Injectable Fillers

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As we age, our skin tends to lose volume, which on the face people often associate with a ‘tired’ appearance. It is here where injectable fillers can help in eliminating static wrinkles and restoring volume in areas of the face such as the lips, nasolabial folds, cheeks, eye region and forehead. Additionally, fillers can also be successfully used to rejuvenate the skin of other areas of the body such as the back of the hands and chest.

Dr Miroshnik prefers the use of hyaluronic acid (HA) fillers because they have a proven safety record and are associated with little to no downtime. Hyaluronic acid (HA) is a normal component of our skin that depletes with age, in this way we are only replenishing what we have lost and producing very natural looking results.

 

Injectable Filler Treatment Guide

Injectable Fillers

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Introduction Injectable fillers are one of the most popular facial rejuvenation techniques. As we age, the underlying tissues that keep our skin looking youthful and firm begin to break down due to the effects of gravity, sun exposure, diet, genetic factors, and years of facial muscle movement.

Over time these factors contribute to the development of lines, wrinkles, and folds in the face. In addition, with advancing age, we tend to lose facial volume which people often associate with a 'tired' appearance. It is here where hyaluronic acid injections can help in eliminating wrinkles and restoring volume in areas such as the lips, nasolabial folds, cheeks, eye region and forehead. Additionally, fillers can also be successfully used to rejuvenate the skin of other areas of the body such as the back of the hands and chest.
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Where do Wrinkles Form? Your skin consists of two layers known as the epidermis and the dermis. The epidermis, or outer layer of the skin, acts as the skin�s primary defence against the environment. The dermis, or innermost layer of the skin, is composed primarily of connective tissue and provides the skin with a support network. Most facial wrinkles and deeper folds occur within the dermal layer of the skin.
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What Causes Wrinkles? Within the connective tissue of the dermis, collagen and elastin fibers form a network that provides the skin with structure, support, and elasticity. Furthermore, fat cells and other molecules, such as hyaluronic acid, help to create volume beneath facial skin. With time, this network of collagen and elastin fibers breaks down, and hyaluronic acid molecules and fat cells that create volume are depleted. Together, breakdown and depletion of these molecules result in wrinkles and other changes to facial skin. When used as standalone treatments or with other procedures, injectable fillers can reduce or eliminate wrinkles and scars, create fuller lips, and treat lipoatrophy, or fat loss beneath the skin. With little downtime and almost immediate results, injectable fillers offer a safe, effective method of restoring a smoother, more youthful appearance.
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The Basics of Hyaluronic Acid Fillers Hyaluronic acid is a naturally occurring complex sugar molecule that forms large matrices in the connective tissue of the body, such as skin and cartilage. Much like a sponge, its primary function is to bind and absorb water molecules, which creates volume in the face.

One of the fastest growing dermal filler treatments available, hyaluronic acid fillers work by replacing the hyaluronic acid in the body that has depleted over time, which restores the volume beneath the skin's surface.
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Preparation Hyaluronic acid injection procedures typically last between 30-60 minutes. Prior to the start of your procedure, the treatment areas will be cleansed, usually using an alcohol based cleaner.

Depending on the area to be treated, Dr Miroshnik will then administer a local anaesthetic to numb the area in question. This may also be combined with a topical anaesthetic cream.
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Procedure Using an ultra fine needle, Dr Miroshnik will inject hyaluronic acid into the dermis at several points along the treatment area. As the injections are being made, the treatment areas will be periodically massaged to distribute the filler evenly.

As the injected hyaluronic acid molecules attract and bind water molecules, the volume beneath the skin will increase, restoring a smoother, more youthful appearance. You will be able to notice the effect instantly and amazed at the difference!
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Recovery Immediately following the injections, you may experience some redness, slight stinging, minor swelling, or bruising in the treatment area. These symptoms typically disappear within two to three days. Bandaging is not necessary and most patients are able to resume normal activities immediately following treatment.
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Results The body will eventually metabolise and absorb the injected hyaluronic acid over time. Therefore, while the effects are immediate, hyaluronic acid injections do not provide the same long-lasting results that may be gained from cosmetic surgery. Although the longevity of results varies by patient, results from hyaluronic acid injections are typically maintained for six to twelve months.
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Dr. Michael Miroshnik
Suite 701, Level 7, 28 Spring Street, Bondi Junction, NSW, 2022.
02 9389 8108