Dermal fillers have become one of the most frequently performed non-surgical treatments due to their convenience, affordability and long-lasting results. We only use non-permanent dermal fillers, as this gives a soft, natural result which is reversible if required. They also contain lidocaine or local anaesthetic to make the treatment much more comfortable.
Dermal fillers are used to increase the volume in areas of the face that have either lost volume with facial ageing or never had the volume to begin with. Dermal fillers are an excellent treatment to restore volume and plumpness to lips, chin, cheeks, jawline, around the eyes, brow, temporal and even the nose. In some cases, fillers can be used to improve the appearance of scars, especially acne scars.
At the Medispa by Dr Turner, all our dermal filler treatments are personally performed by our Cosmetic Physician or Dr Turner.
How Do Dermal Fillers Work?
Hyaluronic acid is a sugar-based molecule that is found in all living organisms, in particularly high concentrations in our skin. The dermal fillers we use all contain hyaluronic acid which works to restore volume, structure and hydration by attracting water into the soft tissues and skin.
Naturally derived dermal fillers that contain hyaluronic acid are much safer and have a very low risk of allergic reactions, which was common with previous dermal fillers. The hyaluronic acid that occurs naturally in our skin is continually replenished every 2 – 3 days. As we age, the production of the hyaluronic acid diminishes and this contributes to dehydration of our skin and volume loss in our face.
With modern dermal fillers, we can select the appropriate characteristics of the gel to the area we are treating. We can use a softer gel in the lips and a firmer gel closer to the bone in the cheeks or brow areas. With softer gel dermal fillers these can be metabolised by the body, or broken down and lose their volumizing effect quicker over 6-9 months. While the firmer gel dermal fillers are much more resistant to the body’s natural enzymes that degrade hyaluronic acid in our skin and last more than 18 months.
Is It Safe?
We only use dermal fillers that have hyaluronic acid as the active component. While the concept of using a ‘permanent’ type of filler is appealing, the risk is too high. If the filler becomes infected or migrates the only option for treatment is surgical excision. While for a hyaluronic acid-based filler, this can easily be dissolved with hyaluronidase injection.
Which Areas Are Treated?
Dermal Fillers can help revitalise your appearance, smoothing out wrinkles and giving your face a fresh and energetic look. The areas of that dermal fillers can be used for non-surgical facial enhancement include:
In youth, we have a short lower eyelid with a gentle transition into a full cheek with no defined transition point. However, due to the thin skin in the eyelid region and facial ageing we soon develop a depression that runs from the inner aspect of the eye to the junction between the lower eyelid and cheek region. Below this tear trough depression is the bony margin of the eye socket.
With ongoing facial ageing the depression becomes more pronounced, extending across the cheek region to fully reveal the entire bony eye socket. This process is compounded by the descent of the cheek tissue into the nasolabial region.
Dermal fillers in the tear trough, frequently combined with dermal fillers to the cheek or malar region can plump and lift the tear trough depression to give a more youthful contour to the lower eyelid and cheek region.
If you desire fuller, rounder, defined cheekbones to either restore or enhance that youthful ‘S’ curve of the cheeks than a cheek enhancement with dermal filler is an excellent treatment.
Some people with a weak cheekbone suffer from a flat, undefined cheek prominence. They are unfortunately at a high risk of early facial ageing with premature descent for the cheek fat pad as the cheekbone recedes further with ageing. While a facial implant is an excellent technique to correct this permanently, many don’t want the risks or downtime associated with surgery and prefer dermal filler treatments.
With facial ageing, the stretching of the supporting tissues and recession of the cheekbone allows the cheek fat pad to drop into the nasolabial fold. This gives the malar region a sunken appearance with excess volume in the nasolabial fold.
Dermal fillers used in cheek enhancement are firmer gel products as they a placed close to the bone, giving excellent projection and support for the cheek without the risk of being palpable. These dermal fillers give excellent longevity lasting over 18 months.
The nasolabial fold or smile line is the crease running from either side of the nose to the corners of the mouth. For some people, they may have always had a pronounced nasolabial fold even as a child. While others it develops as a consequence of facial ageing with the descent of the cheek tissue into the nasolabial fold.
