The use of dermal fillers for cosmetic purposes has been around for more than four decades, and in that time, the technology has changed dramatically. To understand the current state of injectables, it is important to look back at the history of fillers and see how far we have come. The first FDA-approved filler for cosmetic injection into the face was purified bovine collagen, which was approved in 1981. Injectable fillers made of analogous fat were originally used to reconstruct facial deformities in patients with tuberculosis in the early 20th century. However, physicians soon began using them for purely cosmetic purposes, such as lip augmentation.
A major breakthrough in dermal fillers came with the introduction of lidocaine mixed with the filler. This allowed for a much more comfortable injection experience for patients. Bellafill is a bovine collagen filler that is still used today to treat moderate to severe nasolabial folds and facial acne scars. Each type of dermal filler has its own unique benefits and some patients may get better results with one type over another.
Fillers have become so popular that they are no longer just reserved for celebrities. Nowadays, reality stars and influencers are regularly using them to enhance their appearance. However, there are some risks associated with dermal fillers. One rare complication occurs when a filler is inadvertently injected into a blood vessel, which can cause serious adverse effects such as vision deterioration, blindness, stroke, or skin necrosis.