When it comes to cosmetic injections, permanent facial fillers may seem attractive, given that they supposedly last a lifetime. However, substances that are permanent cannot be easily adjusted. Time and aging will eventually affect the skin and bones, and facial bones will shrink and atrophy over time. Using permanent fillers or permanent cosmetic injections can make you look “unusual” or unattractive in just a few years.
Permanent fillers are recognized by the body as foreign substances that can often provoke an immune response. When the body detects a permanent filling, it can try to remove it by creating granulomas. This side effect occurs when the body's immune system contains foreign substances that they cannot eliminate. A granuloma presents as a hard, often red lump, often in the place where the filler was injected. When a more permanent solution to facial wrinkles is desired, PMMA is often used instead of collagen replacement therapy or hyaluronic therapy.
PMMA has been used for many years in permanent surgical implants. Because of this, the surgeon is likely to perform underfilling in the first treatment and add more in the future if necessary. Temporary dermal fillers or permanent dermal fillers are used to restore and rejuvenate facial skin without any invasive procedures. This is done by injecting hyaluronic fillers (HA) into the skin. Injections help restore structural support by imparting volume to the skin envelope.
Temporary dermal fillers and anti-wrinkle injections can be modified to accommodate natural facial changes over time. Another advantage of temporary dermal fillers is that you have the freedom and ability to try different types of dermal filler injections to see how they affect your body. For example, softer fillers are used on the lips, while stronger fillers may be desired to enhance cheekbones. Dermal fillers can work wonders for virtually reducing or eliminating facial lines and wrinkles, adding volume to lips and contours, and helping smooth the appearance of acne scars. Permanent fillers leave no room for growth, adjustment, or manipulation as the individual changes or when other parts of the face and facial bones begin to atrophy. Dr.
Gavin Chan points out that once you have undergone a permanent filling treatment, you cannot mix it with temporary fillers because of the risk of developing an infection or complications, including sequelae. Injectable dermal fillers can fill thin lips, improve superficial contours, smooth facial folds, remove wrinkles, and improve the appearance of scars. Andres Gantous from Toronto Facial Plastic Surgery is a world-renowned facial plastic surgeon with more than 20 years of experience working in the field. One of the disadvantages of permanent fillers is that there are reports that a single injection of a permanent filler can develop foreign body-like cells, such as nodules. He points out: “It took me 12 years to make temporary fillers before I actually decided to make permanent fillers. When you add a permanent filler to the dermal layers of the skin, a filler that, unlike an approved temporary filler solution (the good quality time marks), adds a substance that does NOT exist naturally in the body.”The most common temporary facial fillers are Restylane and Juvederm which last between 6 and 12 months.
Semi-permanent fillers include Radiesse and Sculptra which last 1 to 2 years. Artefil and grease are considered permanent fillers.
