Beauty injections: features of the use of fillers in the forehead and a description of the main drugs

What is it and what is it used for?

Filler is a gel-like, viscous and plastic preparation based on hyaluronic acid. These drugs are injected into the skin and help replenish the lost volume of the cheekbones, lips and cheeks.

Also, preparations based on hyaluronic acid effectively fill wrinkles and make them invisible. Most often, fillers are used to eliminate wrinkles on the forehead and between the eyebrows.

The use of fillers began in the mid-twentieth century and were used only to enhance cheekbones and lips. The drugs were synthetic and insoluble. Being a foreign body, they caused inflammatory reactions and allergies. But then new safe fillers, capable of completely dissolving in tissues, were created. At the moment, absolutely all fillers used in aesthetic medicine are safe .

We invite you to watch a video about what fillers are:

Filling wrinkles with fillers – instant skin rejuvenation

Filling wrinkles with fillers is an injection technique for contouring without surgery. The necessary effect of visual rejuvenation and correction of age-related changes is achieved through intradermal injection of fillers based on hyaluronic acid.

As a natural component of the skin, hyaluronate restores lost volume and elasticity of tissue, thereby smoothing its surface. The price of filling wrinkles with fillers in our clinic is from 16,500 rubles. The procedure gives a quick visible result that will delight you for 6 – 12 months.

What are fillers and why are they used?

Filler is an injectable drug that acts as a dermal filler. Its introduction allows you to fill wrinkles, skin folds and form the desired facial contours. The consistency of the filler resembles a viscous, plastic gel. Distributing evenly at the injection site, it naturally replenishes the required tissue volume - the skin above it is smoothed out, getting rid of wrinkles, irregularities, folds and creases.

Features of the procedure

In modern cosmetology, three types of fillers are used:

  • synthetic – are not removed from the body and are placed on a permanent basis;
  • biosynthetic – used for contouring and stimulation of collagen synthesis;
  • biodegradable – fillers based on calcium hydroxyapatite or hyaluronic acid.

Biodegradable fillers are placed on a temporary basis and after a certain period (8 - 12 months) are completely removed from the body without causing harm to it. With their help, we carry out the most effective correction of wrinkles, folds, unevenness and minor skin defects.

To administer the drug based on hyaluronic acid, a special instrument is used that does not injure the skin and does not leave any traces of impact on it. The moment of puncture is accompanied by unpleasant painful sensations. Therefore, we use local anesthesia, which makes the procedure comfortable and painless.

Indications and results of the procedure

Contour plastic surgery using fillers is a cosmetic procedure that is performed for aesthetic reasons, solely at the request of the client. With its help you can eliminate:

  • wrinkles, skin folds;
  • nasolacrimal groove;
  • drooping of the corners of the mouth, eyelids, eyebrows;
  • uneven skin texture;
  • facial asymmetry;
  • sagging skin of the face, neck, décolleté, arms, etc.

Fillers will help correct the depth of scars and post-acne. Model the desired lip volume, face shape, chin and nose shape. They are absolutely not felt, do not cause discomfort and do not interfere with facial expressions.

You can smile, be sad, lead your usual lifestyle. People around you will not even realize that you have undergone the procedure of filling wrinkles with fillers - for them, you just miraculously instantly became younger, getting rid of external signs of skin aging.

Cost of the procedure

Contraindications to the procedure

The use of fillers is contraindicated in the presence of the following list of pathologies and conditions:

  • individual intolerance to the components of the drug;
  • diabetes;
  • oncology;
  • bleeding disorders;
  • autoimmune diseases;
  • predisposition to the formation of keloid scars;
  • pregnancy, lactation;
  • diseases, inflammation, skin damage at the site of filler placement, etc.

You can get acquainted with the full list of contraindications during a consultation with a doctor at our clinic in Moscow. An experienced cosmetologist will study your problem, determine the advisability of using fillers, and tell you about the intricacies of the procedure. Reception is by appointment only!

Recovery after the procedure

Filling wrinkles with filler injections does not require long-term rehabilitation. You can evaluate the results of the procedure almost immediately – a couple of hours after administration of the drug. The final result will be achieved after 2 – 3 weeks. Until this moment, we recommend that you protect the treated area from various types of influences - do not rub your face, do not steam, do not massage, etc. You can evaluate the quality of the result and, if necessary, correct it during a follow-up visit to our clinic. But, as a rule, correction is not required, since the doctors of our medical center have perfectly mastered the technique of introducing fillers. Come and see for yourself!

