Fuller cheeks, plump lips, smooth and wrinkle-free skin and no fine lines- these are some of the features of our face which usually get dull with age and lifestyle often replaced by fine lines, wrinkles and less volume. To get that youthful appearance back, various injectable treatments like botox and dermal fillers are being employed largely these days. But is it really worth the hype? Is it safe to get your “skin” injected?

Before anything, one should know subtle differences between botox treatment and dermal fillers.

1. First and foremost point worth noticing is that botox is a purified form of a toxin obtained from bacteria, namely botulinum, meaning that it is deadly in larger amounts. Though really little amount has worked safe for wrinkles. But dermal fillers are basically gel-like substances which are injected beneath the skin to give volume to the skin, smoothening crease lines and wrinkles, plumping lips and thus regenerating that youthful skin. Moreover, fillers made of hyaluronic acid are like your skin’s friends as it is naturally found in your skin. Besides that, there are other components as well used for making fillers like PMMA, CaHA, and more; and all of these are and in fact should be approved by the FDA.

2. Botox treatment tends to last for 3-4 months while dermal fillers can last anywhere between 6 months to even 2 years.

3. Botox doesn’t deal with fine lines and wrinkles, instead with wrinkles and lines caused due to muscle movement, also called as dynamic wrinkles. But dermal fillers are designed to treat numerous signs of aging, namely static wrinkles. Thus depending on the type of filler, one can go for lip plumping or enhancing shallow face areas or reducing wrinkles around the face to include others.

Dermal Fillers Are:

  • For smooth brow furrows, crow’s feet and frown lines
  • For smooth under eyes or for tear troughs
  • For lifting and enhanced cheeks
  • For smooth marionette lines (two extremely distinct lines running from corners of one’s mouth to either side of the chin)
  • For plump lips
  • For rejuvenation of your hands as the skin tends to loosen up and thus, wrinkle
  • To soften nasolabial folds, that is, smile lines which usually last for an year but can also extend more than that
  • For smoothened vertical lip lines and chin wrinkles
  • Lastly, to fill in acne scars

 

Various brands like VOLUMA, Juvederm and more have their fillers for tackling one or more of the above filler requirements. Dr. Divya Sharma will choose the one curing the concerned issue and thus, working the best.

Perfection comes with practice and experience, so choose an experienced doctor for your skin!

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Frequently asked questions

We now have an FAQ list that we hope will help you answer some of the more common ones.

1. What is a chemical peel?

In this procedure, an agent is applied to the skin which causes exfoliation of the skin and gives a regenerated surface that looks younger and better.

2. Can we do chemical peels at home?

They should not be attempted at home and should be done by a qualified Dermatologist only.

3. What are the uses of chemical peels?

The chemical peel can be used for pre-party glow, superficial lines and wrinkles, active pimples and scarring to even tough to treat conditions like stretch marks. Depending on the type, most of the common skin concerns can be addressed with chemical peels.

4. Are chemical peels safe to use?

Chemical peels are safest to use if the choice of patient and the peel match with each other. A darker skin type like most of our Indian skin tones would be more suited for superficial to very superficial chemical peels while a Caucasian skin would require medium to deep peels for better results. An experienced clinician can examine and decide the safest peel and is the best person to perform a chemical peel procedure.

5. What are the types of chemical peels?

The peels are classified by their depth of penetration. They are of the following types:

  1. Very superficial chemical peels
    • Salicylic acid 20–30%
    • Glycolic acid 50%
    • Jessner’s solution, 1-3 coats
    • Modifiefd Jessner’s solution
    • Mandelic acid 30-40%
    • Triochloroacetic acid 10-20%, 1 coat
  2. Superficial  – Destruction of part or all of the epidermis
    • Glycolic acid 50-70% until redness
    • TCA 20-35%
    • Salicylic acid 30% + TCA 20%
  3. Medium depth chemical peel – involves epidermis and part of dermis
    • Glycolic acid 70% + TCA 35%
    • Jessner’s solution + TCA 35%
  4. Deep Chemical Peels – reaches upto the reticular dermis
    • Baker Gordon’s formula (2.1% croton in 50% phenol)

6. What are the various types of chemical peels?

The peels are of various types-

  • Uperficial peels that go up to stratum corneum e.g. Salicylic acid, Glycolic acid 30- 50%, and Jessner’s solution
  • Superficial light peels- They reach up to basal layer e.g. GA 50 to 70%
  • Medium depth peels- They reach up to dermis e.g. TCA 35- 50%, GA 70%, 88% Phenol
  • Deep peels like Baker Gordon phenol peel
  • Lipohydroxy acid (LHA) A new group of agents which are used to exfoliate and remove dead skin giving skin a smooth, shiny surface.

7. How do we prepare the skin before the chemical peel? Is it necessary?

The skin should be ideally prepared before the procedure to avoid any complication. Also the priming agent enhances the penetration and the effectiveness of the peeling agent. The pigmentary cells are subdued and this prevents any pigmentation. Various agents like hydroquinone, kojic acid, arbutin, and vitamin C can be used for priming the skin before procedure.

8. Are these agents 'chemicals' and harmful?

Most of these agents are naturally derived and purified to get the best ingredient. Generally, most of these peels, especially superficial and very superficial give gentle exfoliation and peeling. It is one of the biggest myths that these chemicals are harmful.

  • Priming of the skin is a must. Dr. Divya Sharma believes in a proper pre-peel regimen to avoid complications related to peeling.
  • The skin should not be tanned prior to treatment.
  • The patient should not have a keloidal tendency.
  • Any drugs causing increased photosensitivity, aspirin or blood thinners should be stopped one week before the procedure.

9. What are the common side effects of chemical peel?

Redness and slight itching sensation is common with superficial peels. A little outbreak of pimples can be commonly seen in the first few days after the peel. Swelling, crusting are common with medium to deep peels only.

10. Who is not a suitable candidate for the procedure?

Patients with a history of keloid, herpes labialis, SLE, photosensitivity, and suntanned skin should avoid doing chemical peels. Any pre-existing infection should be treated prior to a chemical peel procedure.

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