Frequently Asked Questions
Hyaluronic acid fillers are one of the most popular cosmetic treatments in the world. They are relatively safe and complications are uncommon. The potential risks with fillers include:
Bruising, Swelling, Bleeding
It is normal to get some swelling after any filler treatment and this usually takes a few days to settle. Some patients may like the initial volume after treatment that reduces after a few days so they think the filler has dissolved but this is actually the swelling improving. Some patients patients may also experience bruising or bleeding which is can be related to medication being taken. Some medicines such as aspirin and herbal supplements can increase your risk of bleeding and bruising.
Allergic reactions to hyaluronic acid products are vary rare. If you have a history of severe allergic reactions or anaphylaxis then you should not have the treatment.
All patients have some degree of asymmetry and fillers are often used to try and correct asymmetries. Some patients will, however, notice slight asymmetries after treatment as they become more aware and scrutinize their face more after treatment.
Nodules or Granulomas
These are uncommon with hyaluronic fillers but can occur. Granulomas are lumps that form as a reaction to a foreign substance in the body. These are more common with permanent fillers and certain types of temporary fillers. If lumps form with hyaluronic acid fillers they can often be dissolved with an injection of hyalase. Granulomas from other fillers may need surgical removal.
Sometimes fillers can migrate or move from the area of injection to the surrounding area. This can be caused by rubbing or injury to the area.
Infections are uncommon after these treatments.
Necrosis or death of the skin is a rare complication of filler injections. This occurs if the filler blocks tiny blood vessels or if the pressure from the filler reduces the blood supply to the skin.
There are a few reports of blindness following filler injections. This is a very rare complication with about 100 cases worldwide. This arises when filler enters the bloodstream around the face and travels to the vessels in the back of the eye.
There are a number of different types of hyaluronic acid fillers. How long they last depends on the type of product but generally they can last from 6 months up to 18 months. The softer products such as Volbella or Juvederm 3 last about 6-9 months. The intermediate ones such as Juverderm 4 or Volift last between 9-12 months. The thicker products such as Voluma can last up to 18 months. These are just rough guides as it also depends where the filler is injected. Your body may also break down the products more quickly.
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Before and After
This patient underwent filler rhinoplasty using Juvederm Voluma. This has helped soften the dorsal hump on her side profile. Some filler has also been used to try and rotate the tip of the nose upward.
Amazingly talented surgeon. I would 100% recommend him.
From start to finish the service was nothing but professional. I would recommend to anyone wanting breast augmentation.
Fabulous skilled surgeon! Dr Reza Nassab is a great plastic surgeon. He did my fillers rhinoplasty for the second time now and I will only come back with him.
I received an excellent service from Mr. Nassab over the cour.se of several weeks regarding the removal of a birthmark / mole.