Dermal fillers

Reduce deep grooves and wrinkles with dermal fillers

Dermal fillers are injectable treatments used to reduce the appearance of lines and folds. Due to its highly favourable safety profile, non-animal stabilised hyaluronic acid (HA) is used, a substance found naturally in the human body.

It is a clear gel that once injected beneath the skins surface, integrates into the dermal tissue then attracts and binds to water molecules to help maintain volume. It is gradually degraded by the bodies own mechanism and disappears without any residue. This leaves the skin hydrated and volumised, smoothing out wrinkles and folds.

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Dermal fillers

Frequently asked questions

The term “filler” encompasses a broad range of facial fillers and products, but at Smooth Dimensions, we use only the Juvéderm range from Allergan, as they are the most natural-looking and advanced dermal fillers available.

These particular dermal fillers are made up of different molecular structures of hyaluronic acid (HA); a naturally occurring substance that is already in our bodies, and is responsible for water retention in the skin.

When introduced to the skin, the HA based dermal fillers not only volumise, they also gradually integrate within the facial tissue itself. Once the filler has drawn water to the area and locked in moisture, a lot of patients will notice that the skin itself appears rejuvenated and hydrated.

Due to the different molecular chain lengths, HA fillers come in a range of consistencies. This means that we can tailor dermal filler treatments that are based on the area treated and the desired result. For example, a delicate area such as the under-eye tear trough will require a much finer product that will not bulge or look noticeable. The cheeks and chin, however, require a treatment that’s a little more robust to help structure and restore the scaffolding under the skin.

Dermal fillers can be used to treat the temples, deep naso-labial folds, frown lines between the eyes, vertical lines on the top lip, marionette lines at the corner of the mouth, definition of the lip border, increasing the size of the lips, horizontal lines across the forehead, jaw sculpturing, and tear trough. These kinds of fillers are also suitable for non-surgical rhinoplasty and for hand rejuvenation.

You may also be a suitable candidate for the 8 point facelift, which uses the very latest dermal filler techniques to provide a non-surgical lifting effect.

Generally we can dissolve this type of dermal filler if you are unhappy with the result.

Juvederm hyaluronic acid fillers are used because they do not contain any animal derivatives, so there is no risk of animal-based disease transmission. It is fully biocompatible and degradable, and there is virtually no serious risk.

A topical anaesthetic cream will be applied to the treatment area and then local anaesthetic will be used to numb the area. Although the local anaesthetic injection will sting a little, no further discomfort will be felt after this. We are prepared to give you sufficient time for topical or injection anaesthetic to work.

Due to the anaesthetic in the gel, you may feel
numbness or tingling immediately after the procedure, and have some moderate swelling, redness, bruising and tenderness over areas treated.

Some people experience a dull ache, and tenderness over the treated areas which subsides between 48 – 72 hours. Mild, non-painful swelling can last for up to 14 days. Bruising is usually visible initially, then more obvious the next day before fading over 7 – 14 days. A small minority of bruises can last for 4 – 6 weeks.

  • Stop drinking alcohol 2 days prior.
  • Try eating pineapple 2 – 3 times for 1 – 2 days prior.
  • Take Arnica tablets 3 – 7 days prior. Don’t take if you have high blood pressure or heart problems.
  • If you have ever had a cold sore around the mouth or near the injection site, talk to your doctor about tablets to prevent an outbreak due to the injections.
  • Avoid planning any important work or social events for 2 – 7 days after treatments in case of swelling or bruising.
  • If you are prone to cold sores around the mouth, and this is the area which you want to be treated, ask your GP to prescribe Zovirax tablets for you, to be taken just before and for a few days after the procedure.
  • Possibly discontinue the following medications 7 days before treatment. Some of these may be needed for medical reasons so check with your doctor first. The reason to stop these is that they make your blood less likely to clot (thinner) which leads to more bleeding. If you are on Warfarin/Coumadin or Plavix, do not stop taking them.
    • Aspirin
    • Exedrin
    • Ibuprofen (Motrin, Aleve, Advil)
    • St. John’s Wart
    • Omega 3 fatty acids
    • Vitamin E
    • Paracetamol
    • Ginseng

Results with dermal fillers can be seen immediately and a follow up appointment may be arranged to finesse the results 2 weeks after treatment.

4 weeks is usually the amount of time needed to see the true result. Wait until the healing time is finished before you can see the size and shape your fillers will be.

  • Avoid touching the treatment area for 6 hours.
  • Keep the area cool with cold compress, but don’t apply ice which can cause injury.
  • Avoid alcohol for 24 hours after treatment – alcohol can cause excessive bruising.
  • Avoid makeup for 24 hours and do not touch the treated area to avoid infection.
  • No excessive sun or heat until any initial swelling and redness have resolved. Sunbeds and saunas to be avoided for at least 1 week. If you have a holiday planned immediately after to a hot climate, protect your face in the sun with a high SPF and avoid sunbathing for long periods of time without protecting your face.
  • Do not squeeze or massage the treated area for at least 24 – 48 hours after treatment as this could subtly change the results.
  • If you get a lot of swelling in the first 24 – 48 hours: do not take aspirin, paracetamol, or ibuprofen to prevent bruising; minimise bruising with antihistamine tablets such as Benadryl; apply cold compresses to the treatment area.
  • If you feel lumpy spots after the first 48 hours; push on the spot with continual pressure for about two minutes. Repeat this five times a day. This is called “massage” and helps resolve bruising, swelling, or any lumpiness. Most lumps in the first week are just fluid or some bruising from the injection and will get better quickly.
  • To keep lip fillers soft, begin to massage them 48 hours days after treatment once a day for 2 weeks.
  • Wait 14 days to see the full result, as sometimes swelling can make the filler appear uneven. If this happens please be patient and as the swelling goes down the area should even up again.

The most common problem is not having realistic expectations from the treatment. 0.5ml filler in the lips will be extremely subtle. Most clients will find to show difference they will need 1ml in their lips or possibly more. Filler does not always last as long as desired or give the same effect from person to person. One person may find it lasting 18 months whilst another only a very short amount of time.

If you do not get the results you want, don’t be disappointed. Often the answer is more filler or possibly a thicker filler. It is common that patients need a few treatments to achieve their desired results. This is not a problem if you need more, extra filler can be added as soon as the swelling subsides.

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