When the first dermal filler hit the market in 1981, indications were simple and few: it was injected where “cosmetic deformities” occurred (that was the terminology used at the time). These first fillers were made of bovine collagen, they had no lidocaine and they were injected with rather robust needles. The approval of this first soft tissue filler (Zyderm® - no longer in the market) was however a milestone and it stimulated the development of additional and totally new and safe fillers.
Still it took more than 20 years of scientific research and testing before the first Non-Animal Hyaluronic Acid filler received FDA approval: the year was 2003 and the product was Restylane®. In Europe, where approval procedures are less complicated and more straight-forward, Restylane® entered the market already successfully in 1992.
With every new filler that came in the market, the manufacturers thought it wise to tell medical practitioners how and where they should use it and for which indications: product A for filling minor wrinkles, product B for deep wrinkles, another one for creating “hamster cheeks”, a special one for the lips, etc.
Years of experience have taught us that there are no golden rules: every patient has different indications and wishes and there are no two patients with identical skin quality and bone structure.
As a result an aesthetic medical practitioner has a range of products available to work in practically every area of the face, a bit like an artist painter working with different kinds of paint, with different colours and a variation of brushes and spatulas (Read also our newsletter: "Dermal Fillers: a combination of science, art and technique" - for Russian version click here).
The picture hereunder will give you an idea of some things that can be done with the available armoury of soft tissue hyaluronic acid fillers:
During an initial consultation with our aesthetic doctor you will express your concerns and aspirations, while your face and its skin and bone structure will be thoroughly examined. Our doctor will then provide with you a complete roadmap: what can be done, in which areas, which products would be used, how much product will be needed to achieve the required results and what would be the cost of each and every step.
From there onwards you can choose to follow the entire roadmap, in one or several treatments spread out over time according to your availability and possibilities or you can pick out the part or parts that you find important and forget about the rest.
It is our covenant not to advise you any procedures that would not fulfil your expectations and to provide you with results that look perfectly natural. After an aesthetic treatment people should tell you that you look good, fresh or pretty without being able to see what exactly happened.