The appearance of deep nasolabial folds can be improved using dermal fillers into the surrounding area to soften the fold. It is highly recommended that as part of nasolabial fold correction that the cheek is also corrected.
The marionette lines are creases or folds at the corner of the mouth. With ageing these folds deepen and the mouth can take a down-turned appearance to make you look like you’re always frowning.
Dermal fillers in this area can lift the soft tissue and restore the angle of the mouth to give a more refreshed appearance. It can be combined with a very small dose of anti-wrinkle injections to the muscle pulling down the corners of the mouth to aid in the result.
The brow is one of the first parts of the face to show signs of ageing. The skin on the forehead relaxes, the subcutaneous tissue in the brow area is reduced and the frontal bone recedes. This allows the brow to drop into the upper eyelid area making the upper eyelid appear heavy. Often clients present requesting an eyelid surgery procedure when the problem is simply a low brow position.
Dermal filler injections can elevate the lateral aspect of the brow, resulting in a more open and refreshed appearance. When it is combined with strategic placement of anti-wrinkle injections, we can often achieve 2-3mm of brow elevation which is often equivalent to a brow lift surgery.
Some people naturally have temporal hollowing due to the shape of their skull, however for many this occurs as part of facial ageing. It is often an unrecognized and untreated aspect in facial rejuvenation procedures. With temporal hollowing giving a sunken or gaunt appearance that makes you look unwell.
Dermal fillers to revolumize the temporals can create facial harmony and balance to restore a more youthful appearance.
There are many reason clients choose to go a jawline enhancement procedure with dermal fillers.
• Ageing Jawline
The formation of jowls and loss of definition of the jawline is one of the most characteristic features of facial ageing. If this is significant, then a facelift procedure may be your best option. If you are only starting to notice the loose skin, the use of dermal fillers in a jawline enhancement procedure can camouflage the jowls by blending the jowl into the adjacent areas. This helps to straighten, strengthen and define the jawline.
• Shape Of The Jawline
A jawline enhancement treatment using dermal fillers can help create a stronger jawline for a more square, masculine appearance. Some patients need more volume in the front at the chin and others need more volume at the angle of their jawline, to create a stronger, sculpted and defined jawline.
• Jawline Asymmetry
Most people have a small degree of facial asymmetry, if the asymmetry is significant and causing dental issues, then this is best corrected with surgery. For minor jawline asymmetries, the shape, size and chin position can be improved by the use dermal filler treatment.
How Long Do The Dermal Fillers Last?
Modern dermal fillers are long lasting due to the advances in the manipulation of the hyaluronic acid component used in the gel. The duration of the dermal filler depends not only on the type of filler used – whether it is a firmer or softer, but also the location where the filler is placed in the body.
With the softer fillers, they tend only lasting 6-9 months. However, the firmer fillers can have effects that last 18-24 months. If the filler is placed deeper on the face, eg close to the bone in the cheek or brow it has a much longer duration. While if the filler is placed in a mobile area that is very vascular like the lips its effect is shorter. This is why with lip enhancement the treatment generally needs to be repeated after 6 months.
The Dermal Filler Procedure?
Before your treatment, a detailed consultation with our Cosmetic Physician is necessary to develop a treatment plan that’s uniquely designed for your appearance goals. A treatment session usually takes 3o minutes, depending on the areas treated.
To ensure the dermal filler procedure is comfortable we often use a combination of ice-packs, topical numbing cream or selected injections of local anaesthetic depending on the location we are treating. The dermal fillers we use also contain lignocaine for added comfort during the injections and we use a combination of cannula and needle techniques for dermal fillers depending on the area being treated.
Results of your treatment will be immediate, and there is no real downtime associated with dermal filler injections. You should expect some redness and mild swelling that usually subsides within one to two days. Bruising may occur in some individuals, but is typically mild and can be camouflaged with make-up. We recommend that you are reviewed after 2 weeks to access the final result and determine if any touch up is required.