Home > FAQ > Temporary Tissue Fillers

Temporary Tissue Fillers FAQs:


What are Tissue Fillers?

temporary tissue fillers contain hyaluronic acid, a substance present in all living organisms. Hyaluronic acid has the important ability to attract and bind to water molecules to help maintain tissue volume. Hyaluronic acid is one of very few substances identical in all species and tissue types. The injectable tissue fillers are medically approved sterile gels consisting of non-animal cross-linked hyaluronic acid for injection into the skin to correct facial lines, wrinkles, folds, lip enhancement and for shaping facial contours.

How do they work?

Hyaluronic Acid tissue fillers act by adding volume to tissue, thereby shaping the contours of the face, correcting folds or enhancing the lips to the desired level of correction. The results are long lasting though not permanent and the procedure can be repeated as often as you like. You are always in charge of your appearance.

Are permanent Tissue Fillers used at the Dermatology Rejuvenation Center?

At the present time permanent tissue fillers are not used in our facility. 80% of the North American dermal filler market generally focuses on the hyaluronic acid temporary tissue fillers. Permanent tissue fillers are more likely to cause side effects and offer less flexibility when it comes to results. The temporary tissue fillers we use are Restylane, Perlane, Juvederm and Teosyal.

Are Tissue Fillers safe?

Hyaluronic acid is the “active” ingredient in the temporary tissue fillers at the Dermatology Rejuvenation Centre. The products are ‘non-animal’ in origin which means there should not be any risk of transmitting disease or causing allergic reaction. The products are approved federally approved in Canada for injection. They are compatible with the human body and therefore allergy testing is not required. More than 700,000 treatments have been carried out around the world.

What is the treatment like?

Tissue Fillers are given by injection. The needle used to deliver the tissue filler is very fine and many patients are pleased by the minimal discomfort of the treatment. Areas that are more sensitive (i.e. the lips) may require additional anaesthesia prior to the injection. Injectable “freezing” medications may be recommended, much like at the dentist. The result directly after the treatment may not be the final result, as there may be temporary swelling in the treated area. Normal activities can be resumed immediately following the injection.

Is this treatment for everyone?

There are few limitations with the use of tissue fillers. It is not recommended in people who have thin, loose skin in the area to be treated or who have unrealistic expectations, and it should be used with caution in patients with immune disorders or keloid formers (thickened scars). Whether or not Tissue Fillers can be safely injected during pregnancy or breast-feeding has not been established, so it is best to wait until after the postnatal period. These will be discussed during your consultation with Dr. Miller.

How long do the effects last?

The desired effects should be visible for 6-12 months depending on the location of the treatment and the nature of your skin. As an example, the lip area is highly mobile and may require a touch-up in 6 months whereas an area with less movement may only require an additional treatment in 12 months. In some cases the duration of the effect can be shorter or even longer. The hyaluronic acid is eventually absorbed by the body and disappears without a trace.

What is expected after the treatment?

Some common injection-related reactions might occur, such as redness, swelling, discomfort, itching, discoloration or tenderness at the implant site. Typically these side effects are short lived i.e. one to three days after injection into the skin and within a week after injection into the lips. Localized reactions thought to be of a hypersensitivity nature have been reported in approximately one in every 2,000 patients treated. Tissue disturbance and/or uneven results are uncommon. Occasionally unevenness may be palpable though this typically resolves in a few weeks. Ibuprofen may be used to reduce swelling and relieve discomfort. ASA (Aspirin) should be avoided as it may increase the chance of bruising in the treated area. To allow the tissue filler to stabilize it is recommended to avoid exaggerated movement of your facial muscles in the treated area for the first few days. The client should not expose the treated area to intense heat (i.e. solarium and sunbathing) or extreme cold for the first few days after the treatment. This is to avoid the risk of inflammation since the area has been disturbed by the injection procedure. However, once the products are integrated in the body they will adjust to a normal body temperature. A follow up appointment is recommended after 2 weeks to examine the final result of your tissue filler.

How are tissue fillers different from BOTOX® Cosmetic?

BOTOX® Cosmetic temporarily blocks the transmission of signals between nerves and therefore inhibits muscles from contracting, smoothing lines and wrinkles caused by reported facial movements. In contrast, tissue fillers are injected underneath a wrinkle, fold, scar or depression in order to ‘fill’ it in, smoothing the surface of the skin. The combination of BOTOX® Cosmetic and tissue fillers can result in a very satisfying overall facial rejuvenated appearance.