Wrinkles are caused by the reduction of elastic fibers that maintain normal skin tension, too much relaxation between the skin and deep tissues, and folding. Insufficient skin moisture, bad living habits, mental factors, malnutrition, diseases and other factors may cause wrinkles.

1. Insufficient skin moisture: If the skin moisture content is less than 10%, the skin is dry and rough, which is easy to cause dynamic wrinkles.
2. Bad living habits: Long-term lack of sleep, excessive smoking and drinking, ultraviolet exposure and other bad living habits can accelerate skin aging and produce wrinkles.
3. Mental factors: If the patient is often unhappy, impatient, withdrawn, and often makes a restrained, nervous, sad expression, etc., it will affect the facial muscles and wrinkles.
4. Malnutrition: If the patient is malnourished, it will reduce the skin muscles and fibrous tissue, causing the skin to be loose and rough, and wrinkles.
5. Diseases: Wrinkled skin syndrome, Werner syndrome and premature aging syndrome can also cause wrinkles.

What Are Wrinkle Filler Injections?

Wrinkle filler injections, often called dermal fillers, are non-surgical treatments designed to reduce the appearance of wrinkles and restore volume to areas of the face that have lost fullness due to aging. These injectables are made of various substances that smooth out lines, add volume, and enhance facial contours.

Most commonly, these treatments are used in areas such as:

‌1. Forehead: The filling layers of the forehead include skin, subcutaneous fat, frontalis muscle, posterior frontalis space, and frontal bone periosteum. The recommended injection layers are the subcutaneous layer and the posterior frontalis space. The safe area is the posterior frontalis space, but the position close to the brow arch is more dangerous. When injecting, pay attention to the distribution of the deep branch of the supraorbital nerve to avoid discomfort to the patient. ‌

‌2. Brow arch: The layers of the eyebrow include skin, subcutaneous fat, the junction of the orbicularis oculi muscle and the frontalis muscle, the brow space, and the periosteum. The recommended injection layers are the subcutaneous layer and the brow space. The inner 1/3 of the eyebrow needs to be cautious, and subcutaneous injection is more recommended, while the outer 2/3 of the eyebrow can be injected superficially into the periosteum. ‌

‌3. Temporal area: The layers of the temporal area include skin, subcutaneous fat, superficial temporal fascia, middle temporal fascia, superficial layer of deep temporal fascia, superficial temporal fat pad, deep layer of deep temporal fascia, deep temporal fat pad, temporal muscle, and temporal periosteum. The recommended injection layers are the subcutaneous layer and the temporal space. When injecting, attention should be paid to the course of the superficial temporal artery and vein to avoid penetrating the superficial layer of the deep temporal fascia.

4.Cheek: The filling of the cheek mainly involves the facial artery, transverse facial artery, buccal branch of the maxillary artery, infraorbital artery, and zygomatic branch of the lacrimal artery.

‌5. Nasolabial groove: The filling of the nasolabial groove mainly involves the branches and continuation of the facial artery, including the lateral nasal artery and the angular artery.

‌6. Upper and lower lips: The filling of the upper and lower lips mainly involves the upper labial artery and the lower labial artery.

Types of Facial Fillers

When considering wrinkle filler injections, it’s important to understand that not all fillers are the same. The type of filler used will depend on your specific concerns and the areas of your face you’re looking to treat. Here are the most popular types of skin fillers for wrinkles:

1. Hyaluronic Acid Fillers

Hyaluronic acid is a naturally occurring substance in the skin that helps retain moisture and adds volume. As we age, hyaluronic acid decreases, which leads to the formation of wrinkles. Hyaluronic acid fillers are the most commonly used wrinkle filler for face.

• Popular brands: Juvederm, Restylane, Belotero
• Best for: Smoothing out fine lines around the eyes, mouth, and lips.
• Duration: Typically lasts 6-12 months.
• Key benefits: These fillers are known for providing immediate and natural-looking results with minimal downtime.

2. Calcium Hydroxylapatite Fillers

Calcium hydroxylapatite is a mineral-like compound found in bones, and when used as a filler, it is thicker and provides more structure. This filler works by stimulating your skin’s natural collagen production.

• Popular brand: Radiesse
• Best for: Deeper wrinkles and volume loss, particularly in the lower face.
• Duration: Lasts about 12-18 months.
• Key benefits: Great for adding volume and improving the appearance of deep wrinkles. It also stimulates collagen growth over time.

3. Poly-L-Lactic Acid Fillers

Unlike hyaluronic acid or calcium-based fillers, Poly-L-Lactic acid (PLLA) is a synthetic substance that works by stimulating collagen production. Results from PLLA fillers develop gradually over several months.

• Popular brand: Sculptra
• Best for: Treating volume loss and improving skin texture over time.
• Duration: Results can last up to 2 years or more.
• Key benefits: Ideal for those who want long-term improvements in skin texture and volume restoration.