Comparison with Botox


Fillers are often confused with Botox. Despite the fact that these procedures have the same goal, their operating principles are completely different. Botulinum toxin is a protein of natural origin that is injected into the facial muscles to relax them.
In this way, the effect of smoothing out facial wrinkles is achieved. Fillers, in turn, are injected into the subcutaneous space in certain areas of the face. Hyaluronic acid, which is part of the drug, fills wrinkles with its volume and provides a lifting effect.

Which is better: Botox or forehead fillers - there is no answer to this question as such. The procedure is selected by a competent cosmetologist based on the patient’s age, the condition of her skin, the number and depth of wrinkles. The main thing you need to understand is that Botox eliminates the cause of facial wrinkles on the forehead, and fillers fill them in .

If it is necessary to get rid of deep wrinkles of a non-facial nature, it is necessary to use fillers. If the patient is bothered by facial wrinkles, only Botox injections will help her.

We invite you to watch a video about how fillers differ from Botox:

Combination of procedures

Simultaneous injections of Botox and fillers are strictly prohibited. After each procedure there is a recovery period.

If both procedures are still necessary, then they are carried out alternately with pauses. First, cosmetologists advise undergoing botulinum therapy, and then injecting filler under the skin. This technique smoothes the skin on all areas of the face and body: Botox acts in the locations of small facial wrinkles, and filler fills deep creases, for example, nasolabial folds. If signs of aging are clearly visible, the combination of two anti-aging techniques can radically change the appearance of facial skin.

Where do they inject?

There are several main areas that need correction.

Between the eyebrows

Here you need to understand: a fold between the eyebrows appears when a woman frowns, or is it a wrinkle that occurs as a result of the manifestation of emotions. Eyebrow wrinkles, also called glabellar wrinkles, give a person a dissatisfied and painful appearance, which is in no way associated with youth and freshness. In such a situation, a placeholder comes to the rescue. The procedure involves filling the eyebrow wrinkles, which allows you to smooth out the skin .

Area under the eyebrow


Eyebrow contouring is designed to “raise” its tip.
This allows you to make your look more fresh and open. The doctor performing this procedure must be highly qualified and experienced so as not to damage the supraorbital and frontal blood vessels.

The procedure involves sequentially introducing filler into the eyebrow area in small quantities from the tip to the middle. Then the master carefully forms a new bend with his fingers .

Horizontal wrinkles

Correction of horizontal frontal wrinkles requires an integrated approach, since the anatomical features of this area of ​​the face limit the effectiveness of the filler contouring method.

Hyaluronic acid injections are widely used to fill forehead wrinkles in tandem with other injection procedures.

The price of facial contouring procedures depends on the quality and quantity of filler introduced. So in Moscow, for the injection of 1 ml of high-quality filler, you will have to pay from 12,000 rubles. In St. Petersburg – from 9300.

Indications for use

The introduction of fillers is recommended to eliminate:

  • horizontal wrinkles on the forehead;
  • vertical fold between the eyebrows;
  • drooping eyebrows and temples;
  • formation of depressions in the temporal zone.

Injection procedures with the introduction of fillers are aimed at prolonging youth, therefore they are used at the first signs of aging - after 35 years. But if folds form earlier, gels can be administered at a younger age after 18 years.

Preparation for the procedure

There are basic rules for preparing for the procedure:

Similarities between Botox and fillers

Filling and botulinum therapy are carried out using needles and syringes - a cosmetologist injects the drug under the skin.

Both rejuvenation methods have identical side effects, for example, facial asymmetry is possible if the product is administered incorrectly.

Botox and fillers are not suitable for maintaining youthful skin below the age of 35. It is advisable to start with more gentle procedures, such as massage, peeling, biorevitalization, mesotherapy.

How does the process itself happen?

The main stages of forehead contouring:

  1. the patient’s face is treated with an antiseptic and anesthetic cream;
  2. the woman is placed in a lying position and the drug is injected in small portions directly into the area of ​​wrinkles, then the face is again treated with an antiseptic;
  3. Apply an ice pack to the injection site for 5-10 minutes to prevent bruising and severe swelling.

