were invited to travel up to the Gold Coast to attend the exclusive laser conference for ‘innovative practitioners’ put on by Cutera (laser company). Read on to see what they learned. 

Take the Money and Run.....

Take the Money and Run.....

Running a marathon is tough, but not as tough as many of the challenges faced by people who require help from the Wesley Mission's Crisis & Homelessness center. In this weeks blog DIV dermatologist Dr Katherine Armour explains why she is dedicating her run to this great cause and how we can help her raise some much needed funds. 

Bright = right

Bright = right

We all want bright skin, right? In this weeks blog our team dicusses how you can achieve glowing skin by making just a few changes.