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Dermal Fillers

Dermal Fillers
June 26, 2017 Dr. Lohia

Dermal Fillers in Delhi, India

Fillers don’t have to be scary! They can be used completely organically where you look like you but better! American Board Certified Dr. Kiran Lohia is known as one of the best doctors for dermal fillers in Delhi, India. She is a master trainer for Galderma and has done many fillers for all types of patients from around the world.

Dr. Kiran Lohia has innovated the concept of Le Beau Ideal to create a harmonious and natural appearance using fillers and Botox for an instant rejuvenation that is elegantly noticeable but not obvious. Dr. Lohia believes that Fillers and Botox should enhance one’s facial expressions, natural appearance, and individuality.  To achieve an organic aesthetic, Dr. Lohia creates a comprehensive plan to give you the best possible results that are both natural looking and sustainable. This is why at Isya Aesthetics, we are known as providing the best filler treatment in Delhi!

So, avoid that frozen pillow look with Dr. Kiran Lohia’s technique of fillers using Le Beau Ideal!

Dermal Fillers are also known as the following:

  • Lip fillers/ lip injections
  • Under eye filler
  • Dermal fillers
  • Face fillers
  • Cheek fillers

As we begin to age, our skin gradually loses its young-looking as facial volume reduces. Dermal fillers are a safe and optimal way to alter and correct the loss of facial volume because they bring back fullness and crease out wrinkles. The main difference with the dermal fillers from other skin augmentation, laser and cosmetic or surgical treatments are the specific areas of the face they treat.

Most of the dermal fillers that are highly effective are the hyaluronic acid-based fillers. Hyaluronic Acid occurs and dissolves naturally in the body over time and does not need an allergy test before the treatment.

How is Fillers Used?

Anti-Aging Lifting
Treating Wrinkles Jawline Contouring
Nose Reshaping Lip Contouring
Tear Trough or Under Eye Circle Removal Brow Lift
Chin Augmentation Chin Dimple Creation
Temple Augmentation And more!


Here is a complete list of all the dermal filler treatment areas along with the filler(s) best working for each treatment area:

Fillers for Aging

The facial aging process varies from person to person.  The main causes are changes in bone density, loss or displacement of fat and the break down of collagen and elastin. Due to this, you may find your under eyes circles to be deeper, your face sagging, your lips thinner and more!

Facial fillers can plump up your skin, smooth wrinkles and fill out deep lines and by replacing the collagen lost due to natural ageing or skin damage. They can also be used to lift the face naturally so that you look younger instantly without having to go through any surgery! Usually painless since Restylane and Juvederm also contain some mild anesthetics, fillers can be done at lunchtime in just a few minutes without anyone even noticing. So you can look younger by erasing your jowls, lines, sagging and under eye circles on your lunch break!

Fillers for Facial Contouring

Fillers can also be used to give you the face that you always wanted. For fuller lips, a sharper nose, a natural brow lift, a chin dimple or even a sharper jawline, fillers can be used to change your face so it looks naturally younger, tighter, better and fresher! This treatment can be used for men and women to shape your look to get the appearance you have always wanted. In fact, Dr. Kiran Lohia is known in Delhi for her natural lip augmentations, under eye circle removal, jawline re-shaping and surgery-free nose jobs using filler!

Cheek Area

Juvederm Voluma™ XC is a hyaluronic acid dermal filler that is FDA-approved to repair age-associated volume loss in the cheek area for individuals above the age of 21 years. Juvederm adds volume to the depleted cheek area, forming contour and lift. Its effect remains for up to 2 years. Using this filler, people can look almost 5 years younger of their original age.

Chin Wrinkles

JuvedermVoluma, Restylane, Radiesse, and Vellafill is presently the most commonly used injectable dermal fillers for non-surgical chin augmentation procedures. Sculptra® Aesthetic is also suitable for smoothing out wrinkles in the chin area. This dermal filler is produced from injectable poly-L-lactic acid, a biodegradable, biocompatible synthetic substance. It replenishes lost collagen, leaving on subtle results over time, remaining for more than 2 years.

Lip Rejuvenation

Restylane® and Restylane® Silk are both hyaluronic acid-based dermal fillers that are also the only FDA approved products for lip augmentation in people above 21 of age and are distinctively created to provide fuller and defined lips and the results lasts for up to 6 months.

Parentheses (Smile) Lines

Parentheses lines, also known as “smile lines” or “nasolabial folds” are the vertical deep folds in between the nose and the mouth area. There are many different hyaluronic acid-based dermal types of filler that are effective in the treatment of this particular area such as Juvéderm XC, Restylane®, Restylane Lyft, Restylane® Silk, Sculptra Aesthetics, and Boletero.

Based upon the type of dermal filler used, results would last anywhere from 6 months up to 2 years.

Oral Commissures

Oral Commissures also known as “marionette lines” are the lines that are considered to be framing the mouth. Juvéderm XC and Belotero are the two different types of dermal fillers which can most effectively treat this area.

Vertical Lip Lines

Vertical lip lines, also known as “perioral lines” or “smoker’s lines” are the lines that are formed on the upper lip. Juvéderm XC is the best kind of dermal filler that can be used to treat this area.

Earlobe rejuvenation

Dermal fillers or injectable fillers to the earlobes are a real thing now and patients love it. With age, not only the facial skin tends to loosen but the signs of volume loss and skin damage are evident on ears and everywhere too. Dermal filler such as Juverderm Voluma, Radiesse, Ellase are known to work best for rejuvenating the lobules in a safe, long-lasting, and comparatively in a painless way. These injectables can also be beneficial to those looking to enhance their small earlobes, providing them a rounder look by expanding the outer portion of the lobule.

Hollow temples

The bones around the temple area often become more obvious and make a person look aged, sickly and usually unhealthy.
There are two most commonly used types of dermal fillers to enhance this specific area: hyaluronic acid based dermal fillers – (like Juvederm) and poly-lactic acid fillers- (like Sculptra), producing results that can last as long as 2 years before finally declining.

Hyaluronic acid fillers represent a newer treatment and have different uses, thicknesses, and durations. Also Sculptra cost more than Hyaluronic acid filler like Juvederm to fill the same areas.

Lines around the neck

A ring like crease or neck wrinkle that goes across the neck horizontally is generally caused by age. The most common fillers used is Juverderm, a hyaluronic acid filler with a low risk of the fearful “tyndell effect” (a blueish hue administered to skin when injected a dermal filler too close to the surface). There are plastic surgeons and dermatologists that have been trained in this art of neck filling, so always get the procedure done from a skilled doctor only.

Also remember that, neck rings are totally different from “bands”, bands are caused by the platysmal tendons of the neck, which form vertical lines that run from under the chin to the lower areas of the neck. These bands can be treated by way of surgical procedure called platysmaplasties.

Dermal Filler for Acne Scars

“Rolling”, “Ice pick”, and “boxcar” acne scars, clinically termed as atrophic scars, are some of the acne scars that are the most difficult to treat with chemical peels and lasers, but with some of the new and distinct dermal fillers, like Juvederm, Restylane, Bellafill, or Belotero, these scars can also diminish. Just same as suctioning a dent out of your bike’s bonnet, these injectable dermal fillers are used to fill in the space behind the scar, crucially pressing it out. With the use of hyaluronic acid filler (like Juvederm and Restylane) for the treatment of acne scars, they produce instantaneous results and continue to enhance over a period of several months by fragmenting up some of the scarred down bands that crumple the skin. These injectable dermal fillers will proceed to lift the depressed scars for around a year.

Hand Rejuvenation Dermal Fillers

Dark marks and discoloration caused by sun damage to the veins, boney structures and tendons in our hands become more apparent as the skin ages. But with recently the use of dermal filler, the trick to guess age by hands has been literally thrown out of the box.

Radiesse is currently one of the most commonly used and effective hand rejuvenation dermal fillers that corrects the volume loss and conceals the visible veins, boney structures or tendons, etc. that make hands look aged.

What are dermal fillers?

Dermal fillers have been invented with a main purpose to reduce facial lines and restore volume and fullness in the face that has been caused by increasing age or due to some injury. The filler is made to be injected into the dermis. With an increasing age, a human face naturally starts to lose subcutaneous fat. The facial muscles are then functioning more close to the skin surface, so crow’s feet and smile lines become more visible.

The facial skin also expands a little, summing up to this loss of facial volume. Other essential factors that cause the depletion of facial skin include excessive sun exposure, lifestyle, dietary habits and genetic disposition. Patients are instructed to not interfere with the treated areas; because there are chances that product may move. The ideal way to decrease if/any inflammation is to instantly apply a cool pack at the treatment site.

What dermal fillers can do?

  • Plump up the thin lips
  • Improve shallow contours
  • Smooth out facial wrinkles, folds and crumples
  • Refine and revamp the appearance of recessed scars
  • Rebuild contour imperfections in the face
  • Diminish or eliminate the shadow of the lower lids

Dermal fillers can be very highly beneficial to those with early signs of aging, or as a value-added element of facial replenishment treatment.

The Science of Dermal Fillers

In spite of in-depth research in the progressing stream of aesthetic medicine, growth toward suitable commercial facial filler was sluggish. At the beginning, many facial filling products and techniques had been proposed and researched worldwide, but none had received US Food and Drug Administration (FDA) approval.

This approval was a turning point – when the first injectable material approved for soft-tissue enhancement was achieved. The success and positive results of Zyderm® prompted the creation of additional fillers, including processed forms of bovine collagen, early versions of alloplastic injections, autologous fat, and surgically implanted substances. Each had some or the other positive features but did not succeed to sort out the purpose as a whole and thus ultimately fell short of perfectness due to cost, complexity-of-use and immunologic issues. Despite of extensive research and studies, collagen fillers persisted to be the only commercial cosmetic therapeutic injectable option for more than two decades.

Approval of the first hyaluronic acid (HA) based skin filler in 2003 (Restylane®; Medicis Pharmaceutical Corporation; Scottsdale, Arizona) by the Food and Drug Administration (FDA) U.S was a milestone in augmentation treatment. Approved Hyaluronic Acid products are quite easy to use, safe, cost-effective, exhibit longer-lasting results than collagen antecedents, and do not need any pre-treatment allergy testing.

In past few years, additional innovations in non-surgical cosmetic dermal-fillers technology have caused the development of skin filler that trigger a biological response to the injected product, resulting to steady dermal thickening and extended time duration of effect. Fillers incorporating this technology have in functionality gone beyond the term “filler,” because their outcomes are not obtained from the quantity of product injected but from the long-term invigoration of the person’s own collagen formation.

The speedy skin fillers quantum leap in non-surgical cosmetic treatment over the last decade has accredited for a similar progression in the approach to beauty revitalization. Basically, cosmetic and aesthetic augmentation treatment with dermal fillers has progressed from a two-dimensional concentration on the treatment of individual wrinkles and fine lines to an understanding of the likeliness of a three -dimensional outlook on rejuvenation. Loss of elasticity, dermal thinning, Gravity, genetic disposition, fat redistribution, bone weakness, and collagen in the skin are core factors in the outward looks of aging. An extant standard of facial skin care is to treat the face from “the inside out,” and the width of present day’s product options makes this a thrilling, intoxicating and realistic possibility.

Currently, the pursuit for perfect dermal filler is improvised by the awareness that “perfect” is a critical concept that must account for many variables, including filler’s scientific description and physical characterization, the patient’s long-term objectives and physiology, and the physician’s skills and experience. As with other aesthetic treatments, one-volume -fits-all approach to soft-tissue enhancement will not produce favorable results. As dermal-filling injectable options continue to evolve, alter and expand, the authorized and trained injector must know the unique properties and attributes of each product and execute that understanding to the designing of a best suitable individual dermal filler treatment plan, for each patient.

Difference between Dermal Fillers and Botox

Dermal Fillers are an injectable cosmetic or youth-enhancing treatment option that is created to diminish the signs of ageing. Instead of adversely impacting your facial muscles, dermal fillers replaces soft tissue, and plump up the depleted skin sections including, cheeks, chin, lips, frown lines, earlobes, necklines etc. The procedure also fills in wrinkles, crumples and skin folds. Skin fillers injectables procedure is when a skin specialist will inject the filling material into your skin to smooth out some of the wrinkles that you already have. The most common side effects of dermal fillers are usually temporary and restricted to the site of injection that includes, redness, soreness, and bruises. Dermal Facial fillers can last from a few months to a few years.

Botox is a prescription-only drug, a dermatologist or skin specialist will object the facial muscles that cause wrinkles, folds or creases in your face in order to prevent the age crumples from forming. With Botox, the number of units you will require would certainly depend on how active your muscles are. For the treatment of the forehead with Botox, you will approximately need 10 to 20 units. Results obtained from Botox lasts from 3 to 6 months but can also last longer with ongoing or repeated treatment.

Possible side effects of Botox include drooping of the eyelids, skin tightness, face pain, muscle weakness, numbness, nausea, feeling of needles and pins, bruising, headache, rashes, swelling at the treatment site.

In rare cases, the toxin’s side effects can also outspread away from the Botox site, laying off more severe side effects including problems with speaking, swallowing, or breathing due to weakening of linked muscles which can be serious in cases where higher doses of Botox are regulated, such as when dealing with spasticity.

Can you use skin fillers for scars?

Skin fillers can undoubtedly be used to treat scars. The dermal fillers are really helpful to treat scars, blemishes, age spots and freckles. Dermal Injectable fillers are ideally used for shallow, skin-deep and saucer-shaped scarring. It means that the supreme or the archetypal scar for dermal fillers would be those that are shallow and extensive. This type of dermal filler treatment is used to fill up or plump up the part of scarring to diminish the blotchy look and the disfiguration of the area. The most popular and effective dermal filler brands to repair acne scarring are Juvéderm, Perlane, Restylane, and Radiesse. All of these brands are approved by the U.S. Food and Drug Administration (FDA) and Health Canada, and they are vastly suggested by prestigiously adulated dermatologists and cosmetic surgeons in North America.

Juvederm, Perlane, Restylane, and Radiesse are all hyaluronic acid based products and are ideal fillers for acne scar treatment. Other hyaluronic acid fillers are also there for the scar treatment but they are not as effective, powerful, and long lasting as Juverderm.
Dermal FIllers work great for shallow rolled scars. In rare cases, these dermal filler injections are also performed in conjunction with a localized subcision procedure. Remember that Dermal Fillers can work desirably for scars as far as you do not have ice pick kind of scars. The hyaluronic acis fillers such as Juvederm or Restylane would be the fillers of ideal choice; however you may come across a bluish discoloration if the substance is injected too outwardly.

These fillers are very safe, but occasional lumps, swelling, and bruising are some of the risks associated if the filler is injected superficially. Very rarely the dermal injection can be injected into a blood vessel in unawares, thus resulting to skin breakdown, persistent swelling, ulceration with possible scarring and infections.

However the threat of skin breakdown leading from the skin filler striking a blood vessel is almost inconceivable with dermal filler acne scar treatment and mainly occurs if the fillers are injected much deeper into the skin, while other side effects, basically, are self restricted and can be easily tackled. So it is advised to always see a skilled, experienced and a well talented professional cosmetic surgeon or a dermatologist.

While many dermatologists have their own prefer for one filler over another, there are various factors to take into account before giving in, so an in-person consultation is a perfect way to identify which filler is best suited for you.

Use Dermal Fillers for the Eyes to Achieve Superior Facial Contouring

Hyaluronic acid based Juverderm Dermal fillers is an ideal injectable to achieve superior facial contouring without submitting you to the risks linked with invasive plastic surgery. The incorporation of non-surgical or non- invasive treatments that use injectable dermal fillers can give you with a facial contour that you can trace even with your fingers. The results obtained from Juverderm and Sculptra type of dermal fillers are pleasing, long lasting and unnoticeable of undergoing an injectable. These dermal fillers provide young and rejuvenated looks by reducing sunken eyes, dark circles around your eyes or diminishing the bags under the eyes.

Dermal fillers for Bags Under the Eyes

If you are experiencing bags under your eyes, dermal fillers, specifically the hyaluronic acid based filler products, do a commendable job of filling in the curves between them and the upper cheeks. Juverderm Voluma and Restylane are the two ideal fillers that are helpful to create a natural-appearing contour and a soft area and that can shed a few years off your appearance. For more fruitful treatment, deep injections can also be administered between the lower orbital rim and the cheeks, which enable your skin, produce its own collagen. Various techniques can be used in the procedure of dermal filler.

Dermal fillers for Circles around the Eyes and Sunken Eyes

The technique for treating the sunken eyes and the dark circles around the eyes is just similar to the procedure for treating the bags under the eyes. A fully authorized cosmetic surgeon or skin specialist will inject dermal filler into your upper cheeks just under the infra-orbital rims of the eyes to create a lineation and a detailed outline for youthful looks. This exceptionally decreases or eradicates the bleak, bony and empty appearance that these indications of ageing form. Although the particular cause of these issues has not been clearly determined, most of the patients documented that they are delighted with these non-surgical procedures.

Dermal Fillers for Cheeks; which ones work the best?

Dermal Fillers for Cheeks

In the arena of aesthetics industry, there are a variety of non-surgical treatment options available to reduce and eliminate the signs of ageing. Cheeks recurrently start to droop, sink and crumple as you age. Juverderm Voluma and Juvéderm® ULTRA is a hyaluronic acid based dermal fillers to counteract sagging cheeks, wrinkles and fine lines.

The Best Dermal Filler for Cheeks

Juvederm filler is a smooth gel-like substance that is injected into the areas of your face that needs correction. Juverderm substance includes hyaluronic acid. The main features of this acid cause it the skin tissues to strongly bond with water. As an outcome, Juvederm attracts water to fill out the hollow and sinking facial areas that age has caused such as your cheeks, neckline. Since JuvedermVoluma is approved by the U.S Food and Drug Administration, you can feel cozy selecting it to repair many of your face’s age-associated issues. The Benefits of Dermal Fillers for cheeks are that they reduce the signs of ageing in diverse facial sections by adding volume to the parts that are drooping as well as filling in folds, fine lines and wrinkles. When you have a particular area of your face that needs treatment, be sure to evaluate the multiple dermal filler options for cheeks correction that are available.