The procedure lasts from 30 minutes to an hour.

Administration technique

The gel injection session lasts about 30–40 minutes and consists of the following stages:

  1. Skin cleansing.
  2. Asepsis. The cosmetologist wipes the areas to be corrected with an antiseptic - chlorhexidine solution.
  3. Anesthesia. Most often, Emla cream is used for this, based on lidocaine and priloaquin, which is applied to the skin. Next, you need to wait until the anesthesia takes effect - about 30 minutes. Some patients experience pain even with anesthetics. To reduce them, fillers with lidocaine are additionally used.
  4. Introduction of the gel. How much of the drug to administer depends on the scale of the adjustment. So, for the temples you need about 0.5–1 ml of filler on each side. No more than 1 ml is recommended for correction of the eyebrow fold, forehead and eyebrows. It is not recommended to administer a lot of the drug at one time. It’s better to make additional corrections in two weeks than to remove excess gel later.
  5. After the injections, the upper part of the face is treated with an antiseptic.
  6. Upon completion of the procedure, cooling compresses and wound healing masks can be applied.

Features of administration depending on the area being corrected

The temporal region cannot be corrected with a needle. After all, there is a high risk of damage to nerves and blood vessels. Flexible cannulas with a pointed tip are used to fill this area. They push the tissues apart as they move forward and do not injure them, as a needle does.

When correcting eyebrows, the needle should be bent at an angle of 35–45 degrees. The filler should be injected carefully under the eyebrow, avoiding the area with the supraorbital foramen. During the procedure, the doctor massages the treated areas, forming the desired contours.

When filling the eyebrows and forehead, the cosmetologist checks whether there will be folds in other places after the injections. To do this, he presses the areas with the injected gel, checking whether wrinkles form elsewhere. If yes, it corrects these zones.

When can I expect results?

The first results are visible in the cosmetologist’s office. The main effect will be noticeable after 2 weeks, when the swelling disappears. The main and most important effect of the filler injection is the restoration of elasticity to the skin and the smoothing of wrinkles on the forehead. Usually the effect lasts from six months to a year - it depends on the quality and composition of the filler. After the drug is absorbed, the skin returns to its original state. Depending on the individual characteristics of the body, to maintain the rejuvenating effect, the procedure can be repeated after 4-7 months.

Differences in anti-aging techniques

Let's look at the differences between fillers and Botox in terms of area of ​​application, number of sessions, effectiveness, duration of effect, and contraindications.

Application area

Fillers are suitable for most areas of the face; they can fill deep wrinkles and change the shape of lips, cheekbones, and chin. Botox is not that versatile. Thanks to its local action, this drug eliminates fine expression wrinkles in a limited area - for example, it is well suited for smoothing out crow's feet in the corners of the eyes.

Both products are effective in difficult areas under the eyes and in the eyebrow space.

Efficiency

To eliminate facial wrinkles in the upper part of the face, cosmetologists often use Botox. If the skin creases are deep enough and their appearance is not associated with facial movements, it is preferable to use fillers.

Effect duration

Botox injections have a shorter lasting effect. The drug is eliminated from the body in about six months, the longest period of action of botulinum toxin is 8 months. Fillers remain in the tissue much longer; synthetic gels are especially stable - they create a lifting effect for 2-3 years. Natural fillers are safer, but they last about a year, which is significantly less than the period of action of artificial ones.

Number of sessions

The effect of botulinum toxin is noticeable after the first session; the result appears immediately and increases over time. The filling course is longer, usually requiring at least 3-4 sessions for a result comparable to Botox.

Side effects

Botox injections can lead to unpleasant consequences:

  • swelling, redness on the skin;
  • headache, nausea, weakness;
  • increased salivation;
  • numbness of the face.

Sometimes patients develop antibodies to botulinum toxin. This means that Botox injections lose their effectiveness; the solution is hardware methods of rejuvenation.

Possible side effects from injection of fillers:

  • allergic reaction to a synthetic drug;
  • swelling and hematomas;
  • pigment spots at the puncture site;
  • vascular network;
  • loss of sensitivity.

These effects do not last long and only become apparent during the recovery period. More serious problems resulting from injections occur as a result of a cosmetologist’s mistake or neglect of rehabilitation advice.

