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A Guide to Facial Fillers


Non-invasive cosmetic treatments are rising in popularity year on year and with increasing demand for an alternative to going under the knife advancements in dermal fillers are rocketed over recent years. We work with revolutionary products that work with your own body to create a natural look so if you've noticed lines, creases or lack of plumpness facial fillers could be the solution. Here's a guide to everything you need to know. 

Why would you need fillers?

Young skin is constantly moisturised from within by hyaluronic acid, a naturally occurring sugar. Hyaluronic acid absorbs moisture and keeps your skin well hydrated for a youthful look. As we age, our face loses fullness due to decreasing levels of collagen, elastin, and hyaluronic acid – the building blocks of healthy skin. As our skin loses hyaluronic acid fine lines start to appear on the face, some lines become wrinkles due to outside factors like sun exposure, diet and years of facial muscle movement. In addition fat loss can create sagging and turn lines into folds too. 

Fillers offer a simple treatment option to avoid or delay more invasive procedures, like facelifts. While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles. Here are a few of the common issues dermal fillers can help address:

  • Smooth out lines around nose and mouth. (a.k.a. marionette lines, smile lines, and parentheses)
  • Enhance & restore volume to sunken cheeks.
  • Diminish vertical lip lines
  • Plump & enhance the lips
  • Smooth out a chin crease
  • Re-shape nose bridge

What happens in a filler treatment?

Filler is a volumizing substance that is injected beneath the skin to restore lost volume, smooth fine lines and deep creases, or enhance facial contours. The gel is injected with a fine needle into specific areas of the face by a nurse of doctor, sometimes along with topical or local anaesthetic (numbing cream). Multiple injections will be given so the gel can fill the facial lines and wrinkles or add subtle volume so that the filler is evenly distributed. 

The most popular areas to treat with dermal fillers are nose to mouth lines (nasolabial folds), lines that run from the corner of your mouth towards your chin, puckering lines/smokers lines around lips and volume replacement in the hollows below cheeks. They can also be used to reshape the bridge of your nose, add fullness to lips and cheeks, fill lines under eyes and create a non-surgical facial lift. 

What are the different types of injectable filler?

Your nurse of doctor would see you for a full consultation prior to treatment in order to determine which would be yor best filler option. but here's a guide:

There are a variety of FDA approved filler products that are used to achieve an individual clients goal. Each is uniquely formulated to have a certain texture, density, and injection depth, which means that certain fillers work better for certain areas of concern. In general, fillers are categorized by the substance they are made from. A note for your safety: always make sure that you are receiving FDA approved, brand name fillers, which are only available through a licensed physician and clinic. At Skin Health Spa we primarily use Juvéderm® fillers which we know to be the best in the industry.

Hyaluronic Acid (HA) Fillers

Hyaluronic acid is a naturally occurring substance that is already found in your skin, it can hold 1000 times its weight in water and it encouragers your body to draw moisture in and retain it. The hyaluronic acid injections fill the space between collagen and elastin fibres in your skin to plump thinning lips, fill out the lines between your nose and mouth and jowls. It also fills hollow areas under the eyes and help keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. All the HA fillers we use at Skin Health Spa are infused with lidocaine (pain relieving agent) to help minimize discomfort during and after treatment. 

Over recent years there has been a raise in use of Vycross® Fillers, a new generation of fillers that are smoother, more comfortable and natural looking. The added bonus is that they are longer lasting than other dermal fillers. 

Vycross® fillers have a different molecular make-up to other more traditional fillers. 90% of their content is low-molecular-weight hyaluronic acid meaning the solution integrates fully into the skin and is more mouldable to the facial contours for the most natural looking results possible.  In comparison, traditional fillers are made with 100% high-molecular-weight hyaluronic acid meaning they are heavier and can’t be manipulated as easily.  

These revolutionary fillers provide natural facial shaping and are virtually painless due to it smoother consistency and anaesthetic ingredients. This results in little bruising and swelling so downtime is little to none.

Calcium Hydroxylapatite (CaHA)

Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium particles are very tiny, almost microscopic, and suspended in a smooth gel. The consistency of a calcium hydroxylapatite filler is typically thicker than that of a hyaluronic acid filler, and the results will typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. FDA approved calcium hydroxylapatite fillers include Radiesse.

Poly-L-lactic Acid

Poly-L-lactic acid is a biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance. It has been used for many years in a number of medical devices, such as dissolvable stitches. Poly-L-lactic acid fillers are considered a “semi-permanent,” as the results typically last more than 2 years, and can help stimulate collagen production. As a thicker filler material, Poly-L-lactic acid is typically used to treat deeper facial wrinkles and for re-contouring the face shape to replace lost volume and sagging skin. FDA approved Poly-L-lactic acid fillers include Sculptra Aesthetic.

There are also Collagen fillers available to treat the skin concerns outlined above, they're the oldest type of filler and because their effects don't last as long (up to 3 months), they've largely been replaced by newer Hyaluronic acid fillers.

What will happen after the treatment? 

Depending on the product used and the areas treated, you should be able to notice results immediately after receiving filler injections. Some clients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment.

As facial filler injection is a non-surgical procedure, most people can carry on with their day-to-day activities straight away, some clients even pop in on lunch break for treatment. 

With the help of our experienced, qualified doctors and nurses, injectable fillers can provide natural-looking enhancement to help you feel more confident in your appearance.  If you’re ready to learn more about your options, the next step is to meet with one of our experts for a free consultation which you can book by calling your nearest clinic on 0800 24 25 145 or request a call back online here.