So Many Fillers To Choose From..Confusion!
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free skin care · Thu Jun 25, 2009 8:46 am

I've been corresponding with a clinic who kindly sent me their prices, but I'm confused about their choice of fillers!

On the list is Restylane, Esthelis, Hylaform, Hylaform Plus, Aquamid, Perlane and Collagen.

The only one I know is Restylane (and the fact it's pretty temporary). I'd like a longer-lasting filler if possible. Any opinions about the above?

free skin care · Thu Jun 25, 2009 11:25 am

What do you want filled? That's the first question, because different fillers are better for different parts of the face.

free skin care · Thu Jun 25, 2009 1:57 pm

Haven't been assessed by a PS yet, as you can tell Laughing

My areas of concern are horizontal forehead scars/expression lines, an indentation between the brow and unsightly vertical forehead "veins" that are more prominent when I lean forward (though botox is more appropriate for that probably).

free skin care · Thu Jun 25, 2009 9:12 pm

I can tell you that esthelis is great for undereye hollows and tear troughs. It can be injected quite shallow and not leave the blue tindall effect. I've also had no lumps using it.
I love it.
I'm glad the US finally has it. It's been in Australia for ages.

Aquamid is a fairly permanent filler. Supposed to last up to 10 years. So you would want to be 100% sure where and exactly how much you'd want to inject. Aquamid's abit scary to me, especially as your face continues to age your filler is likely to look abit weird.

free skin care · Thu Jul 16, 2009 11:21 am

Mishey wrote:

Aquamid is a fairly permanent filler. Supposed to last up to 10 years. So you would want to be 100% sure where and exactly how much you'd want to inject. Aquamid's abit scary to me, especially as your face continues to age your filler is likely to look abit weird.

I have never heard of Aquamid, is it the same as Artefill? I am 28 and can see slight laugh lines that really bother me. I want to get them filled, but am looking for a long lasting filler. I am scared to do Artefill after reading it can leave little bumps under the skin. What filler lasts the longest in this area?

free skin care · Thu Jul 16, 2009 7:20 pm

kdd2411 wrote:

Mishey wrote:

Aquamid is a fairly permanent filler. Supposed to last up to 10 years. So you would want to be 100% sure where and exactly how much you'd want to inject. Aquamid's abit scary to me, especially as your face continues to age your filler is likely to look abit weird.

I have never heard of Aquamid, is it the same as Artefill? I am 28 and can see slight laugh lines that really bother me. I want to get them filled, but am looking for a long lasting filler. I am scared to do Artefill after reading it can leave little bumps under the skin. What filler lasts the longest in this area?

Kdd here's a couple of short articles about the fillers FYI.
HTH

http://www.realself.com/news/aquamid-seeking-usa-fda-approval/74303

http://www.eclips.consult.com/eclips/article/Plastic%20and%20Aesthetic%20Surgery/S1535-1513(08)70643-X

free skin care · Thu Jul 16, 2009 9:19 pm

here's a korean site describing the different types of fillers: http://www.ozclinic.com/bbs/zboard.php?id=ecolumn&page=1&sn1=&divpage=1&sn=off&ss=on&sc=on&select_arrange=headnum&desc=asc&no=30

very detailed, and in engrish :P

free skin care · Fri Jul 17, 2009 8:01 am

Mishey wrote:

kdd2411 wrote:

Mishey wrote:

Aquamid is a fairly permanent filler. Supposed to last up to 10 years. So you would want to be 100% sure where and exactly how much you'd want to inject. Aquamid's abit scary to me, especially as your face continues to age your filler is likely to look abit weird.

I have never heard of Aquamid, is it the same as Artefill? I am 28 and can see slight laugh lines that really bother me. I want to get them filled, but am looking for a long lasting filler. I am scared to do Artefill after reading it can leave little bumps under the skin. What filler lasts the longest in this area?

Kdd here's a couple of short articles about the fillers FYI.
HTH

http://www.realself.com/news/aquamid-seeking-usa-fda-approval/74303

http://www.eclips.consult.com/eclips/article/Plastic%20and%20Aesthetic%20Surgery/S1535-1513(08)70643-X

Thanks for the info Smile

.

Fri Jul 17, 2009 6:14 pm

ljk wrote:

I've been corresponding with a clinic who kindly sent me their prices, but I'm confused about their choice of fillers!

On the list is Restylane, Esthelis, Hylaform, Hylaform Plus, Aquamid, Perlane and Collagen.

The only one I know is Restylane (and the fact it's pretty temporary). I'd like a longer-lasting filler if possible. Any opinions about the above?