Excessive dosage of Botox leads to a change in facial expressions - it becomes unnatural. There may be difficulty breathing and blurred vision. Improper facial care after injection of fillers can cause migration of the drug in the tissues and the formation of bumps. If the gel is injected too close, it may bleed under the skin.

Contraindications

Absolute contraindications for filler and Botox injections:

  • individual intolerance to components;
  • pregnancy and lactation;
  • ARVI;
  • hypertension;
  • oncological diseases;
  • rashes and inflammation at the injection site.

All these contraindications also apply to the use of Botox. Botulinum toxin injections can be dangerous for people with myopia, poor blood clotting and nervous system disorders.

Filling has fewer contraindications than botulinum therapy - a relative advantage. However, any procedure is carried out according to indications, taking into account contraindications, health status, and problems being solved.

Photos before and after

You will see a photo of the result of forehead correction:

Between the eyebrows:

Precautionary measures

Despite the fact that modern gels are as close in composition as possible to natural substances in the human body, they cannot be administered to everyone.

Contraindications

Injection plastic surgery is prohibited if the patient:

  • age under 18 years;
  • pregnancy and/or lactation;
  • diseases of infectious origin;
  • exacerbation of chronic diseases;
  • allergy to the components of the drug;
  • fear of injections;
  • diabetes;
  • blood diseases;
  • damage to the skin in the forehead area;
  • tendency to form keloid scars.

Consequences

The appearance of swelling, mild pain, and bruising after the injection of fillers are expected phenomena and are considered normal. All these symptoms go away within a week and do not cause undue discomfort.

But there are cases when the patient experiences more severe consequences, which should be reported to the doctor immediately.

Complications

They occur rarely and are almost always the result of improper care or improper filler injection technique.

What you should be wary of:

  • inflammation at puncture sites;
  • increased pain;
  • the appearance of lumps or bumps, often white;
  • redness, discoloration of the skin and swelling that appeared or intensified a few days after plastic surgery.

The following symptoms may indicate that the following complications have arisen:

  • infection of skin tissue;
  • blockage of a vessel, embolism;
  • necrosis;
  • gel migration;
  • fibrosis and granulomas;
  • allergy to the drug.

An inexperienced doctor may not calculate the required dose of filler, and then overcorrection is possible - unwanted bulges or the formation of dense nodes.

Rare consequences

Preparations based on polylactic acid can provoke swelling even after several years.

After some time, fillers with hyaluronic acid sometimes cause the formation of benign seals from the patient’s connective and fatty tissue in the areas of the injected drug.

What can and cannot be done after correction?

After injection of fillers, you cannot:

  • take spicy and hot foods so as not to increase swelling;
  • visit the bathhouse, sauna and solarium for 10-14 days;
  • engage in any sport for 1-2 weeks;
  • do facial massage;
  • drink alcoholic beverages;
  • show strong emotions on the face;
  • take blood thinning medications.

Contour forehead surgery, apart from imposing some restrictions, does not affect a woman’s lifestyle in any way.

Contrary to popular belief, after the injection of fillers, the patient is not prohibited from flying on an airplane .

We invite you to watch a video on how to care for your skin after the procedure:

Efficiency

Contour plastic allows you to achieve the following effects:

  • smoothing out wrinkles near the temples and giving them volume lost with age;
  • eyebrow lifting;
  • saturation of the skin with hyaluronic acid and rejuvenation of the dermis at the cellular level;
  • elimination of folds between the eyebrows and shallow creases on the forehead.

When injected, fillers “push out” the depressions, filling the subcutaneous areas with volume and leveling the upper layer of the dermis. Their effect is short-term - from 6 months to two years. After this, the procedure must be repeated.

Important! The introduction of a gel to eliminate horizontal and vertical wrinkles in most cases is combined with another procedure - Botox in the area between the eyebrows and forehead. This is due to active facial expressions in the frontal zone.

Possible complications


Possible unpleasant complications of forehead and eyebrow contouring:

  • nodules or spots, which is a direct indicator of improper introduction of the filler;
  • allergic reaction in the form of excessive swelling and red spots on the skin;
  • severe, prolonged pain at the puncture site;
  • large bruises and hematomas appear as a result of vascular injury;
  • in rare cases, bacterial infection occurs, which indicates that the doctor does not comply with the rules for disinfecting the patient’s hands, instruments and skin.

