Dermal fillers

Preparing for treatment as instructed is important to ensure a satisfactory outcome and a quick and easy recovery from treatment.

CONSULTATION:

• Book a consultation with an experienced aesthetic nurse, doctor or surgeon who knows and can apply hyaluronidase, even quickly if necessary.
• The consultation will discuss expectations, potential risks, alternative treatments and fillers, as well as the cost of treatment and payment options.

OPENNESS:

• Be open with the injector about your current and past health problems, allergies and medications.
• The injector will assess any contraindications and make a decision on the suitability of the treatment.

TREATMENT - one week before the procedure:

• Have you suffered from cold sores? Start taking the prescribed preventive medication, especially if you are coming for a lip filler treatment.
• A week or so before the filler treatment, it is a good idea to stop taking blood-thinning medicines and supplements, if possible. Blood-thinning painkillers include ibuprofen (Burana and generics) and acetylsalicylic acids (Aspirin and generics). Blood thinning supplements include vitamin E, omega, fish oil and Gingko Biloba products.
• Prescription medicines must NOT be taken by the patient on their own.

COSMETIC PRODUCTS - a few days before the procedure:

• Two days before the filler treatment, it is a good idea to take a break from anti-age and acne creams (e.g. retinoids, AHA and BHA products).
• Do not remove or bleach hair from the treated area during the 48 hours before treatment.
• If you want, start an arnica course (capsules, ointment) a couple of days before the procedure. Arnica products prevent bruising.

ALCOHOL AND TOBACCO PRODUCTS - at least 24 hours before the procedure:

• Do not drink alcohol on the day of treatment or the day before treatment.
• If you smoke or use nicotine products, try to stop or at least reduce your use of these products.

PREPARING FOR SIDE EFFECTS:

There are always some degree of side effects associated with filler treatments, which should be taken into account when planning the procedure. There are individual differences in the extent and duration of side effects. Especially after lip filler treatment, swelling and other symptoms can be visible, which is why many people come for treatment just before holidays or vacations.

Normal side effects during the first few weeks:

• redness
• swelling
• bruising
• pain
• tingling
• itching
• solid and hard-feeling filler in the treated area

Swelling is normal:

• Swelling can be severe in the first few days, especially in the morning.
• The swelling does not always settle symmetrically, and during the first week the features may look slightly different every day, sometimes asymmetrically.
• The final result can be reliably assessed 2-4 weeks after the procedure.

• Avoid extreme temperatures during the first few days. Do not sunbathe or sunbathe in a solarium. Do not take saunas, hot showers or baths. Protect your skin from frost more than usual.
• Do not engage in sweaty activities during the first two days.
• Try to sleep on your back for the first two nights. Change your pillowcase.
• At home, you can ease the after-effects by keeping cold in the treated area. However, be careful not to burn your skin.
• If necessary, you can take painkillers, such as paracetamol, to relieve the pain. You can take the painkiller before going to bed, for example.
• An allergy medicine (cetirizine) may be used to treat swelling and tingling.
• Medicines to relieve side effects can be obtained from a pharmacy without a prescription.
• Don't worry if the filler feels tight and firm on the skin during the first few weeks. This is normal until the filler settles and blends into the tissue.
• Do not rub, press or touch the treatment area unnecessarily.
• You can apply make-up and skin care products to the treatment area the day after the procedure.
• Avoid drinking alcohol and heavy exercise in the first few days.
• Do not heavily exfoliate the treated area in the weeks following treatment. Also avoid retinoid products (retinols, tretinoin and other vitamin A derivatives).
• It is important to follow the aftercare instructions carefully. Patients who follow the instructions carefully will recover more quickly from filler treatment. Following the instructions carefully may also affect the results and duration of the treatment.
• If any aftercare instructions on the internet contradict those of the professional who treated you, follow the instructions you received from the professional who treated you.

One syringe of Juvéderm or Restylane filler contains 0.55-1 ml of hyaluronic acid gel. This is a suitable amount for filling areas such as the tip of the chin, nose or lips, but in other areas more than one millilitre is often needed. The amount of filler needed is calculated by assessing the following factors:

Size of the treatment area

Small treatment areas, such as the nose, lips or the tip of the chin, usually require less filler than other areas. On the other hand, patients who want extensive changes will definitely need more than just 1-2 millilitres of filler.

