Category “Q. Dermal fillers”

I’m a male with deep wrinkles in my forehead, what would be the best treatment?

October 5th, 2012
Q.
Hi Peter, Hope your doing well. I’m in my mid 40’s now and have developed some unsightly wrinkles on my forehead. To tell the truth i was slightly embarrassed to go into a clinic and ask about dermal fillers so i thought i’d just ask on here. With male wrinkles i know they are a lot more pronounced on the face so i was wondering what the best type of dermal filler would be for myself? How many times per year would i have to receive treatment for these? Hope to hear from you soon!
A.
Hello there,

Most people develop forehead wrinkles because of the action of forehead muscles repeatedly folding the skin. This usually results in vertical frown lines between the eyebrows and horizontal lines that get worse when looking surprised or raising the eyebrows. As the skin progressively ages, this repeated folding slowly changes from being visible only during movement to being there all the time. There are two main approaches – either to weaken the muscles temporarily with Botox or fill the lines with dermal filler.

Any of the hyaluronic fillers would be suitable, however I tend to prefer Restylane because of its long safety record. In this situation fillers may appear to have advantages over Botox particularly with regard to longevity. However, most people who are bothered by these lines are likely to have strong muscles (which is why they’re getting the lines) this means that their muscles will tend to crease the fillers, significantly reducing their effect and length of action.

Because of this the best approach is often to weaken the muscle action with Botox and then consider the addition of a small amount of filler to treat any lines remaining after Botox. This approach might need to be repeated 2-3 times in the first year but then perhaps only 1-2 per year.

The best option for you can only be decided following an examination of your forehead and discussion of the pros & cons.

I hope this helps, best wishes

Dr Peter Forrester
Cosmetic Doctor

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

I’ve started getting wrinkles at the age of 19, am i too young for dermal fillers?

October 5th, 2012
Q.
Hi Adrian, I’m 19 years old and i can see myself that i am already getting some wrinkles. Especially round my eyes, unfortunately i started smoking when i was 15 🙁 I was basically just wondering if you thought it was a bit drastic to have dermal fillers seen as though i’m only 19? My mum doesn’t think i should but i am very self concious about it, could you recommend anything else that could reduce the wrinkles around my eyes? Look forward to hearing back!
A.
Thank you very much for your enquiry.

If you do have wrinkles around your eyes at 19 you are slightly unlucky and ideally it would be best to stop smoking as this can make the lines worse.

19 is a little bit young to have dermal fillers or Botox which are normally used to treat these areas, however I think it might be helpful to send photos to us of the areas of concern to you at infor@aurora-clinics.co.uk and we may be able to give you advise as to the best way forward for you.

Best Wishes

Adrian Richards

mr adrian richards

Mr Adrian Richards

Aylesbury Road, Princes Risborough, Buckinghamshire HP27 0JS
Web: www.aurora-clinics.co.uk Tel: 0800 328 5743

View My Profile Adrian Richards

I am unhappy with the appearance of the scars in my armpit, is there anything you can do?

October 5th, 2012
Q.
Dear Dr Richards,
Hello! I am an international student who is studying in North Wales. May I have some questions please because I am so upset these days of my problem. I had a surgery about seven years ago of my armpits which took the sweat gland to get rid of the smell. However, it left ugly scars in my armpits. I feel so regretful now. Just a few months ago I got an laser treatment in my country when I am back for summer. I am so sad that they are not professional at all, neither of the laser equipment. After that, my scars seem like flatten a bit , however, some pigment still leaves on. Therefore, I am so worried that my situation can not improve at all, will it? I really want the scars and pigment to be improved, at least not so visible as I am a girl and I can’t explain more how much I hate it. May I ask that am I the first case of this you have ever met? Would you help me to get some improvement please? If there are any treatments, are they surgical or non-surgical? How will the effect be? Looking forward to hearing from you soon. I would really appreciate it . Thank you very much.
Kind regards!
A.
Thank you very much for your enquiry.

Sorry you are so updset about the appearance of your scars in your armpit areas.

It certainly sounds as if it may be possible to improve the scars with further surgery or possible treatments to flatten the scar.

I think it would be helpful to send us photos of the scars ath info@aurora-clinics.co.uk and we will be delighted to give you an opinon as to the best way forward.

