Category “Q. Dermal fillers”

What filler would be best for nasolabial lines?

March 25th, 2013
Q.
Hi dr,
I would like some advice on which filler would be best for nasolabial lines. I am 19 years old and don’t have wrinkles but recently the expression lines going down from my nose to mouth have become deeper, and it has given my face a more gauntish, harder look, and I have very faint marionette lines because of this too. Where as before my face looked alot fuller. I think this is from poor diet, smoking and drinking too much coca cola.The expression lines don’t look even either, and the one on the left side of my face goes straight down, whilst on the right side it is curved and slightly softer around the mouth. I am choosing between restylane and juvederm. I like juvederm because I read it gives a more softer look than restylane, which is what I would like, but am worried because I heard juvederm tends to spread out more and go into other areas. I don’t want it to spread to the cheek area as I already have very full cheeks and it will look weird. I want it specifically for the nasolabial folds, too soften them. I want a filler that will look natural and subtle and just make my face look the same as it used to and not really different.
A.
Hi There,

Both Restylane and Juvederm are excellent fillers and wold do a great job. I don’t think that Juvederm will spread any more than Restylane.
It’s probably more important to choose your practitioner carefully.

Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

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How can I treat my aged and sunken face?

March 18th, 2013
Q.
Hi there,
I have got quite sunken cheeks and more lines on my face since loosing a lot of weight. Whilst my body look the best it ever has my face seems to have aged. I have tried a few creams and serums but they haven’t really made any difference to my face at all. I have been looking on the net at dermal fillers and things and I don’t really know very much about them or where to begin really. I just want my face to look younger, not a great change to to plump it out abit. Can you give me any advice about what creams to use and what fillers you think would help with my face?
A.
Hello there,
Although there are good creams to improve the tone and texture of the skin surface they will not replace lost volume or plump the skin. This is where hyaluronic acid (HA) dermal fillers come in. They can not only subtly restore lost volume but can be used to provide a more widespread plumping and re-hydation of ageing skin. My personal preference is to use either Restylane or Emervel but there are other HA fillers. There are a number of ways in which HA fillers can be used to achieve this; you would have to discuss this with a reputable Cosmetic Doctor.
Best Wishes,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

What can I do about the bad treatment I received?

February 20th, 2013
Q.
I’m an Italian woman,54 years old. I made filler 4 week ago in Saudi Arabia(Jeddah)with a German doctor,that come here . The filler made me infection,the doctor don’t give me nothing for help me,only cream for herpes. So i go to another doctor that give me two antibiotic and my face now its better but not well.Its possible write to the company  for said that its better control who come in the word for don’t do the same with another person?
A.
Hello there, I’m sorry to hear of your problem.
It is very important to check the experience and qualifications of the practitioner administering the filler injection. It is also important to confirm exactly which brand of filler is being and that it has been sourced from an approved supplier. Lastly I would also advise that you choose a practitioner who offers a comprehensive follow-up service and provides you with contact details in case problems occur.
Best wishes, Dr Peter Forrester
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Can permanent fillers be used to treat Polands disease?

February 13th, 2013
Q.
Are permanent fillers still available to treat Polands Syndrome? I previously had the Bio Alcamid injections to mimic the missing pectoral muscle which proved satisfactory for six years until it migrated into a lump.
This was subsequently removed.
I have no fat for fat transfer and would prefer a permanent filler if one could be recommended.
The injections were given by an extremely competent professor but unfortunately he had no knowledge of the filler and managed to do his best.Since then he has retired and I am unable to ask his help again.
I have also questioned the idea of a silicone implant but have been told that this will not work as the edges can be seen.
Is there another filler other than the Bio Alcamid that could be used or would this filler work better in the hands of an expert in the field?
A.
Hello there,
Permanent fillers are slowly failing out of favour because of the high incidence of problems. I’m not sure that you should discount silicone implants. Pectoral silicone implants have been used to reconstruct Polands Syndrome. Their success depends on your degree of Poland deformity, the careful choice of implant size and doing some research to find a good surgeon. The advantage of a solid silicone implant is that they are usually much better tolerated and long lasting compared with injectable permanent fillers.
I hope this helps.
Best wishes,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Would Restylane be safe to put in my nose?

February 13th, 2013
Q.
Hello dr Peter, first sorry my bad english, to ten  years ago i put artecol in the wrinkle the noise to the mouth.Now I want to put something like restylane or another thing? But Doctor say that is dangerous , i don’t know what i do, please help, what can i put? im so sad to see my face like this way and i can t do something:( please answer my question and i hope you understand my bad english! thanks for your attention

A.
Thank you for your question.
The problem with all semi-permanent fillers is that they can suddenly cause problems years after they have been injected, even if everything had previously ben very settled. Restylane is a very safe hyaluronic acid filler. However, your doctor probably said that they wouldn’t inject it where Artecol had been used just in case it caused it triggered a reaction with the Artecol.
Kind Regards,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Will dermal fillers wear off and make my face droop?

