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What are dermal fillers?

Dermal fillers are used mainly to replace volume. They are not actually used in the skin, they are used nowadays a lot deeper within the cheeks, the temples and the tear troughs. The tear troughs is an area just below the eye where – if they are quite hollow looking – they can make patients look tired.
Many people come to see me whether dermal fillers were suitable for them. In order to assess them, we do a half an hour filler assessment and examine the face, hear what the problem is, find out whether it runs in the family, ask you to bring along photos of what you used to look like and then the examining involves touching the face. I actually have to feel around the bones, the fat pads, the tear troughs to see where there is the centre of the face and volume loss.
I can then advise whether the dermal fillers are suitable for you. Very often they are and we use a lot more dermal fillers now than doing surgery. About 5-7 years ago we would be offering lower eyelid surgery and cheek lift, now we have a lot more we can offer using dermal fillers, such as Restylane or Juvaderm. There are lots of different fillers which are best for different parts of the face.
Technique for fillers is also very important and if you are considering fillers around the eyes, it is a very good idea to come and see somebody who knows the anatomy extremely well, such as an oculoplastic surgeon. Here at Clinica London, we have two oculoplastic surgeons who do filler treatment around the eyes, the cheeks and the temples – myself – Jane Olver, and Brian Leatherbarrow. We’ve each got several years experience of this area and we both do treatment with cannula.
My treatment with cannula means that I can deliver the filler to the required areas using just one single injection point. From there I can reach the tear throughs and can reach the parts of the cheeks are descended and atrophied. This has a very low rate of bruise and much less discomfort.

More about Jane Olver

Ms Jane Olver is the founder of Clinica London and a Consultant Ophthalmologist and Oculoplastic Surgeon. Her special expertise is in oculoplastic and cosmetic eye surgery including eyelids and lacrimal surgery. She is specialised in endoscopic lacrimal surgery for watering eyes in adults and children. She has over 20 years’ experience in treating people with eye problems just like you, and has published extensively in scientific journals about Ophthalmology and Lacrimal Surgery and is the author of the books “Ophthalmology at a Glance” and “Colour Atlas of Lacrimal Surgery”. At Clinica London, she is responsible for the Aesthetic Medicine and Surgery part, as well as patients with eye, eyelid and tear duct problems, and acute eye problems.


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