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Frequently Asked Questions.

Dermal fillers have truly revolutionized dermatology and medical aesthetics.Patients who have questions about fillers can find answers to some of the most frequently asked questions.

F.A.Q.

What are dermal fillers?
Dermal fillers are biocompatible gels or substances which are injected beneath the skin’s surface to smooth wrinkles, create lift, add volume, contour and restore a more youthful appearance to certain areas of the face that show signs of aging. The products are composed of stabilized hyaluronic acid (HA) which occurs naturally in the cells of the skin. It works by drawing in water and therefore augmenting the skin, thus reducing the wrinkle treated. It is by no means permanent and is totally biodegradable. Depending on what type of dermal fillers, results can last between one to two years. Dermal fillers are very safe and have been used for over a decade.
How do dermal fillers work?
Throughout the aging process, we lose some of the skin’s ‘building blocks’ such as collagen and fat, which are the materials that prevent to skin from becoming loose and saggy, allowing fine lines and wrinkles to appear. As we age, our skin becomes thinner, and more visible lines and wrinkles start to appear. The facial bones and fat pads begin to shrink accelerating the creation of folds and deep wrinkles.

The dermal filler acts as a replacement for the lost fat and helps to restore our skin to its former youthful appearance.

The material is carefully injected into different layers of the skin depending on the type of filler selected and the patient’s needs. Dermal fillers are available in different thicknesses and viscosity that match the patient’s needs. The thicker products are generally reserved for deep folds or wrinkles, whilst the smoother product is used to plump out fine lines and wrinkles.

What areas can dermal fillers treat?
Best Dermal Filler Areas The face loses volume and contour when we age, the bones and the soft tissue dissolve and contribute to the appearance of sagging. Dermal fillers may be used to replace this volume loss and restore the structural support, giving the patient a more youthful appearance. The aim is to make the face more harmonious and rejuvenated.
Typical areas that can be treated are:

Nasolabial lines or folds, which run from each corner of the nose to the corner of the mouth.
Smile lines appearing on the cheeks.
Lip plumping is an extremely popular request by growing number of women purely looking to enhance their natural appearance, as opposed to an anti-ageing solution.
Cheek Volumising can create improved definition of the face that is lost over the years through the ageing process, giving sunken or flat cheeks. As we get older our facial bones shrink causing skin folds to appear. Building up our cheek bones using dermal fillers such as Juvéderm or Sculptra is an effective way of combating these imperfections.
Deep forehead wrinkles, frown and crow’s feet can be treated using dermal fillers, however many patients with fine wrinkles are best treated using Botox.
Wrinkled hands are often the most likely visible sign of ageing and difficult to conceal. Juvéderm Hydrate revitalises hands for a more youthful appearance. Juvéderm Hydrate is not a dermal filler or volumiser, but a treatment specifically designed to improve skin hydration and elasticity in the face, neck, décolletage, and hands. It effectively replenishes depleted levels of hyaluronic acid in the skin to restore a natural, healthy glow.

Are dermal fillers safe?
Yes. We use only products with a proven safety record. Hyaluronic acid (HA) is a substance that occurs naturally in the cells of the skin, thus there is no risk of allergic reactions. Even people with food sensitivities can receive these fillers safely. The brands of dermal fillers we use are available in more than 90 countries and have been used as an injectable cosmetic treatment for more than two decades with an excellent safety record.
What does the dermal filler procedure involve?
The first step in the process is to arrange a consultation with nurse practitioner who has specifically been trained in the use of dermal fillers. It is strongly recommended that you select a clinic which is registered and licensed with Care Quality Commission (CQC) as this ensures that the premises are hygienic and the practitioners are properly trained in the treatments they perform. It also gives reassurance that patients can return for review should any post treatment concerns arise. It also gives reassurance of the practitioner’s credentials, training and capabilities.