January 23rd, 2013
Q.
Hi, I am wondering if you can help. I was having a chat with friends regarding dermal fillers, Botox etc as I am considering having both done for forehead lines and nose to month lines. However they were against it saying that once it wore off the face would just drop and the lines would be worse! However I am thinking having it earlier rather than later would help as it would stop the wrinkles constantly contracting as the face wouldn’t move the same so they’d actually be less noticeable once it wore off compared to a woman the same age who had never had treatment am I right? Thanks 
A.
There is no evidence that things will be worse when Botox or fillers wear off. Equally, there is not a lot of evidence that they have a long term benefit, although I suspect that they do. There is some evidence that hyaluronic acid (HA) fillers such as Restylane or Emervel improve the texture and hydration of the overlying skin. Also HA fillers have been shown to stimulate the body’s natural collagen production.

Certainly having them earlier rather than later means that you wold probably need smaller amounts and the results are likely to be more subtle and natural.

Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

How can I sort out the problems with my fillers?

January 23rd, 2013
Q.
I had fillers (I think restalyne or a generic version thereof actually) injected under my eyes to reduce the bags of wrinkles I have there. This was done on the 14th of December 2012. Since having the fillers done, I look absolutely worse every day.I have swelling and a bad ‘shift’ of the wrinkles under my eyes which is the area where the filler was injected.My wrinkles were previously partially hidden under my glasses, but now this area seems to have ‘dropped’ to below the frames of my glasses. I look and feel horrible. I, and those who know me, say I look worse for having done fillers, even though I obviosly had it done to look somewhat ‘fresher’.Is there a remedy for the swelling and ‘drop’ of myn wrinkles? Have you heard of this happening before? I am desperate as the fillers were done a month ago and my eyes look worse every day with swelling.I am worried sick.
A.
Fillers in the under-eye and Tear Trough area can be problematic and can take weeks to properly settle down.
It is difficult to give a useful opinion via email. However, one of the advantages of HA fillers is that they can be reduced by injecting the enzyme hyalase. You need to see an experienced Cosmetic Doctor to discuss the options for resolving this issue.
Sorry I can’t be of more help. I would be happy to see you if you were local to Surrey.
Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Can dermal fillers help me to look my age again?

January 3rd, 2013
Q.
I’m 46 years old and have a busy and stressful job and three kids, which has all taken its toll on my face and I look about 100! I have wrinkles everywhere! Around my eyes, on my head, there are millions around my lips which really age me. And my cheeks have sunk and lost their plumpness, again adding to my aged appearance. Can dermal fillers help me with this? I want to look my age again! Thank you, I look forward to hearing your response
A.
Thank you for your question.
I am always relieved when someone says they want to look good for their age rather than wanting to look 20 years younger. The answer to looking the best you can, for your age, usually comes from a combination of treatments. Dermal fillers can immediately restore lost volume but only have a limited effect on superficial lines and poor skin tone/texture. These are often best addressed by prescription-strength skin care and collagen stimulating techniques – my personal favourite being INTRAcel.
If you live in the South-East I would be happy to see you for an assessment.

with best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Can Aquamid be used in the back of the hands?

January 3rd, 2013
Q.
Can Aquamid be used in the back of the hands? I have a youthful face and body, but my hands are those of an old lady!!! I could not afford to have filler which does not last more than a year or so and wonder if Aquamid could be used. I’ve been told fat transfer may be an option but this would be much more invasive and I’m guessing expensive. I am a nurse and need to clean my hands regularly with products which are very drying, I use sunblock on a daily basis, however my hands look awful, I would love to improve them with a filler
many thanks. 
A.
Although I can see the apparent attraction of using permanent fillers, I would not use a permanent filler in the hands.
I have seen HA fillers last surprisingly well in the backs of hands (including my own!). Radiesse has a good reputation for hands although I have not personally used it in this area.
Also, don’t forget that ageing hands are not just about volume loss. Poor tone, texture, age spots and pigmentation can all be addressed on the hands just as we would on the face. Tretinoin, hydroquinone and AHA’s all are useful when rejuvenating the hands.
Please don’t hesitate to get back to me if you need any more advice.

Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Would dermal fillers work on my acne scars?

December 11th, 2012
Q.
Hello Dr Forrester,
I had quite bad acne as a teenager and also as an adult which has left me with with some pitted scars on my face. They are mainly on my cheeks and they are quite noticeable, make-up or not. Do you think that fillers would work to plump out the scars at all?They are not very big, but there are quite a lot of them. Also, if fillers can work would you suggest I have any specific ones in particular?
Thank you for reading my problem and I look forward to receiving any advice you can offer me, Thanks.

A.
Dear Kim,

Fillers can help with plumping pitted acne scarring but often need to be combined with some form of other procedure such as dermaroller or INTRAcel. A hyaluronic acid filler wold be the best choice – something like Restylane or Juvederm.

Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester