St. James Oral Surgery, Implantology and Dental Clinic

Facial Rejuvination

Facial Rejuvination

As our bodies age, our skin also ages and begins to show changes that may be undesirable. The fat and collagen underlying our skin begins to diminish due to the natural aging process. Therefore, our skin starts to sag and develop wrinkles. One way to correct these effects is a surgical procedure called a facelift, which is costly and is an invasive procedure that has risks. Dermal fillers are a minimally invasive procedure with little or no recovery time, which costs less than surgery and has minimal risks. Dermal fillers have become a very trendy way to address the aging process.

Dermal fillers can be injected into areas with fine lines and wrinkles. Most of the problem areas include the area around the eyes, brow, bridge of the nose, mouth, jaw line and cheeks. Other areas that can be enhanced by dermal fillers include the lips, which can look fuller and younger after an injection. Scarring from injury to the face or acne can also be corrected with dermal fillers.

There are many different types of dermal fillers which include collagen, hyaluronic acid, together with longer-lasting materials. Each of the dermal fillers has different strengths and weaknesses, some last longer than others, sometimes a combination of different fillers may be used for best results. Physicians can formulate a specific treatment for each individual patient.

Bovine collagen was the first legally approved soft tissue augmentation in the U.S. Bovine collagen is derived from domestic cattle. Some patients may be allergic to bovine collagen therefore skin testing is required before they can be used. Bovine collagen is not used much anymore due to the availability of more novel collagens like human collagen and more recently, porcine collagen.

Porcine collagen does not require skin testing and therefore may be more favored. Hyaluronic acid gives skin volume by binding to water and requires no skin testing. PMMA degrades slowly; therefore the result is longer lasting. Other dermal fillers include polyacrylamide, calcium hydroxylapatite and many new products that are constantly being researched.

Another product used in skin rejuvenation is botulinum toxin. This is the product of Clostridium botulinum bacteria. The growing bacteria produce the botulinum toxin, which inhibits the release of acetylcholine and results in the paralysis of the affected muscles. Botulinum toxin has beneficial effects only on wrinkles caused by muscular contractions. It is not an appropriate treatment for wrinkles caused by solar exposure or other degenerative processes of the dermal tissues.

Side effects of dermal aesthetic procedures may include bleeding or bruising after the procedure. Allergic reactions have also been reported. Some degree of pain should be expected during the injection and redness for up to 36 hours after the procedure. Application of ice to the injection sites can decrease these symptoms.