At consultation the practitioner will take details of patient medical history, current medication and complete a care plan, having discussed the patient’s requirements and expectations. The practitioner will then be in a position to advise treatment options and make individual treatment recommendations.

At the consultation patients will be provided with cost of investment for the treatment options provided. The practitioner will provide the risks associated with injectable treatments in writing. Patients can then reflect on what has been said and be given written treatment information.

Treatments generally take between 30 – 45 minutes. A topical anaesthetic cream will be applied prior to appointment to maximise patient comfort during the procedure. The Juvéderm product, unlike the majority of fillers on the market, has local anaesthetic in the solutions, making the treatment more comfortable. After having the injection, the practitioner will give patients aftercare advice and information.

How painful are the dermal filler injections?
As a local topical anaesthetic cream is applied 20 -30 minutes before treatment and Juvéderm products themselves contain lidocaine which is a fast acting anaesthetic, the vast majority of patients find the injections tolerable with slight initial discomfort.

Discomfort levels maybe higher if patients opt for an inexperienced practitioner or use an inferior product.

How soon will I see any result and how long does it last?
Results are seen instantly after the treatment, although this gradually improves over the course of the following 2–4 weeks. Results can last between 9–18 months although optimal results can be maintained over a long period of time through regular repeated treatments. The lengevity varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.
Will I look natural?
When fillers are used in the appropriate amount and placed in the right location, the result is a beautiful, natural, youthful outcome. Fillers are not meant to create totally different features. In the hands of an experienced provider that has extensive knowledge of facial anatomy, the outcome simply enhances one’s own facial features.
Are there any side effects?
Today’s dermal fillers have come a long way since the first-generation of collagen injections. Advanced injection techniques, coupled with the use of micro-cannula (blunt needle) and improved product safety means that significant side effects are extremely uncommon but may include:
Injection-related reactions: these reactions may include redness at the injection site immediately after the treatment.
Bruising: occasionally bruising can occur. However the use of micro-cannula (blunt needle) dramatically reduces the risk of bruising.
Contour irregularities can and do occasionally occur. Massaging can usually smooth out any ‘lumpiness’ however if persistent the filler can be easily and rapidly dissolved.
Infection — as with all injections, this procedure carries a risk of infection. The syringe is sterile and standard precautions associated with injectable materials are taken.
Necrosis — one of the worst possible complications of dermal filler. Fortunately, this is extremely rare. It happens when the dermal filler is accidentally injected into a blood vessel and it subsequently blocks the blood supply to the skin/tissue in that area.
Blindness — This is a very rare complication. There have been approximately 100 cases in the world and is caused by injecting dermal filler into blood vessel which has a connection with the artery which supplies blood and oxygen to the eye. There is no treatment so far for this that has been successful.
How will I know which dermal filler is right for me?

Different fillers achieve different outcomes. At your initial consultation with our qualified medical practitioners, we’ll discuss a personalised treatment plan that’s tailored to you. It could be that you need one or more of these options:

  • Increase hydration to your face, neck, hands and décolletage
  • Smooth fine lines on your forehead and the lower face
  • Soften moderate lines in your mouth to chin area and from your nose to lip corners
  • Remodel your cheeks and chin, and give more definition
  • Minimise scars
  • Define or enhance lips, subtly and naturally
  • Restore lost facial volume.
What is the difference between Restylane and Juvederm?
Juvederm and Restylane are both FDA-approved dermal fillers made from hyaluronic acid gels. Juvederm comes as a smooth gel while Restylane is slightly granular. These differences can impact where your practitioner decides to use the fillers. Restylane typically lasts from between 6 to 9 months, while Juvederm is labeled as lasting from 9 to 12 months.
What’s the difference between a dermal filler and botulinum toxin?

Both treatments involve injections, but botulinum toxin relaxes muscle movement that results in wrinkles while dermal fillers simply plump out and smooth wrinkles. Sometimes, these treatments are more effective when combined.

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