Currently, there are many ways to combat age-related changes. One of the first signs of aging is the formation of wrinkles in the nasolabial. To eliminate them, cosmetologists are increasingly suggesting resorting to injections with certain drugs. Fillers smooth out existing wrinkles and give facial features extra volume.
- What are fillers
- The composition of fillers
- Advantages and disadvantages
- Indications
- Contraindications
- Side effects
- Types of Fillers
- Based on hyaluronic acid
- With collagen
- With poly-L-lactic acid
- With polymethyl methacrylate microspheres
- Are injections painful
- Filler Use Areas
- In the nasolabial folds for nose correction
- On the lips
- In cheekbones
- Under the eyes
- Head-on
- For hair
- For nasolacrimal fissure
- For complex facial rejuvenation in cosmetology
- Rehabilitation
- Effect duration: before and after results
- Price of procedures in New York, Los Angeles,
- Feedback on the effectiveness of the method
- Video about nasolabial folds
What are fillers
The term filler is borrowed from a foreign language. It has a common root with the English word fill – to fill. Fillers are preparations with a gel-like texture . They are used to eliminate cosmetic imperfections of the face and body by partially replenishing the missing volume. They are injected into the problem area. 
In most cases, fillers are used for:
- eliminate wrinkles;
- correction of the shape of the nose, lips, chin;
- giving volume to lips, cheekbones, cheeks;
- face contour correction.
The composition of fillers
All fillers differ in composition and viscosity. The specialist will select a specific drug, based on existing problems and the area of impact.
In addition to the main active substance, the filler may contain:
- vitamin complex;
- mineral additives;
- anesthetic.
The density of the drugs varies in the range of 16-25 mg / fluid ounce and depends on the component that forms the basis of the product.
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Advantages and disadvantages
Fillers are used to smooth wrinkles, nasolabial folds, and to correct facial contours and other parts of the body. The procedure has its advantages and disadvantages. 
| Pros of the procedure | Cons of using fillers |
| Wrinkle smoothing without surgery | The temporary effect of using fillers requires a periodic procedure |
| The ability of certain drugs to have a rejuvenating effect on the skin | The likelihood of damage to blood vessels by an inexperienced specialist |
| Minimum likelihood of allergic reactions | Allergy Risk |
| It is not required to find the patient in the hospital and general anesthesia, complications are very rare | |
| The result is noticeable after the first procedure. | |
| Do not affect the photosensitivity of the skin and the formation of age spots, there are no restrictions on injections in the summer | |
Despite the existing shortcomings, the correction of appearance with the help of fillers continues to gain more and more popularity in comparison with classical plastic surgery.
Indications
Fillers in nasolabial folds or in any other areas of the face and body are used to solve a number of aesthetic problems. 
Indications for the procedure:
- Decreased skin elasticity.
- The presence of wrinkles.
- Pronounced nasolabial folds, nasolacrimal groove.
- Sacks and dark circles under the eyes.
- Loss of clarity on facial contours.
- Insufficient volume of lips, cheekbones, chin.
- The presence of asymmetries of the face or body.
- Saggy skin in the neck and decollete.
- Presence of stretch marks or post-acne.
- Elimination of unsuccessful consequences of plastic surgeries.
Fillers can be used to increase breast volume.
Contraindications
The introduction of subcutaneous excipients is not allowed for everyone. Contraindications to the procedure are divided into 2 types: temporary and permanent.
| Temporary | Permanent |
| Child bearing and lactation | Blood diseases (hemophilia), increased concentration of glucose in the blood, oncology |
| Recently performed hardware cosmetology procedures | The occurrence of an allergic reaction to previously introduced fillers |
| Periods of exacerbation of chronic pathologies, infectious diseases | Non-absorbable filler present in the intended treatment area |
| Menstruation | Predisposition to the occurrence of keloid scars |
| Dermatological problems |
The presence of constant contraindications makes it impossible to carry out injections with fillers. When eliminating time restrictions, correction by fillers is allowed.
Side effects
The introduction of fillers under the skin usually does not entail unpleasant consequences.
In rare cases, the following phenomena can be observed:
- pain, itching, redness at the injection site;
- swelling and bruising in the treated areas;
- asymmetry of the face or body;
- the occurrence of inflammation at the injection site.
These phenomena are short-term in nature and do not require special treatment, with the exception of inflammation.
The most serious complications after the introduction of fillers under the skin:
- drug migration;
- lump formation under the skin;
- manifestations of allergies;
- violation of blood circulation;
- infection infection.
The greatest impact on the occurrence of these phenomena is provided by the professionalism of the cosmetologist and the selected clinic. With sufficient specialist experience and compliance with sanitary and hygienic standards, the risk of their development is minimized. The occurrence of these effects requires professional intervention.
Types of Fillers
Fillers are divided into 3 groups:
- absorbable – have a temporary effect;
- non-absorbable – give a permanent result;
- autologous – show a lasting result.