We invite you to watch a video about what complications are possible after the procedure:

Rating of the best drugs

There are many fillers for correcting problem areas. To minimize the risk of side effects, it is better to give preference to drugs from manufacturers who have been on the beauty industry market for many years and monitor the quality of their products.

Taking into account the characteristics of the area being corrected, forehead fillers are loose, elastic, and designed to correct fine wrinkles. Denser fillers can be used to fill the temples and eyebrows.

Surgiderm 24 XP (Alegran, France)

This gel is suitable for correcting wrinkles of small and medium depth and for filling the temporal area. The filler is based on hyaluronic acid with a 3-D Matrix formula, which gives the hyaluron resistance to temperature changes and stability. Available in 2 capsules of 0.8 ml each. The cost of the drug Surjiderm is about 7,600 rubles.

Juvederm Ultra 2 (Alegran, France)

Juvederm filler contains hyaluronic acid, lidocaine and phosphate buffer. Corrects the forehead and eyebrow area. For the temples, the denser gel Juvederm Ultra 3 and Ultra 4 is recommended. Release form: 2 syringes per package of 0.55 ml. You can buy the drug for about 7,100 rubles.

Sculptra (Sanofi-Aventis, France)

Filler based on polylactic acid. Suitable for lifting eyebrows and smoothing wrinkles. Maintains the effect for up to 25 months. Available in bottles of different volumes in the form of granules, which are diluted with water. The prepared solution can be stored for up to three days in the refrigerator. The cost of 1 ampoule with a volume of 2 ml is about 12,500 rubles.

Stylage (Vivacy, France)

The drug is created on the basis of 3-D Matrix and IPN-Like technology, which gives the gel good plasticity. The filler contains hyaluronic acid, lidocaine, antioxidants (sorbitol, mannitol). To correct the temples, denser fillers are used - Stylage XL or XXL. One package contains 2 capsules of 0.8 ml. Stylage costs about 7,000 rubles.

Perfectha FineLines (ObvieLine, France)

Created on the basis of hyaluronic acid, the drug effectively eliminates fine wrinkles, restores and strengthens skin tissue. Release form: 1 syringe with a volume of 0.5 ml. The price of the filler is approximately 11,500 rubles.

Belotero Soft (Belotero Soft Merts Pharmaltalia, Switzerland)

The gel is created on the basis of sodium hyaluronate of bioenzyme origin. Well suited for correction of the frontal area. Available in 1 capsule of 1 ml. The price of the filler is approximately 5,500 rubles.

Restylane (Q-Med, Sweden)

Suitable for correcting shallow wrinkles in the forehead and raising eyebrows. It is a biogel with a two percent hyaluronic acid content. Available in 1 bottle of 1 ml. Costs about 6,000 rubles.

Drugs

There are a large number of filler manufacturers on the market. The most popular of them:

  1. Princess Filler is an Austrian manufacturer of hyaluronic acid fillers. Has a more natural and long-lasting rejuvenation effect. The products of this company are suitable for women of any age, are absolutely safe and compatible with products from other cosmetic companies.
  2. Juvederm is a filler made with hyaluronic acid of plant origin.
    Production is located in France. Juvederm has a large number of varieties, which allows you to choose the ideal option for any occasion.
  3. Rejeunesse is a drug produced in Korea. The fillers of this company are distinguished by their versatility and natural compositions. The composition does not have a toxic effect on the skin and subcutaneous tissues.

Injectable drugs that relax muscles

As a rule, in people with active facial expressions, wrinkles appear earlier and look much more noticeable than in people who are not inclined to show their emotions outwardly. Injectable preparations based on purified, weakened botulinum neurotoxin type A can smooth out these carpet-like manifestations of age-related changes.

We are talking primarily about such proven drugs as Botox (Botox) produced in the USA, Disport (Disport) produced in France and Xeomin (Xeomin) produced in Germany. These are highly effective drugs that guarantee 100% results!

They perfectly relax the small muscles located under the skin. It is these muscles that, when contracting, create wrinkles on the forehead, in the corners of the eyes, the bridge of the nose, and the back of the nose. Under the influence of drugs based on botulinum neurotoxin, muscle motor activity weakens. Fine and deep wrinkles are smoothed out, and the surface of the skin becomes smooth.

