Another less commonly done area, forehead fillers can get neglected as patients are sometimes not aware or concerned about it.
Commonly used to smoothen bumps on the forehead, forehead fillers can also give it a rounder shape. These bumps are usually due to volume loss on the forehead, which results in a more obvious bony area of the forehead. Volume loss on the forehead also cause the forehead to become flatter with age.
A prominent orbital rim (the protruding bone above the sides of the eyes) can become more obvious with volume loss in the forehead. This results in one looking fierce and more masculine. Fillers placed above this bone helps smoothen out the facial contours. This gives one a softer, younger and more feminine look.
Lastly, fillers can help soften the lines for patients with deep lines without even raising their eyebrows.
What can I expect?
Fillers can improve a person’s profile from multiple angles. A smoother facial contour, known as the “Ogee Curve” in aesthetics, when perfected, gives one a softer, younger look.
Fillers can also plump up foreheads that are naturally flatter or due to volume loss. Lines and wrinkles on the forehead look softened and reduced after fillers.
How much filler will I need?
Because the forehead is a larger area, more fillers might be required.
2 – 3ml (2 – 3 syringes) of fillers are usually used on average.
Choice of forehead fillers
As there is very little flesh around the forehead, the choice of filler has to be of a particular type. It has to be adequately soft, but yet able to plump up an area without needing too much product for the best effect.
Restylane Volyme, Juvederm Voluma, and Juvederm XC are fillers that are suitable for the forehead as they fit the above criteria.
Radiesse is also a good option for the forehead. Like with temple fillers, forehead fillers using Radiesse are recommended to be mixed with saline at a ratio of 1:1. This allows it to spread easier and prevent lumpiness.
Frequently Asked Questions about Fillers
How long do fillers last?
Fillers typically last for 12 months. Different type of fillers are designed for different areas of the face and have different longevity due to the filler material.
Does it completely dissolve away?
Most fillers will dissolve away and gets broken down by the body into water. However, there are cases that we have seen before with fillers that last much longer that it was intended to. For these cases, the filler had to be dissolved by injecting a dissolver call hyalase which breaks down the filler into water.
Is it painful?
Most filler injections are not painful with numbing cream applied. There are some areas which are more sensitive, such as the lips, and can be more uncomfortable.
The skill and hands of a doctor also directly contributes to the amount of discomfort. An experienced and gentle doctor can mean much lesser discomfort during the procedure.
What are the side effects?
Like all medical procedures, there are always potential side effects during injectable procedures.
The more common side effects associated with injections are bruising and swelling. Bruising and swelling happens when a larger blood vessel under the skin gets injured during an injection. If present, bruising and swelling typically goes away after 4-7 days.
The most serious side effect associated with filler injections is vessel occlusion. Vessel occlusion is when the filler is directly injected into an important blood vessel and blocks blood flow, potentially resulting in skin necrosis and even blindness.
Some patients have heard about fillers causing blindness, in particular nose fillers. In actual fact, fillers performed at any part of the face can potentially lead to blindness. Blindness happens when the filler material travels up the blood vessel and blocks the blood flow to the optic nerve in the eye. Blindness is more often associated with nose fillers due to the blood vessels supplying the eye being close to the nose. Skin necrosis, which is the dying of skin cells, happens when the blood vessels supplying the area of skin affected gets occluded and blocked.
The risks of skin necrosis and blindness can be greatly reduced with a clear knowledge of the blood vessels in the face. Therefore, it is very important to go to an experienced doctor for filler injections. More than 90% of filler complications happen at illegal salons or beauty parlours which are not authorised to perform such procedures.
How doctors reduce the risk of vessel occlusion?
- Use the appropriate equipment and filler for each area. The type of needle and needle size makes a difference in reducing the risk of vessel damage and occlusion.
- Specific techniques such as performing a drawback to ensure that the needle is not in a vessel, slow precise injections, and the depth of injections all help ensure that the filler is not being injected into a vessel.
- Most importantly, a good knowledge of the facial anatomy will allow the doctor to identify the areas where the major blood vessels are. Knowing which area to avoid and which areas are generally safe helps to greatly reduce the risk of injecting the filler into a vessel.
What should I avoid after fillers?
Avoid strenuous exercise and alcohol for at least 24 hours. Avoid any facial massage for at least 2 weeks.