4. Autologous Fat Injections

Autologous fat injections, also known as fat transfer, involve harvesting fat from another area of your body (such as your abdomen or thighs) and injecting it into areas that have lost volume. This method offers a natural solution for those seeking a more permanent volume enhancement.

• Best for: Deep volume loss or contouring the face.
• Duration: Long-lasting but can require maintenance over time as some fat may be reabsorbed by the body.
• Key benefits: The use of your own fat reduces the risk of allergic reactions and provides permanent results.

5. Polymethyl Methacrylate (PMMA) Fillers

PMMA fillers consist of tiny microspheres suspended in a gel-like substance. They are typically used for treating deep wrinkles and acne scars. PMMA offers a permanent solution for volume loss.

• Popular brand: Bellafill
• Best for: Deep wrinkles and acne scars.
• Duration: Permanent results.
• Key benefits: Excellent for those looking for long-lasting correction of deeper wrinkles and scars.

Benefits of Facial Fillers

Wrinkle filler injections offer numerous advantages, making them a top choice for people seeking a non-invasive anti-aging treatment.

Effects visible video:

under eye trough filler–https://youtu.be/goEpw5SI8D0

1. Instant Results

One of the primary reasons people opt for wrinkle fillers is the immediate improvement they offer. As soon as the treatment is administered, you can see a reduction in wrinkles and a smoother, more youthful appearance.

2. Non-Surgical & Minimally Invasive

Unlike facelifts or other surgical procedures, facial fillers are minimally invasive, requiring no downtime or lengthy recovery. Most people can return to their normal routine immediately after treatment.

3. Natural-Looking Enhancement

When applied correctly, wrinkle fillers provide natural-looking results that enhance your facial features without giving you an overdone appearance. This is one of the main reasons fillers are preferred over surgical options.

4. Stimulates Collagen Production

Certain types of fillers, such as Sculptra and Radiesse, not only fill wrinkles but also promote collagen production in the skin, improving the overall texture and elasticity over time.

5. Safe for Most Skin Types

Injectable wrinkle fillers are generally safe for most skin types and tones. They can be customized to suit your specific needs, whether you want to treat lip lines, under-eye hollows, or nasolabial folds.

Risks of Facial Fillers

While wrinkle fillers offer many benefits, it’s important to consider the potential risks involved. Like any cosmetic procedure, dermal fillers come with certain risks.

1. Allergic Reactions

Though rare, some patients may experience allergic reactions to the filler material. Symptoms can include swelling, redness, or itching at the injection site. It’s important to undergo a patch test before the procedure.

2. Bruising and Swelling

Bruising and swelling are common side effects after the procedure, but they usually subside within a few days to a week. Following aftercare instructions can help minimize these effects.

3. Infection

As with any injectable treatment, there is a risk of infection at the injection site. This is why it’s crucial to choose a certified and experienced practitioner who follows proper hygiene protocols.

4. Lumps or Irregularities

Occasionally, fillers may cause lumps or unevenness in the skin. If this happens, your practitioner may massage the area to redistribute the filler or recommend follow-up treatments to correct the issue.

5. Vascular Occlusion (Rare)

A rare but serious risk is vascular occlusion, where the filler is accidentally injected into a blood vessel, blocking blood flow. This can lead to tissue damage and should be treated immediately. Choosing an experienced injector significantly reduces this risk.

Who is a Good Candidate for Wrinkle Filler Injections?

Wrinkle fillers are ideal for individuals looking to reduce fine lines and restore volume to areas such as the cheeks, lips, and under-eye region. Candidates should be in good health and have realistic expectations. It’s important to consult with a qualified professional to determine which type of wrinkle filler for face will work best for your concerns.

How to Choose the Right Wrinkle Filler for You

1. Safety: Choose a filler brand that has proven to be highly safe and certified, and avoid using inferior products.
2. Effect: Choose a filler that suits you based on individual differences and needs, and communicate with your doctor in advance about the expected effect.
3. Duration: Choose the type and brand of injectable filler based on your personal expectations for the effect and duration of maintenance.
4. Affordability: The prices of different fillers vary greatly, so choose according to your personal economic ability.

Aftercare and Recovery

After getting wrinkle fillers, it’s important to follow the aftercare instructions provided by your practitioner. This typically includes avoiding strenuous exercise, staying out of the sun, and refraining from massaging the treated areas. Most patients experience minimal downtime, but swelling or bruising can occur, which usually resolves within a few days.

Conclusion

Wrinkle filler injections offer a safe, effective, and non-surgical solution to combat the visible signs of aging. With different types of fillers available to suit your needs, these treatments can help restore facial volume, smooth out wrinkles, and give you a more youthful appearance. However, it’s essential to understand both the benefits and risks involved before making a decision. Always consult with a qualified professional to ensure you receive the best results for your goals.