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Indian Journal of Dermatology, Venereology and Leprology
Medknow Publications on behalf of The Indian Association of Dermatologists, Venereologists and Leprologists (IADVL)
ISSN: 0378-6323
EISSN: 0378-6323
Vol. 74, No. 7, 2008, pp. 23-27
Bioline Code: dv08138
Full paper language: English
Document type: Special Article
Document available free of charge

Indian Journal of Dermatology, Venereology and Leprology, Vol. 74, No. 7, 2008, pp. 23-27

 en Standard guidelines for the use of dermal fillers
Vedamurthy, Maya

Abstract

Currently used fillers vary greatly in their sources, efficacy duration and site of deposition; detailed knowledge of these properties is essential for administering them. Indications for fillers include facial lines (wrinkles, folds), lip enhancement, facial deformities, depressed scars, periocular melanoses, sunken eyes, dermatological diseases-angular cheilitis, scleroderma, AIDS lipoatrophy, earlobe plumping, earring ptosis, hand, neck, dιcolletι rejuvenation.
Physicians′ qualifications : Any qualified dermatologist may use fillers after receiving adequate training in the field. This may be obtained either during postgraduation or at any workshop dedicated to the subject of fillers. The physicians should have a thorough knowledge of the anatomy of the area designated to receive an injection of fillers and the aesthetic principles involved. They should also have a thorough knowledge of the chemical nature of the material of the filler, its longevity, injection techniques, and any possible side effects.
Facility: Fillers can be administered in the dermatologist′s minor procedure room.
Preoperative counseling and informed consent: Detailed counseling with respect to the treatment, desired effects, and longevity of the filler should be discussed with the patient. Patients should be given brochures to study and adequate opportunity to seek information. Detailed consent forms need to be completed by the patients. A consent form should include the type of filler, longevity expected and possible postoperative complications. Preoperative photography should be carried out.
Choice of the filler depends on the site, type of defect, results needed, and the physician′s experience.
Injection technique and volume depend on the filler and the physician′s preference, as outlined in these guidelines.

Keywords
Wrinkles, Static wrinkles, Aging, Scars, Fillers

 
© Copyright 2008 Indian Journal of Dermatology, Venereology and Leprology.
Alternative site location: http://www.ijdvl.com

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