Alternatively you could scheduled a consutlation to come and see one of our surgerons we will be happy to discuss options with you.

Best wishes

Adrian Richards

mr adrian richards

Mr Adrian Richards

Aylesbury Road, Princes Risborough, Buckinghamshire HP27 0JS
Web: www.aurora-clinics.co.uk Tel: 0800 328 5743

View My Profile Adrian Richards

I have wrinkles forming on my forehead what should i do?

October 5th, 2012
Q.
Hello Adrian, I am from Austria. I am 28 years old and am modelling in Germany at the moment. I have noticed that i have wrinkles forming on my head above my eyes. I think i am angry too much haha! What is the best way to get rid of these lines in my forehead, i can use make up but when i don’t have any on i feel like everyone is looking at them. What is your advice please, thank you very much!
A.
Thank you very much for your enquiry.

It does sounds as if Botox would be the ideal treatment for you to treat the lines in your forehead.

Theses lines are caused underlying muscle contraction and are generally best treated with Botox rather than Dermal Fillers.

It may be sensible to scheuled an appointment with a surgeon in your area to discuss the best way forward for you.

Alaternatively if you sent our a photo of the areas of concern to info@aurora-clinics.co.uk we would be delighted to give you an opionion as ot the best way forward.

Best Wishes

Adrian Richards

mr adrian richards

Mr Adrian Richards

Aylesbury Road, Princes Risborough, Buckinghamshire HP27 0JS
Web: www.aurora-clinics.co.uk Tel: 0800 328 5743

View My Profile Adrian Richards

I have silicone cheek implants, is it okay to have Juvaderm cheek fillers to add volume?

October 1st, 2012
Q.
Hello. I had silicone cheek implants 6 years ago. Is it okay to have Juvaderm cheek fillers for volume. I recently spoke to an aesthetic nurse who said she wouldn’t do fillers as she might pierce them but the implants are solid plastic like implants. I am very keen to have them as my face has sagged over the years. I am 57. I recently messaged you about fillers but forgot to mention my implants. I would really appreciate your advice, Thanks! 
A.
Thank you for your question, your cheek implants could be solid silicone in which case inadvertently piercing them with filler is unlikely. However, some implants are made of a more porous polyethylene that could possibly be more problematic. The best way forward would be to find out what cheek filler you have and then discuss the options with an experienced practitioner.

Kind regards,

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

I would like a permanent filler, I’ve heard Aquamid is the best but do you know of any that are equally as good?

October 1st, 2012
Q.
Hi there, I am 61 and I would like a permanent filler to fill in deep lines above my upper lip & creased going downwards from edges of my mouth. I am not interested in short term fixes. I have read that Aquamid is recommended as the best, or do you know of any others equally as good. Also my main concern is finding a very experienced surgeon in this field, as I have read that the permanent fillers need to be injected deeper into the skin that the temporary ones, and preferably in the Liverpool / Manchester area. How do I find one please. Thank you!
A.
Hello there,

I would suggest that the best way to find a properly trained and qualified surgeon would be to look for a member of BAAPS. You would also need to check that your chosen surgeon is also experienced with non-surgical, injectable treatments. For obvious reasons many excellent surgeons tend to concentrate on surgical solutions. Alternatively you could look for a Cosmetic Doctor (rather than Cosmetic Surgeon). Cosmetic Doctors, like myself, are trained and experienced in a range of non-surgcal options including dermal fillers.

Personally I am very hesitant to use permanent or semi-permanent fillers. In the past, most of the long-term problems that have occurred have been with this type of filler. Some permanent fillers have late-onset complications; this means that everything seems to be OK for a few years and then out of the blue serious inflammatory reactions can appear. Hyaluronic Acid filers such as Restylane and Juvederm do not have this problem. Restylane has been used millions of times over the last 15 years and has an unparalleled safety record.

The advantage of HA fillers is the low incidence of complications and we used to believe that their disadvantage was their lack of longevity. Recent scientific studies have shown that although the HA does slowly disappear it does stimulate some natural collagen production. This partly explains why in some people HA fillers seem to last a long time and why people returning for top-ups often require smaller volumes than initially used.

With best wishes,

Dr Peter Forrester
Cosmetic Doctor

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 a filler with hyaluronic acid be suitable for me?

