Facial and tear trough hollows can be effectively treated with injections of a hyaluronic acid gel fillers or volume bio-stimulation of deep collagen, for instance with poly L lactic acid (Sculptra).
Hyaluronic acid (HA) gel dermal fillers such as Restylane® and Perlane® or the Juvederm® range of hyaluronic acid gels, are used to fill tear trough, temples, cheek and facial hollows, and smooth the contours of your face. They also have a secondary effect to help reduce deep lines and wrinkles. Anti-ageing facial fillers are the non-surgical way to achieve younger looking skin and provide volume for age and smokers lines and wrinkles. Although dermal fillers are used to replace or increase volume, only the Skinboosters® are used superficially to rehydrate the skin. The other fillers are injected or introduced by cannula into deeper tissue hollows for their volume effect.
Botulinum toxin A
Botulinum toxin A, filler, or a combination of Botulinum toxin and filler can treat all of the above age related aesthetic changes.
Sometimes fillers are combined with other cosmetic treatments such as Ultherapy® Skin lifting and tightening, Skinroller®, Trichloracetic Acid (TCA) or pHformula® chemical peels and other aesthetic skin treatments.
A filler is a substance used to treat soft tissue volume loss and hollowness in the face and periorbital area. We can fill hollows, cheek volume loss and depressions with volume restoring fat or synthetic filler.
There are many different types:
Hyaluronic acid gels
Hyaluronic acid gels – including Restylane®, Perlane® and Juvéderm® are the most popular types of filler. The effects of hyaluronic acid gels reverse with time and can also be dissolved very rapidly with the injection of an enzyme which will reverse the gel with our unique treatment Hyalofix™.
The oculoplastic surgeon will decide on the best gel to use.
We inject the gel into the specific area of the face during a routine visit using a fine needle. The Restylane® and Hyaluronic Acid fillers we use at Clinica London also contains a local anaesthetic to reduce any pain and discomfort.
We then apply firm pressure to the area in order to reduce the risk of bruising and to ensure an even distribution of the gel. We may use ice packs and numbing creams, but they are often not essential.
Hyaluronic acid gel injections generally have few side effects, complications or allergic reactions and have been throughout the world for many years.
Restylane Skinboosters® are a brand new approach to improve skin quality. Skinboosters® improve the skin’s quality by boosting hydration levels deep inside the skin. The treatment improves the skin’s firmness, elasticity and radiance.
Restylane Skinboosters® treatments can be used to improve the general skin quality of the face but also to improve exposed areas such as neck, décolletage, and a very popular treatment for the hands as well as areas with acne-scarred skin.
There are three treatment options depending on the level of depth of hydration treatment required: Skinboosters® Light, Skinboosters® Medium and Skinboosters® Deep. These treatments are done in courses consisting of 3 separate sessions at 2 to 4 weeks apart.
Once the initial 3 treatments have been performed, maintenance of results can be achieved with a re-treatment approximately every six months.
Other fillers do exist, which are not hyaluronic acid gel based. These are semi-permanent or permanent fillers which we use seldomly but are still favoured by some surgeons and patients.
These filler alternatives include Radiesse® (Calcium Hydroxyapatite spheres), Restylane Skinboosters® and Sculptra® (Poly-L Lactic acid). These fillers can be used for both medical and cosmetic purposes.
Autologous fat transfer
One alternative to hyaluronic acid gel or other fillers is an autologous fat transfer (also known as a Coleman fat transfer).
We usually use autologous fat transfer to treat cheek atrophy in patients who may not be keen on hyaluronic acid gel or who want a more permanent effect. We make deep Injections into the sub-muscle area and existing fat reserves. We avoid injecting substances into superficial areas to prevent lumps, which can be difficult to eradicate.
An autologous fat transfer is also an effective choice for patients who have suffered trauma or who have a congenital deformity or post enucleation socket syndrome (PESS).
Autologous fat transfer is a technique where fat is taken from the patient’s abdomen or thigh using a liposuction technique. This is done either under a local or general anaesthetic in an operating theatre. The fat is then prepared for injection in a centrifuge and injected with fine cannulas.
Autologous fat has a longevity of up to five years with a very low rate of allergic reaction. It is sometimes difficult to estimate the exact volume to be injected as up to thirty per-cent of the fat can be re-absorbed in the first three to eight months. An autologous fat transfer is also a more invasive surgical procedure than a hyaluronic acid gel filler injection. It causes more swelling and requires a longer recovery period. We use an autologous fat transfer in conjunction with eyelid, cheek and other facial rejuvenation surgery.
After the treatment with fillers, the face will be rejuvenated. Skin looks softer than before, the natural convexities of the face return to a younger appearance. Sometimes fillers can be combined with other cosmetic treatments as botulinum toxin A, Ultherapy® Skin tightening, TCA chemical peels, pHformula® or chemical peels and other aesthetic skin treatments.
Our product range includes: