NATURE AND SCOPE OF THE TREATMENT

The dermal fillers, from the medical and aesthetic point of view, can be used for corrections, such as: face asymmetries, wrinkles, filling lines, correcting lip ptosis. Dermal fillers are used to correct volume loss, shape, contour and reduce the appearance of fine and/or deep lines.

PROCEDURE & PRODUCT

The procedure consists of implanting the appropriate product in the subcutaneous areas. For this purpose a CE approved medical device shall be used. The product contains hyaluronic acid, cross-linked agent for hyaluronic acid, may contain sodium chloride and water for injection purposes.

The doctor shall inform you at the consultation regarding the product composition and meaning and health implications of each compound.

PROCEDURE STEPS

The Consultation aims to discuss the procedure in detail, including past medical history, risks, expectations, alternative treatments, quantity needed and any other information about the procedure. All your questions will be answered and please feel free to ask anything so that you fully understand the procedure. If you are deemed suitable for the procedure, considering your medical history, then you will be given as much time as you need for making a decision whether you would like to proceed with the treatments (Patient Time for Reflection “Cooling Off”).

Please note that even if you decide to proceed with the treatment, after your time for reflections, you can choose to stop the procedure at any time, if you do not feel comfortable or if you do not believe it is in your best interest to proceed.

BEFORE THE PROCEDURE RECOMMENDATIONS

Before the Procedure the following activities are forbidden: alcohol use for a period of minimum 12 hours, inform us if you are using medication, aminoglycosides, spectinomycin or any medicine that interferes with the neuromuscular system, or with blood clotting or skin. Please try to have a full breakfast in the morning of the procedure.

Injecting the product is contraindicated in the following situations: sun exposure, smoking, pregnancy and breastfeeding, certain medication for blood, muscles, skin or for psychological disorders, individuals with hypersensitivity to any of the compounds of the product, autoimmune diseases, leukemia, infectious diseases, blood clotting problems, infectious diseases, herpes, acne, unhealed skin problems, individuals with complications after surgeries or with permanent products injections (silicon, acrylic polymers, dextran), untreated infectious peridontitis, severe myasthenis, multiple sclerosis, Lamberton-Eaton syndrome, ALS, Parkinson or any other diseases that affect the muscles, blood or skin.

DURING THE PROCEDURE

Before the procedure, the agreed areas will be marked and discussed with the patient, afterwards the area is cleaned and disinfected, with the targeted area isolated. Multiple sessions may be required to achieve the desired outcome, the doctor shall inform you on this aspect. Once localised, the product is then injected. Once the agreed quantity has been injected the area may be massaged, if needed, to spread the product which will create a softer and more comfortable feel. There is no need to massage the area again once this is done, and it is not recommended at all to do so after the procedure, unless the doctor specifies this in the post-op care you will receive.

The patient is then able to view the results. Results after the procedure are not final due to potential swelling and other body reactions. The final results will begin to appear after 1 to 3 weeks.

In any case, top-ups may be required.

RISKS & SIDE EFFECTS

Every procedure involves a certain amount of risk and it is important that you understand these risks and the possible complications associated with them. In addition, every procedure has limitations. An individual’s choice to undergo this procedure is based on the comparison of the risk to potential benefit. Even though Hyaluronic Acid is a natural component of the body, with injecting it there is a small possibility to provoke a body response as if the molecule was a foreign body. Usually, such reactions are temporary, but in very rare cases they are permanent and require melting of the filler. The possibility of additional risk factors or complications attributable to the use of hyaluronic acid filler as a soft tissue filler may be discovered, but highly unlikely. In general, side effects occur within the first few days following injection. They usually last only for a short time, but they may last for several months and in rare cases, longer. The quality of the clinical outcomes of the treatment cannot be evaluated apriori, and precise guarantees cannot be given about the result obtainable with this treatment, since the response and the individual conditions may be essential in determining the clinicalresponse of the treated patient. Among the risks and side effects of the procedure include bruising, infection, swelling, pain, needle marks, acne like skin eruptions, skin sensitivity, erythema (skin redness) andasymmetry. These risks are usually temporary and solved on their own. If the asymmetry is not corrected on itsown, touch-ups may be required, with a risk of under/ over correction. The less likely risks include migration of filler, skin lumpiness, bleeding, visible tissue filler material, granulomas and unsatisfactory results. Some very unlikely risks are severe complications, damage to the deeper structures, leakage of filler material, skin necrosis, open or draining wounds, healing problems, allergic reactions, hypersensitivity, drug and local anaesthetic reactions, depigmentation, venous thrombosis (clot) and sequelae, fat/air embolism, persistent swelling (lymphedema), antibodies to fillers, accidental intra-arterial injection, scarring. Unforeseen risks may require hospitalisation and/or extended outpatient therapy to permit adequate treatment.

AFTER THE PROCEDURE

The practitioner/doctor will inform you on the post-op recommendations, what to expect in terms of healing process, and answer any questions that you might have. After the Procedure the following activities are forbidden, for at least 3 weeks in most cases: manipulating the area(s) of injection, alcohol use, exposure to sun or other types of radiations, extreme temperatures (such as hot/cold showers, sauna, etc), using products for skin that are not recommended by the doctor for the area undergoing the procedure, makeup (may be not recommended for a period of time), any movements or actions of/on the area that can affect or traumatize the area (such as massaging the area, hitting, procedures or treatments on the area unless previously being assessed and deemed suitable by a healthcare practitioner).

There may be some swelling and bruising post procedure whichis a normal reaction, if any concerns please contact the Dr Ducu London team. Dr. Ducu London team will always keep in contact with you to ensure you are well and for any enquires please feel free to contact us any time.