Our skin changes as we age. It becomes thinner, loses fat, and no longer looks as plump and smooth as it once did. Facial aging begins in your 20s, when skin firmness begins to decrease as a result of both internal (genetics and natural aging) and external (sun exposure, smoking, stress, etc) factors.
If you are looking to rejuvenate your appearance and fight the effects of gravity, you may have considered a facelift or dermal fillers. A facelift is performed by a plastic surgeon and is a good option to correct sagging skin. Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines, and soften creases. Other than possible bruising, there is no down time with dermal fillers.
A facelift, however, is much more invasive, and downtime is expected. Many people are hesitant to go under the knife, which has led to the rise in the popularity of dermal fillers. There are many different types of dermal fillers to be specifically placed on the face. The most common types of FDA-approved fillers are hyaluronic acid (e.g., Juvéderm®, Belotero® or Restylane), collagen, calcium hydroxylapatite (e.g., Radiesse), and PPLA (e.g., Sculptra®).
For younger patients or those looking to avoid going under the knife, dermal fillers can provide a non-surgical solution to many visible signs of aging. The ideal candidate for dermal fillers is someone who is not ready to commit to permanent surgery, someone looking to treat the signs of premature aging or a non-severe issue, someone who is looking for a fast result, or someone who does not like surgery.
Dermal fillers made their first debut in the 1970s with bovine collagen, a collagen derived from cows. The problem with bovine collagen was the high likelihood of sensitivity, resulting in a lot of swelling and inflammation. The industry needed to develop a better product.
Que the production of hyaluronic acid dermal fillers. Hyaluronic acid is a naturally occurring substance in your skin that helps provide fullness and elasticity. Hyaluronic acid diminishes as we age, causing the skin to lose volume while increasing the chances for wrinkles and folds to appear. In the early 2000s, the FDA cleared hyaluronic acid dermal filler, which ultimately changed the game for fillers. The first hyaluronic acid dermal filler released on the market was Restylane made by Galderma. Shortly after, Allergan quickly released their version of a dermal filler called Juvederm. Since then, competitors have released their versions of hyaluronic acid dermal filler.