Dermal Fillers

Discover which is the best dermal fillers in Malaysia

What are dermal fillers?

Dermal fillers are also commonly known as soft tissue fillers. They comprise a range of substances which may be injected into the skin to volumize certain areas and reduce wrinkles, resulting in a rejuvenated and enhanced appearance.

Some of the signs of ageing include bony changes, loss of soft tissue fullness with redistribution of facial fats, and loss of tissue elasticity. Dermal fillers injection can address these signs of ageing, replenishing the loss of volume, and providing the necessary support where required.

It can be done either on itself or combined with other Aesthetic Medicine treatments such as non surgical face lift to achieve even better, natural looking results. 

 

What are the (potential) side effects of dermal fillers?

Dermal filler injections are a relatively safe procedure, with minimal unwanted adverse effects when performed properly. The most common unwanted side effects would include minor pain, bleeding, bruising and swelling. These would usually subside in a matter of days, and leave no long lasting repercussions.

However, that is not to say that there aren’t any potential serious adverse effects from getting a dermal filler injection. The worst possible outcome is blindness and tissue necrosis (death of skin tissue), and thankfully these are extremely rare.

Equally distressing complications that may occur due to poor injection technique include lumpiness after injection, and something known as Tyndall effect (photo below). Tyndall effect is a bluish discolouration of the skin due to inappropriate placement of the hyaluronic acid dermal filler superficially.

Patient in above photo experienced Tyndall effect due to inappropriate filler placement by another clinic. Thankfully we were able to reverse the effects with dissolving enzyme. Consent obtained for use of image.

All these complications can generally be avoided by a knowledgeable and experienced injector. The detailed knowledge of facial anatomy, with proven injection techniques, as well as the know-how of dealing with the complications should they occur is invaluable.

Will it change my appearance? What is Facial Overfilled Syndrome/Pillow Face?

As with anything else, too much of a good thing can be a bad thing. At Dr Bob Clinic, we believe that dermal fillers are very much like seasoning for food. Just the perfect amount of seasoning would elevate a dish, but too much seasoning would completely destroy the dish.

Although dermal fillers can produce instantaneous and excellent results for facial rejuvenation, injudicious use can result in an unnatural and deformed appearance.

Facial Overfilled Syndrome and Pillow Face refers to the unfortunate phenomenon where individuals have undergone dermal fillers with exaggerated results. This distorts the natural facial anatomy and produces monstrous results.

It is so common nowadays to see people with this kind of dermal filler disaster. It is both the fault of the doctor as well as the patient that they do not practise restraint when getting aesthetic procedures done.

At Dr Bob Clinic, we combine dermal fillers with other procedures such as non surgical face lift, to produce excellent and natural looking results. 

Everyone will notice, but no one will know

Are dermal fillers suitable for men as well as women?

Yes of course. Dermal fillers are suitable regardless of your gender. More and more men are now seeking aesthetic treatments to enhance their appearance.

However, be careful when choosing which doctor you go to for dermal fillers, because as a man, generally you would not want to be overly feminised. There are certain masculine features that has to be preserved and/or enhanced for optimal results. 

Above: Photos of a client before and after dermal filler injections for facial rejuvenation at Dr Bob Clinic. Consent obtained for use of image. Photos are for reference only, individual results may vary.

 

Hyaluronic acid dermal fillers in Malaysia: MiFill, Juvederm, Belotero, Restylane, Teosyal, Neauvia

Hyaluronic acid dermal fillers are the most commonly used dermal fillers. It accounts for 4 out of 5 dermal fillers injected in the US. The ease of use and the high safety profile makes it the most popular type of dermal filler for new and experienced users alike.

The commercially available brands of dermal fillers in Malaysia include Juvederm, Belotero, Restylane, Teosyal and Neauvia. MiFill has also joined the rank of hyaluronic acid dermal fillers approved by the Ministry of Health Malaysia. 

Hyaluronic acid dermal fillers are supposedly reversible, which means that should things go wrong, it is possibly removed with the injection an enzyme that catalyses the hyaluronic acid.

However, that does not mean that hyaluronic acid injections should be taken lightly, as the reversibility seems to be only partial in a lot of cases, and would require repeated injections of the enzyme to achieve significant reversal. Prevention is still the best cure, and nothing trumps good technique and good sense during the injection itself.

Hyaluronic acid is also found in Hyaluronic acid skin boosters. While both hyaluronic acid dermal fillers and skin boosters are both consist of hyaluronic acid, the degree of cross-linking affects the properties and therefore the function. Hyaluronic acid skin boosters are not used for volumization, but rather for skin hydration and bio revitalisation.

Most skincare products also contain hyaluronic acid as a moisturising ingredient. Hyaluronic acid can bind water up to 1000 times its own weight. Dr Bob Remedies Hydromax Essence combines the hydrating properties of hyaluronic acid with vitamins B3 and B5 to improve skin tone.

Biostimulators: Ellanse and Radiesse dermal fillers

Ellanse (Polycaprolactone) and Radiesse (Calcium Hydroxyapatite) are what is known as biostimulator fillers, which means when it is injected under the skin, the substance would induce our tissues to generate collagen.

Unfortunately, many doctors shy away from the use of Radiesse and Ellanse due to the reason that it is non-reversible, and requires more advanced techniques of injection. 

However, in the right hands, biostimulators can produce superb results that are unmatched by hyaluronic acid injections. 

Conclusion: Which is the best dermal fillers in Malaysia?

Depending on your condition, your treating physician might choose different types of dermal fillers for your face, and might even recommend a combination treatment with other modalities, such as non surgical face lift.

Across the Hyaluronic acid dermal fillers, the concentration and degree of cross-linking as well as the technology used to cross-link would affect the characteristic of the filler. Different brands employ different cross-linking technologies for their products, hence comparing one brand to another is comparing apples to oranges.

The most important thing is that your doctor knows in detail about the hyaluronic acid product that they are using, to be able to deliver best results.

Radiesse and Ellanse are versatile dermal fillers that can be used in a global approach. Injection of biostimulators produces immediate results that can last up to 48 months.

The initial volumising effect with biostimulators is actually contributed by the carboxymethylcellulose gel carrier. The biostimulator particles would subsequently interact with our tissues to induce the production of long lasting collagen production.

Very much like non surgical face lift procedure, these kinds of dermal fillers not only volumises our face, but the collagen stimulating effect also produces outstanding skin tightening results to address fines lines, wrinkles, and loose sagging skin.

It is important to discuss with your treating Aesthetic Doctor about your concerns, and the best product as well as the injection methods employed to address such concerns. An experienced Aesthetic Doctor would take into consideration your concerns and suggest a treatment most suited to your condition.

Why come to Dr Bob Clinic for dermal fillers?

Dr Bob John has vast knowledge and experience in the field of Aesthetics Medicine. He is renowned for his injection skills, and has been engaged as a trainer for dermal filler injections, where he shares his knowledge and experience with other aspiring young doctors.

He is among the select few doctors who are experienced and proficient in administering different types of dermal fillers including Hyaluronic acid, Radiesse and Ellanse. He has familiarised himself with advanced injection techniques to deliver best results and minimising unwanted side affects.