Refresh and restore your look
Improve the signs of ageing with dermal fillers treatment. Natural looking results.
Dermal fillers treatment are injectable gel-like substances that can be used for many cosmetic enhancements. The approach to the aging face takes into account the various changes, and also the different treatment strategies to target the multiple components of the aging face.
Dr. Ng employs dermal fillers as part of many facial sculpting treatment plans and to address signs of aging and concerns. Dermal fillers can be used to add volume, reduce lines, wrinkles, and folds on your skin.
With more than decade of experience, Dr. Ng believes in customising the right blend of complementary treatments for each patient. He often uses multiple types of fillers, pairs fillers with neuromodulators, and enhances results with lasers or other skin treatments.
Fat was the first filler substance used. In the late 19th century, Dr. Neuber, a German surgeon transplanted fat from the arm of a man to fill a facial defect. Today fat grafting is a common procedure to volumise the face and many body areas, but the average fat survival rate is only about 25% to 30%, and the procedure is associated with surgical risks. Collagen fillers entered the market in the early 1980s, but were associated with allergic reactions, did not last very long (3-4 months on average), and were derived from animals thereby raising concerns of cross infection.
Today, with the advancement of biocompatible fillers and a greater understanding of age related changes, there is an ever increasing number of fillers treatment entering the market. It can be indeed be overwhelming for a consumer to decide which works best for you.
To understand which fillers treatment to go for, you need to know the individual properties of the fillers. A consultation with your doctor to discuss the benefits, suitability and level of expected improvement is needed before any filler procedure. Individuals vary, and so does the treatment response.
Although there is no 'ideal' filler at present, there are some characteristics that are important in terms of safety and efficacy:
Hyaluronic acid (HA) fillers are gel based injectable fillers. Hyaluronic acid forms an integral part of human tissue; it provides a supporting framework for collagen and elastin to bind. It hydrates the skin due to its water binding ability, volumising the treatment areas and reducing lines, wrinkles and folds.
Although abundant in youth, the passage of time and environmental factors such as UV exposure depletes the presence of hyaluronic acid within the skin. The arrival of Hyaluronic Acid (HA) fillers in the USA in the 2003 disrupted the way we look at fillers and has since become the dominant filler type used today.
Modern day synthetic HA fillers treatment are non-animal sourced derived, have low allergic potential, lasts much longer (thanks to cross-linking technology), and has a greater element of safety. HA fillers are reversible with the enzyme, Hyaluronidase.
Radiesse is a calcium hydroxyapatite (CaHA) filler. The CaHA particles act as a scaffold for new tissue formation and collagen deposition. These CaHA microspheres slowly degrade over time by the body's metabolic pathway.
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Poly-L-lactic acid Fillers consist of micro particles of poly-L-lactic acid (PLLA). Following injection of PLLA into the skin, an inflammatory response leads to collagen formation and subsequently volumisation.
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Polycaprolactone Fillers consists of polycaprolactone smooth microspheres suspended in an aqueous carboxymethylcellulose gel vehicle.
It works by not only filling up your lines and wrinkles, but also by stimulating your body's own collagen for longer lasting natural results.
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A consultation and aesthetic assessment is necessary to understand your concerns, expectations and suitability for filler treatments. During consultation, your doctor may ask details of your medical history, medication/surgical/dermatological history, scarring potential e.g. keloids, current pregnancy/breastfeeding status, allergies, reactions and timing of previous aesthetic procedures.
Facial ageing approach takes into account the different layers of the skin, fat, muscle, ligaments and bones. With a patient tailored approach, Dr. Ng uses a combination of aesthetic treatments that are unique to your skin type and condition; botulinum toxin injections to relax the muscles, Pico lasers for pigmentation and skin resurfacing, vascular laser for facial redness and veins, RF microneedling for skin tightening and skin rejuvenation, Threads for lifting.
The most common side effects are temporary injection side swelling, discomfort and bruising, which typically fade in 7 days.
Some individuals may develop lumps under the site of injection. This is more common under the lower eyelids where the skin is thinner and on the lips.
Quite uncommonly, fillers may lead to skin infections and may trigger an allergic reaction in susceptible individuals.
A serious but fortunately rare complication of fillers treatment is the accidental injection of filler into the blood vessel. This can cause the skin that is being supplied to the blood vessel to die if steps are not taken to salvage it on time. There have been cases of individuals going blind/stroke following filler injection, especially to the nose, glabella and forehead filler injections, as the blood vessels supplying these areas share the same path to the eyes.
Depending on the filler type, location injected and volume used, you may see an immediate result. However, there may be associated swelling with the filler treatment over the next few days which eventually subsides. For some of the longer lasting fillers e.g. PLLA, CaHa, PCL, improvements are more appreciable over time due to continued collagen formation and remodelling.
The cost of your dermal filler treatment will depend on the number of injections and type of injections required. You will receive all pricing information associated with your treatment prior to scheduling any procedures.
Dr. Moses Ng is a distinguished professional in the field of aesthetic medicine, renowned for his expertise in advanced cosmetic procedures. With over 15 years of experience, extensive training and a keen eye for detail, Dr. Ng specializes in a wide range of treatments, including injectables, laser therapies, and acne scar management.
Dr. Moses Ng’s commitment to excellence and patient-centric approach have earned him a reputation as a trusted clinician in aesthetic medicine. His continuous pursuit of the latest advancements in the field ensures that his patients receive the highest standard of care and the most effective treatments available.
