
Wrinkle and line always approach to us by aging, the impact of that resulting collagen decreasing in our skin. Which cause the skin wrinkles, sagging and become deep curve. However, besides cream medication or medicine taking to support wrinkles removing. Nowadays, there are new technologies such as laser or RF that are used to regain collagen production as well. But there are also limits for the body to reproduce a large number of collagen which may not be enough to solve the heavy wrinkles problem. However, avoid a stress because there is still a solution to this limitation known as “Injectable wrinkle fillers”
What is filler?
Chief of Skin and Beauty Center Phayathai 3 Hospital has described the meaning of “Filler” as “substance added to replace collagen in the skin”, the objectives for filler injection are following
• Use the injections to reduce wrinkles, as wrinkles between the eyebrows or eyes. For instance, cheek and lips groove
• Use filler to fill on unsmooth area of the skin such as acne holes
• Use of injection to increase the size of nose, lips, chin, breast including hips
What are the types of filler?
There are several types of fillers which can be divided into three main categories:
• Non-permanent Filler
• Semi-permanent Filler
• A permanent filler, including a filler derived from a body component, such as fat.
Non-permanent Filler
In a past this type of filler was considered as collagen injection, synthesized from animals such as cow or pig. And due to there is allergen thus, the skin testing was required before injection to discover if a person is allergic to the substances or not. However, today a substance called hyaluronic acid or HA is always being used, it is synthetic sugar which does not cause allergy includes providing moisturizing and healthy skin. Accordingly, that a reason why there is no test for an allergic reaction. Results immediately can be seen after injection. HA can quickly decay moreover, in a case when there is bump or over limit of injection. There is also a substance called Hyaluronidase, provides a decay of unwanted site after doing filler. The age of the substance HA is 6 months or 2 years old. However, there are some HA product brands which have been approved by Food and Drug Administration Thailand as well like restylane, Juvederm etc
Semi-permanent Filler
This type of filter is classified as a group of Polyacrylamide, is able to stay in the skin about 3-5 years, and has not been approved by food and drug administration in Thailand. If there is a problem as bad action from the injection, need to wait for a recovery or receiving an urgent surgery.
A permanent filler
This type of filler is a silicone substance in a liquid form, considered as decay resistance. If leave it inside the body in excessive time may cause a problem to immune body system, causes inflammation and hanging. The solution is to open the skin out as a surgery.
A filler derived from a body component
The skin is being filled with fat from inside the body then directly inject into the desired area. Unfortunately, the injected fat is unstable and suction is required from other areas of the body. Which there may be a scar or wound problem within the area where fat is removed.
What you should do before filler injection
Chief of Skin and Beauty Center Phyathai 3 Hospital has recommended before receiving Filler injection, people should be considered in the following considerations.
• Consideration to substance added is to know about the substance and safety before injection
• Should be injected in a standard sanatorium.
• Should not receive the injection from a person who is not known as a doctor.
• Do not only consider at the price only due to side effects can be difficult for treatment. Including a danger of injection.
Tips
Currently, the most popular injectable substance is hyaluronic acid, because it is safe, and does not cause side effects include being able to adjust after a procedure. For the injection of HA in each position, HA from different properties will be applied, such as if inject into shallow wrinkles will use HA with small molecules which can be distributed but rapidly decay after injection. While injecting for cheek grooves chin and nose HA will be used with a larger molecules including density, for a stable duration.
Preparation
• Before the injection should stop medication which provides anti-blood clotting such as aspirin, blood anticoagulant drugs and vitamin E before injection for 3-7 days.
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- Before injection, doctor will provides Anesthetic drugs and discard for 30 minutes , but some injection consist of analgesia which can be injected immediately.
- After injection, there may be some swelling. You should drink plenty of water so that HA can absorb water.
- After the injection, may find a swollen thick skin a massage can be provided, so that the medicine can disperse well. Do not do facial therapy at least 2 weeks before injection.

3 Chief Doctor of Skin and Beauty Center
Phyathai 3 Hospital
