Dermal Fillers - Juvederm and Restylene
Dermal fillers like Juvederm, Restylane and collagen are used to soften and reduce lines and wrinkles, for lip enhancement and to produce a "liquid face lift" through volumising areas where there has been loss of fat.
Dermal fillers are gel-like substances injected into the skin to physically lift and sculpt it, correcting wrinkles, folds, scars and asymmetries of the face. Dermal fillers are used for sculpting, shaping lips, cheeks, down turned mouth corners, chin and jawline as well as for lip enlargement. For the most part dermal fillers are replacing fat transfer because dermal fillers are less invasive and more reliable for facial rejuvenation than fat transfer.
The safest dermal fillers are non-permanent gels made from hyaluranon (a carbohydrate). Because hyaluranon is naturally present in the skin, but declines with aging, fillers made from these substances are an ideal choice for rejuvenation. Collagen has largely been replaced by hyaluranon fillers like Juvederm and Restylane.
Think of the face as it ages as being like a partially deflated balloon. The loss of fat, bone absorption and reduced muscle tone causes the face to deflate leading to flattening of the cheek structure, lines and wrinkles plus or minus sagging of the jowls. Replacing the fat with dermal fillers re-inflates the face producing a very natural look that generally takes years off the facial features. Generally this will give a much more "natural" appearance than a facelift. We call this process "volumising" or the "liquid facelift".
"Having the dermal filler injected was so easy, and looks so natural, it’s like magic!" Sue - aged 45
Modern dermal fillers last much longer than previously. The most useful volumiser called Juvederm Voluma can last up to 3 years but some types of fillers may break down after 6-9 months - it often depends on the area of the face as to how often you will need to have dermal fillers.
The latest dermal fillers at Palm Clinic include a local anaesthetic called lignocaine in the filler which markedly reduces the pain of injection making the whole process much more relaxing. If necessary a "nerve block" like you have at the dentist can also be used to completely block any pain.
At Palm Clinic a safe and natural result is our prime goal for you. Our Appearance Medicine team of doctors and nurses are experienced in a range of fillers including Juvederm, Restylane, Esthelis, Cosmoderm and others. This allows us a wide range to select the filler that is best for your needs and budget.
“I just wanted to tell you how lovely it was to receive a phone call from you after my treatment, even though I am a long standing client of Palm Clinic.” Joan - age 70
Frequently Asked Questions
What can dermal fillers do?
Fillers are mainly used to disguise the signs of aging. They can also be used to correct some scars, plump up the lips or correct asymmetries of the face by adding volume.
Ageing of the face consists of both fine lines forming and the contours of the face changing. Different fillers are used to address both these problems.
Correcting fine lines
Lip lines, frown lines, forehead lines, smile lines and crow’s feet can all be treated by the fillers likeRestylane and Cosmoderm. Juvederm and Restylane is made from hyaluranon, while Cosmoderm is human collagen grown in the laboratory. These fillers can be used alone for fine lines or as an adjunct to Botox for more stubborn wrinkles.
Re-contouring the face
'Volumising' is a technique that can achieve a compete facial rejuvenation - either by itself, or in combination with fine line treatments. By placing hyaluranon fillers like Juvederm Voluma, Juvederm UltraPlus, Restylane SubQ deep under the skin, it restores your youthful contours safely and effectively. This has been referred to as pillow face or pillow cheeks after some celebrities who have been a little overdone. Most New Zealand men and women prefer a more natural balanced look.
Often a combination of volume and fine line treatments layered together over a couple of sessions are needed to get a really top-notch facial rejuvenation.
The hyaluranon dermal fillers are ideal for increasing lip size and enhancing lip shape. Whether the lips have always been small, or reduced over the years, they can be plumped up in just half an hour. Where necessary the border of the lip can be re-defined. In achieving a natural (non-trout-pout) result, balance and restraint are vital. The lip should be in harmony with the age of the face, and should follow the ratio of 1:1.6 for top:bottom lip (i.e. the bottom lip should be bigger). Improving the appearance of the lips may also require attention to the contours around the mouth.
What is the advantage of dermal fillers?
How long do dermal fillers last?
What are the side effects of dermal fillers?
The most common side effect is temporary discomfort and possible bruising and swelling. With gentle technique we aim to keep bruising and swelling to a minimum. It is best if you don't exercise just before and after your treatment and avoid aspirin or anti-inflammatories for two weeks before treatment if you want to minimise bruising.
It is very rare with temporary fillers to have problems after the first two days but it is possible to have an allergy to the product. This is very rare and at Palm Clinic we have a product called Hyalase to breakdown the product of an allergy ever occurred.
What if I don't like the result?
This would be very unusual as nearly everyone is delighted with the improvement that dermal fillers make. However if you really didn't like the result it may be that you need a simple adjustment with a little more product.In a worst case scenario we can remove the product with an enzyme called hyalase. Your Palm Clinic doctor is always available to discuss any concerns you may have. Remember we are there to provide the result "you" want!
Are dermal fillers painful?
What is the cost of dermal fillers?
"Recently I had volumising at Palm Clinic. The results from this procedure have been amazing: it has made an enormous difference to my appearance and the positive comments I have received from friends and work colleagues has been very rewarding. My friends have been asking me what cosmetics I have started using as they can notice 'somethibng different about me, I am looking so much healthier and refreshed'. I have noticed my work colleagues taking a second glance at me and then passing a comment about how good I am looking, particularly noting that 'I don't look as tired these days'. The procedure itself was not invasive. The doctors at Palm Clinic made me feel very relaxed and comfortable and their enthusiasm and confidence about the product alleviated any concerns I had prior to the procedure. After receiving such positive feedback, I would not hesitate to recommend this product." Erica
"I was incredibly apprehensive about getting any facial enhancements and really worried what my family and friends would think. I approached the palm clinic and the receptionist instantly put me at ease. I was excited when I arrived and immediately felt safe in the hands of Dr Sam Dunn. He carefully explained the in outs of the procedure and explained ways in which I could save money over time. It was a pleasurable experience and I'm so happy with the results."
"To the Team at Palm Clinic - Thank you for the warm welcome and especially to Dr Dunn thank you so much, the Voluma job is amazing. I didn't feel any pain during the procedure and my face looks a lot younger and well rested. Can't thank you enough."