Fillers

What Can Dermal Fillers Do For You?

The press is often very critical of celebrities who have had ‘too much’ filler.Very often when I look at them I don’t see too much filler per se, what I do see is a lot of filler in the wrong places. When it comes to injecting filler it is not just a case of how much to inject, but more importantly where to inject it. Here is a quick guide to some of the area’s we usually inject, and how to tell if you might benefit from treatment in these areas.

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​Nose To Mouth Lines Filler

The nose to mouth lines (nasolabial folds) are one of the most commonly treated parts of the face.The nasolabial fold represents the natural junction between the upper lip and the cheek. In some people this appears with age as a result of descent of the mid-face or cheek. In other people however it is present since childhood or adoslesence.
Making the distinction between the first group and the second group is vitally important. If you can’t remember if you had the fold when you were younger, it is always best to check back to some old photographs. In the first group, where the fold has appeared with age, treating it with filler can provide a very nice and rejuvenating result.
Treating the nasolabial fold in the second group of women however, who have had it as a feature of their face since their teenage years will almost always result in an unnatural look, particularly when the person attempts to smile. For this group, it is usually better to treat the cheek itself rather than the nasolabial fold.

Cheek Filler

Cheek enhancement involves the use of dermal fillers injected into the mid-face to add contour, shape, volume and structure to the face. Cheek enhancement can address multiple concerns in the face as the mid-face region (below the eyes to the lips) of often the first part of the face to show signs of ageing.
As we age we loose the fat pads under our skin which normally support the overlying skin and add contour to our face, begin to flatten and migrate down the face. Combined with a loss of subcutaneous tissue and changes to bone structure, this results in the loss of the natural contour of the cheek, flattening of the face and the development of nasolabial folds (nose to mouth lines) and jowl formation. By adding dermal filler to the deep layers of the skin and replacing the lost fat and bone it is possible to change the shape of the face, enhance the cheekbones and improve facial symmetry. The goal of restoring volume to the cheek area is not simply to make the cheek look fatter, but to recreate a more attractive facial contour and lift.
Treating the cheek area with dermal fillers as an initial treatment we can often address multiple concerns at once, giving an instant ‘liquid face lift’.

Mouth Corners Filler

One of the biggest complaints I hear from women is the down turning at the corners of the mouth…
With the appearance of lines that run from the corner of the mouth down towards the chin – the so called marionette lines. These can be fairly quickly, easily and successfully treated with volume restoration using filler.
Treating this area is not simply a case of injecting the actual line, but feathering the volume across a wider area to blend the junction between the lower part of the cheek and the chin.

Lip Fillers

In youth, the lips tend to be full and voluptuous and as we age they lose volume and shape, becoming thin and flat. As a result, lip enhancement has become a popular treatment in anti-ageing clinics.
Many women are afraid to have filler injected in their lips for fear of achieving the dreaded ‘trout pout’ look. So it is important to use softer fillers, usually the ones which are actually designed for filling fine lines. In terms of volume, less is more and it is almost always better to inject the red part of the lip rather than just the border, which can create a ducky profile view.

Another key point to note is that filler in the lips can last a long time, and longer than you may think. It is commonly believed that lip filler lasts somewhere around 6 – 18 months. Actually, it can easily last up to two years and if you repeat the treatment before the last lot has worn off, it is very easy to gradually build up too much and get the dreaded ‘trout pout’.
Bottom line: in the lips, less is more.

Chin & Jawline Fillers–
A strong, well defined chin is perceived as a sign of youth and beauty

It is rare to see a face that is perceived as young and attractive, male or female, that does not have a strong and well defined chin and jaw.
As we age, the lower jaw shrinks and we lose projection and definition of the chin. As a result of the jaw bone becoming smaller, the overlying soft tissues have less structure and support and so the skin appears loose and saggy.

Restoring volume to the chin can have a significant impact on the facial appearance, both improving the facial contours and proportions as well as on reducing the appearance of lose and lax skin.

Both men and women are suitable for this procedure. They typically fall in to two groups: the first group is a typically younger group who have a congenitally small chin and the second group is an older group who have simply lost volume with age. In the younger group who have have congenitally small chin this simply means that the chin they were born with is too small for their face, leading to a disproportionate appearance. Volume can be added to either increase the projection of the chin, to make the chin vertically longer or to re-shape an chin unattractive contour. Often, a combination of these is required to achieve the most attractive facial contour and proportions. In the second group, the aim is to restore volume loss to create a younger appearance.