In the battle against wrinkles, some options provide the solution to a youthful appearance and, among them, are anti wrinkle injections using injectable fillers and toxins that are intended to restore volume and reduce wrinkles quickly.
The popularity of injectables
The reality is that the popularity of this type of product is largely due to its low cost and low risk, compared to the other available rejuvenation method, which is plastic surgery.
Injectable substances are the alternative for many people who want to look good, who want to restore their youth to some degree and do not want surgery. Some people decide on surgery, but to complement the result they need injectable substances because surgery repositions and stretches the tissue, but does not create volume.
When talking about injectable substances, specifically fillers, what you have to consider is which facial area is to be injected and what is the purpose of the filler. Fillers are sometimes used to fill mild to moderate depressions. On other occasions, they are used to give structure to some areas of the face, such as cheekbones or to highlight jaw angles.
The right treatment
For each area of the face, there is a type of injectable. The key to its effective use depends on several factors ranging from the experience of the healthcare professional who injects it, to their ability to determine which areas need enhancement.
Rule number one for injectables is not to inject any product that is considered permanent into the face. The reason is that we all change over time and if you inject something permanent, the time will come when it will not be in harmony with the rest of the face. Any injection of any product has certain risks and it is understood that a permanent product predisposes you to permanent risks.
Before proceeding to inject the face, the doctor has to see it completely from the front to evaluate it and see what it needs. This evaluation requires dividing the face into three parts.
The upper third is made up of the forehead and the eyes. In the middle third are the lower eyelids, the nose and the cheeks. While the lower third includes the area under the nose, lips, jaw, and neck.
Once the areas have been identified, it must be taken into account that there are different types of fillings. The softer substances – because they contain a lower concentration of hyaluronic acid and that makes them more mouldable – are injected into the areas that should look less rigid such as the forehead, around the eyes and lips.
Choosing the right injectable
For example, there is a lot of movement around the mouth and something soft has to be injected that can integrate well into the tissues so that the patient’s movements look natural.
The area around the eyes is one of the most dangerous to inject because the blood vessels of the eyelids are linked to the blood vessels of the retina of the eye and if the person does not know the anatomy and injects into those vessels it can cause embolus to the retina (obstruction of the central retinal artery) with catastrophic results such as loss of vision.
Fillers that are considered stronger – as they have a higher concentration of hyaluronic acid and give a more rigid appearance – are used for areas on the face such as the cheekbones, temporal areas (temple) and jaw. These substances can lift the areas where they are injected.
Fillers or neurotoxins?
Among injectables, we must differentiate neurotoxins from fillers. The former are used to shape the face without adding volume to achieve asymmetry or harmony. Among the best-known brands of this injectable are Botox, Dysport and Xeomin.
When it comes to fillers, there is a variety on the market. The most popular is hyaluronic acid, a substance that is not foreign to the body as it is part of the skin. Being a product compatible with the structure of the human body, it integrates well when injected. This compound is present in products such as Restylane, Perlane, Juvederm Ultra and Juvederm Ultra Plus, among others.
One of the great advantages hyaluronic acid offers is that it can be dissolved with the correct antidote.
Another very popular filler is calcium hydroxyapatite, which is in the category of the strongest fillers.
For its part, polylactic acid (present in Sculptra) is a biostimulant agent that creates a reaction in the body that leads it to regenerate the skin’s natural collagen.
The effect is that the skin thickens up to 20%. It began to be used in patients with severe loss of fat volume due to conditions such as HIV and it worked so well that it was later indicated for cosmetic use.
Before undergoing any such treatment, you should always consult with your regular doctor regarding the proposed procedure.