Non-absorbable fillers today are practically not used in cosmetology due to the large number of side effects. The most important of them is the possibility of migration of the filler. Under the influence of age-related changes, the administered drug can shift into the voids that appear. This leads to the formation of bumps under the skin and asymmetry.
One of the non-absorbable fillers is silicone.
Absorbable drugs are included in metabolic processes and eventually are completely eliminated from the body. To achieve a permanent result, you have to repeat the procedure after a certain period of time.
Autologous excipients are extracted from the patient’s own tissues. As a rule, adipose tissue is taken from one place and introduced into another. This type of filler is the safest due to the absence of risks of allergic reactions.
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Based on hyaluronic acid
Hyaluronic acid is present in human tissues. The body independently produces this substance. With age, his “production” slows down. With acid deficiency, the skin becomes dry, loses elasticity. The first appearance of wrinkles is associated with a deficiency of hyaluronic acid. 
Fillers based on hyaluronic acid practically do not cause allergic reactions. This is explained by the fact that the main substance is extracted from cocks or certain bacteria, and in its composition the acid is as close as possible to that produced by the human body.
Hyaluronate fillers have different densities. The higher the viscosity of the drug, the longer it will remain under the skin and maintain the effect of the procedure.
With the introduction of such a filler, hyaluronic acid accelerates cell regeneration processes, which positively affects its condition. Hyaluronic acid fillers trigger self-rejuvenation of the skin.
The most popular drugs in this group:
- RESTYLANE, Sweden;
- Perlane, Sweden;
- JUVEDERM, France;
- SURGIDERM, France;
- Belotero, Germany.
With collagen
Fillers in the nasolabial folds, lips, cheekbones and other parts of the body may contain collagen. This protein is present in many tissues of the human body. In the process of life, its production slows down, and the structure undergoes changes. The result of such metamorphoses is flabby, sagging skin. 
Fillers with collagen increases its content in the body and improves skin tone. Collagen received from the outside accelerates the body’s production of its own substance. Collagen for cosmetic purposes is divided into 2 types: animal and human.
Animal collagen is obtained from the tissues of pigs or bulls. In its structure, it is close to the human protein and is perfectly absorbed by the body.
Means with animal protein:
- ARTECOLL;
- ARTEFILL.
Human collagen is obtained from a donor or artificially synthesized. Artificial collagen practically does not provoke manifestations of allergies. It is extracted in laboratory conditions using the skin cells of the patient himself. Donor collagen is obtained from other people who are donors of this drug.
Human collagen preparations:
- COSMODERM;
- COSMOPLAST;
- CYMETRA.
With poly-L-lactic acid
Poly-L-lactic acid is a polymer of biological origin. Used in the manufacture of surgical absorbable suture sutures. Fillers with this substance require a course of injections with a frequency of several months. Acid increases the body’s production of its own collagen. The substance is fully biocompatible, and is not rejected by human tissues. 
Fillers with poly-L-lactic acid are used in the nasolabial triangle. They help reduce skin creases and straighten wrinkles around the lips. Fillers can be used to increase the volume of the cheekbones and cheeks, as well as for the treatment of scars. The most popular drug in this group is Sculptra.
With polymethyl methacrylate microspheres
Polymethyl-methacrylic microspheres (PMMA) – a polymer obtained by artificial means. It is widely used in medicine. PMMA – round microscopic particles. They are not absorbed by the body.
For the production of fillers based on polymethyl-methacrylic microspheres, they are added to a gel-like solution containing bovine collagen. The drug is used to correct the shape and volume of the lips or eliminate nasolabial folds. A popular PMMA filler is ArteFill.
Are injections painful
The soreness of the procedure for introducing fillers under the skin depends on the pain threshold and patient sensitivity. Compliance with the technology of the procedure and the use of high-quality materials minimizes discomfort during injections.
Some drugs contain anesthetics, such as lidocaine. It allows you to reduce the sensitivity of the patient. Many clinics practice the use of local painkillers, which are applied to the treated surface immediately before the injection.
Filler Use Areas
Fillers in the nasolabial folds and other parts of the face and body are most often used to make up for the missing volume. 
The following areas can be corrected with such drugs:
- lips
- cheeks and cheekbones;
- nasolabial triangle;
- the area under the eyes;
- lacrimal grooves;
- the chin;
- neck;
- chest and decollete;
- hands
.
The drug is selected by a specialist depending on the site that will be processed, and the desired results.
In the nasolabial folds for nose correction
Fillers are inserted into the nasolabial folds to eliminate skin creases in this area. Wrinkles in the area of the nasolabial triangle appear quite early due to the mobility of this area. The drug fills the resulting voids and raises the skin. The result is smoothing even deep wrinkles in this area.
Fillers can be used to correct the shape of the nose. This procedure is an alternative to the classic plastic surgery – rhinoplasty. The drugs give a visible, but temporary effect. To maintain the results obtained, a periodic repetition of the procedure is required.
With the help of injections, you can give the body the desired shape, eliminate mounds and depressions. It is impossible to radically change the length of the nose with fillers.
On the lips
With age, the tone of the muscles of the lips may decrease. This leads to the loss of clear contours of the mouth and the natural volume of the lips. The introduction of fillers in this area of the face helps to give the lips the desired volume and shape.
In cheekbones
Most often, patients over 40 years old use fillers for cheekbones. With age, the muscles of this part of the face sink under the influence of gravity. Fillers help restore cheekbones to their former roundness.
Most drugs used for this area are aimed at enhancing the body’s production of its own collagen.
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Under the eyes
Swelling, bruising and bags under the eyes can eliminate fillers for this area. When they are introduced, deficient tissues are replenished, skin tone increases, and its condition improves. Excipient preparations can smooth out wrinkles around the eyes. For the orbital, low-density preparations are used.
Head-on
Fillers are able to eliminate wrinkles in the nose and forehead. To do this, you need to inject an appropriate drug into the forehead.
For hair
Hair fillers are a non-injection procedure for their comprehensive restoration. 
The drugs used for these purposes contain:
- ceramides;
- collagen;
- amino acids;
- keratin;
- complex of vitamins.
Fillers restore the structure and nourish the hair follicles. Preparations protect hair from thermal and chemical effects.
For nasolacrimal fissure
The introduction of fillers into the orbital helps to smooth out the nasolacrimal groove. It is localized slightly below the bony line of the eye opening.
For complex facial rejuvenation in cosmetology
For complex facial rejuvenation, fillers based on hyaluronic acid are used. The substance, entering the body, triggers regenerative processes. The skin becomes firm, moisturized and supple. With the use of such funds, smoothing of wrinkles and a decrease in pigmentation are observed.
To maintain youthful skin creams – fillers can be used. These drugs are intended for external use and have a very short-term effect.
In its composition may contain:
- hyaluronic acid;
- collagen;
- vitamin and mineral complexes.
Means provide a lifting effect, smooth wrinkles.
Rehabilitation
To prevent the possibility of side effects, it is recommended that you follow a few simple rules.
Rules to be followed during the rehabilitation period:
- a few weeks after the procedure, you can not visit the bathhouse, sauna, pool, solarium and gym;
- for 10 days you can’t sleep “face in the pillow”;
- for 7-10 days it is not recommended to kiss;
- do not massage the treated area for 30 days;
- for 10-15 days it is recommended to abandon the use of peels and scrubs.
To prevent edema immediately after the procedure, ice should be applied to the treated surface. It is allowed to apply it throughout the rehabilitation period.
Effect duration: before and after results
The duration of saving the result varies depending on the drug used:
- The results of using the hyaluronic filler are stored for 0.5-1 year and depend on the specific agent and its density.
- Collagen fillers give the shortest effect. The result of the procedure is stored for 2-6 months.
- The results from the introduction of fillers with poly-L-lactic acid persist for 24 months.
- The result from the use of preparations with polymethyl-methacrylic microspheres can last up to 10 years.
The results from the introduction of fillers are noticeable immediately after the procedure. The exception is preparations with hyaluronic acid and poly-L-lactic acid. 
Hyaluronate-based excipients exhibit the greatest effect a few days after the procedure. During this period of time, the acid molecules are completely saturated with moisture and reach their maximum volume. Poly-L-lactic acid gives persistent results after a course of procedures.
Price of procedures in New York, Los Angeles,
The cost of elimi
nating nasolabial folds depends on the drug used, its quantity and the clinic in which the procedure will be performed. The table shows the average price of 1 standard injection.
| New York | Los Angeles | of the American Federation |
| $ 177 – $ 272. | $ 163 – $ 408. | $ 150 – $ 367. |
Feedback on the effectiveness of the method
The network is predominantly positive reviews about the introduction of fillers in the nasolabial folds. Most of the patients felt a little soreness during the procedure. After the injection, everyone noted the formation of edema at the injection site, which passed on its own after 2-4 days. 
Some women had bruises that had to be treated with special ointments. After the passage of edema and hematomas, smoothing of the skin creases in the nasolabial triangle is noted. Patients noted a lasting effect of the procedure. In most of them, the result was noticeable 1 year after the injection.
You can also find negative statements regarding the procedure for correcting nasolabial wrinkles with fillers. Some patients complain of severe swelling, which did not go away even after a week. Some people who tried fillers noted the absence of any visible effect.
The presence of such phenomena is explained by an improperly selected drug or insufficient qualifications of the master who injected. To combat the signs of aging of the skin, it is not necessary to lie down under the knife of a plastic surgeon.
Various fillers are able to eliminate wrinkles in the nasolabial folds, nose bridge or under the eyes. The procedure for their introduction differs from surgical intervention in greater accessibility and less trauma.
Video about nasolabial folds
Before and after using fillers to correct nasolabial folds:
