Permanent fillers in aesthetic medicine: advantages, risks and possible uses

Aesthetic medicine is becoming increasingly important, especially when it comes to procedures for wrinkle treatment, volume building and contouring. A central element of this development are permanent fillers, which offer a long-term solution for various aesthetic treatments. But what exactly are permanent fillers and what are their advantages and disadvantages?

Aesthetic medicine is becoming increasingly important, especially when it comes to procedures for wrinkle treatment, volume building and contouring. A central element of this development are permanent fillers, which offer a long-term solution for various aesthetic treatments. But what exactly are permanent fillers and what are their advantages and disadvantages?

in aesthetic medicine: advantages, risks and possible uses

What are permanent fillers?

Permanent fillers are materials that are not or only very slowly broken down by the body after injection. Unlike temporary fillers such as hyaluronic acid, which are reabsorbed by the body after a few months or years, permanent fillers remain in the tissue for many years or even a lifetime. The best known permanent fillers include:

• Polymethyl methacrylate (PMMA): A synthetic substance made up of tiny, non-degradable microspheres, often mixed with collagen. PMMA is often used to treat deep wrinkles and to add volume. These fillers also include Los Deline and Aquafilling.

• Silicone oil: Although it is controversial and sometimes banned in many countries, it is still used as a permanent filler in some regions.

• Polyacrylamide hydrogel: A gel that consists largely of water and remains permanently in the tissue when applied.

Areas of application of permanent fillers

Permanent fillers are used in aesthetic medicine for various purposes:

1. Wrinkle treatment: Deep wrinkles such as nasolabial folds or marionette lines can be filled with permanent fillers to achieve a smoother skin appearance.

2. Volume building: Especially for sunken For cheeks, temples or other areas where volume is lost with age, permanent fillers offer a long-term solution.

3. Scar correction: Certain types of scars, especially acne scars or traumatic scars, can be smoothed out with permanent fillers.

4. Contouring: Chins, cheekbones or lips can be permanently modeled with permanent fillers to achieve a desired shape or contour. Some colleagues and unfortunately also many alternative practitioners and beauticians (illegally) use permanent fillers to enlarge the buttocks (Brazilian butt lift), fill hip dips or enlarge the breasts. Sometimes with dramatic consequences.

"Advantages" of permanent fillers

Filling wrinkles or volume deficits - just one injection and a permanent result? That sounds fantastic, doesn't it? If you look at websites and advertisements, you will find interesting offers. According to the providers, the use of permanent fillers offers some "clear advantages":

• Long-lasting results: Since these fillers are not broken down by the body, the results last for many years. This means that no regular follow-up treatments are required, as is the case with temporary fillers.

• Cost-effectiveness: Although the initial costs may be higher, the treatment proves to be cost-effective in the long run as no regular touch-ups are necessary.

• Suitable for specific problem areas: For deep wrinkles or severe volume loss, where temporary fillers do not achieve the desired effect, permanent fillers are often a suitable solution.

That sounds good so far - don't you think? Unfortunately, the disadvantages of permanent fillers such as LosDeline or Aquafilling dominate mainly in the hands of inexperienced users and over the last few years we have repeatedly had to deal with cases of unsuccessful treatment with permanent fillers.

Permanent fillers are also used abroad. We have treated patients from Turkey, the Czech Republic and Poland, but also from Düsseldorf, who have put themselves in the hands of supposed professionals. The complications are considerable and the path to a normal body image is long and expensive.

Risks and disadvantages of permanent fillers:

1. Unpredictable long-term effects: Since they remain in the body permanently, there is a risk that the appearance will change over the years. For example, the filler can migrate or shift, which can lead to asymmetrical results. Hardening and accumulation in individual areas also occur and can dramatically worsen the result.

2. Complications: Infections, inflammations, granulomas (nodule formation) and rejection reactions are regular complications that can occur even years after treatment.

3. Difficult correction: In contrast to temporary fillers, which can break down or dissolve over time, correction of permanent fillers is often difficult and may require surgical intervention.

Conclusion

Permanent fillers offer a promising opportunity to achieve long-term aesthetic results. But overall we must definitely advise against using them, because the complications outweigh the benefits!

Treatment of complications caused by permanent fillers

Our clinic specializes in treating patients who have experienced undesirable results with permanent fillers such as Los Deline or Aquafilling. We focus on safely removing the filler and calming the inflamed tissue. In the second step, we restore volume using your own fat, implants or approved fillers.

Conclusion: Why permanent fillers are not recommended

Permanent fillers may seem tempting at first because they promise long-lasting results. But the numerous risks and possible complications outweigh the benefits. If you are looking for an aesthetic treatment, comprehensive advice from experienced specialists is the best way to achieve a satisfactory and, above all, safe result.

Personal advice and individual treatment options

Are you unsure or have you already had treatment with permanent fillers? An individual consultation - whether via video or on site at one of our locations - is the first step to a successful treatment.