Category “Q. Dermal fillers”

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

How can I remove the fillers in my face?

November 19th, 2012
Q.
I had the outline fillers inserted in my face,cheeks and all my face , and lips too but I used outline filler more than I should and now I need to remove the extra filler outline inserted in my face because I had more than I should, and I realize unfortunately that they can’t go away for about 5 years, and I don’t want them , I am so depressed and don’t know what to do. I want to avoid a surgical operation so please can you help me to find a solution? Is there something like peelings or massages or other things that could help the outline be reduced? Anything that helps? that I could do? I would be grateful if you let me know and thank you in advance.
A.
This really depends on which filler was used. If it was a hyaluronic acid filler (HA) then injection of the enzyme Hyalase (hyaluronidase) will usually disperse the filler. However, if the filler is not a HA then there will be little that can be done to remove it.
Sorry not to be more helpful.

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 fillers work on my naso-labial lines?

November 8th, 2012
Q.
Hi Peter,
I want to have filler in the lines from nose to mouth but I have nerve damage in that area due to an operation on my cheekbone 18 years ago. My cheekbone had to be pushed back into place. I have a permanent area from my lip to nose which feels numb. Can the treatment make this worse? I am 42 years old and feel my face is sagging face is sagging mostly around the cheeks, mouth and jaw areas.Thank you for taking the time to look at my question and I look forward to hearing back from you in the near future. Thanks
A.
Hi There,

Difficult to give a good opinion without seeing your face, but I would say that from the information you’ve given, I wouldn’t think that fillers would make things worse. When considering naso-labial fillers (nose-to-mouth corners) it is important to look at the whole mid-face including the cheeks.

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

Hi Peter, thank you for your answer on the best treatment for jowls. Sorry I didn’t realise that id actually asked a lot of questions in one go! just got into a flow :). You mentioned collagen stimulation as a good place to start in your 30’s. What in you

November 5th, 2012
Q.
Hi Peter, thank you for your answer on the best treatment for jowls. Sorry I didn’t realise that id actually asked a lot of questions in one go! just got into a flow :). You mentioned collagen stimulation as a good place to start in your 30’s. What in your opinion is the best form of collagen stimulation treatment for prevention of jowls for someone in there 30’s? also i’ve read that extra weigh can add to the problem – skin sagging? however if you lose that weight you’ll be left with sagging skin anyway seems like a lose lose situation. Thank you for your time and great advice.
A.
A good quality Vitamin C serum applied to the skin every morning is a proven way to maintain collagen as well as provide some extra photo-protection (it will help your sunscreen but not replace it). This is not an overnight miracle but should be part of every long-term skin health programme. I very much like Medik8 CE-Tetra – it’s easy to apply, well tolerated and not too expensive. Remember to apply every morning as your first layer and there’s no advantage in applying other than very thinly.
The other essential is some form of Retinol – low concentration ion your 30’s but step it up in the 40’s and beyond.
Happy to name specific products if required.
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 scars?

November 5th, 2012
Q.
Hello,
I would like some advice about a few problem areas that I have on my face. I have two pitted scars on my forehead from when I was a child and had chicken pox. They have faded slightly but are a greyish/blue colour and I am very conscious of them. Do you think dermal fillers would work on them? I don’t expect the colour would change but just the pitted look. I also have crows feet or laughter lines as I like to call them!They are quite obvious and as the rest of my face is pretty smooth I think they look even more pronounced. Do you think I should have fillers or perhaps Botox? I am 40. Thank you.
A.
Many thanks – two good questions.
Dermal fillers certainly have a role in the treatment of pitted scars. However, scars are often tethered to deeper layers which means that fillers may not lift them as much as hoped. Dermaroller can be of some help but I much prefer INTRAcel which is much more effective.

In my opinion Botox is the no.1 treatment for crows feet and almost always works well. The lines are caused by the creasing action of the underlying muscles; filers can appear to work but usually the muscles will start to crease the filler. Gently weakening the muscles with botox is the answer.

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
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