From our early 30’s onwards (and sometimes earlier depending on lifestyle factors) we start to lose the HA content in our skin. Collagen and elastin (which keeps our skin firm and elastic) is also lost as well as the fat contained in fat pads around our face. All of these contribute to the loss of support given to our skin, so inevitably our skin starts to sag, wrinkle and age. We also lose bone from our facial skeleton, most notably at the temples, maxilla (where the upper teeth attach to the bone) and along the jawline. This can further compound the loss of support.
Fillers can be used to replace some of the lost volume in our face and so help to support and moisturise the skin, leaving it looking less wrinkled and firmer. Thick fillers (High G Prime) can be used to mimic bony support particularly along the jawline and cheek.
HA fillers can be used to replace volume in the following areas:
• Nasolabial folds: Lines that form from smiling and other expressions, combined with sagging of nasolabial fat pads, cause lines that run from the corners of our nose to our mouth to deepen. Fillers can be used to fill in these lines so that they are less noticeable.
• Mid Face Volumisation: From our mid-30’s we all start to lose fat from our cheeks and our mid-face. This can lead to sagging skin around the nose and mouth, and also around the jaw. By replacing this lost volume we can alleviate some of these problems.
• Lips and Perioral Wrinkles: Lips begin to lose their definition and volume, elongate and turn inwards over time. These affects are exacerbated by smoking and sun exposure. Ageing lips can be rejuvenated with dermal fillers, which can be used to add volume, give definition to the vermilion border and hydrate the lips.
• Marionettes: Marionette lines occur from mouth to chin. They lead to the corners of the mouth being turned down and giving a sad appearance to the face. We can fill out the lines and use dermal fillers to support the corners of the mouth, turning them back up again, in suitable patients.
• Jaw Reshaping: Sagging jaw lines are usually the result of volume loss in cheeks and mid-face, and often volume restoration in these areas can help the jaw. The mandible loses its angularity with age and becomes more rounded, so re-sculpting these areas with dermal filler can give the jawline a more youthful appearance.
• Temples: Does wearing your hair pulled back off your face make you look old? It may be because hollowing of the temples has gradually made you look a lot older. This is one of the most overlooked areas of the face, and rejuvenating it with dermal filler will help to reverse one of the most obvious signs of ageing.
• Full Face Volumisation: This may be appropriate where there are multiple areas of the face requiring treatment, and is essentially a combination of many of the areas listed above. The key areas are usually mid-face and cheek volumisation, jawline sculpting and treatment of the temples. The treatments can be staged or carried out in one appointment, although detailed bespoke treatment planning will need to be undertaken.
What happens in the consultation?
We’ll assess your medical history, make an examination of your facial muscles, take photographs and discuss your expectations. A treatment plan will then be drawn up with your consent.
What happens in the procedure?
Appointments are approximately 20 minutes long and fillers are injected using an ultra-fine needle. The presence of the anaesthetic lidocaine in the products we use helps to numb the area injected.
Are the effects immediate?
You will see a subtle immediate effect and two to three days later the serum settles to achieve the full result. Treatment may be staged over several visits if both volumising and wrinkle reduction is required; volume is addressed first and fine tuning of smaller lines and wrinkles done thereafter.
How long do dermal fillers last?
From six to 24 months, depending on the product used, where it is used, the amount used and the effect desired. Repeated treatments can be safely taken indefinitely because the body naturally breaks down the hyaluronic acid in the fillers over time.
Am I suitable for dermal fillers?
If you are over 18 and aren’t pregnant or breastfeeding then yes. There is no known risk but these are precautions in line with regulatory guidelines.
Are there any side effects?
You may experience temporary tenderness, redness, swelling or, in rare cases, bruising. Any redness usually settles in hours, swelling and most bruising in a few days. Other rare side effects include allergy, granulomas and, very rarely, damage to blood vessels that can lead to tissue damage. If symptoms persist for more than two weeks or you notice any other side effects please contact the surgery.
What can I do after treatment?
• You can wear make-up over the treated area after 12 hours
• Avoid direct sunlight, saunas and steam rooms for two weeks
• Avoid other treatments to the same areas for seven days
• Avoid massaging the area
• You can take anti-inflammatory medication or analgesia should you feel it
necessary, according to the instructions on the box
Will I need a follow-up appointment?
Follow-up appointments will be arranged as part of your treatment plan. As Restylane® fillers are naturally biodegraded, you will eventually need a repeat treatment to maintain your results. Follow-up appointments usually occur six to 12 months post treatment.