When did facial fillers start?

The first FDA-approved filler for cosmetic injection into the face was purified bovine collagen in 1981. Dermal fillers have been around for more than 40 years, but they have changed dramatically over the years. To understand any type of injection, it is important to look at your history for valuable lessons, so that progress is a success. And honestly, it's very interesting to see where we've come in the last 40 years in the world of injectables.

The evolution of injectable facial fillers has come a long way from injecting paraffin and petroleum jelly for facial augmentation. Patients today demand a filling material that is durable, affordable, biocompatible and natural-looking. The search for the perfect injectable has taken an interesting course and most of the innovations have occurred in the last 30 years. To understand the future of facial augmentation, it's important to look to the past for valuable lessons and cautionary tales to make progress a success.

The proliferation of hyaluronic acid fillers is understandable in the context of the above materials, as is the caution used with permanent fillers. Skepticism remains with autologous fat transfer, as the procedure has not yet been refined so that results can be reliably reproduced from one doctor to another. Silicone, a permanent liquid filler, remains controversial and fillers such as calcium hydroxylapatite not only improve the appearance of volume loss, but can also induce collagen formation. As the physician's filler arsenal increases, so does the desire to advance the actual injection techniques themselves.

The end result has been an improvement in facial filler technology and results. Throughout history, aesthetic treatments were almost unaffordable and were reserved mainly for the richest. However, over the past two decades, with the advent of non-surgical treatments and improved techniques with complementary results that are equally impressive, the number of people seeking aesthetic treatments has grown exponentially. We have cosmetic surgeons with the right knowledge in facial aesthetics, facial anatomy, injection techniques and how to treat complications.

Injectable fillers were introduced in dermatology as a method to reconstruct facial deformities and restore the aging face. Hyaluronic acid dermal fillers are also used to improve and re-plump facial features, such as the lips, cheeks, chin and temple area. Bellafill is a bovine collagen filler approved for the treatment of moderate to severe nasolabial folds and facial acne scars, which you can still get today. Each of the dermal fillers has its place, use, and several patients get better results with different fillers.

Acquisition Aesthetics strives to bring together experts in facial rejuvenation and non-surgical treatments to provide the highest level of training in facial aesthetics. In the 19th century, the first cases of soft tissue augmentation with dermal fillers included autologous fat extracted from the arms to correct depressed facial defects and scarring in a patient with tuberculous osteitis, as well as injecting paraffin into the scrotum as a testicular prosthesis in a patient with tuberculosis advanced. A major breakthrough in dermal fillers over the years comes with the introduction of lidocaine mixed with the filler. Although fillers have become a popular choice among cosmetic patients, clinical experience has shown that fillers should be used with caution, as complications can occur.


Phillip Padalecki
Phillip Padalecki

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