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About Dermal Filler
Dermal filler is an excellent way to plump up the skin and give instant results. If you imagine your skin is like a mattress and the springs are the collagen and the padding around is the hyaluronic acid, Dermal filler is soft hyaluronic acid gel that closely resembles the natural hyaluronic acid of the body.
The Problem
As we age, we lose volume in various areas of our face; the cheeks, temples, lips and around the mouth. We also lose elasticity in the skin and the combination leads to wrinkles and sagging skin. It’s like having a plump cushion and both pulling out the stuffing and stretching the cover.
The most important factors when deciding to have dermal fillers, are the expertise of the practitioner, your safety and the product that is being injected.
How It Works
At Radiance, we promote a natural, age appropriate look. The soft hyaluronic acid gel in dermal fillers closely resembles the natural hyaluronic acid of the body that diminishes with age. Some dermal fillers also stimulate the production of collagen, tightening the skin. Dermal Fillers are injected (using a needle or cannula) just below the skin or deeper, depending on the area being treated, to plump up the skin giving instant results.
All fillers used are not permanent. The length of time that the results last is dependent on the type of filler used, the volume used, the area being treated and how quickly your body breaks down the filler.
- Cheeks This is the area where there is almost always some volume loss after the age of 40. Dermal fillers can dramatically restore youthfulness and femininity.
- Nasolabial lines (nose to corner of the mouth). These can be treated, as long as there is enough volume in the cheeks. Otherwise, if filled on its own, it can create an overfilled, baboo-type look. It is important to address the loss of volume in cheeks first, before filling in nasolabial lines on their own as the two are related.
- Tear troughs The sunken eye, tired appearance affects all ages and is an area that we treat a huge number of clients in. This area is always treated using a cannula which minimises any bruising and using very fine filler. The treatment is very precise and requires a follow up, potential top-up at 2 weeks (included in the price). The results usually last a year, often more especially after subsequent treatments. Tear trough fillers get the ‘wow factor’ response more than any other area that is treated; from the young to the the old.
- Marionettes These are the ‘puppet lines’, from the corners of the mouth down that can give a grumpy or sad appearance. This area again is typically treated with a cannula to restore the volume and encourage the corners of the mouth to lift up, thus giving a happier appearance.
- Lips Volume loss in the lips gives both an aged appearance and sometimes a mean appearance. This is compounded by volume loss in the jaw and contributes to the lines around the mouth especially the ‘smokers lines’ (even if you have never smoked). Restoring lip volume in a manner that is age appropriate can take years off you. It can also be used to give the impression that the nose/chin are smaller, which is most noticeable in profile.
- Chin This is an area that we often do not notice in ourselves. There are various ‘perfect proportions’ in the face and these are most obvious when volume is put in the chin to improve both side and front profiles. Treating the chin often makes a large nose appear much smaller.
- Nose Slight asymmetry of the nose is obvious due to how the light catches it. Using filler to correct this can restore symmetry and make the nose appear smaller. Dips in the nose from the bridge down can also make a dramatic difference. Filler is introduced using a cannula.
- Temples This area can give a gaunt, aged look. The volumes required here can be much larger than you would expect.
- Number 11s or Frown Lines. The lines between the brows can give an angry, anxious or unapproachable look. These lines are from repeated frowning over the years, eventually making the lines permanent. Botox can also treat this area for further progression to stop the muscle movement.
- Jawline This is an area more commonly treated in men as men classically have strong jawlines. It can, however, give lovely results in the feminine face.
- Neck This area is treated with Profhilo (the honey filler), Salmon Sperm Extract and all of the collagen stimulating treatments such as Thermage FLX, Exilies Ultra 360, Indiba, Hydrafacial etc. Aliaxin SR is a specific dermal filler that is used in the neck area. It is introduced using a cannula and is usually combined with Profhilo. Aliaxin SR for neck £395. Aliaxin SR + Profhilo neck £575
- Hands Restoring volume loss in the hands gives lovely results and is an area that is often ignored
- Décolletage The chest area is subject to a lot of sunlight on a daily basis, yet often not protected by sun cream. This area is best treated using Profhilo, Salmon Sperm extract, mesotherapy or the collagen stimulating treatments.