September 28th, 2012
Q.
I would like to use a filler containing hyaluronic acid for my lines around nose, etc. I have underactive thyroid condition (Hassimoto) and take 125 mg of levothyroxine daily. Will any product containing Hyaluronic Acid be suitable for me or am I one of those patients who cannot have this type of treatment? If so is it are there any alternatives except for a surgery?
Many thanks 
A.
Hello,

There is certainly no reason why a hyaluronic (HA) filler would not be suitable for you. Although synthetically produced, the HA in dermal fillers is almost identical to the natural HA that is widespread throughout the body including the skin.
Q-Med have been making the HA filler, Restylane for 15 years and it has been used millions of times in patients giving it an unparalleled safety record.

Surgery may be an option for you but if you are concerned about the nose-to-mouth lines (naso-labial) then a HA filler would be a good choice.

Best wishes,

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

What are the best dermal fillers for the tear trough area?

September 28th, 2012
Q.
Hi, I am having dermal fillers on the 9th October hopefully for tear trough area and upper cheek. have lost volume under my eyes and upper cheek which makes me look tired. I would like to look fresher. I will be 40 this year and feel that I need to look fresher as I work with the public and in the beauty industry.I just want a natural look and to add volume where it has disappeared I have told that they may be using Juvederm Voluma. What are the best fillers for this area and is Juvederm Voluma safe for the tear trough area?

Thank you 

A.
Hi there,

Juvederm Voluma is an excellent filler to replace volume lost from the cheek and mid-face area. However, it is much too thick a product to use on the Tear Trough.

In the wrong hands the Tear Troughs can be a problematic area to treat. Tear Trough treatment is a particular interest area of mine and I believe that the secret to a successful result is to use the correct product, in the correct place, in the correct amount and importantly with the correct technique. Over-treatment is a concern in this area and I rarely use more than 0.5-1.0ml of filler in total, to treat both sides. It is one of those areas where it may be better to slightly under treat and review a few weeks later rather than risk adding too much volume. The Tear Trough is an unforgiving area and even a small amount too much will look obvious.

Having said that, Tear Troughs are a satisfying area to treat and are probably the only area of the face where a relatively small amount of filler can produce such a dramatic improvement.

From a product point of view I believe that for Tear Troughs it is difficult to beat the classic Restylane (not thicker products such as Restylane Perlane/Sub-Q)
I hope that this is of some help.

Best wishes,

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

I want more volume in my cheeks but i want it to look natural and last as long as possible, what do you suggest?

August 30th, 2012
Q.
Hi I would like some volume to my cheeks. Which dermal filler would be best. I am 57. I would like it to last as long as possible be totally safe have no risk of going lumpy and look natural. I have have no allergies. I have been advised to have Bolatero intense.Would it be better to have this every six months or pay double every 12 months Thank you!
A.
Thank you for your enquiry about dermal fillers to your cheeks.

There are a number of fillers including belatero, however we tend to use the allergan products such as juvederm.

It would be best for you to be seen in person in the clinic to assess the best way forward.

We generally find this approach works very well and we would be delighted to see you in person to discuss the best way forward for you.

Best Wishes

Adrian Richards

mr adrian richards

Mr Adrian Richards

Aylesbury Road, Princes Risborough, Buckinghamshire HP27 0JS
Web: www.aurora-clinics.co.uk Tel: 0800 328 5743

View My Profile Adrian Richards

I suffer from cold sores can i still have dermal fillers?

August 30th, 2012
Q.
Hey Adrian, I’m 32 and i suffer from cold sores quite often when i feel a little run down or under the weather i usually get them. I have read on the internet that doctors don’t usually recommend dermal fillers to patients who get cold sores but i just wanted to double check with an actual doctor because i really would like some sort of filler in my lips. Thanks Adrian, hope you give me the all clear!
A.
Thank you for your enquiry.

You are right in that we normally recommend that patients are treated for cold sores prior to having dermal filler. If you do have a cold sore at the time you can have treatment but we will give you medication to reduce the risk of the cold sore appearing following the injections.

Please feel free to contact on 01844 214362 should you have any further questions.

Best Wishes

Adrian Richards

mr adrian richards

Mr Adrian Richards

Aylesbury Road, Princes Risborough, Buckinghamshire HP27 0JS
Web: www.aurora-clinics.co.uk Tel: 0800 328 5743

View My Profile Adrian Richards
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