• Where can fillers be used to improve my appearance?
Glabellar lines / Brow
Nasal tip or bridge
Glabella Lines / Brow Creases
Generally the preferred choice of treatment is Botox, as by relaxing the tense muscles causing the groove, even the deepest lines can often be successfully treated with Botox alone. A filler can be used for any residual crease or if Botox is contraindicated for any reason.
Depressed grooves under the eyes cause pigments to be trapped, forming dark rings which give a person a tired appearance. By smoothing out the skin’s contours, pigment is allowed to dissipate, and a refreshed look is achieved.
When the tip of a nose is downturned, it can be lifted into a more pleasing profile by the injection of a filler into the base of the column between the nostrils. Any mild to moderate depressions or irregularities along the length of the nose can also be smoothed out with fillers.
These can either be inherited or due to volume loss, and/or skin laxity where the tissues that should be filling these areas have “gone south” and now overlie the lower jaw or have formed jowls. If due to laxity, tightening the skin and underlying tissues with treatments such as a facelift or Thermage is the preferred first line of treatment. Fillers can be used in combination with these treatments, or alone if there is no skin laxity or if, for any reason, skin tightening is not an option and often gives a satisfactory, albeit temporary result.
These are the creases that form from the edges of the nose to the corners of the mouth. With time they tend to become deeper and can begin to age a person’s face dramatically. As with hollow cheeks, skin laxity is often a significant contributing cause to the deepening of these lines. Again, with tightening the skin surgically or non-surgically with Thermage, the depth and acute angles of the creases can usually be greatly reduced. If necessary, fillers can be used to smooth these folds, either in isolation, or in combination with the above modalities.
The mouth area comprises several aspects which need to be evaluated for filler treatment, in order to return the lips to a pleasing 3-dimentional shape.
Firstly, flattening of the columns between the nose and the centre of the lips, can be reversed with fillers. This is often done when reshaping the “Cupid’s Bow”.
The vermillion border is the interface between the skin and lips, and loses definition with age. It may become quite creased with wrinkles, such as smoker’s lines and this can cause lipstick to ‘bleed’ onto the skin. Fillers are used to define and shape this border, as well as reduce the appearance of the wrinkles and smoker’s lines.
Deep grooves at the corners of the mouth and smoker’s lines extending away from the mouth can often be resolved with the use of fillers.
The volume of the lip can also be augmented with fillers, the degree of filling done according to the wishes of the client. If done by experienced practitioners, the result is a full, natural-looking, shapely mouth with less wrinkles.
Skin irregularities and volume loss are also managed with tissue augmentation.
Other indications for the use of fillers
Acne scars and depressions, or areas with volumes loss for other reasons, for instance, scarring after a skin infection, can often be masked with the use of fillers.