A dermal filler is defined as a product or medical device implants which is injected into the dermis to make a smoother and fuller appearance in the face, nasolabial folds, volume of back of the hand, lips and cheeks. Patients are advised not fiddle with the treated areas as may shift the product applied. The history of dermal fillers can be traced back to the time period of 1800s, when transplanted fat was used to treat cosmetic deformity. Since then, physicians have been intrigued by many substance that can be called as a surreal dermal filler. Aesthetic medicine researches have moved at a sluggish speed to work out a dermal filler that can ne plied as an ideal commercial dermal filler.
When Food and Drug and Administration of USA approved ZYDERM 1 as first injectable substance in 1981, it marked an important landmark in the arena of dermal filling for augmentation of soft-tissue. Zyderm 1 gained momentum as effective remedy to correct shallow scars and fine lines; nut the results were not long lasting. Though the results were pretty short-lived, Zyderm 1 could effectively treat marionette lines also called smile lines, nasolabial folds and rhytides. Aesthetic surgeries remained rife with the use of Zyderm 1 for more than 20 years and contributed to the development of many other dermal fillers like bovine collagen (which forms a major proportion of tissues and skin. Cow or human cells are said to be sources of purified collagen) and surgically implanted materials. Zyderm 1 fell short because of the chances of bovine collagen allergy which entails test of the skin before the initial treatment and short term results.
In 1983 Zyderm II and Zyplast were also approved by FDA which overcomes the problems of short term results and bleak results of filling the folds and scars. In 2003, FDA approved Hyaluronic acid dermal filler which is a type of sugar present in cartilage and skin. Its ability to mix with water and swell up in the form of gel gave an amazing filling effect. The acid sometimes chemically calibrated to make its’ effects last a little longer (6 to 12 months). In 2015 FDA passed a warning in the interest of public health about the dangerous consequences if the dermal fillers are indeliberately introduced in the blood vessels of the face. This could result into strokes, death of skin cells and underlying structure of the face, blindness and vision problems.
In India, Indian academy of facial aesthetics provides dermal filler training courses where the dentists, healthcare professional and physicians teach how these can be coordinated with aesthetic surgeries to create perfect marionette lines, lip lines and wrinkle free face. The academy also offers mastership and fellowship status and provides you a wholesome course that integrates education and procedures of the dermal filling. In depth training in anatomy and circulatory system of maxillofacial and oral areas, tests of the patients for better facial aesthetic results, risks of botulinum toxin and dermal filling are also provided.