Subcutaneous injection of filling material (eg, collagen); 1 cc or less

CPT4 code

Name of the Procedure:

Subcutaneous injection of filling material (e.g., collagen); 1 cc or less

Summary

A subcutaneous injection of filling material involves injecting a small amount of a substance, such as collagen, beneath the skin to smooth out wrinkles, enhance facial contours, or fill in scars. The procedure is minimally invasive and typically done on an outpatient basis.

Purpose

This procedure is used to address cosmetic concerns related to aging, such as wrinkles or fine lines, and to improve the appearance of scars or other skin abnormalities. The goal is to achieve a more youthful and smooth skin appearance.

Indications

Fine lines and wrinkles
Scar revision
Facial contouring
Skin depressions

Patients who are generally healthy, have realistic expectations, and are non-allergic to the filling material are good candidates for this procedure.

Preparation

Avoid blood-thinning medications (e.g., aspirin, ibuprofen) for about a week before the procedure.
Refrain from alcohol consumption 24 hours prior.
Cleanse the treatment area thoroughly.
No fasting required.
Consult with your healthcare provider about any allergies, especially to collagen.

Procedure Description

The clinician cleans and prepares the injection site.
A topical or local anesthetic may be applied to minimize discomfort.
Using a fine needle, the collagen (or other filler material) is injected beneath the skin in small, precise amounts.
The area may be gently massaged to ensure even distribution of the filler.
The injection site is cleaned again and a soothing ointment or ice pack may be applied to reduce swelling.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a dermatologist's office.

Personnel

Dermatologist or cosmetic surgeon
A nurse or medical assistant may provide support and assist with preparation and follow-up care.

Risks and Complications

Redness, swelling, or bruising at the injection site
Infection
Allergic reaction to the filler material
Uneven texture or asymmetry
Rarely, granulomas or lumps

Benefits

The expected benefits include smoother skin, reduction in the appearance of wrinkles, and improved facial contours. Results are typically visible immediately and may last for several months.

Recovery

Apply ice to reduce swelling and bruising.
Avoid touching or massaging the treated area for at least 24 hours.
Keep your head elevated and avoid strenuous activities for a few days.
Follow any additional specific instructions provided by your healthcare provider.
Most patients can return to their regular activities immediately or within a day.

Alternatives

Botulinum toxin (Botox) injections
Dermal fillers (hyaluronic acid-based fillers)
Chemical peels
Laser skin resurfacing

Alternatives may vary in terms of longevity, cost, effectiveness, and recovery time.

Patient Experience

Patients might experience mild discomfort during the injection, often described as a slight pinching or stinging sensation. Post-procedure, there may be temporary redness, swelling, or bruising. Pain is usually minimal and can be managed with over-the-counter pain relief if necessary. Most patients experience increased confidence and satisfaction with their appearance after recovery.