As one of the most common procedures in the beauty world, fillers are gaining traction more than ever.

From common technical errors to rare complications, long-last fillers can even cause permanent damage.

“It is vital that fillers are only done by experienced plastic surgeons or dermatologists,” he tells Emirates Woman. “An additional complication pertinent to long-lasting fillers is unwanted results, as these types of fillers can’t be melted away to correct the outcome.”

To delve into the subject more, Emirates Woman spoke to Dr. Kayle, founder of Dubai’s premium aesthetic clinic about everything to make sure before trying out this cosmetic procedure.

What are the different types of fillers available in the region and how do you decide which one is right for each patient?

There are many types of fillers that are being used. These are divided into temporary fillers, made of hyaluronic acid; long-lasting fillers which include substances such as poly lactic acid that will make the filler last longer because they can’t be absorbed by the body and their role is to stimulate collagen production and permanent fillers, which are made of foreign material that are there to stay.

Permanent fillers are mentioned here just to be condemned as their use entails serious complications. The most common fillers used are hyaluronic acid filters because they can be used in a very controlled way and are absorbed completely by the body within six to eight months. Moreover, they can be easily melted if there is anything the patient doesn’t like by using a special enzyme, hyaluronidase. On the other hand, the longer-lasting fillers, once injected, there is no way to remove them or to reduce their volume smoothly and non-invasively.

What are the most commonly sought-after facial areas for fillers in this region?

In the face, fillers are mostly used to improve the area around the mouth, and the smile lines as well as improving the cheeks especially on the side of the cheek. In addition, fillers are also used to enhance the definition of the jawline.

For each filler available, what are the possible complications?

All fillers have some possible complications in common. These include infection, hematoma (blood under the skin) and to a lesser extent skin necrosis, which is the death of an area of the skin due to blockage of the artery feeding that area by the filler. Therefore, it is vital that fillers are only done by experienced plastic surgeons or dermatologists. An additional complication pertinent to long-lasting fillers is unwanted results, as these types of fillers can’t be melted away to correct the outcome.

What are the warning signs someone should look for post-treatment to indicate there is a problem/issue?

The most important sign of the problem will be skin discoloration, even if it is in an area remote from the injection site. Also, any vision problem should be acted upon promptly.

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What should someone do if they are experiencing one of these negative side effects?

Immediate medical attention is a must in those instances.

Is there any way to rectify a filler that has gone wrong?

Yes, if the filler is comprised of hyaluronic acid, these fillers can be easily melted using hyaluronidase enzyme.

Do you often see patients who have had “dodgy” fillers?

Yes, unfortunately. There are still people who are getting permanent filler injections from unorthodox injectors. This is totally condemned by those of us in the industry who are reputable, and people should be aware of the danger they are subjecting themselves to. They should not go after cheap prices, rather they should always seek the services provided by experienced plastic surgeons or dermatologists.

What advice do you have for those seeking fillers?

Not to overdo things. Each patient should always seek to improve on their look while maintaining harmony among the different structures of the face. More doesn’t necessarily mean better.

Are there any real no-no’s or faux pas’ when it comes to fillers?

Not to use any product except those that are well-known fillers, and which are used by reputable clinics. Never seek the services of anyone other than a well-experienced plastic surgeon or dermatologist, this can’t be overemphasised enough.

Is there anything else you wish our readers to know about this topic?

People should also know about one more alternative to synthetic fillers, which is a filler comprising their own fat. Fat can be harvested using a small syringe from an area of excess fat in the patient, filtered and re-used as filler for the same patient. Fat is the Rolls-Royce of fillers: it is longer lasting, patients can never react negatively to it as it is their own fat, and with fat, stem cells are transferred at the same time. This will improve further the area treated and give the face an additional glow on top of volume replenishment.

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