Fillers and dermabrasive therapies

Abstract

Facial ageing involves several key processes: loss of volume; laxity of tissues; and surface skin changes of wrinkles, pigmentation, vascular lesions, and textural changes. Surgery remains the mainstay of treating laxity or sagging of tissues. Fillers are an increasingly popular and effective method of replacing lost volume, or preventing it, and there are a myriad of options for dealing with the surface skin changes. This chapter deals with the principles of the appropriate use of fillers by looking at the patient suitability, the products available, and the proficiency of the injector. Steps to avoid complications are outlined and the management of these rare complications are discussed. A brief discussion is given of the place of chemical peels, dermabrasion, topical agents, and lasers in the improvement of the appearance of ageing skin.