We know through experience that the decision to have anti wrinkle injections is generally preceded by a long decision making process. With this information we would like to help you with this process, by advising you about the procedure itself and the possibilities and risks involved. This advice, does not however, replace the need for an extensive personal consultation with your surgeon who will thoroughly address your specific questions.
When are anti wrinkle injections useful?
What is the aim of anti wrinkle injections?
What types of injection materials are available?
What do I have to consider before the anti wrinkle injections?
What do I have to consider after the anti wrinkle injections?
When can I sunbathe and wear make-up?
What are the possible risks with anti wrinkle injections?
Which result can I expect after anti wrinkle injections and what are the chances of success?
There must not be any wrinkles. Ageing includes wrinkles but this process does not happen equally in all people. In the course of life genetic factors can cause the elastic fibres of the soft tissue to loose their elasticity along with gravity, regular sun exposure and environmental influences. The result is a relaxation of the skin and soft tissues of the face and neck and an increased wrinkling of the skin and a loss of volume in soft tissue. In effect the face looses its padding. Other factors which may cause premature wrinkles are increased facial expressions, excessive mental and physical exertion or prolonged illness.
The aim of anti wrinkle injections is to make single wrinkles partially or completely disappear. Through these injections existing wrinkles are filled and volume added to the subcutaneous tissue.
Course of treatment. Using fine needles the wrinkle filler is applied directly under the skin. The skin is lifted and the wrinkles evened out.
Type of anaesthesia. Smaller injections are usually performed without anaesthesia. Larger injections, especially in the lip area, can be performed under local anaesthetic and anaesthetic ointments can also be used on the skin.
There are basically two types of injection materials; these are permanent and non-permanent.
Permanent materials. There are currently no permanent materials on the market that we can recommend.
Non-permanent materials. We use injectable hyaluronic acid compounds which are of non-animal origin. They are distinguished by their different molecular weights and densities and their retention times in different tissues (durability). Hyaluronic acid is a substance that is found naturally in human tissue such as muscles and tendons. Hyaluronic acid products are today the most commonly used materials for this type of injection.
Fat transfer. When performing an autologous fat transfer (or microlipoinjection), the fat has to be removed from a part of the body with a strong layer of fat, such as the abdomen, thighs or buttocks, using specialised cannulas. The fat cells are first cleaned with infusion solutions, then centrifuged and are implanted into the required area using very fine needles. For the survival of the fat cells it is important that there is an in-growth of blood vessels, as it is only living cells that can cause a permanent change in the contours. As some of the fat cells will die off and others will not be absorbed by the body it cannot be exactly predicted just how many cells will remain. The number of remaining cells can range anywhere between 30% and 70%, so these injections must be performed 2 to 3 times in order to reach the desired volumes.
Before the injections you should not apply any make-up to the areas that are to be injected. Some influenza and pain relief medications can cause a thinning of the blood as they contain acetylsalicylic acid or acetylsalicylate. The taking of medications which contain acetylsalicylic acid such as Asprin, Aspro, Ascorbisal, Thrombo ASS, children’s aspirin, Duan, Thomapyrin etc. must be stopped a minimum of 2 weeks prior to the injections, as just one single tablet could negatively affect your haemostasis. In any case of doubt, please consult your doctor.
Cooling. Immediately after the injections the treated areas are generally swollen and inflamed. This can usually last from a few hours to a few days and in some cases, even longer. It is useful to cool the treated areas with “cool packs” or cold, damp towels to relieve the swelling. The cooling therapy can also be carried out at home in the days after the treatment but to avoid possibilities of cold burns, the pack should be intermittently removed from the treated area.
The application of make-up is again possible a few hours after the injections and it is useful to use sun protection until all bruising has gone.
No procedure is without risk. Even through the likelihood of possible reactions and complications with these injections is very low, we would still like to inform you that in rare cases a reaction to one of the compounds could occur. Prolonged swelling, bruising or inflammation is also possible and if prone to keloid formation then excessive scarring is also possible. If susceptible to the herpes virus then infections can be aggravated by this procedure.
Many substances have the property that allows them to bind with water, which may result in a temporary additional volume effect which causes mild asymmetries. Pre-existing asymmetries can not always offset by the injections and in rare cases, the injections can cause foreign body reactions, which show up in the form of palpable nodules.
Young and revitalised skin. Injecting wrinkles is a highly successful anti-ageing method. Volume that is lost through the ageing process can be replenished and single wrinkles partially or totally disappear giving the skin a more youthful appearance. In years to come, alongside the treated wrinkles, new wrinkles may form which can in turn be treated by these injections.