Hi. I've been having my lips filled for about a year & a half now. I find Perlane to last the longest because its molecules are larger. Any filler will last longer in the nasolabial folds than the lips, because you use your lips a lot & may even think with them (cover your mouth & nose with a loosely closed hand -- this is death on lip fillers). I think botox is better for the line between your brows & your forehead lines.

I don't know how old you are but I was surprised when you mentioned the veins becoming more visible on your temples, as that's usually a result of your skin thinning & wouldn't happen till you're in your sixties (I'm 67 Crying or Very sad

). The only "cure" for that that I've found is coverup.

A word to the young: Don't let the sun shine on your face. Slather SPF50 on before you go out on a lake or other water. Pretend you're Sophia Loren -- use moisturizers about every 4 hrs. Take just as good care of your hands, arms, shoulders, decolletage, legs, and feet. Might as well throw the back in too, since that's all that's left. DO NOT SUNBATHE. Mad

You should see my arms. I have Nordic skin to start with. My arms are embarrassingly covered with dark spots, red spots, precancerous lesions, possible basal cell skin cancers, rough spots that you can't help but peel, leaving a big red spot, and my hands/arms/legs are really rough to the touch. My hands have always looked like I'm 90 but now they're all wrinkles, and I have a lot of rough spots & red spots. Ditto my thighs. About a month ago about 80 "age" spots showed up on my inner lower legs and my thighs. What th'??? Sad

I'm looking up the various peels so I can get my hands/arms/legs restored. If there's anyone in this forum who's "old" and has tried these on your extremities, please let me know what you used & how it went.

PS: I had (my own) fat transferred to my hollow cheeks and the crease between my lower lip and my chin. It's stayed in my cheeks, but has completely gone away between the lips & chin And I looked so good with it there, sigh. Dancing

free skin care · Fri Jul 17, 2009 11:59 pm

Ruby have a look on the Make Me Heal site. It has a chemical peel board that will be very helpful to you.

Sat Jul 18, 2009 3:40 am

Hi there

From the list of fillers they have given you the best options are probably Restylane or Perlane - although I am not convinced they have given you the best options currently available.

I would advise to stay away from permanent products like Aquamid. Permanent fillers do not age well and as the rest of your face changes over time they can start to look very peculiar. There is also, like all fillers, a risk of long term complications including infection or granuloma and the main problem, in my opinion, is that if you do get one of these complications with a permanent filler it can be very difficult to treat and often the only option is to cut it out - leaving permanent scarring on your face. Hyaluronic acid fillers do still carry a risk of side effects but they are generally easier to manage because the product can be removed by injecting some hyalase.

Restylane and Perlane were the first hyaluronic acid fillers to come on to the market and have been around since 1997. They are the only filler on your list to have been approved by the FDA in America which does give you more evidence of their safety and efficacy. The problem with them however is that they only last 3-4 months for most people. They can also feel a little bit lumpy under the skin sometimes.

Although Restylane and Perlane were quite revolutionary in their time, there are now a whole range of hyaluronic acid fillers available on the market, each claiming to be unique in their own way. Juvederm Ultra is probably my favourite at the minute. It is a cross linked product which makes the molecules more stable and therefore longer lasting. It is FDA approved to last up to 1 year although in my experience it tends to last about 8 months - still a lot better than many of the other options out there. The product is also very smooth which makes it easier to inject and gives a nicer result.

I would ask the clinic you have been speaking to explain a bit more about why they have chosen to work with those products in particular. They may have their own reasons for it but, to me, that list looks like it is based more on marketing rather than scientific evidence and I would be cautious. Before you decide to have any of these fillers make sure the doctor doing it has explained to you all the risks and how he or she would plan to manage each one if it occurred.

I am sorry if I seem like a bit of a killjoy. There is quite a lot of information to take in and research to do but you will be thankful you did it in the long term. Good luck! Smile

free skin care · Sat Jul 18, 2009 9:15 am

All of your replies are very helpful, thank you.

The clinic is in Prague and I'm going for a plastic surgery consultation, then I'll go back later in the year. I'll be there a few days for the first visit, I thought I might try fillers/botox.

No WAY do I want permanent fillers cut out of my skin! Embarassed

free skin care · Sat Jul 18, 2009 3:17 pm

Louise - You are so young - why not add facial exercises to the mix to lift your cheeks and help with the NL fold situation.

free skin care · Sat Jul 18, 2009 4:43 pm

So nice being addressed by my name Smile

I've got Ageless but I really need to be consistent, it's not exactly demanding a lot of time!

I do think the only thing that could help the horrid veins I get is botox though. Maybe I'm being defeatist Confused

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