Cosmetic Surgery & Beauty #72

Filling fine
lines &
wrinkles
When injected superficially, dermal fillers
can help smooth out fine lines and fill
superficial wrinkles. Commonly, the HA
chains are smaller and softer in superficial
filler products, reducing the risk of
lumpiness post procedure.
‘These fillers are used for areas that are
more delicate, such as the corners of the
mouth, the lip line and the crow’s feet,’ Dr
Liew explains. ‘These fillers need to be
very soft so the product can be placed
superficially in the skin to smooth the area
without the risk of seeing or feeling the
product after injection.’
A small amount of filler is usually
required; as the objective is to fill a line
or wrinkle, not necessarily add volume to
the area.
The small particle size, and low quantity
of HA injected, means results typically
last around six to 12 months. The level
of movement in the area – for example
frowning, talking and squinting – also
affects the duration of the result.
‘The lip area tends to have slightly less
longevity due to the degree of movement
in the region,’ Dr Liew explains.
Adding volume
Medium volume HA fillers use medium-sized HA particles,
which combine with the body’s own HA to enhance the
volume of targeted tissue.
These fillers are injected more deeply than superficial
products, and are used to treat deeper skin folds and
enhance volume in certain areas.
‘In areas such as below the cheek, we prefer to inject
soft fillers a little deeper, so they’re encased in the fat
region,’ Dr Liew explains. ‘This provides some soft-tissue
padding in the area.’
Medium volume HA fillers typically have a greater
number of cross-links between the HA particles, compared
with superficial fillers. This increases cohesiveness of the
product and longevity.
Reducing under-eye circles
‘As some patients age, rather than having drooping skin, they become gaunt and hollow, particularly around the eye area.
This is where I find fillers to be very useful,’ Dr Liew says. ‘Each injection can last up to three to four years, as the product
is usually placed quite deeply to reduce the risk of visibility and palpability post-procedure.’
In 2015, a dedicated dermal filler for reducing under eye circles and hollows was introduced to the Australian aesthetic
market called Teosyal Redensity [II] by Teoxane. It uses a unique HA formulation, designed to add hydration, elasticity and
firmness to the skin around the eyes.
In the past, when surgery was the only option available, rejuvenation tended to be the domain of the rich or famous.
Now you can take years off a person’s face at a fraction of the cost with neurotoxin injections to minimise lines and wrinkles
combined with strategic filler placement, giving the eyes and overall face a fresher, younger appearance.
These non-surgical measures have revolutionised the aesthetic anti-ageing industry and made it available and
‘acceptable’ to a much broader audience.
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