The effect of the drugs lasts for an average of 3-4 months. In some cases, it is recommended to repeat the procedure for administering the drug chosen by the doctor. But there must be certain indications for this.

After a few procedures, the bad habit of frowning will disappear and the problem will be solved without the influence of the drug. Facial expressions after using drugs based on botulinum neurotoxin, contrary to rumors, do not disappear, but simply become calmer and more controlled.

Excessive sweating can also be eliminated with Botox and Dysport.

Xeomin is a sterile, protein-free form of botulinum toxin type A. The drug Xeomin is similar in action to Botox and Dysport. The advantages of Xeomin are its hypoallergenicity, absence of side effects, plus high efficiency.

Xeomin is also injected into the area of ​​facial muscles and temporarily stops their contraction without disrupting the blood supply to the muscles. The injection dosage is significantly reduced due to the purity of the substance. After the procedure, the face retains its naturalness and facial mobility, since the underlying facial muscles do not relax. There are absolutely no side effects during or after the procedure.

Contraindications


Filler injections under the skin are a manipulation that has a number of contraindications:

  • period of exacerbation of chronic diseases;
  • pregnancy and lactation;
  • infectious diseases;
  • problems with blood clotting;
  • inflammatory processes at the sites of proposed injections;
  • tendency to form scars;
  • oncological diseases.

We invite you to watch a video about contraindications for the procedure:

Fillers can also be used for other areas, namely the lips, nose, chin, nasolabial folds, cheeks, eyes, nasolacrimal groove, face, intimate places.

Healing period

Immediately after contouring, the puncture sites are accompanied by slight pain and swelling. These symptoms go away after a couple of days. There may also be some bruising and bruising that will disappear within a week.

To speed up the recovery process, you need to:

  • Wipe the filler injection sites with an antiseptic until they heal;
  • refrain from applying decorative cosmetics during the first 24 hours, or better yet, until the wounds are completely healed;
  • minimize touching the treated areas with your hands until the punctures heal;
  • smear bruises and bruises with special ointments - Traumeel S, Troxevasin, Bepanten, etc.;
  • give up alcohol in the first days after the session.

Despite the fact that the effect of the filler is noticeable immediately after the procedure, the gel finally sets in within two weeks. That is why during this period it is necessary to refuse:

  • excessive physical activity and sports;
  • visits to saunas, baths, solariums;
  • taking medications that affect blood clotting;
  • active facial expressions.

It is also recommended to avoid massages, peeling, and polishing for 1–2 months.

Failure to follow these rules can lead to rapid resorption of the filler or its migration.

Important! On average, the gel stays under the skin from 6 months to 2 years. The timing depends on the density of the drug and the individual characteristics of the patient’s body.

Patient reviews

Many patients try to get rid of wrinkles with injections. So, in this review, the girl shares her experience of using Surgiderm filler in the area between the eyebrows. She says that she has used injection plastic surgery before, but in this case there was noticeable pain. Attached is a photo of the numbing cream applied and showing a minor side effect - bruising.

Another patient was delighted with the injection of fillers. Briefly explains how the procedure goes and that you should not exercise or take a hot bath for the first two weeks after the session.

The girl also describes what complications there were after the injection of fillers and that all side effects went away within 3-4 days.

Another patient, after repeated contouring, concluded that this method of rejuvenation was not suitable for her. She talks about this in the comments to the review she previously left.

Correction of the frontotemporal part requires special attention. After all, ignorance of the anatomy of this area of ​​the face can lead to serious complications. In addition, you need to take into account the activity of facial expressions, which provokes the appearance of wrinkles. And if you ignore this factor, the appearance of new folds is inevitable. Only a professional can remove wrinkles and rejuvenate the face correctly, without harm to health and so that the injected fillers are not visible to prying eyes.

Advantages and disadvantages

Fillers have undeniable advantages:

  • they not only eliminate wrinkles visually, but also rejuvenate the skin at the cellular level;
  • the procedure does not take much time, and after it there is no difficult recovery period;
  • the drugs rarely cause side effects, are completely absorbable and are compatible with the human body.

The disadvantages include:

  • cost, which seems high to many;
  • Inexperience of the doctor can lead to complications.
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