Common applications of dermal fillers
- Nasolabial folds (nose to corner of mouth)
- Marionette lines (corner of mouth down to chin)
- Cheekbone enhancement
- Cheek filling
- Non surgical nose jobs
- Chin enhancement
- Virtual face lift (using Voluma, Ellanse or Radiesse) in the volume loss areas
- Tear troughs (grooves under eyes)
- Fine lines and.wrinkles
- Lifting brows and mouth corners (often combined with botox)
- Lip augmentation
- Temple hollows
The same attention to pain relief and careful follow up is paid to all dermal filler procedures.
What dermal fillers are used?
The most common filler used is a hyaluronic acid filler. Hyaluronic acid is naturally occurring in the body and is found in skin, joint fluid and in the eyeball. Ageing skin produces less hyaluronic acid and this contributes to wrinkles and dehydration. We use the Juvederm range including the newer Vycross range of Voluma, Volift and Volbella. Length of duration varies but is typically 6-9 months for Juvederm Ultra range and 12-18 months for the Vycross range.
The hyaluronic acid fillers are reversible by injecting and enzyme called hyaluronidase, which dissolves the filler in 48 hours.
Longer lasting results are obtained using Ellanse, which has an absorbable suture material called polycaprolactone as its main ingredient. PCL has been in medical use for over 20 years in sutures and orthopaedic implants and is a very safe compound. Ellanse is a collagen stimulating filler and results can develop over 6 months. It comes in 1,2,3 and 4 year lasting variants. It is excellent for facial contouring and volumisation. It is not reversible and is best left to experienced practitioners.
What are the side effects and risks of dermal fillers?
In the hands of a properly trained and experienced practitioner dermal fillers are very safe. Common side effects are swelling and bruising lasting up to 2 weeks depending on the filler used and its application. Most bad press has been with the use of permanent fillers, which we do not use.
Less common problems are visible filler under skin, lumps and nodules, accidental injection into blood vessels or external compression of vessels and granuloma formation.
We minimize risks by using a blunt cannula to inject in areas of higher risk. Our doctor uses advanced injecting techniques to minimize risk and give the best results.
All filler work is checked up 2 weeks later and any adjustments made to compensate for initial swelling and to optimize results are included in the price.