Intradermal fillers based on hyaluronic acid (Shiseido, Japan) are produced using a multi-stage patented technology high-density tapping process (h-DTP) from cross-linked hyaluronic acid microgranules without additives. The gel manufacturing process achieves increased viscoelasticity through physical cross-linking, ensuring the final product is completely free of toxins. It is primarily a safe, highly elastic and cohesive filler. This product is evenly distributed in tissues, shows excellent hydrophilicity, has increased plasticity, volumization and is completely destroyed by hyaluronidase.
Characteristics of QT Fill intradermal fillers
| Volume | 1.1 ml | 1.1 ml | 1.1 ml |
| Compound | Hyaluronic acid 100% Cross-linked | Hyaluronic acid 100% Cross-linked | Hyaluronic acid 100% Cross-linked |
| Concentration | 24mg/ml | 24mg/ml | 24mg/ml |
| Indications | Correction of the superficial and middle layers of the dermis. Surface static wrinkles, reinforcement. | Correction of the middle and deep layers of the dermis, volumization. To fill in areas of minus fabric. | Correction of deep thicknesses, volumetric modeling. Injected into the hypodermis, supraperiostally. |
| Viscosity | 100-200 pa-s | 200-300 pa-s | 300-500 pa-s |
| Biodegradation period | 3-6 months | 6-12 months | More than 12 months |
Age-related changes are most noticeable in the area of the lower third of the face: drooping of the corners of the mouth, nasolabial folds, the formation of purse-string wrinkles and “puppet” wrinkles, loss of clarity of the oval of the face.
The task of modern medical cosmetology is to start preventing age-related changes as early as possible in order to preserve youth, beauty and health longer.
Young age according to WHO – ranges from 25 to 44 years. Today, there are more and more such patients visiting a cosmetologist. And that is great! At this age, it is easy to prevent age-related changes.
Patients in this category belong to the generation of skeptics who question many things, so the task of a cosmetologist is to correctly substantiate his work.
Such patients follow innovations and want to look good not only in life, but also on social networks (in full face, in profile and half-profile). They are often wealthy and independent, busy and multitasking, ready for several procedures in one session. The quality of the product, attention and professional approach are very important to them.
It is worth noting that the needs of patients change over time. If 5-7 years ago the emphasis was mainly on the lips, then on the cheekbones, today the trend is on the lower third of the face (a clear oval of the face).
Previously, an oval face (or a diamond-shaped face) was considered the most beautiful and photogenic; today, a more elongated lower third of the face (particularly due to the chin) is considered videogenic.
What parameters will we use when harmonizing and beautifying the lower third of the face?
Composition of drugs
The formula contains hyaluronic acid that has undergone 8 stages of purification. The patented UPHEC technology ensures uniform consistency and ease of implantation. The preparations contain different concentrations of the main substance, 20 and 24 mg/ml; lidocaine is included for painless administration.
Patient profile analysis
CC Steiner (1962) proposed studying the position of the lips relative to the line (S-line) connecting the middle of the S-curve formed by the contour of the nose and upper lip with the cutaneous point pg. He assessed the position of the lips in two positions, namely the lips in front or behind the aesthetic line.
RM Ricketts (1957) recommended determining the position of the lips relative to the aesthetic line (E-line). It is carried out through the most prominent points of the nose and soft tissue chin - point pg. With a harmoniously developed face, the lips are located behind this plane: the upper lip is 2–3 mm, the lower lip is 1–2 mm.
To study the position of the upper and lower lips on the soft tissue profile, S. J. Burston (1967) proposed using a B-line connecting the soft tissue points sn and pg. The author took linear measurements from the protruding points of the upper and lower lips perpendicular to this line. This line does not depend on the size of the nose, which continues to grow until the age of 27. According to S. J. Burston, the ratio of the lower lip to the upper is 2:1 in men and 2:3 in women. The upper lip should be located 3.5 ± 1.4 mm in front of this line, and the lower lip should be located 2.2 ± 1.6 mm in front of this line.
How is the procedure performed in clinics?