Enhance the beauty of your lips with lip fillers

Our lips and mouth are a signal of our expressions, inner emotions and fuller lips have always been linked with youth, charm and comeliness. As an element of the natural ageing mechanism, the structure and shape of our lips and surrounding formations modifies. From the apex of fullness in your 20’s the lips begin showing alterations; from between the ages of 35-40 years along with other aspects such as genetics, gravity, junk diet and smoking, the mouth area may seem to look ‘depressed mouthed’ or sagging. The lipstick bleed lines may even occur and annihilating of the cupids bow all peaking in the lips appearing less defined.

Juvéderm® ULTRA SMILE is a fresh and an effective addition to the Juvéderm® ULTRA range of skin fillers that is subjected to giving fuller, softer, smoother, plumper and natural looking lips and to flatten fine lines and improvize the mouth area. Juvéderm® ULTRA SMILE is very gentle, light-weight with an adjoined anesthetic for the most convenient treatment experience possible. As the adversities of ageing take its toll, even the fortunate few who were inborn with perfectly pretty lips and other facial features may want to contemplate augment their lips’ looks. With span of time, the lips’ volume attenuates, leaving a thinner, consumed and disfigured appearance. Fine lines and Wrinkles undermine their fuller and smooth appearance, and the Cupid’s bow and vermilion borders turns less lineated. The dermal fillers like Juvederm Ultra and Restylane can also be injected around the mouth to help augmenting the area between your nose and upper lip that has become flattened, and the side corners of the mouth that have turned downward, creating an exhausted, aged appearance.

Juvéderm® ULTRA SMILE injectable dermal filler helps fight back the signs of ageing, by dedicating to the lips’ texture, structure and smoothness and filling in the lines and wrinkles caused by smoking and consuming your lips over time…and of course, by adding volume for a plumpy, fresh, supple and natural look.

Ideal Candidate for Dermal Fillers

So, is this the question bothering you that, who is a good candidate for dermal fillers?

  • An ideal candidate for dermal fillers injectables will have moderate to severe wrinkles, fine lines or folds, or other problematic sections of the face that they are not willing to repair with surgery (for instance, sunken cheeks, drooping mouth, under eye dark circles/bags, temples, chin etc.).
  • Dermal fillers are an ideal option for people who have particular problem areas that do not stretch to the rest of the face. For instance, if you seek to fill in nasolabial folds, but do not feel like they are sufficed enough to guarantee a face lift.
  • Patients with a medical history of severe allergies or infections might not make a good candidate for certain types of dermal fillers as they could lead to an allergic reaction. Your cosmetic surgeon will assess your allergen history and medical history on a whole and to identify if there is a skin filler option for you that won’t cause to a skin reaction.
  • Breast feeding or pregnant ladies should not get dermal filler injected. However there are no evidences of severe harm to the mother, bearing mother or the child, but the concentrations of the product might not be good for the little one and also can cause some side effects to female.
  • There is no age restriction or gender to get the dermal fillers, so you can be female or male of any age.
  • Non-smokers are the perfect candidates for dermal filler injectables or even any other aesthetic treatment with realistic expectations of the desirable results. The reason behind non-smokers being the ideal candidates is because their bodies are more likely to heal faster after the procedure, and because the blinking and inhaling gestures you make while smoking will aggravate wrinkles and fine lines and make the results remain short lived.

Dermal fillers are an outstanding option for withstanding and fighting the appearance of fat loss or volume in the face. Loss of facial Volume is an indicator of facial aging that involves the natural loss of fat from the face as we grow older, which leaves our face and body seemingly leaner, more exhausted, and with deeper wrinkles and fine lines.

Dermal fillers themselves are injectable products (varying from human fat to collagen) that can be implemented to add volume, fill in, protrude the sunken sections of the face, along with deep wrinkles, folds and expression lines, as well as depressed or digger scars. Most dermal filler procedures can be performed over a lunch break, and you can resume to your normal routine after the treatment.

What are the side effects associated with fillers?

The most common risks or side effects linked to dermal filler injectables include soreness, redness, infection, bruising, and allergic reaction. There can be crucial complications if the dermatologist or cosmetic injector outwardly injects filler into the blood vessels, the most prevalent being significant skin loss. Also, Beware of permanent skin filler injectables, which are tends to cause considerable and long-term side effects.

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