Wrinkles are part of the ageing process. They can be attributed to sun damage, effects of gravity and muscle contraction resulting from facial expressions such as frowning and laughing. Wrinkles due to the effects of gravity represent natural sagging of tissue with age and are generally only improved by surgical tightening procedures.
The use of injectable soft tissue ‘fillers’ is hugely popular as it offers a simple non-surgical method of improving facial appearance. They work in a completely different way from wrinkle-reducing injections. The basic principle is that plumping, filling, or augmenting tissue can reverse some features of facial ageing, including:
- Loss of fullness in the lips
- Deepening of the lines that run from the nose to the side of the mouth (the ‘nasolabial folds’)
- Lines or wrinkles in the upper lip and other areas of the face
- Depressions in the skin caused by acne and other scars
- A hollow gaunt appearance due to loss of facial fat.
Injection of fillers of whatever types is usually performed as a simple outpatient procedure. Injection of fillers around the mouth and lips can be painful and usually require some form of local anaesthetic to numb the area. New products contain an anaesthetic to make the injection more comfortable. After treatment, some redness and swelling may occur in the treated areas. This usually subsides within a day or two.