Treatments > Facial Aesthetics > Fillers

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Dermal fillers (Juvederm®)

Dermal fillers are injectable products used to help restore volume or fill lines around the face, creating an a more youthful or enhanced look.

Filler products have evolved enormously and are now based  upon hyaluronic acid which occurs naturally in the skin, achieve much more subtle and natural results.

Hyaluronic acid forms part of the matrix supporting the function of our skin and can also be considered our skin’s internal moisturizer, absorbing a lot of water and hence being responsible for our skin’s hydration

How long do dermal fillers last?

The effects of dermal fillers  typically last 6-12 months but will vary depending on skin condition, area treated, the amount of product used and lifestyle factors such as sun exposure and smoking. The average life of treatment to the lips is less than other areas because of the high blood supply and continual motion.

What results should I expect?

The aim of dermal fillers is to improve folds, lines and wrinkles of the face or for lip augmentation. We would encourage you to take before and after photographs.

The fillers work immediately but the final look is only achieved after two weeks. Also many fillers continue to absorb water for 48 hours after the procedure so you should expect up to a further 20% increase in volume.

As every individual is unique, response to treatment can vary and the filler may persist for a longer or shorter time than anticipated.

There is the possibility of over or under correction or asymmetry. Rarely, raised areas at the injection sites or filler below the skin may be visible.

Will I look “over-done” if I have filler treatment?

Many celebrities have given fillers a bad name by opting for an extreme look – over-plumped lips and pillow cheeks are common sights in the media. Most reputable practitioners aim for a subtle look rather than an obvious one. Be further reassured by the fact that these excessive results require really quite large quantities of filler to achieve, and not the sort of volumes we routinely use in our treatments.

Are dermal fillers safe?

Dermal fillers have a high safety margin. Side effects are uncommon and typically temporary.

However, due to the use of a needle there is likely to be some bleeding at injection sites, redness and swelling. This may cause discomfort, lasting several days/a week.

Rarely fillers can cause hypersensitivity reactions or result in persistent firmness, nodules or discoloration to the skin. Even more rarely, there is a chance of forming a haematoma, granuloma or abscess at the site, or causing necrosis which would require prompt reversal treatment. Such side effects and their treatment could last for an extended period/have permanent effects but are not seen very often with the newer types of filler available.

If you are pregnant or breastfeeding treatment is not recommended. If you suffer from coldsores, a fresh eruption requiring Zovirax may be triggered.

What happens during the treatment?

After discussing your expectations, and determining whether this is a suitable treatment for you, local anaesthetic cream will be applied to the areas to be treated and left on the skin for 20-30 minutes. This will make treatment more comfortable, with most patients reporting only mild discomfort following this.

The area will then be cleaned and using a fine needle, dermal filler will be injected at various sites and smoothed to achieve even distributions. You will be able to look at the result in a mirror to ensure you are happy with the look as we go along. Treatment typically takes 15-30 mins.

What after care should I observe?

After treatment please do not manipulate or massage the area, nor bend forward or lie down for 4 hours. Please also avoid extreme facial expressions, alcohol, and applying make up for 12 hours. It is best to avoid aspirin, ibuprofen and other anti-inflammatory medications within 24 hours of treatment to minimise bruising, as well as strenuous exercise. Exposure to excess UV light, saunas and freezing temperatures  should be avoided for two weeks.

If you have any concerns regarding the development of a serious side effect or symptoms persist for over a week please see practitioner or seek medical attention.

It is not uncommon for teeth to become stained and discoloured with age – a problem exacerbated by our diets and lifestyle, particularly smoking, red wine and coffee. Teeth whitening can be a really effective means of lightening the colour of your teeth by several shades.

At Lander we use at-home whitening trays. These are plastic tooth covers moulded by your dentist from an impression of your teeth taken in the surgery. In the comfort of your own home you will be required to place a small amount specially formulated bleach solution into each tray and wear for up to several hours a day over a period of weeks, as prescribed by your clinician.

We have found users to be thrilled at the effectiveness and convenience of this treatment. If you have tried over-the-counter products and been disappointed, rest assured that the high-quality trays that Lander clinicians create individually for you are in a different league.

Tooth whitening lasts for six-months to a year, depending on the types of foods you eat, your dental hygiene routine and your lifestyle. It is a fantastic low-impact method for helping you feel more confident about your smile, making it look whiter, brighter and significantly rejuvenated.