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Fillers

Fillers plump thin lips, enhance shallow contours, soften facial creases and wrinkles and can improve the appearance of recessed scars. They can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery. When injected under the skin, a filler raises or puffs up that area. This usually goes away over time.

 

Non-surgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results as surgery, but may help delay the time when consideration of a face lift becomes appropriate.

 

We only use resorbable fillers. There are many kinds of resorbable fillers and each one lasts different lengths of time. Slowly, your body absorbs the filler, this metabolism depends on each individual.

Hyaluronic acid (Restylane, Juvederm, Belotero) draws fluid to the treated area.The effect lasts about 9 to 18 months depending on the location and the product.

Some fillers are done in repeat sessions a couple of weeks apart.

After Treatment you may expect:
- some pain, redness, swelling, and possibly itching

- some swelling may last up to 36 hours.

- If symptoms start to get worse 1 to 3 days after the treatment, call your doctor-you may be getting an infection.

Each syringe of filler costs several hundreds of CHF. Costs vary, depending on the type of filler. Talk to your doctor ahead of time about how many you will use, how often, and at what cost. Health insurance is unlikely to pay for this treatment.

The Injection Process
After a thorough discussion of your goals, and a complete exam of your facial features, you will be give an ice pack to hold against the areas to be injected. Rubbing alcohol will then clean these areas, and a local anesthetic will be used to numb the injection sites. The appropriate amount of filler will then be injected carefully, and molded to achieve the desired result. You will be able to follow the progress, so you are happy with the final amount of product used. Further application of ice will reduce any minimal soreness from the injections.

Local anesthetic will be used whenever necessary. Patients at our clinic are very surprised at the comfort they experience during the filler injection.

Patients should apply ice to the injected area after the treatment.

Mesotherapy

Mesotherapy is an injection treatment that delivers nourishing substances to the layers of the skin where cell repair and growth occurs. This helps to infuse the skin with vitamins, amino-acids, minerals, hyaluronic acid, and many other essential components for healthy skin cells. All the substances used normally occur in the skin but degrade as our skin becomes older and stressed.

Mesotherapy brings out a natural glow in the skin, which becomes more shiny, silky and soft. The skin will be more hydrated, nourished, and firmer and texture will be improved.

A series of superficial injections are done by hand or with an injection device delivering rapid injections for larger areas. Normally it is well tolerated, but for sensitive areas an anaesthetic cream can be used prior to the treatment.

Initially a course of 6-8 sessions are advised every 2 weeks, with maintenance 1-2 times a year.

Are there any contraindications?
Almost none but known allergy to components in the proposed mesotherapy cocktail, pregnancy, breastfeeding, keloid scarring, active infection or malignancy.

Minimal bruising, swelling and marks from injections are all short lived. Infection, allergy, scar or pigmentation is very rare.

Ice packs are applied to reduce swelling and bruising. 

Moisturisers and SPF cream are used afterwards and make-up can be used next day.

SkinBoosters

Skinboosters treatments create shiny and more radiant skin in a natural way by gently and naturally smoothing the skin from the inside out. It works by boosting the hydration within the skin to provide lasting moisture and improve the skin’s surface.

Each treatment involves a series of hydrating microinjections of long-lasting hyaluronic acid, also called stabilised HA, a water-loving substance found naturally in the body that maintains hydration in the skin.

Stabilised HA is a soft, gel-like substance that absorbs water and brings deep skin hydration to the treated areas, giving it improved firmness, elasticity and smoothness.

Over time, the quality of your skin changes – collagen and elastic fibers disintegrate, and the spread and function of the body’s own hyaluronic acid change, making your skin drier, rougher and less elastic.

 

Skinboosters can be used to improve the general skin quality of your face but also to improve exposed and sensitive areas such as your neck, décolletage and hands as well as areas with acne-scarred skin.

 

A typical treatment program is made up of three initial treatment sessions with 2 to 4 weeks apart. The initial 3-treatment program is done once and after that one treatment about every 6 months is recommended.

Platelet-rich plasma (PRP)

PRP is concentrated blood plasma which contains ideally two and a half times the number of platelets found in normal circulating blood. These growth factors contain platelets and other bioactive proteins may aid in wound healing and hair growth when released.

PRP is used to halt or reverse miniaturization, the process that causes common baldness.

It can be used to stimulate the growth of follicles, thereby reversing the hair miniaturization (thinning hair) seen in androgenic alopecia (common baldness).

 

Platelet rich plasma offers an additional way to stimulate hair growth, especially in people who cannot use other forms of treatment. For example, it may be useful if someone is not a candidate for a hair transplant, or cannot use finasteride. It is also useful in the treatment of crown thinning where a hair transplant may not be appropriate.


Patients usually see results in 6 months. However, the response time may be variable. There is an individualized response to this treatment with a spectrum of effectiveness. It does not work in all cases. Patients are monitored to assess the benefits of therapy.

After the first treatment, we will administer the next two treatments at 6-week intervals. You will be asked to return 3 months later. At 6 months from your first treatment your response will be assessed. If you show improvement, follow-up treatments will be given twice yearly depending upon your progress.

There is some inconvenience in that you need to have your blood drawn and there may be some temporary swelling in the treated area. Platelet rich plasma seems to be extremely safe since we are using your own serum, but it is not successful in growing hair in all cases.

Risks of injections

Filler injection can lead to possible complications, including:

  • Infection (new redness, swelling, or pain after the first day. You may need antibiotics right away)

  • Bleeding or bruising. Before a filler injection, avoid alcohol use and stop taking any blood-thinning medicine. This includes aspirin, any other type of nonsteroidal anti-inflammatory drug (NSAID), or vitamin E

  • Allergic reaction, such as rash, hives, swelling, or flu-like symptoms

  • Lumpy skin surface after treatment

  • If you have a lot of herpes zoster or herpes simplex outbreaks, a filler injection could trigger a flare-up. If you have several herpes outbreaks a year, your doctor will want you to take an antiviral medicine before having a filler injection

  • There are rare reports of serious or life-threatening complications after filler injection, including anaphylactic shock, sepsis, blood clot in the retinal artery leading to blindness, skin breakdown (necrosis), and abscess needing drainage

  • Granulomatous foreign body reaction can develop months to years after the injection. This reaction may be asymptomatic or have associated erythema and swelling. Persistent granulomatous foreign body reactions can be treated with intralesional corticosteroid injections. One way use of hyalorunidase, hoping that the break-down of the product would stop the foreign body reaction

A thorough understanding of the different recommended depths for injecting different products is also mandatory to avoid the reactions associated with injections placed too superficially.

Exaggerated and repeated movements should be minimized during the first 3 days after a treatment to minimize product migration/displacement.

Contra-indications for injections

Contra-indications and CAVEATS

- pregnant women

- an active infection near the site of injection

- a known allergy/hypersensitivity to the material or to the lidocaine mixed in the syringe of the filler

No causal relationship has been established between the use of filler and autoimmune diseases like dermatomyositis/polymyositis, lupus erythematosus, rheumatoid arthritis or scleroderma. Their use is therefore not contraindicated in patients suffering from those diseases.

 

Immunosuppression has not been found to increase the risk of complications linked to the use of fillers other than poly-L-lactic acid (Sculptra).

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