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Injectable Facial Fillers

Facial filler injections are used to enhance the volume of a certain region, such as the lips, or soften deep facial grooves, wrinkles, or folds to provide a more balanced and attractive facial appearance.

The most common areas where filler injections are used include the lips, the nasolabial folds (the fold from the side of the nostril to the corner of the mouth), the marionette lines (from the corner of the mouth to the chin), the tear trough lines (under the eyes) and the frown lines between the eyes. Several other areas can also be improved with fillers, depending on the patient’s needs. Other facial areas may be better addressed with Botox® / Dysport®, and other skin rejuvenation methods. Therefore, for an optimal result, Dr. Samaha recommends a conservative and selective approach, tailored to the patient’s needs. This may include the use of Botox® / Dysport® alone in specific areas, skin fillers alone, or a combination of both. A discussion at the time of consultation will help Dr. Samaha and the patient decide together on the best approach.

There are a variety of filler substances available. Each has distinct characteristics and advantages in the treatment of certain facial regions. Some are permanent while others are temporary. Dr. Samaha favours the temporary fillers because of their natural feel and appearance as well as their safety record. Fillers used by Dr. Samaha are based on a substance naturally made by the body called Hyaluronic acid, which retains water to give the skin its volume and tone. Whereas some fillers require skin testing prior to use, to exclude allergic reactions, none of the fillers used by Dr. Samaha require a skin test, because they are substances normally produced by the body. Side effects with injections of hyaluronic acid-based fillers are uncommon.

The injections take a few minutes depending on the number of areas being treated. If necessary, the area is numbed with local anesthetic to minimize discomfort prior to injecting the filler. The filler needs to be placed with precision to achieve the best results. Therefore, detailed knowledge of the anatomy and an appreciation of facial esthetics are essential for a successful result. Dr Samaha’s expertise and exclusive focus on facial surgery provides him with the knowledge of the anatomy of the different facial regions and the experience in treating this area.

Freqently Asked Questions

How long does it last?
The longevity of filler substances depends on the particular substance used, the area being enhanced and the patient’s skin characteristics. In an area where motion is frequent, such as the lips, the result will last a little less than in a non-mobile area such as the tear trough. Although some patients have had results last up to a year, generally, they last from 6 to 8 months.

What is the recovery?
Dr. Samaha performs filler injections as an office visit. Patients may carry on their daily activities after their visit. There may be some mild swelling and bruising after the injection for 24-48 hours.

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