New fillers are appearing on the market that can solve age-related changes in the skin much more effectively, while simultaneously moisturizing and rejuvenating the skin. And the duration of action of new fillers has increased significantly. Depending on the existing problems of my client, I select a filler that is better suited than others to solve the specific problem. In this section, I continue to introduce you to new products in cosmetology, which I also use in my practice.
So, if your reflection in the mirror has ceased to please you and answer that “you are the cutest, most rosy and whiter in the world,” then it’s time to discover the “miracle potion” - the latest generation dermal filler Etermis from the French pharmaceutical company Pierre Fabre, has been developing and implementing advanced technologies in aesthetic cosmetology for more than half a century.
Features of Etermis materials
"Etermis" is a line of fillers that have a therapeutic effect. They contain unique components (mannitol, native HA) that provide a long-lasting effect after administration of the drug. They also significantly slow down the aging process inside the skin, acting as a preventive agent.
Types of fillers Etermis
Price
The cost of Etermis 4 fillers varies from 9,420 rubles to 118,258 rubles.
Compound
The Etermis 2, 3, 4 fillers contain the following components:
- mannitol;
- native hyaluronic acid.
Thanks to the use of these substances, the aging process of the skin is stopped. They are also necessary to ensure the long-lasting effect of fillers. Since these fillers have a preventive effect, they are called drugs with a therapeutic effect. Thanks to their effect, wrinkles are smoothed out, treated, and age-related changes in the area of injection are prevented.
Release form and types of drugs
The line of drugs includes 4 types of fillers, which differ in their density. Due to the presence of gels of different densities, the client can choose the drug that is suitable for his age-related changes in the dermis and skin type. Denser fillers are used to eliminate very deep wrinkles. Due to the fact that the Etermis filler is more rigid, it is more often used for lip correction.
- Etermis 2 filler is designed to moisturize lips and correct superficial wrinkles.
- Etermis 3 is used to correct deep as well as moderately expressed wrinkles and folds. It can also be used to correct and increase the volume of the lips.
- Etermis 4 is considered the densest filler in the line. It is very convenient to use in the correction of deep, pronounced wrinkles, to replenish volume, to perform pronounced lip correction, to eliminate folds.
The package contains 2 syringes of 1 ml each. The kit includes 2 syringes with fillers, needles (4 pieces), instruction leaflet.
Photo Etermis 3
Comparison with other drugs of this type
The average density of Etermis is considered intermediate between the density of fillers such as Radiesse and Belotero. This German filler has a number of advantages, which are represented by the points below:
- the drug is able to clearly maintain its shape (lip contour, special lip shape);
- can be used for volumetric correction in younger patients (up to 40 years);
- effectiveness of action (full aesthetic effect is observed after 3 – 4 days);
- ease of injection (the gel can be distributed over the problem area without much difficulty through palpation or manual technique);
- maximum prolongation of the effect (the effect of the filler lasts up to two years);
- unique composition of the drug. Glycerol accelerates the flow of fluid to the injection area. Mannitol has an anti-edematous effect, prevents the oxidative destruction of hyaluronic acid, prolongs the action of this substance, and acts as an antioxidant. Thanks to native HA, hydration is achieved faster and MMPs are blocked, which contribute to the destruction of collagen. Also, native hyaluronic acid stimulates collagenogenesis;
- the effectiveness and safety of the drug, as proven by studies and observations of experiments.
Why are fillers dangerous?
The dangers of fillers are usually due to improper administration of the drug.
I propose to consider the possibility of undesirable consequences and ways to eliminate them in more detail.
The main danger is vascular occlusion - arterial and venous
Problems arise when filler is injected directly into a vein or artery, resulting in damage to the vessel. Damage can occur not only due to the injection of the drug, but also due to swelling or pressure on the injection site.
Important!
Tatiana Kuznetsova
The consequences may be ischemia and tissue necrosis, blindness, ulcers, scars.
If the skin at the injection site changes color, this indicates the presence of vascular occlusion. In addition, pain at the injection site, ecchymosis, and bluish skin may occur.
I recommend:
- apply a compress;
- get a massage;
- use vasodilators;
- administer corticosteroids;
- take antiviral drugs and antibiotics (if there is a risk of necrosis of the perioral area).
Attention!
Tatiana Kuznetsova
Never self-medicate! Always consult a doctor if you have any health problems.
Separately, I would like to highlight arterial occlusion of the retina - it is this damage that can cause vision loss. This is a very rare but extremely dangerous injury.
Its use in cosmetology and plastic surgery
Preparations with different densities, as we have already indicated, are effective against various skin defects. Let's consider separately the indications for fillers 2, 3, 4.
