JUVÉDERM or Neuramis®? Filler Types and How Long They Last > Blog

A filler is a substance commonly used in cosmetic and plastic surgery to smooth out wrinkles or add volume to specific areas of the face. 

1. What are fillers?

Filler treatments are procedures that fill in areas of deficiency

• In a broader sense, it can also include fat grafts, implants, threads, etc.
• Fillers are injected into the face to create volume and enhance facial contours.
• Fillers are injected into the forehead, nose, nasolabial folds, lips, chin, etc. to create a three-dimensional face.

2. What is the difference between fillers and hyaluronic acid?

There are many different types of fillers.

• Depending on whether they are absorbed by the body, they are divided into absorbable and non-absorbable fillers, and depending on the type of material used, they are divided into hyaluronic acid/collagen fillers and synthetic polymer fillers.
• Among hyaluronic acid/collagen fillers, hyaluronic acid fillers are most commonly used, followed by collagen fillers, and then synthetic polymer fillers.

3. Frequently used fillers

JUVÉDERM
Long-lasting hyaluronic acid from Allergan, USA, expensive, soft texture, less likely to cause foreign bodies, not suitable for use where a firm structure is required, more volume over time.

Neuramis
Relatively inexpensive, easy to administer due to smooth injectable texture, volume increases over time

Bonetta
Popular filler, instantly boosts volume under the skin

4. Types of fillers

Hyaluronic acid

• Hyaluronic acid is a type of polysaccharide called glucosaminoglycan, which is the most common filler ingredient and is currently used in many clinics.
• Its main advantage is that it lasts for about 1–2 years and can be dissolved using hyaluronidase in case of emergency.
• These characteristics make hyaluronic acid the most widely used ingredient in dermal fillers.

Collagen

• The most famous non-hyaluronic acid filler is collagen.
• Collagen was approved by the FDA before hyaluronic acid, but it’s not as commonly used today as hyaluronic acid.

Synthetic Fillers

• The leading synthetic polymer filler is Artefi, which is made from a material called PMMA (polymethylmethacrylate).
• What is PMMA? It is a polymer that induces collagen production in the skin. It does not break down or spread to other areas of the body, so it can provide long-term volume.

5. Pros and cons

Pros

• Filler treatments are injectable, so they’re simple compared to surgery.
• It has no serious side effects and can be used to add volume to sunken areas or hollow foreheads, creating a beautiful, three-dimensional facial contour.
• Hyaluronic acid fillers are also popular because they last about 1–2 years and can be removed after treatment.

Cons

• The advantage and disadvantage of filler treatments is that they are gradually absorbed by the body over time.
• However, even if all of it is absorbed, you may still need to have the treatment repeated every one to two years.
• Side effects can include bruising, swelling, inflammation, pain, discolouration, and in some cases, the Tyndall effect, where the filler shows through and makes the skin look blue.
• These side effects are usually minimal and usually resolve over time.
• However, side effects such as bacterial infection and blood vessel blockage require further treatment.
• In particular, vascular occlusions, in which filler particles block arteries, can lead to skin necrosis and blindness.

6. Recommended for these people!

Forehead Fillers

• Those who want to round out a flat forehead or are concerned about forehead wrinkles

Nose Filler

• Those who have a low nose or want to raise the bridge of the nose, and those who want to have rhinoplasty but are hesitant due to the long recovery period

Lip Fillers

• Those who want fuller lips or have unequal thickness between the upper and lower lips

Chin Fillers

• Those who have a chinless jaw or want to make the jawline a little sharper

Nasolabial Fillers

• Those who are concerned about nasolabial folds and protruding mouth Cheek Fillers
• Those who want to shrink the cheekbone line for a fuller effect and contouring

7. Duration of effect, recommended intervals, and recovery periods

How long does it last?

• Hyaluronic acid fillers last approximately 1–2 years, depending on the hyaluronic acid product.
• Among non-hyaluronic acid fillers, atecol filler, which is composed of PMMA and collagen, is sometimes referred to as a semi-permanent filler because it lasts for more than 10 years.

Recommended intervals

• If you want to achieve some results, it is recommended to re-inject the filler every 1–2 years whenever you feel it has been absorbed.
• However, the absorption period varies from person to person, so it’s best to consult with your doctor.

Recovery time

• For both filler and dissolvable treatments, you can return to your normal routine immediately, with some swelling and bruising for 3–7 days depending on the individual.
• Because it is an injection, there are no stitches to remove.
• The swelling may not go down for a day or so after the filler removal procedure, but massage helps to spread the hyaluronidase and dissolve the filler.
• After about 2 to 3 days, the filler is almost completely dissolved and disappears.

At Han’s kin Derma Beauty Shop, we offer a wide range of hyaluronic acid fillers.