Fillings

The action of the gravity and of the musculature mimicking, associated to the ageing of the skin - that, beyond other alterations, tappet to the absorption of subcutaneous fatness - makes the natural furrows and the wrinkles deepen.

The filling of the wrinkles and depressions leads to the suavity of the creasings, giving an aspect of rejuvenation to the patient.

These substances, when injected below the skin, fill the wrinkles, depressions and furrows, "pusing the skin for top" and giving the appearance desired. They also can be put in lips and in the lobe of the ear.

Those procedures can be carried out individually or associated to the surgery of face.

They are very used in the reduction of the furrows nasogeniano (that goes of the wing of the nose to the corner of the mouth and is accentuated with smile), of the furrows to the around or in the lower corner of the lips and for the filling of the lips.

It's also possible to have the thinner filling of wrinkles, of scars depressed, or scars of acne.

They were developed several products for the filling of those depressions. In general, these can be divided in two categories:

the Implants Absorvíveis, whose main representative is the acid one hialurônico (Restylane, Perlane, Juvederm, others)

A variety of not-absorbent implants were developed to fill these depressions, whose main representative is the polimetilmetacrilato (metacril).

The choice of the stuff should be deed with the plastic surgeon, in a frank conversation in the which will be discussed the advantages of each approach and the indication, according to evaluation of each case.

The technique can be done in the consulting room. It is a quick procedure that usually does not need not even an anesthesia.
If it desired, can be utilized topical anaesthetics, in form of creams, applied 30 to 60 minutes before the filling, for tone down the sensation of the bite of the needle.

Application of of cold compresses in the first 24 hours.
Avoid lie down in the first 4 hours.
Rarely it is necessary the use of oral p ainkillers.
The wounds depends on the patient and of the localities of the application, but generally are enough discrete, disappearing on average in 3 days.

The absorbent fillings have the duration of eight months.
The not-absorbent ones, despite of the name, last on average two years, therefore the action of the gravity and of the musculature mimicking does not cease, and the furrows come back to deepen.
It is ideal a return after 30 days, when the need of new complementary fillings is evaluated.