During the consultation, the cosmetologist tells the patient about the possibilities of the rejeunesse filler and what aesthetic problems can be solved. When taking an anamnesis, possible limitations, chronic pathologies, diseases of the cardiovascular system, and allergies are identified. In the absence of contraindications, it is necessary to prepare for the injection of fillers:
- You should not take antibiotics or drugs that affect clotting functions for about a month;
- For a week, do not drink alcohol, strong tea, coffee, limit the amount of salt in the diet;
- It is not recommended to carry out peeling, tattooing, or other procedures associated with skin trauma;
- On the appointed day you should refrain from smoking.
Before implantation, the cosmetologist talks in detail about the procedure. The patient signs an informed consent; the document indicates contraindications and possible side effects.
Important point! Data about the drug and application zones are filled out in the injection passport or outpatient card. Before carrying out, the certification and expiration dates of the filler are checked. The packaging is opened in the presence of the client.
Stages of implementation:
- The skin can be thoroughly cleansed. After makeup removal, it is treated with an antiseptic.
- An anesthetic is applied, the use of a local anesthetic reduces uncomfortable sensations, and is easily removed without consequences for the body.
- The doctor performs implantation in the target areas according to the chosen technique. There may be a burning sensation during the administration of the gel.
- The puncture areas are treated with an antiseptic. For uniform distribution, a superficial kneading massage is performed.
- A regenerating mask or anti-inflammatory ointment will help speed up healing.
The cosmetology session lasts no more than an hour, does not cause a deterioration in the general condition, so the patient can go home.
Full face
Let's note another popular request for beautiful lips - don't overdo it.
Lips should not make up more than 25% of the lower third of the face.
The upper lip should ideally correspond to 1/3 of the lower lip. The main volume of the drug is distributed in the center of the lips, corresponding to the line of projection of the wings of the nose.
It is worth paying attention to the shape of the face; square and trapezoidal shapes may not be suitable for correction of the angles of the lower jaw.
Healing period
During the first days, uncomfortable symptoms persist, including pain at the implantation sites, burning, and redness. To speed up the recovery process, patients should follow simple recommendations:
- Do not use makeup for several days, as well as new skincare products, to prevent allergies;
- exclude from the menu for no more than 7 days dishes with a high salt content, alcoholic drinks, strong coffee;
- protect the skin from exposure to the sun, do not sunbathe, visit a solarium, use a cream with a high SPF factor until complete healing;
- You should not go to the gym, perform hardware cosmetic procedures, or massage for about a month.
The effect depends on the type of filler, the patient’s age, and anatomical features. The result lasts from 8 months to one and a half years. After biodegradation, the procedure can be repeated.
Attention! Maintaining fluid balance, proper sleep, and a healthy diet that prevents weight fluctuations will help prolong the effect of the filler. Also no bad habits.
Clinical cases
Patient A., 35 years old
, turned to a cosmetologist with complaints about the fullness of her face. Please make your face more harmonious and elongated.
On examination, there is a lack of volume in the mental area.
A set of procedures consisting of several sessions was carried out, starting with procedures to improve skin quality. The final stage was a comprehensive volumization of the face.
- The angles of the lower jaw were corrected: QT FILL Sub Q – 3 ml.
- Chin: Sub Q – 1 ml.
- Cheek-zygomatic region: Sub Q – 2 ml.
- Lips: QT FILL Deep – 1 ml.
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After
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After
Patient B., 39 years old
. I asked to increase the volume of my lips.
The lips were corrected using the “Russian Lips” technique. In photo 3, during subsequent procedures, volume was added to the mental zone and to the projection of the mandibular ligament attachment. The patient noted the beauty of her face; her lips began to look harmonious and attractive.
Conclusion: it’s worth looking at the patient holistically; perhaps you shouldn’t start contouring with the lips.
The patient had 1 ml of QT FILL Deep injected into her lips twice with an interval of 2 weeks (2 ml in total).
In the submental area and in the projection of the mandibular ligament - 2 ml of the drug QT FILL Sub Q.