Type of filler

Different hyaluronic acid fillers are suitable for different treatment areas. The more rigid and solid the filler, the less filler is needed to create a visible and long-lasting result. On the other hand, rigid fillers are not suitable for all areas. For example, a filler for lips needs to be very soft and flexible to achieve a natural result.

The intended outcome

Some patients want subtle and natural-looking results, while others want dramatic changes to their facial features. The more radical the change, the more filler is usually needed.

Budget

During the consultation, it is also useful to discuss how much money the patient has available. Large treatment packages cost more than small ones. Large comprehensive treatments are often carried out over a year or two years, spreading the costs over a long period. In some cases, different financing options, such as Ebeling-Terveystili contributions, may also be available.

Lip fillers: 0,55-1 ml

For a single lip filler treatment, 0.55-1 millilitre of hyaluronic acid gel is used. If the size or shape of the lips is significantly altered, this is called lip augmentation. In this situation, treatments are carried out more frequently than normal over a period of 1-2 years, for example every three months. Even then, no more than one syringe, or one millilitre, of filler is injected into the lips in a single treatment session. Once the desired shape or size has been achieved, one treatment with one millilitre of filler per year is often sufficient to maintain the result.

Cheeks: 2-6 ml

For cheek filler treatments, at least two millilitres of hyaluronic acid gel, or two syringes, are almost always needed. The amount needed depends on how much fullness of the cheeks is to be increased and how far advanced the ageing changes are. In some situations, up to six millilitres of filler may be used. This amount can be used to plump up the entire appearance of the midface, thus also lifting and smoothing the nasolabial folds from the nose to the corners of the mouth.

If the filler treatment is applied to a young person who has not yet experienced any age-related changes to the face, one syringe (1 ml) may be enough to lightly highlight the cheekbones (the so-called contour effect).

Nasolabial folds: 1-2 ml

Nasolabial folds are the result of expressivity. They start at the nose and run down towards the corners of the mouth. In most cases, nasolabial folds are faded by cheek filler treatment. By doing so, the lightness and linearity of the lower cheeks are preserved, while fullness is rather increased in the middle cheeks. If the nasolabial folds are not caused by the sagging of the cheeks but by a loss of fullness specifically in the nasolabial area, a 1-2 ml filler treatment can also be applied directly to the nasolabial folds.

Tip of the chin and jawline: 1-5 ml

One syringe, or one millilitre, is almost always enough for a jawbone. The jawline usually requires about 2-4 syringes of filler.

Areas at risk (forehead, nose, temples): 1 ml

There are risks associated with all filler treatments. The main risk is the risk of the filler entering the bloodstream. Particular areas of risk in terms of blood circulation include the frown lines, the nose and the temples. Only surgeon Ville Männistö performs filler treatments in these areas at Ebeling Beauty.

For onion and nasal filler treatments, Restylane or Juvéderm is almost always used up to one millilitre. One syringe (1 ml) is also usually sufficient for filling the temporal lobes. Sometimes, however, two millilitres can be used for this area.

Full-face filler treatment is a procedure where almost all parts of the face are treated with a filler. Such a treatment usually requires 4-10 millilitres of filler. This amount is distributed over the different treatment areas: cheeks, tip of the chin, jawline, nose, temples, individual lines. It is also typical that full-face treatment is not carried out in a single visit, but is carried out over a period of, for example, a year: the middle face is treated in the first visit, the lower face in the next, and so on. In addition, full-face fillers are often combined with botulinum treatments, in which case the treatment can be called a liquid facelift.

Full-face filler treatments are most common in people over 45 years of age, whose faces are already showing the signs of ageing: the separation of the underlying fat deposits is visible in the form of sagging features, furrows and bags. In practice, a full-face filler treatment for a middle-aged person adds fullness and volume to areas where subcutaneous fat has been lost.

Sometimes, full-face fillers can also be performed on a young person in a situation where you want to change facial features, correct asymmetry or add femininity or masculinity to the features.

The amount of filler used in full-face treatments varies. The starting points, objectives and available budget are different for each patient.