Gallery
Frequently Asked Questions
Which type of fillers do you use?
How are Dermal fillers injected?
Where can dermal fillers be used?
What is the downtime and aftercare for dermal fillers?
Preparing for your Treatment
Post Treatment Care
One type of filler that is sometimes used contains a molecule that actually stimulates the body to produce collagen. The fillers used at Radiance Aesthetic Clinic are from the Restylane, Belotero, Croma and Amalian ranges.
It is important for you to feel comfortable with the results of dermal fillers so you will have plenty of time to discuss what you are looking to achieve and see before and after pictures from treatments that Dr Ros has carried out.
After the skin has been numbed using a tiny local anaesthetic injection the filler is injected injects using a very fine needle or cannula so that the treatment is comfortable. A cannula is a ‘blunt needle’ – this may sound a strange thing to use but it is more comfortable, safer & causes much less bruising. Most clients leave with minimal to no signs of a treatment having been done but remember that there is a risk of bruising.
Forehead – reduction of horizontal wrinkles and often paired with Botox treatments. This is usually done using a course of 2 treatments 8 weeks apart. (£425 + £325).
Frown – reduction of the ‘number 11s’ and horizontal lines between the brows and often paired with Botox treatments. This is usually done with Restylane classic. Usually £395
Crow’s feet – reduction of the fine lines and often paired with Botox treatments.This is usually done using Viscoderm Hydrobooster.
Tired, sunken eye appearance – this is the ‘Tear trough’ area that affects all ages. Treatment here giving a rested, youthful look. This is done using Amalian SF 16. Only Dr Debenham does this treatment &and results usually last a year or more. this is done in 2 stages, 2 weeks apart & the cost is fixed at £550.
Chin – increase in volume in a small chin. Looking at your profile using the VISIA scan is helpful before considering this. Correcting an imbalance can often make the nose look smaller. £550
Lips – reduction of smokers lines, lipstick bleed area and increase in volume for thin lips or those that have lost volume with age. Again, here, a change in the profile can make dramatic results. NB We do not favour large unnatural looking lips. Natural lips £395 Full volume lips £425.
Cheeks – increase in volume of cheeks that have lost volume with age or addition of volume to define the cheekbones. Clients often ask for the lines from the nose to the mouth to be filled but it is normally the cheeks that need addressing. The cost is dependant on the volume of filler used and product used but is usually £425- £595
Neck – reduction of the saggy skin, ‘necklace lines’ and sometimes paired with Botox treatment. Profhilo is our favoured treatment for necks. A course of 3, one month apart is required then one every 4-6 months £300 per treatmet. Sometimes Aliaxin SR is also used. £395
Often there is little obvious evidence of a treatment having been done but sometimes there is some swelling and bruising. We use the latest ‘cannula techniques’ to minimise the downtime and increase safety. Do not touch the area without washing your hands as this may introduce infection.
Do not do vigorous exercise or get excessively hot for 48hrs as this may rarely cause bruising. if you have any concerns you must call the clinic 01392 277799.
If you are on blood thinners or aspirin please let us know at time of booking. Treatments cannot be done if you are trying to conceive, are pregnant or breastfeeding. Let us know what medication you are on and any serious illnesses you have had. If you are ill you should wait 2 weeks before having your filler.
With all dermal filler treatments there is a risk of bruising so please make sure this fits in with your schedule. This is less when a cannula is used. Most bruising, if it occurs, can be covered with our camouflage kits. Always wash your hands to avoid introducing infection. Most commonly combined with Botox, Profhilo, Salmon sperm extract and collagen stimulating treatments.
One type of filler that is sometimes used contains a molecule that actually stimulates the body to produce collagen. The fillers used at Radiance Aesthetic Clinic are from the Restylane, Belotero, Croma and Amalian ranges.
It is important for you to feel comfortable with the results of dermal fillers so you will have plenty of time to discuss what you are looking to achieve and see before and after pictures from treatments that Dr Ros has carried out.
