When we need cracks in our walls filled, we might call a plasterer or just nip to the DIY store and try it ourselves. But the outside-to-in approach is not an option with the wrinkles and creases in our skin, for a variety of potentially unpleasant reasons. When we need a little filling in our skin, we need to use the opposite approach, and that's dermal filling in a nutshell.
People opt for the filling of loose and sagging skin with dermal fillers (most commonly on our faces) to effectively inflate and stretch tight again the affected areas, making us look younger and more healthy.
Lips are a particularly popular target, as they play a massive part in the overall balance of our faces and they are known to thin as we age and produce less collagen. Humans have been trying to attract attention to their lips since time immemorial, and no stylish woman will leave the house without her favourite lipstick in her tiny bag. Applying lipstick will certainly accentuate our lips, but to make them fuller structurally we need to take that extra step; and now new techniques have made it more affordable, dermal fillers are proving a popular option.
We need to be careful though. Without going over old news, we've all seen some of the mishaps and mistakes with lip enhancement on the gossip pages, and the effects can be irreversible or extremely difficult to reverse. One mistake people regularly make, unfortunately with the full backing of their cosmetic surgeons, is to try and fill their lips or get rid of their wrinkles in one big leap. Responsible surgeries should advise against this, and recommend taking it easy, making the reduction a gradual process, perhaps taking many weeks or even a few years to complete. A consensus is also growing that temporary dermal fillers, which need to be repeated once the body has re-absorbed the filler material, are much better than permanent ones, which can actually stick to the skin layers beneath the surface and cause permanent problems.
This cautious approach is sensible on many levels. First, it lets you effectively try out the procedure and the appearance and then decide if you want to continue with it or to let nature take its course. It also gives your skin time to stretch slowly to the less drastic changes. And a slower transformation will also be more natural to those around you and be less likely to look odd, which is important to some people. There are plenty of social reasons why we may choose to appear younger, but taking perhaps five years off when we are fifty is much more sensible to pull off than trying to look twenty-one again.
Another important thing to consider is that dermal fillers are more or less unregulated in the UK. The fillers offered to clinics by pharmaceutical companies will therefore owe as much to the profit margins earned by sales teams as they do to their clinical effectiveness and safety, so before embarking on any treatment make sure you know exactly what substance is being used and do a little research into it. A very good guide is the American Food and Drug Administration, the FDA. The Americans have a longer history in cosmetic surgery than we do in the UK, and they have tested and approved a number of dermal fillers that is much smaller than the range available.
So to conclude, the use of dermal fillers should be undertaken gradually and with care, follow all the best guidance you can find, and seek out experienced and trusted practitioners using authorised and tested fillers. Remember that mistakes made here can sometimes be impossible to correct, so good research and paying for the best can avoid typical problems – as well as years.
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