An interview with Dr. Maria Rosca from Atlantic Clinic on fillers.


Dermal filler treatment areas.

Perhaps you are considering dermal fillers, or you already have them. The important thing is to have all the right facts.

First of all, what are your trainings and qualifications?
The aesthetic training I had in London, in Whitmore Clinic, a quite prestigious clinic, where there’s a lot of hands-on training. Then I practiced in Harley St. until I moved here. All my studies have been in the UK.

What’s the difference between fillers and Botox?
Botox is an injection of a tiny amount of a toxin, while a filler is like a gel. The gel is similar to natural hyaluronic acid in the skin which attracts a lot of water, so you can ‘fill in’ a space and lift the skin from underneath. That way you get rid of wrinkles. Botox relaxes the muscle, just improving the appearance of wrinkles. Fillers are used more to improve the structure. In general, fillers last longer as they are a gel that slowly disappears under the skin, lasting about 10 to 12 months, while Botox lasts 3 to 4 months.

Can you use Botox and Fillers at the same time? 
I recommend that both are not used at the same time, as the filler lifts the skin instantly, and you can choose immediately whether to use more or less, but with the Botox you have to wait for a week or so to see it’s effect, and then you can decide whether to use more or less. Because of this, the combination can alter the final result.

Do fillers have any side effects?
Fillers have had quite a bad reputation in the press because there are so many fillers in the market, many not authorized. The side effect that everyone fears about is when you inject the gel into the skin sometimes you can hit an artery, and then the skin around it becomes white and pale. That means that you are pressing on something and if it doesn’t get enough oxygen that area will die. This is called necrosis. Most of this is reversible. Every doctor should have with them a substance that is injected and dissolves the gel immediately. The other big thing is that you can have sometimes infections, but if it’s done right that should be no problem. Other side effects include the hardening of the area treated and necrosis.

How much does it cost, and is it according to area or quantity?
The fillers are priced per syringe, one of the reasons being there are different types of fillers. For example for lips you want something softer, something more gentle that reflects the light one way. For cheeks you want something more hard and that keeps it’s shape. So it is very difficult to predict how much you need for one person, because we all have different needs, we all want to achieve different looks. So we start from 350€ per syringe, because if you want contour you would want one syringe, if you wanted volume you may need two. If you don’t use the whole syringe, that syringe is ‘open’, and it it is for the patient and can be reused. In the initial consultation you can agree with the patient what you would like to achieve, and then roughly know how many syringes are needed.

Any tips for someone getting fillers?
Yes, the first time going to the doctor, have a clear idea of what you want to achieve in terms of looks and also to make sure that the doctor understands what you perceive as being aesthetically nice, rather than what you think will look good on you. Take into account what the doctor suggests to you in terms of anatomy. So for example, nowadays everyone wants to have big lips, with lots of volume. Now sometimes people forget that that the lower lip should be slightly bigger than the upper lip, and not the other way round. Also, very important, take things step by step. Have something done, let things settle, see how it goes, come back and then have more. I think that’s the key.

Interview by Amaya

Categories: Atlantic Clinic News
Post by: Atlantic Clinic on 06 Jan 2017