Cosmetic Surgery & Beauty #72
Cosmetic Surgery and Beauty is the definitive consumer guide to aesthetic enhancement in Australia. Written by medical journalists and industry experts CSBM covers everything you need to know and with hundreds of untouched before and after photos it is the authoritative information source.
Cosmetic Surgery and Beauty is the definitive consumer guide to aesthetic enhancement in Australia. Written by medical journalists and industry experts CSBM covers everything you need to know and with hundreds of untouched before and after photos it is the authoritative information source.
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feature<br />
fillers will obtain the best result. ‘As we age, the whole face<br />
ages – there are priority areas but, essentially, the entire<br />
face is subject to ageing.’ Dr Liew explains.<br />
‘Gone are the days where patients come in and ask<br />
to have their nasolabial folds filled and that’s enough. We<br />
now know that treating the nasolabial folds will not change<br />
the patient’s overall appearance. We want to address and<br />
harmonise the face as a whole so the patient will look the<br />
best for their age at any age. Through communication,<br />
understanding and education, together the patient and<br />
practitioner can create some truly spectacular results.’<br />
The benefits<br />
of HA<br />
The longevity of results with HA dermal fillers can<br />
last anywhere between 6-18 months and beyond,<br />
depending on the amount of filler injected, the<br />
depth of injection and the level of movement at<br />
the injection site. The duration of the result is also<br />
affected by the extent of cross-linking between the<br />
hyaluronic acid chains, as well as the concentration<br />
and size of the HA particles themselves.<br />
Increased cross-linking and higher HA<br />
concentrations boost the viscosity and elasticity<br />
of the dermal filler. This extends the longevity of<br />
the result. Larger HA particles, alongside higher<br />
concentrations, tend to absorb more water and<br />
result in more tissue swelling following injection,<br />
also increasing the duration of effect.<br />
‘I prefer to use HA-based fillers because<br />
hyaluronic acid is versatile, long-lasting and<br />
effective,’ Dr Liew explains. ‘It also comes in a variety<br />
of grades to cater for the different requirements of<br />
every patient.’<br />
‘The other benefit of using HA fillers is that, in<br />
the rare occasion where there is a minor adverse<br />
reaction such as swelling or lumpiness following<br />
injection, the HA can be easily dissolved with a<br />
chemical called hyaluronidase. This works almost<br />
immediately and acts as a lifeboat, or a safeguard,<br />
in case the outcome is not as good as we like,’ Dr<br />
Liew adds.<br />
Hyaluronic acid is a substance that occurs<br />
naturally in the body. It is associated with attracting<br />
and maintaining hydration in the skin. For this<br />
reason, the benefits of dermal fillers are doublefold<br />
– adding volume and attracting hydration at<br />
the same time.<br />
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