Facial ageing is not merely wrinkling from loss of skin elasticity but more significantly due to the loss of continuity in facial contours caused by sinking and sagging of the face over time. Intrinsic ageing gradually degrades the body’s ability to synthesize hyaluronic acid, and volume loss appears as the supply is depleted. Tissue fillers composed of hyaluronic acid can restore lost volume, improve skin hydration, support collagen production, and fill in furrows and creases. Hyaluronic acid occurs naturally in the skin and is part of the dermal matrix. Unlike collagen, the molecular structure of hyaluronic acid is identical across all animal species, with the only difference being the polymer length. Hyaluronic acid fillers have excellent biocompatibility and low immunogenicity. In addition, these fillers can be dissolved readily with a reversible enzyme injection should that be necessary.
Dr. Wong currently uses the following hyaluronic acid (HA) tissue fillers:
Differences exist among the HA products even within the same brand of filler. Most fillers are formulated for use in specific areas. For example, Restylane® Kysse, is designed to add volume and shape to the lips and fill wrinkles around the mouth. Depending on the desired correction, Dr. Wong will choose the appropriate filler with the proper characteristics to customize your treatment.
Treatment involves injection of the filler into the skin with a fine needle or a cannula. Cannulas have a blunt tip which helps minimize bruising and other risks. Anesthetic in the filler minimizes discomfort during injection. Improvement is immediate. There may be swelling, redness, or bruising, which varies according to the individual and the area treated.
It is recommended that you avoid blood-thinning substances, such as aspirin, non-steroidal anti-inflammatory medications, fish oils, ginkgo biloba, garlic, alcohol, feverfew, vitamin E 1-2 weeks prior to your treatment. Do not wear make-up for the appointment. Results last from six to 14 months, depending on the individual. For example, smokers break down fillers faster than nonsmokers and filler needs refreshing sooner in areas of high facial mobility, such as around the mouth area.