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DERMAL FILLERS

Dermal Fillers modify the anatomy of aged skin: restoration of volumes, filling of skin depression and wrinkle, restoration of skin hydration.

As we age, the effects of gravity, sun exposure and facial volume loss contribute to the development of facial wrinkles, folds, hollowness and sagging. With the advantage of modern aesthetic medical techniques, more and more people are opting for non-surgical facial enhancement procedures to correct these issues. Dermal fillers are at the forefront of this revolution.

Dermal fillers are biocompatible gels, which are injected under the skin to enhance facial appearance by restoring facial contours and volume loss.
Once in the skin, they also assist in the production of new collagen, improve the natural texture and elasticity of skin , improve hydration and prevent it from sagging. There are several types and brands of fillers available: Juvaderm, Teosal, Belotero, Revanesse, Radiesse, Ellanse ect.

Dermal fillers are used commonly in the following facial areas:
• Non surgical nose job (non-surgical rhinoplasty)
• Lip augmentation
• Cheek Augmentation
• Tear Troughs (dark circles around eyes)
• Naso-labial folds
• Marionette lines/jowls
• Chin enhancement

Treatment usually involves the application of a local anesthetic cream or local infiltration of anesthesia to the treated area. Dermal filler gel is comfortably injected into the area once its numb.
Treatment times vary depending on the amount of dermal fillers required and the area treated, but generally takes about 30 to 45 minutes.

Patients are advised to refrain from heavy exercise and excessive alcohol as these factors can increase the risk of bruising.
Treatment with dermal fillers sometimes does take more than one session to achieve the best results. The first treatment lays the foundation for the subsequent treatments, and future treatments allow for any adjustments to be made.

The initial treatment typically requires the greatest volume of filler. Following this, we typically are only required to perform top-ups to maintain the desired long-term outcome.

There are very few risks associated with dermal fillers when used by an experienced doctor who knows the facial anatomy well. Allergic reactions and major vascular trauma are extremely rare. Dermal fillers have been used for cosmetic reasons for over 20 years. Minor side effects include temporary swelling and bruising at the site of injection.

Generally, there is a minimal downtime and most people return to their normal activities later in the day. The downtime is usually due to swelling or bruising, which can be easily camouflaged by makeup in most cases. Fillers in the lips tend to cause more swelling in patients 50 years of age and above. This may last for up to 72 hours in some cases but then settles very nicely.

There can be some swelling immediately after the treatment. This will subside within a few days. Bio-stimulatory fillers tend to work over a period of several weeks .

Most Dermal Filers last between 6 to 18 months. There is a tendency for Fillers to last less in people who are smokers or are engaged in vigorous physical exercise programs. Bruising is the most common side effect of any injection-based treatment. To minimise this, it is best to avoid anti-inflammatory drugs such as aspirin (unless for medical reasons) ibuprofen, fish oil supplements, green tea, garlic, ginkgo and other herbal products for a week prior to the procedure.

All these products are known to thin the blood and increase its clotting time, hence increasing the risk of bruising. Please inform our staff if you are using any medication at the time of your initial consult.
Alcohol also increases the risk of bruising and its consumption should be kept to a minimum the day before your procedure.
(Note: If you have a history of cold sores, please notify us at the time of initial consultation as soft tissue filler treatment can cause a cold sore flare-up.You may be required to take prophylactic anti-viral medications prior to any treatment).

The cost of dermal fillers depends on the amount used per session and the area being treated. Each patient is unique and has individual treatment requirement. This is assessed during the initial consultation with the treating doctor. A treatment plan is mapped out for each patient based upon their budget and clinical improvement they are wanting to achieve.

Prices start from £280.

CHEEK AUGMENTATION WITH DERMAL FILLERS

Prominent cheekbones and a well-defined jawline, are desirable facial features and characteristics of beauty. Some people are naturally born with high cheek bones, but with ageing process we observe loss of volume and elasticity in cheeks .
Cheek augmentation with dermal fillers can improve facial contours and balance out facial features, restoring a more youthful look.

What type of dermal filers are used for cheek augmentation?
Several types of fillers are currently available for cheek augmentation: Juvaderm Voluma, Belotero Volume ,Radiesse, Teoxane,Princess Volume.

What are the potential side effects of dermal fillers when used for cheek augmentation?
Common side effects associated with dermal fillers are temporary swelling, and mild bruising of the area. We recommend all our patients to come off blood thinning products like aspirin, ibuprofen, fish oil etc 3-4 days before the procedure.

How much does it cost?
The cost of dermal fillers depends on the amount used per session and the area being treated. Each patient is unique and requires different amounts and types of fillers. This is assessed during the initial consultation with the treating doctor. A treatment is mapped out for each client and the cost can be assessed at this time.The cost is from £280 .

UNDER EYE FILLERS FOR TEAR TROUGHS

This hollow area, also known as the “tear trough” often appears darker than the surrounding skin due to the reflection of light. For some unlucky individuals, the hollowing of tear troughs and appearance of dark circles can happen in a younger age. This can be made worse with lack of exercise, stress, prolonged illness, substance abuse and poor sleep patterns.

How is the tear trough hollowness fixed?
Tear trough hollowness with under eye bags ( bulging lower-lid fat pads) are best fixed with surgery (Blepharoplasty). Hollowness without the bulging fat pads is easily improved with non surgical alternatives like dermal fillers or PDO Threads.

How are dermal fillers used to correct under eye hollowness?
Dermal fillers work by adding volume to the lower eyelid tear trough area which starts to loose volume as we age. Filler gel is painlessly injected using a fine cannula after the area is thoroughly anaesthetized with local anesthetic cream. This replenishes the lost soft tissue volume in the area, resulting in a fuller, more contoured look.
The procedure takes around 15 -30 minutes. Results are seen instantly and give a younger and more fresh appearance. Effect of the treatment can last between 8 and 12 months.

