Cosmetic dermal filler restores volume and fullness to the skin to correct moderate-to-severe facial wrinkles and expression lines, such as nasolabial folds, or to create fuller lips. Dermal fillers are made of hyaluronic acid, which is a natural substance that already exists in the human body and is therefore totally bio-compatible and easily absorbed. In Guatemala dermal fillers are administered by MD´s specialists in Plastic Surgery, Dermatology or Cosmetic medicine. Do injections hurt? the dermal filler is injected into the skin in tiny amounts using an ultrafine needle. To optimize your comfort level during the short procedure, cold pads are applied on the treated areas. Can dermal fillers replace surgical procedures? No, although Teosyal is sometimes used in conjunction with surgery in order to fill out wrinkles that cannot be removed by surgery. Are there any side effects? The most common side effects are inflammatory reactions such as redness which may be associated with stinging or pain on pressure at the injection site. These reactions may last for a week. Swellings or nodules may develop at the injection site. Precautions prior to treatments: avoid taking aspirin, non-steroidal anti-inflammatory medications, St. John´s Wort or high doses of Vit. E supplements before being treated. Also inform your Doctor if you have previously suffered from facial cold sores. COMBO TREATMENT OF BOTOX FOLLOWED BY DERMAL FILLING For persons over 45, the ideal treatment is a combination of Botox (especially for forehead, between eyebrows) followed 4 days later by injections of the dermal filler which is used more to restore volume to the face by correcting expression lines, especially below the eyeline.