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After
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Patient S., 42 years old
. I complained about my double chin. On examination, there is a pronounced lack of volume in the mental area. By correcting this area using the drug QT FILL Sub Q (volume of 1 ml in two sessions with an interval of 10 days; 2 ml in total), we obtained a visual absence of a double chin. The patient stopped noticing him in the photograph as well. Additionally, lips were augmented with QT FILL Deep – 1 ml, thereby comprehensively beautifying the lower third of the face.
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After
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Patient D., 56 years old
. I went to a cosmetology clinic with complaints about sagging skin, the presence of jowls and nasolabial folds.
On examination, hypertrophy and drooping of the superficial fatty packets and atrophy of the deep fatty packets are noted. Ptosis of the soft tissues of the face.
During the process, complex facial volumization was carried out with thread correction in 2 stages.
The fillers used were QT FILL Sub Q – 4 ml in the cheek-zygomatic area, in the projection of the angles of the lower jaw, QT FILL Deep – 2 ml in the area of the nasolacrimal groove, nasolabial, labiomental fold.
This patient does not belong to the young age group, but the results obtained allow her to be included in this group.
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What is the secret of the popularity of Korean hyaluronic acid fillers?
Following cosmetics that are already loved by patients all over the world, the aesthetic medicine market is gradually being conquered by Korean injectable drugs. This is not surprising, since high competition in the segment dictates the need to create exceptionally high-quality and effective, yet affordable fillers .
Physiological fillers of the new generation AVALON (manufactured by Koru Pharma) based on cross-linked hyaluronic acid of non-animal origin are a striking example of such preparations for contouring.
Each AVALON product is a perfect combination of hyaluronic acid and degree of cross-linking, which provides an effective solution to a wide range of patients' aesthetic concerns.
High production technologies, strict quality control and mandatory product certification make South Korean hyaluronic acid fillers a worthy alternative to existing brands.
The result of contouring performed with AVALON fillers lasts up to 12–18 months. This is possible due to the natural degradation of the drug into carbon dioxide and water, which is able to maintain tissue volume for some time.
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A wide selection of drugs in the AVALON line allows the doctor to work in all areas of the face, as well as the neck and hands.
Opinion of cosmetologists
On forums, experts discuss the features of using Korean drugs.
The user compares fillers and writes about a good effect for Regeness Fine reinforcement.
A participant asks his colleagues about the compatibility of fillers of different brands.
The review states that there is no registration.
Precautionary measures
A popular cosmetic procedure requires compliance with certain rules. Injections can be administered by a certified physician after training in administration techniques, on an outpatient basis. The general health of the patient, chronic pathologies, and allergic reactions also matter. Taking into account all the factors, we can predict a positive result.
Contraindications:
- oncology;
- autoimmune diseases;
- diabetes;
- individual intolerance;
- blood clotting disorder;
- tendency to form keloid scars;
- acute respiratory diseases;
- herpes;
- inflammatory process in target areas;
- postoperative period;
- pregnancy, lactation.
Side effects are considered normal and go away on their own within a week. If symptoms persist for a long time, you should consult a doctor:
- pain in the implantation areas;
- itching, burning;
- compaction, gel migration;
- redness, rash;
- asymmetry;
- inflammation.
How to minimize the effect
The advantage of fillers is complete biodegradation within a year. But if the result is unsatisfactory or side effects occur, this process can be accelerated.
Depending on the reasons for the correction, the doctor chooses drug therapy and prescribes antihistamines. Massage, hardware procedures, and active sports also activate the breakdown of hyaluron.
If you need to achieve a quick effect, hyaluronidase injections are used. The filler is removed over several days.
Advantages and disadvantages
Before undergoing the procedure, it is important for patients to evaluate the advantages of a collection of fillers and learn about possible disadvantages.
Pros:
- affordable price;
- painless implantation;
- solving cosmetic problems of different age groups;
- prolonged retention of results;
- fast recovery;
- economical consumption, gel plasticity.
Minuses:
- carried out by a certified cosmetologist on an outpatient basis;
- an allergy to lidocaine is a contraindication for use;
- controversial information about certification in Russia.