What are the potential complications of this procedure?
After the injection, localized swelling and bruising are relatively common side effects of this procedure and may last for a few days. In women, a good foundation can hide any bruising quite well.

How much does it cost?
Treatment costs depend upon the degree of hollowness and amount of filler used. We use the best HA dermal fillers in the market and our doctors some of the most experienced in the industry.

Treatment  costs start from £200

CHIN RESHAPING

Chin Augmentation is a very popular requested cosmetic procedures in both men and women.

It helps males with weak jaws to have a strong and masculine jawline.

In women it creates a more attractive profile with a more pleasing, triangular shape to the lower face.

The procedure is performed with a Dermal Filler Radiesse .

Prices start form £280

LIP AUGMENTATION

Lip augmentation is a cosmetic procedure to create fuller lips, also resulting in the reduction of any fine wrinkles around the mouth. There are several methods of increasing lip volume including fat grafting, silicon implants, dermal fillers and specialized lip threads.

We specialize in dermal filler lip augmentation with  Teosyal Pure Sense Kiss,Juvaderm, Belotero, Revanesse Kiss.

From cosmetic point of view, aesthetically pleasing lips have:

  • A well defined border
  • Well defined cupids bow and filtrum columns
  • Slight but cheeky upturn at the corners
  • Pleasing volume to the top and bottom lips maintaining ‘the Golden Ratio’

Angelina Jolie has the facial features and proportions to support big voluptuous lips. We often get asked by patients that they want lips like her but not everyone would look aesthetically pleasing with such lips.

The volume and shape of lips has to match other facial features and we do not encourage patients to seek cosmetic results that may look unnatural, disproportionate or overdone.

The volume and shape of lips has to match other facial features and we do not encourage patients to seek cosmetic results that may look unnatural, disproportionate or overdone.

The wide range of dermal fillers are ideal for non-surgical lip augmentation as a walk-in walk-out procedure.

Lip Augmentation procedure with dermal fillers takes approximately 30 -45 minutes and is performed under local anesthesia using extremely small needles. Gentle hand, use of advance injecting technique and attention to detail is paramount to perform a successful lip augmentation procedure and deliver natural looking results.

Is the procedure painful?
No. There may be some minimal discomfort initially but the procedure is not painful. The filler gel has local anesthetic inside and the treated area becomes automatically numb within first few seconds. There can be a tiny drop of blood at the injection site but there is no bleeding as such. Topical anesthetic cream, Ice and local infiltration with anesthetic  are among the techniques we use to make the procedure virtually pain free.

What happens after treatment?
Most patients experience minimal swelling of the lips, but this will subside after 2-3 days. You will be able to see the full effect of your lip augmentation treatment after 10-14 days.

How long do the results last for?
The result of lip augmentation treatment lasts anywhere from 6 months to 12 months depending upon the type and amount of dermal filler used.
There are several factors that may also affect the longevity of dermal fillers including patient’s individual metabolism and his or her life style ( smoking, physical activity level etc.) Our doctors will recommend the type of filler depending upon your expectations and budget.

How much does it cost?
The cost of lip augmentation depends upon the amount and type of dermal filler used. We offer   lip hydration treatment for £180  and lip enhancement from £280.

 

NON SURGICAL RHINOPLASTY:
NOSE JOB WITH OUT SURGERY

Non Surgical Nose Job resolves the appearance of small nasal defects safely and quickly, without the risks, cost and long, painful recovery normally associated with traditional rhinoplasty surgery.

How is Non-Surgical Rhinoplasty performed?
Non Surgical Nose Job takes about 30-45 minutes to perform. A topical anaesthetic cream is applied for 20 minutes.A dermal filler gel is injected as a liquid implant in superficial layers of nose to fill depressions and smooth out sharp angles, restoring symmetry and making your nose appear more attractive and in better harmony with your face.

Is there any pain?
There is minimal pain associated with this procedure. Most patients tolerate extremely well.
The patient is completely awake during the procedure and has the opportunity to monitor the procedure in a mirror and give live feedback as the procedure is being performed.

What is the downtime?
In most cases their is minimal swelling or bruising associated with the injections and female patients can easily cover it up with makeup and go straight back to work. For male patients, we recommend allowing a day or two of downtime, just in case. Patients are advised to apply cold packs to the treated area if required after the procedure, to help quickly resolve any swelling.

How long does the treatment last?
The results last anywhere from 8 months to 18 months depending upon the type and amount of dermal filler used and the individual metabolism of the patient.

How much does it cost?
The cost of non-surgical nose job depends upon the amount and type of dermal filler implant used for correction and combination with PDO threads. The costs can vary from £280 to £550.

HAND REJUVENATION

with BIO- STIMULATORY DERMAL FILLERS ( Radiesse, Ellanse)

Collagen is a key structural component that keeps our skin youthful looking and plump. As we age, our body’s natural collagen production decreases, and we begin to see facial lines, wrinkles and hollowing. Smoking and sun damage contribute significantly in speeding up this process.

Bio-stimulatory Dermal Fillers help correct facial wrinkles, folds and sagging that appear with ageing and/or recent weight loss. Once injected, they promote a collagen production over a period of weeks and months resulting in a plumper and more rejuvenated look.

Contact us today to discuss your options.

Author:

Dr Margaret Grabicka

Dr Margaret Grabicka

General Medicine and Aesthetic Medicine Doctor with expert experience in rejuvenation treatments, dermal fillers, anti-wrinkle injections, vitamin infusions, lifting threads and body contouring treatments. American Academy of Aesthetic Medicine Diploma.

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