After the skin has been numbed using a tiny local anaesthetic injection the filler is injected injects using a very fine needle or cannula so that the treatment is comfortable. A cannula is a ‘blunt needle’ – this may sound a strange thing to use but it is more comfortable, safer & causes much less bruising. Most clients leave with minimal to no signs of a treatment having been done but remember that there is a risk of bruising.
Forehead – reduction of horizontal wrinkles and often paired with Botox treatments. This is usually done using a course of 2 treatments 8 weeks apart. (£425 + £325).
Frown – reduction of the ‘number 11s’ and horizontal lines between the brows and often paired with Botox treatments. This is usually done with Restylane classic. Usually £395
Crow’s feet – reduction of the fine lines and often paired with Botox treatments.This is usually done using Viscoderm Hydrobooster.
Tired, sunken eye appearance – this is the ‘Tear trough’ area that affects all ages. Treatment here giving a rested, youthful look. This is done using Amalian SF 16. Only Dr Debenham does this treatment &and results usually last a year or more. this is done in 2 stages, 2 weeks apart & the cost is fixed at £550.
Chin – increase in volume in a small chin. Looking at your profile using the VISIA scan is helpful before considering this. Correcting an imbalance can often make the nose look smaller. £550
Lips – reduction of smokers lines, lipstick bleed area and increase in volume for thin lips or those that have lost volume with age. Again, here, a change in the profile can make dramatic results. NB We do not favour large unnatural looking lips. Natural lips £395 Full volume lips £425.
Cheeks – increase in volume of cheeks that have lost volume with age or addition of volume to define the cheekbones. Clients often ask for the lines from the nose to the mouth to be filled but it is normally the cheeks that need addressing. The cost is dependant on the volume of filler used and product used but is usually £425- £595
Neck – reduction of the saggy skin, ‘necklace lines’ and sometimes paired with Botox treatment. Profhilo is our favoured treatment for necks. A course of 3, one month apart is required then one every 4-6 months £300 per treatmet. Sometimes Aliaxin SR is also used. £395
Often there is little obvious evidence of a treatment having been done but sometimes there is some swelling and bruising. We use the latest ‘cannula techniques’ to minimise the downtime and increase safety. Do not touch the area without washing your hands as this may introduce infection.
Do not do vigorous exercise or get excessively hot for 48hrs as this may rarely cause bruising. if you have any concerns you must call the clinic 01392 277799.
If you are on blood thinners or aspirin please let us know at time of booking. Treatments cannot be done if you are trying to conceive, are pregnant or breastfeeding. Let us know what medication you are on and any serious illnesses you have had. If you are ill you should wait 2 weeks before having your filler.
With all dermal filler treatments there is a risk of bruising so please make sure this fits in with your schedule. This is less when a cannula is used. Most bruising, if it occurs, can be covered with our camouflage kits. Always wash your hands to avoid introducing infection. Most commonly combined with Botox, Profhilo, Salmon sperm extract and collagen stimulating treatments.
Our Expert
Dr Ros Debenham MBChB MRCGP
Qualified Aesthetic Doctor
Dr Ros Debenham is Exeter’s leading aesthetic doctor practitioner. After working in general practice for over 22 years, Dr Ros moved into the aesthetics industry in 2008. Since opening Radiance in 2013 with her daughter Katie, Dr Ros quickly built up a large client base in Exeter, the Southwest and abroad. Dr Ros specialises in Botox, dermal fillers and facial assessment to enable clients to bring out their natural beauty with latest tailored beauty ‘tweakments’. Dr Ros established Radiance Aesthetic Clinic as a clinic where clients can receive appropriate and long-lasting results, not quick fixes. Winner of the Venus Lifetime achievement for the UK in 2016, Dr Ros was a huge contributing factor in the establishment of the Harmony Assessment Program – a new method of facial assessment that is used at top aesthetic clinics in the UK. Dr Ros is also a UK trainer for Galderma, one of the leading dermal filler companies, and also mentors other practitioners around the UK.