How can I firm up lines and wrinkles?

November 15th, 2013
Q.
Hi Dr Thorne,
I have purchased a product which is meant to firm up lines and wrinkles with ions-but so far I havent seen any improvement.
I am 37 and have lines around my eyes and just above my eyebrows. Should I continue to use this (it cost me £100) or seek Botox treatment or fillers? The lines I have are not very bad but they are getting worse over time so I would like to stop them from getting deeper whilst they are not too bad. What would your advice be?I got in on a popular discount website and I use it but I really can’t see that it is making any difference at all and it is quite time consuming Kind regards,
A.
Hi There Not knowing what the product is and how pronounced the lines are it is difficult to advise you on the possible results. Generally in the areas that concern you Botox is our first choice of treatment and you can get fantastic results with it. I would suggest a consultation to advise you of some results.
Kind regards
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 a bump on the side of my nose

October 4th, 2013
Q.
I had a permanent dermal filler 5 years ago on my forehead above my nose to fill in the wrinkle. It has now loosened and dropped and I have a large bump to the side of my nose – I can push it up but then have a bump on my forehead which is very noticeable. I would like to know if I can get the filler removed ? and if so where would be the best place to go to as the Clinic I used has now moved and the telephone lines are dead.
A.
Hi,
Yes it is possible to remove permanent dermal filler however I would advise visiting a maxillofacial or plastic surgeon for this as surgery will be required. It is for this reason that it is not advisable to use permanent dermal fillers as they are not easily removed, plus with age the rest of your face changes and what looks good now, may not look good in 10 years time.
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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Has my mother had a bad reaction to varioderm?

October 3rd, 2013
Q.
Good day,
My mother had “varioderm” injections at multiple sites of the face. Few hours after injection, she started to have redness and swelling just at the cheeks.Is that expected side effect or should we cosider it allergic reaction and start steroid trestment.My mother has a background of asthma and eczema. So I have two questions ,
1- Use of steroid right now?
2-Risk of recurrent cellulitis?
A.
Hi,
Varioderm is a hyaluronic acid filler and it is common to have a degree of redness and swelling after injection. Without seeing your mother it is difficult to say whether she is experiencing a normal amount of swelling or not, but allergy is highly unusual in response to a hyaluronic acid. There are very few circumstances in which use of steroid would be appropriate, so without a firm diagnosis I would not recommend this. Cellulitis can occur, but again it is very rare and tends to be in cases where large amounts of filler are injected. In addition you would not see a cellulitis immediately after the injections. My suggestion would be to contact your practitioner if you are at all concerned.
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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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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Will dermal fillers work on my nose?

October 3rd, 2013
Q.
Dear Dr Adam,
My nose is not that big and at the same time it is not small. My nostrils are different, one bigger than the other little bit , it just need little fixing, I would like to get my nose more smaller. I wonder once I get the filler and fix the problem in my nose. What will happen to my nose after one year? Will the nose get back to its real shape? Is there any permanent non surgical treatment without risk?

Kind regards

A.
Hi, you can sometimes use dermal filler to even up asymmetry in the nose but it really depends on the individual case. Filler tends to remain a little longer in the nose than in other areas of the face so an estimate would be around 18 months. The nose will eventually return almost to the original shape. Unfortunately there are no permanent non surgical solutions which I would advise you to use. Permanent dermal fillers do exist however I would not recommend their use in this area.
Kind regards
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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The artesense treatment hasn’t worked

July 30th, 2013
Q.
I have had artesense done quite recently for acne scarring . The results were ok but over the last three weeks seemed to have disappeared. Why is this I thought this would be a permanent solution or at least semi permanent for some of my deep scarring ? Is this the doctors fault who gave me the injections ? I have had in the past restylane for the same problem and it worked outstanding but of course only lasted 6 months or so. I am so frustrated the doctor that did the artesense is quite old I am wondering if he doesn’t see that well and did the injections wrong ?
A.
Hi
Thanks for your question. ArteSense is a different kind of filler than Restylane and is popular in Canada. ArteSense is comprised of microscopic beads of polymethyl methacrylate (PMMA) embedded in a collagen paste to allow for injection through a fine needle. As the collagen is absorbed by your body over 3–4 months, new collagen fibers produced by your own body surround these beads , partially restoring the volume of collagen that is absorbed. Approximately four months later, it is recommended that you have a second series of injections to obtain long term results.
However although long term results sound appealing, I would always recommend a shorter lasting product as there is a risk of granulomatous reactions with ArteSense.
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

Would dermal fillers be able help my lines and wrinkles?

July 30th, 2013
Q.
I have reached sixty. My skin is far from perfect as I suffered from acne as a teenager. My weight has always been an issue and a yoyo, therefore my skin is a little saggy in places. I was a smoker for forty of those years and have the tell tale mouth and lip lines, some of which are quite deep….all are very unattractive. I have had a lot of happiness in those years, hence my laughter lines and crows feet, but, also more than my fair share of grief and sorrow which have contributed greatly to the deep crying lines between my eyebrows. My question is, have I missed the boat to improve my looks with minimally invasive cosmetic procedures, ie: botox, fillers, lip augmentation etc and would the cost be prohibitive as I would need so much work?
A.
Hello
Thank you for your question. All of the minimally invasive treatments you describe can still be carried out and will give a refreshed look. There are also different solutions to improve the skin, its volume and the lines you have. The best idea would be a consultation and we can review your main concerns, what you are trying to achieve and give you an idea of costs.
Kind regards
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

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

View My Profile Dr Adam Thorne
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