What Does It Involve?
Hyaluronic acid is a natural ground substance found in human tissue and provides the integrity of skin and underlying tissue. It is now the most commonly used substance in what is commonly known as “filler” to replace lost volume in the facial area, correction of minor deformity and augmentation of specific features such as nasal bridge and chin.
Hyaluronic acid in “filler” is commercially produced and there is no known allergic reaction. These commercially produced substances are crosslinked to improve stability and increase the duration. In general, these substances last between 9-12 months even though a small amount may persist longer.
The preferred products of Mr Ho-Asjoe is the Juvederm Vycross range produced by Allergan. The Vycross range consists of 3 fillers of different concentration of hyaluronic acid and the degree of crosslinkage. the variation means each individual filler has different viscosity and softness. With different physical properties, the individual filler are made for injection into different depth and for different indications. All the fillers contained anaesthetic agent to reduce the discomfort associated with injection. The range of product include Voluma, Volift, Vobella and the more recently, Volite- a hyaluronic acid for skin rehydration and elasticity rather than for deeper injection, was introduced to the range.
How to inject fillers?
Rejuvenation and wrinkles
Fillers use to be injected into directly into specific areas for facial rejuvenation and wrinkle reduction. Unfortunately, excessive amount of filler injected into a single area produced an overfilled appearance and gave filler a bad reputation as overfilling a specific area distorted the facial harmony.
The introduction of the MD code principle transformed the way filler is used. The technique divide the face into different areas and injection into a specific point and region can help with restoration of facial harmony and rejuvenate the facial appearance by reducing wrinkles and soft tissue drop. The principle of small volume injection into suspensory points reduced the ‘bloated’ appearance created by single point injection. The other advantage of the MD code principle is that the treatment can be done in separate sessions as addition treatment will act as and adjunct.
Filler can be injected into different areas to re-contour the specific areas. Fillers are now commonly used for nose augmentation and chin augmentation. Utilization of fillers allow for augmentation without surgical intervention. Other areas the fillers are now used for reshaping including the cheek region, temporal hollows and reshaping the forehead. With aging, temple hollowing and ptosis of the cheek tissues take place. Using fillers, these area can be improved and have an anti-aging effect.
Skin rehydration and improvement of fine wrinkles
Volite is the product that is specially made for this purpose. It is a hyaluronic acid that is injected into skin to replenish the loss fluid and volume of the skin cells. It is introduced into skin with multiple injections. The areas where Volite is of benefit to the lower face and décolletage.