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

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

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