For Wrinkles, Lips & Facial Shaping
- Dermal fillers can be used to re-volumise areas of the face that have lost volume, or to non-surgically change the shape of the face
- Common areas for treatment with dermal fillers include; lips, chin, nose, brows, nasolabial folds, mouth corners, and wrinkles (static wrinkles).
- There are a number of temporary dermal fillers available at Surrey Cosmetic Clinic lasting from 6 months to 18 months
- All filler types used at Surrey Cosmetic Clinic can be dissolved by injection of hyaluronidase if there are any problems or the result is not as expected
- Treatment with dermal fillers involve firstly numbing the area to be treated, and then injecting the filler. There are usually some temporary side effects post-treatment, including redness, swelling, asymmetry and bruising.
- Dermal fillers are a safe and effective method of non-surgically shaping, volumising, lifting, and rejuvenating the face
What are dermal fillers?
Dermal fillers consist of a crystal-clear synthetic substance called hyaluronic acid (a type of collagen) that occurs naturally in the body and is reproduced for cosmetic procedures. The dermal filler holds water, therefore hydrating and giving volume to the skin. Dermal fillers are used to fill or replace the lost volume in the face. Lost volume may manifest as a fold, wrinkle, flattening or shrivelling of an area. Unlike anti-wrinkle injections, they do not affect facial muscle contraction.
Which dermal filler?
Our Cosmetic Doctor uses 2 types of non-permanent dermal filler:
Restylane manufactured by Q-Med. A versatile range of products to treat the whole face. The Q-Med range includes Restylane, Perlane, Lipp, SubQ and Vital.
Juvederm manufactured by Allergan. This range includes Juvederm Ultra 2,3 and 4, Ultra Smile and Voluma. Popular in the industry for creating natural looking results.
All the dermal fillers used come with a local anaesthetic called Lidocaine pre-loaded in the syringe which makes the treatment significantly more comfortable. We also prepare all treatment areas with numbing cream and can perform nerve blocks if further pain relief is required.
Dermal fillers are most commonly used in the lips, jowls, brows, cheeks, chins, naso-labial folds (the fold from the nose to the corners of the mouth), and in permanent frown lines.
- WRINKLES - Perfect for static/permanent lines ie frown lines
- LIPS – The vermilion border is the most common area that is enhanced with dermal fillers. The vermilion border is the junction between the white and red part of the lips. By injecting dermal fillers in this area, it is possible to define the lips, similar to wearing lip liner. It gives the lip no more volume, but outlines the border to make it clearer. It can also help with lines that cross through this area. For those who have 'lipstick bleeding', injecting a dermal filler in the vermilion border can also help. The lip body can also be injected to replace lost volume there and define lips without over enlargement.
- Correction of vertical upper lip lines (smokers lines), if present, is also important in the enhancement of lips. This area is often a key area of concern for patients, and can be softened with a variety of fillers.
- The oral commissures are located in the corners of the mouth. This 'pocket' usually increases in size with age due to the effect of gravity on the cheek skin. Filling this area helps combat the impression of a 'sad mouth', creating a more positive and happy appearance.
- The philtrum consists of the two lines in the centre of the upper lip that connects to the nose. By enhancing this double-ridge, it is possible to give the upper lip more shape and curve, enhancing the sensuality of the lips.
- The cupid's bow, or the V shaped area in the centre of the upper lip can also be enhanced with dermal fillers. This makes the V more pronounced. Done in conjunction with the philtrum, it can achieve a pleasant overall shape to the upper lip.
What does a treatment with dermal fillers involve?
During your free consultation with our Cosmetic Doctor, we will discuss and advise you which fillers and which areas are best to treat. We will outline for you the amount of fillers required, the price, the side effects and the after-care required.
Treatment usually involves the application of local anaesthetic cream to the treated area or a nerve block prior to injection. The dermal filler is then comfortably injected into the treatment area.
Treatment times vary depending on the amount of fillers required and the areas treated, but generally take from 30 to 60 minutes. After treatment, it is possible to apply make-up if applicable, and to go about your normal activities. We usually ask you to refrain from heavy exercise however.
Treatment with dermal fillers sometimes does take more than one session to get the best results. The first treatment lays the foundation for the subsequent treatments, and future treatments allow for any adjustments to be made.
What are the side effects of filler treatments?
There can be some transient redness after the injections. Swelling is also present after the procedure, especially with any lip enhancement procedure. Swelling of other areas post-treatment tends to temporarily enhance the effect of the dermal filler, and it often takes 3 or more days to see the actual real improvement without swelling.
Bruising can also occur, and if it does, it can take normally take a week or two to completely disappear. Make-up/lip stick can be worn (if applicable) soon after treatment should there be a need.
Asymmetry is also possible, but correctable on a subsequent visit.
Small lumps can occur, and these will either dissipate in a few weeks, or may require dissolving with hyaluronidase.
Note that if you have a history of cold sores and the treatment area is around the mouth, then you should notify your treating doctor as filler treatment can cause cold sore flare ups. You may be instructed to take anti-viral medications prior to treatment if this is the case.
Can dermal fillers be combined with anti-wrinkle injections?
Yes. Despite having different actions, they are commonly used together. In fact, anti-wrinkle injections often prolong the effect of dermal fillers. Anti-wrinkle injections relax the underlying muscle that causes expression lines, and dermal fillers provide volume to fill in static lines.