Category “Q. Dermal fillers”

How can I treat the lines above my lip?

October 3rd, 2013
Q.
I have lines above my top lip. How much approx would it cost to have these treated and how long would the effects last? Also I have nasolabial lines. Are dermal fillers the answer & are they painful at all? Around the eye area for fine lines what would the recommended treatment be? Are dermal fillers preferable to having Botox? Going back to the lines above my upper lip, would treatment cause my lip to ‘plump up’, as I do not want this
A.
Hi
It depends on the cause of the lines and whether you feel any volume or definition of the lip is needed. You can use dermal fillers or Botox for these. Naso-labial lines need volume so either we use dermal fillers here or in the cheeks above to ‘raise’ the area and reduce these lines. For fine lines around the eyes we usually suggest Botox for these.
Most dermal fillers now have some local anaesthetic in them and aren’t painful to be placed.
Prices depend on the product to be used, correction required and experience of the clinician, but can start from £150/£200 upwards. I would recommend a consultation to discuss your options
Good luck
Adam
Dr Adam Thorne

Dr Adam Thorne

52 Harley Street, London, W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 3642 7971

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Can dermal fillers help my acne scars?

July 25th, 2013
Q.
Hello Dr Thorne,
I have acne scars mainly on my cheeks, they are quite bumpy and you can feel how uneven the skin is when you touch it. Over the years the scars have improved but i am still very aware of them without make-up on. Do you recommend dermal fillers for this kind of problem to recreate the volume? I would just like to have even cheeks and no pitted areas really.If fillers are not the solution is there any other treatment that you would recommend? Many thanks for your time.
A.
Hi there, difficult to give you a definitive recommendation without seeing you, it also depends if there is any hypo-(light) or hyper- (dark) pigmentation of the scars, however

– dermal fillers can generally be used to ‘plump up’ the acne scars, though will require regular treatment
– if there is any keloid scarring (due to over-aggresive healing) these usually need a steroid injection
– if they are small cysts this can be removed by ACP electrolysis
– if there is small pitting then a Dermaroller can treat this successfully

Good luck
Adam

Dr Adam Thorne

Dr Adam Thorne

52 Harley Street, London, W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 3642 7971

View My Profile Dr Adam Thorne

What is the best way to get rid of smokers lines?

July 25th, 2013
Q.
Please can you help? What is the best way to get rid of smoke lines above top lip without looking like a duck what gives the best result ,had Botox in the past but result ,not that great,also need my crows feet doing again,that’s okay, with Botox, and it
lasts for quite a long time, so that’s
usually quite straight forward,and
done have any side effects ,going
on holiday October so would like it done before I go away. I’ve had it done by both nurses and Doctors,
the result is pretty much the same. I want to look my best for the holiday so any tips that you have for me would be appreciated. Thanks in advance.
A.
Hi
I would use a fine filler like Juvederm Ultrasmile to define the margin of the top line without adding too much volume. This shouldn’t be placed too near the corners of the mouth as this gives the ‘duck bill’ appearance.
For your ‘Crows feet’ I’d definitely recommend Botox as the first choice of treatment.
Good luck
Adam
Dr Adam Thorne

Dr Adam Thorne

52 Harley Street, London, W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 3642 7971

View My Profile Dr Adam Thorne

I have a lump under my skin after filler treatment

July 23rd, 2013
Q.
Hi, I am hoping you can help me. I had dermal fillers two days ago on deep wrinkles around my mouth. the filler used was teosyal. One side, in which the wrinkle was deeper has responded well to the treatment.The other side, in which the wrinkle was not as deep, has lump under the skin near the mouth. Although this not painful it does cause discomfort when my mouth is open fully. I have contacted my practioner and am awaiting her call, but would appreciate any advice that you could give me, I am presently using an ice pack on the area.
A.
Hi
This is likely to resolve over time naturally, though It depends how much was injected and which teosyal product was used for how long this may take. I’d try to massage the area yourself and speak with your practitioner who will have a better idea how much was used. If it seems like this will take some time to resolve there is a product called Hyalase which can be injected and will break the product down.
Good luck
Adam
Dr Adam Thorne

Dr Adam Thorne

52 Harley Street, London, W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 3642 7971

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I have dark circles under my eyes

July 10th, 2013
Q.
Hi,

I’m 28 and I have really dark under eye circles and also hollow sunken eyes. I was short-sighted and had a very high prescription but I got laser eye surgery done so I don’t wear glasses any more, but not sure if high prescription and sunken eyes are even connected. The way my eyes look really bother me, wanted to know if it’s possible to treat hollow eyes with dermal fillers and can they help reduce the dark circles? If so, then how long will the affect of the treatment last?Which dermal fillers would be most suitable for under the eyes? How should I go about finding the right place and doctor in London, to get it done?

Many Thanks

A.
Hi
If the hollowness that you describe is underneath the eye it may be possible to improve the appearance with dermal fillers, however is it difficult to say without conducting a proper examination. Dermal fillers placed under the eye can make the area appear less dark or if a change in the structure of the under eye region is not desired, if the only problem is that of colour, then carboxytherapy can work very well. Sounds like for you dermal fillers may be best though. Generally a dermal filler will last around 9-12 months however in this region 18 months is common and even when your body has broken down the dermal filler, due to induction of collagen the area will never appear as it did before. Most brands of hyaluronic acid dermal fillers have a filler suitable for this region and different practitioners prefer different brands, the most important thing is that your practitioner is comfortable using the brand selected as they all have different properties. There is a filler specifically designed for this region which is Teosyal Redensity II and this is what I’d use.
Adam
Dr Adam Thorne

Dr Adam Thorne

52 Harley Street, London, W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 3642 7971

View My Profile Dr Adam Thorne

How safe are dermal fillers?

June 17th, 2013
Q.
Are dermal fillers actually safe and do they work.

Can they be used under the eye and forehead? Does it involve complications, i.e. side effects or any unwanted results.

How long does it last and are the results drastic? Do they involve blood being re-injected into the face and are the results instant. How much does it generally cost? Also how much is rhino plastic surgery – straightening the nose.

A.
Hi
Dermal fillers are safe and work! – they are made from hyaluronic acid, which is a naturally occurring substance in the body. Hyaluronic acid binds water to keep skin looking healthy, hydrated and firm – you can see the results immediately following placement. They do not involve blood being re-injected.
It is a medical procedure, so there are some possible risks, but if performed by a qualified doctor these are minimalised. Using different products they can be used under the eye and forehead.
Costs usually starts from £250 upwards depending on the amount required and area it is placed and last usually 4-6 months.
Dermal fillers can be used to change the appearance of the nose.
Good luck
Adam
Dr Adam Thorne

Dr Adam Thorne

52 Harley Street, London, W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 3642 7971

View My Profile Dr Adam Thorne

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