Your face is highly complex territory. It’s not just your skin you have worry about. As this is the most superficial and openly seen layer this is the one we all worry about. However, there are multiple layers in the face that all age at the same time and in different ways. The layers include your skin, superficial fat layers, deep fat layers, muscles, ligaments and bony skeleton. Interweaved amongst these layers is the most complex motorway of blood vessels, ducts, nerves and lymphatic drainages systems. It has suddenly got very crowded very quickly and that is precisely why your face is so important.
Of all of these layers and structures the bony skeleton and the fat layers are the ones that cause the most significant trouble for our patients with regard to their aging characteristics. But again, these are only two pieces in the complex puzzle. Believe it or not, your skull is constantly changing shape and dimensions with age. With age, certain portions dissolve away predictably and other portions are exaggerated. There is nothing to stop this process but as we lose that underlying bony support the more superficial structures start to wobble due to their lack of a solid foundation that is normally dependent on the deeper structures. The deep fat pads not only decrees in volume with age but along with their superficial counterpart can start to migrate southwards and towards the middle of the face. This deflating and migration of the fat pads and lack of underlying bony support means skin is more likely to wrinkle, move and structures that were tight and held back become lax and sag over time. This is all due to volume loss – a completely natural process that will happen to all of us to different extents as we age… The question remains what can you do about it? The answer – Dermal Fillers…
Dermal Fillers have revolutionised how doctors deal with the issues of volume loss. What are they? Well, they are a group of clear gels that we use in the medical aesthetics industry to create volume and lift in skin and tissues. There are many different types of fillers ranging from the short term to the long term, thick to soft and even permanent fillers. If you would like to banish fine lines or wrinkles and refresh your appearance, dermal fillers are a popular option. The fillers we use at Skin Radiance Clinics are all made using Hyaluronic Acid, a substance which occurs naturally within your own skin layer.
This chemical has a natural propensity to hold water – in fact, the purified Hyaluronic Acid that we inject can hold up to 1000x its own weight in water! This gives youthful skin its plump firmness and volume.
The ageing process causes us to lose our natural hyaluronic acid reserves, which results in a loss of volume and hydration and the loss of this support encourages the formation of wrinkles and causes our skin and soft tissues to droop. Dermal filler injections replace and augment the natural hyaluronic acid in your skin and deeper layers, revitalising and restoring the volume of the skin and improving texture. The results of dermal fillers include visibly reduced wrinkles and a more natural, lifted appearance as well as augmentation of certain anatomy.
At Skin Radiance Clinics, dermal fillers can be used in a range of areas of the face to restore and augment the natural volume and texture, including the lower face, to target nose to mouth lines (nasal labial folds), mouth to jawline (marionette lines) and upper lip (perioral) lines. What’s more? We also rejuvenate or enhance lips and cheeks and can use fillers to achieve sharpened jaw lines and remove the impression of jowl formation. Jawline definition is an emerging and popular treatment for young men who want that chiselled jawline look. It is very much achievable with dermal fillers.
That’s not all. Dermal fillers also smooth out more minor lines and wrinkles on the face and this can help to restore natural facial contours. When applied professionally, dermal fillers can augment a natural facial structure and have no bearing on facial expression. Which is exactly what you want. The results of dermal fillers are immediate and last for between 6 and 9 months with our normal ranges, and up to 24 months with our premium filler ranges in certain individuals.
Results depend on the area injected and the type of filler selected. Note that the body naturally breaks down the hyaluronic acid used in dermal fillers. The exact type of filler we use depends on the location we are injecting into and the result we desire to achieve. This is covered in detail during our free consultation. Therefore, you get to know about every bit of the procedure, before it is carried out.
Lines and deepening folds appearing around the nose and mouth are a completely normal sign of aging. In fact, even babies have nose to mouth lines. When we get more mature, fat pads in the cheek area deplete in most people, which causes all the tissues to pull downwards with gravity. This causes deepening of the nose to mouth and mouth to jaw lines. Hence, if you have these lines, treatment can be offered to inject directly into the lines directly to soften them, but ultimately in most people, treating higher up on the cheeks has a big impact and improves the nose to mouth lines without directly treating them. Both are options and the risks and benefits of each are discussed with you personally at the time of consultation.
Dermal fillers can be used to either rejuvenate an aging lip or enhance the lip by augmenting volume and giving definition to the lip border and address the fine lines that develop around their edges. If your cupid’s bow has flattened or the corners of your mouth have wilted, the fullness of your lips can be restored and a more defined lip border created with a dermal filler. As a result, fine lines and wrinkles are softened and smoothed out. We pride ourselves on tailoring our lip treatments specifically to the patients’ needs – there is no such thing as one lip fits all. We perform full facial analysis looking at the contours of your features and advise on your ideal lip size and what needs adjusting to gain the maximum result. Trout Is Out! We want subtle adjustments – bigger is not always better – it is all about harmony of features. We pride ourselves in our ability to say no when we think you have your ideal lip size – with or without prior treatment.
The loss of midface / cheek volume is also a natural by-product of the ageing process. The combination of this loss, migration of natural fat pads and the weakening of the underlying bone structure leads to sagging cheeks and results in development and worsening of the nose to mouth lines and marionette lines.
By injecting dermal filler to augment the cheeks, we re-establish the midface structure, provide support for the tissues and thus create a natural lift. As a result of this extra volume, the lines are softened and facial contours are rebuilt. Reinstating lost volume is pivotal in the rejuvenation process as it gives back youthful contours and shape and gives vital support to superficial tissues and skin. A sunken cheek is easily treatable by this means.
Naturally with age and because we talk and use our mouths a lot every day, fine lines and wrinkles commonly appear around the mouth and lips. Many women complain that their lipstick has begun to bleed out of their lips into the surrounding lines and it is incredibly frustrating. It doesn’t have to be this way. Dermal fillers can be used to fill these lines individually and separately or as part of a lip rejuvenation treatment. It normally requires more filler than you would anticipate, as we need to not just fill the gap but also give underlying support and structure to the whole area around the mouth to limit further forming of lines. Hence, we need to leave different layers of filler at different depths in different directions to get the best result depending on your individual needs.
Jowl formation is again a normal process as fat pads on the outer lower portions of the face move downwards and centrally due to gravity and relaxing of the tissues with age. Jowls can be softened by placing filler on either side of them to blend them in more and make the face more harmonious. If you have jowls that make you feel uncomfortable, they are very treatable.
For young men, having a chiselled jawline is becoming popular and this is very achievable with dermal fillers. We can sculpt the jawline you have always desired with long lasting filler to hold its shape and make you look and feel more masculine.
This is fast becoming an extremely popular treatment along with jowls and jawline. Having a good chin is necessary to bring the rest of face into harmony. It forms to point of the upside-down triangle of beauty and hence is very important to get right. By using dermal filler, the chin can be extended to give greater balance to the lower face. There is no point in having amazing lips with a small or unbalanced chin?
A very popular procedure for those suffering with an issue with their nose. Whether its downturning, has a hump or a dip it is amazing what can be done with dermal fillers. A lot of people question how will adding filler make nose look better as I think I looks big already? This is quite a common misconception. By adding filler very specifically in certain places and making the nose straighter it can give the illusion of it also looking smaller as it comes into more harmony with other facial features.
The face is not the only place that can make you look older than your age. Hands are heavily exposed to the sunlight and one of the least protected areas of the bosy and hence can age dramatically. By injecting soft Hyaluronic Acid into the back of the hand your hands will become rejuvenated and refreshed and hiding underlying tendons and blood vessels makes you look younger and healthier. This is a very quick, painless procedure which can last up to 9 months. All the work can be done from a single small needle entry point in the skin and hence there is minimal trauma and hardly any down time.
Dermal fillers due to their flexibility can be used in multiple areas across the body. Although most commonly used in the midface/cheek and lower face, there are instances where they may be used in the frown or forehead lines in conjunction with muscle relaxant injections.
And Dermal fillers can be used in the following areas:
The hyaluronic acid based fillers that we use are known to be non-allergenic. However, if you have previous history of anaphylaxis / severe allergy, we would treat on a case-by-case basis and make sure it is safe to proceed with treatment.
Making sure you are fully informed about all the benefits and risks of each procedure and making sure you remain safe throughout the whole process is our priority. We go through an in-depth consent process making you aware all of the possible risks attached to dermal filler placement in your one-to-one private consultation. As we only use biodegradable products, they are safe and low risk, with no long-term associated side effects. However, there are risks attached to the procedure. Common side effects noted after this treatment include temporary swelling which normally lasts for the first 48 hours, mild tenderness in the area injected, and some minor bruising which normally disappears in one week and can be covered with make up if so required, up to 6 hours after the treatment. We advise using mineral based make up to avoid occlusion of the upper skin layers and reduce the risks associated with injection. Some moderate and rare risks are openly discussed in your consultation with Dr Raj Thethi.
We only use licensed and fully researched products that have excellent reputations internationally at Skin Radiance Clinics. We make sure our products are safe and injected at specific points to achieve the optimal results. Some less reputable products have been known to move onto other areas in the surrounding tissues. But because we only use the best products available and inject only at specific points, you will not face this problem. Our products stay where they are placed and are naturally broken down by your body over time.
Of course a natural result can be achieved. Unfortunately, social media platforms, photo editing apps and even peoples’ preconceived ideas have morphed recently and people are beginning to believe you can come to our practice and fundamentally change the shape of their lips with dermal fillers. We frequently get people bringing in pictures of Kylie Jenner lips or certain social media filters that create large volume lips with may or may not appear “pretty” on a screen but the results, in reality, are extremely difficult to obtain and normally will look far from “pretty”. Some young ladies and even some gents who have very large lip augmentations are fundamentally, in our opinion, are destroying their anatomy. Respect of the patient’s natural anatomy is one of the key principles we perform all our treatments on.
The moment you lose the respect or understanding for patient’s unique, natural anatomy – you are in a dangerous place because that practitioner can create something unnatural – and as a non-surgical aesthetic practitioner, Dr Raj will discuss your expectations of treatment and try to understand your desires and needs from your lips but also advise on the realistic expectations and achievability of the goals given your current anatomy. We only perform treatments to aid us getting closer to the best, natural looking version of yourself. We pride ourselves on the subtle details which take someone’s confidence to new levels. We value you choosing us and our expertise and in return you should expect honesty and openness from your doctor.
Many different types of dermal fillers exist. They vary in their thickness, elasticity, ability to lift and viscosity. Another important distinction between various fillers that you need to know about is their longevity. Some practitioners may use permanent or semi-permanent fillers, which in our experience can lead to complications. Hence, at Skin Radiance Clinics, we only use reversible, hyaluronic acid fillers. Hyaluronic acid is a substance already present within our skins in varying degrees. Its molecular composition allows it to attract and hold water. In fact, it is known that one hyaluronic acid molecule can hold up to 1000 times its own weight in water. This ability to hold water invests it with properties that make it able to add volume, lift, rehydrate tissues and improve your skin quality.
Even within the family of hydraulic acid fillers, there are many different brands and within each brand, there are many different ranges. The exact filler that is required is dependent on the area of application, the expected outcome, the fullness that is required, and the lifting capacity. At Skin Radiance Clinics, we have training on the use of many different brands of dermal filler including Juvederm Ultra, Juvederm Vycross, Restylane, Teosyal, Perfectha and Regenyal Idea. No matter what your needs are, we are able to handle them.
Dermal fillers in summary are a group of clear gels with varying thickness and viscosities that can be used to soften fine lines and wrinkles, improve hydration, add volume, hydrate and lift your facial contours. Although primarily used in the face, they have multiple uses including for hand rejuvenation and improvement of the décolletage area.
Hyaluronic acid that is already present within our skins acts like a sponge holding water, but after the age of 25, the amount of hyaluronic acid produced by the body is reduced, and the rate at which it is broken down is up-regulated. This means overall that with age and use, the plumpness, hydration and youthfulness of your skin is reduced, leading to the outward signs of ageing. If you want to replenish your skin’s hyaluronic acid reserves and thus, not only improve shaping contour, but also rehydrates the skin and improve skin texture, we can achieve that by using hyaluronic acid based dermal fillers.