Etermis 2 is used in cosmetology for the following purposes:
- restoring the water balance inside the dermis layer;
- eliminating small, fine wrinkles surrounding the mouth;
- changing the contour and relief of the lips;
- elimination of tear grooves, purse-string wrinkles, “crow’s feet”;
- elimination of shallow folds in the area of the nasolabial triangle;
- correction of the perioral, periorbital area of the face.
Etermis 3 (Glytone) is used for:
- lifting the cheekbones, temples, contouring the chin;
- correction of tear grooves, elimination of “crow’s feet”;
- filling small, medium wrinkles of the nasolabial triangle;
- eliminating creases in the dermis on the forehead, depressions on the chin;
- eliminating the causes and consequences of facial ptosis;
- elimination of nasolabial folds, correction of wrinkles around the mouth.
Experts use Etermis 4 (Glytone) for the following purposes:
- replenishing the volume of cheekbones, cheeks, bridge of the nose, chin;
- filling atrophic scars, scars;
- lower face lifts;
- restoration of lost volume of the temples;
- elimination of deep wrinkles and folds in the area of the nasolabial triangle;
- formation of the correct oval face;
- removal of deep wrinkles on the forehead and chin.
Photo Etermis 2
Stages of the procedure and home care after it
At the first stage, the doctor will determine which type of drug is optimal (depending on the nature of the problem), cleanse the skin, and apply an anesthetic gel. Then the drug itself is injected using ultra-thin needles. The injections are generally well tolerated, but some soreness may be present in areas where the skin is particularly sensitive and thin. Etermis 4 is usually administered linearly - into areas characterized by insufficient volume. Some cosmetologists also use the “framework” technique - it is especially effective when working with the cheekbone area.
At the end of the procedure, the cosmetologist announces the rules that must be followed in the first few days: visiting the bathhouse and solarium, active facial massage, and the use of scrubs are not recommended. All this is necessary in order to avoid inflammation and allow the skin to recover. The final result can be assessed about a week later - by this time the swelling has completely disappeared, the puncture sites and bruises have healed.
Experienced cosmetologists at our clinic will find a solution to any aesthetic problem and help you choose high-quality anti-aging care and the most effective procedures. Make an appointment at any time convenient for you.
Contraindications
There are a number of contraindications for using Etermis 2, 3, 4 fillers. The main contraindications include:
- autoimmune diseases;
- oncological diseases;
- bleeding disorders;
- intolerance to mannitol, GC;
- diabetes mellitus (severe form);
- taking anti-inflammatory drugs;
- purulent-inflammatory processes of the skin;
- infectious diseases in the acute stage;
- pregnancy;
- herpes;
- allergies to painkillers;
- lactation period;
- ARVI, influenza;
- hypertrophic scars in the facial area.
Instructions for use
The injection drug must not be used if the packaging is damaged. It is also not recommended to use filler if the package has been opened. The drug should be stored at temperatures up to 25 degrees.
Filler cannot be frozen.
To get the desired result and avoid complications after the procedure, it is prohibited to visit the following establishments for 10–14 days:
- bath;
- solarium;
- spa salon;
- pool;
- Gym.
You cannot perform self-massage. You can use decorative cosmetics 48 hours after the injection.
Administration technique
The Etermis 2 filler is injected intradermally; the gel should be injected into the upper layers of the dermis, at an angle of 15 degrees. The entire procedure takes 20–40 minutes. Filler injection is virtually painless. If the patient wishes, the cosmetologist can use a local anesthetic (Emla pr.). After the procedure, you can return to your usual activities.
Before administering the drug, the cosmetologist makes markings along which the injections are performed. Before the procedure, be sure to cleanse the skin. After the injection of fillers, a special cosmetic product (cream, gel) is applied to the skin to speed up the process of tissue restoration.
results
Preparations based on hyaluronic acid are needed to maintain an optimal level of moisture, correct facial features, and replenish missing volumes. The products are universal and can be used after the age of 18. Indications for use:
- wrinkles of different depths and localization;
- inflammation;
- loss of turgor;
- lack of moisture;
- age-related changes in the oval;
- poor tone, skin texture;
- asymmetry;
- scar formations.
The results are noticeable after the first procedure, but doctors usually recommend taking a course.
Side effects
Despite the fact that fillers have been clinically studied and approved by dermatologists, side effects may occur:
- redness;
- slight swelling.
These side effects usually go away on their own within 20 minutes to 3 hours after the injection. If the procedure is performed by a specialist, side effects may not occur, and the patient can return to everyday activities.
This video is dedicated to filling wrinkles with the drug in question:
