Many methods and substances have been used to treat facial wrinkles and to conceal the effects of aging on the face. In addition to formal surgical procedures, laser treatment and botulinum toxin there are a large number of fillers available which can be injected as an outpatient. These are the subject of this information sheet.
Types: Dermal fillers may be biocompatible or synthetic and are marketed alone or in combination.
Biocompatible fillers have a perceived safety record and are reabsorbable. However the period of benefit is of limited duration normally lasting about 6 months. Synthetic fillers are permanent but are associated with rejection, migration and granuloma formation and are unable to change with the ageing face. In the case of an adverse reaction removal is almost impossible to achieve. There are few indications in current practice for the injection of synthetic fillers to the correct lines and effects of ageing.
They are included for reference rather than recommendation.