Cosmetic Injectables–Dermal Fillers

Cosmetic Injectables – Dermal Fillers

Moderna Vaccine Interaction with Dermal Fillers

The FDA has reported that the Moderna COVID-19 vaccine may cause facial swelling (angioedema) in people who have facial fillers. In all three cases reported by the FDA, the swelling was localized and either resolved itself without intervention, or after simple treatment. Furthermore, according to FDA medical officer Rachel Zhang, a flu vaccine, and influenza have been known to trigger these side effects as well.

Our immune system is designed to counteract any foreign substances. Certain unknown factors following a viral infection, or vaccination, may occasionally cause your body to view your dermal filler as extrinsic, causing such reactions as facial swelling and inflammation. This is a rare side effect, and it is easily treatable with antihistamines and prednisone, which is a type of steroid.

While cosmetic patients should be aware of the possibility of localized swelling in response to the vaccine, it is important to remember that these cases are rare and the effects are easily treatable. All patients should consider the benefits of receiving the vaccine along with the reported risks. This shouldn’t stop anyone from getting preventative treatment, or from getting facial filler.

If patients who have had facial fillers notice any swelling at the site of their filler injection post Moderna vaccine administration, please notify the office so we can assess the need for treatment.

Dermal Fillers

Hyaluronic Acid (HA) fillers have revolutionized the treatment of facial aging. These fillers come under many names including Restylane® Refyne, Restylane® Defyne, Restylane® Lyft, Juvederm® Ultra, Juvederm® Ultra Plus, Juvederm® Voluma.

They are all variations of Hyaluronic Acid a naturally occurring substance that is present throughout the body and binds with water molecules, which furthers the youthful plumpness it provides our skin. As we age, our skin loses some of its hyaluronic acid as well as soft tissue volume. This loss of volume and hydration causes our skin to appear sunken and wrinkled. All of the above products are non-animal-based and completely bio-compatible with human hyaluronic acid; therefore, no allergy test is necessary.

Facial aging involves many factors. Fillers can address most of these problems and to some extent are more effective than surgery for certain areas of the face. Done in moderation HA filler injections look natural. HA is the only product prescribed for lip enhancement.

Almost all the fillers now have a local anesthetic incorporated into the HA and that makes a procedure pain free and well-tolerated. A topical anesthetic cream could also be used for extra comfort. Most HA fillers last 6 months to 2 years. The longevity of the result depends on the type of filler and the location of the injection. It is nice for patients who are nervous about fillers to know that quick and full reversal is available by injecting an enzyme that dissolves the HA overnight.

You may be a candidate for these treatments if you wish improve the appearance of:

  • Volume or fat loss in the face
  • Moderate to severe folds or wrinkles
  • Under eye circles
  • Sunken cheeks
  • Need for fill in nasolabial folds

What can I expect?

Facial assessment and mapping.
The practitioner will evaluate your general health status and any pre-existing health conditions or risk factors, discuss your available options, evaluate your facial appearance and skin tone and examine the areas of your face to be augmented. Strategic points on your face may be marked as the appropriate injection sites for the filler. Photographs of the areas to be treated will be taken.

 

How long does it last?

Most patients see immediate results that last six months up to two years. The longevity of treatment is dependent on many factors including the product used, age, skin type, lifestyle, activity of the muscle, and injection site. The lips may require re-treatment sooner due to frequent use of the muscles of the mouth. Rarely, individuals may absorb it more readily. Over time, hyaluronic acid slowly absorbs into the skin in the same way the body metabolizes its own natural hyaluronic acid.

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