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

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What treatment can I have for my lip wrinkles?

July 2nd, 2013
Q.
I’m starting to get lip wrinkles and I’m only 35. I did smoke in my 20s but no longer. I seem to have almost scars? My mother has really bad lip wrinkles am I heading that way if they have started to appear at 35? I feel so alone as no one my age has these. It’s really knocked my confidence. I hate to have my photo taken and I’ve just had a baby so it’s hard to avoid the camera. They seem to get worse by the week more seem to appear soon I will have no normal skin left it will all be little lines! What treatment is best?
A.
Hi
Without assessing you whether it is a loss of volume, skin elasticity or overactive lip muscles, I usually suggest some fine dermal filler along the lip border. This gives better shape to the lip and fills in little lines. The good news is this is a quick treatment and results are almost instantaneous, leaving you free to have as many photos as you wish!
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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Would fillers work to make my lip plumper?

July 1st, 2013
Q.
Hello Dr Thorne,
I wondered whether dermal fillers would be good for my lips? I have quite a big lower lip but my top lip has always been very thin. I don’t want huge duck lips but would like a bit more volume in the top to balance them out somewhat.I have tried lip plumping creams and lipsticks but they don’t give me the effect that I am looking for. Could you tell me any particular brands etc that would be good for my lip and general pricing for this procedure. Also, how long would the fillers last? Thank you in advance.
A.
Hello there I’d definitely consider lip fillers and suggest a small amount along the upper lip margin, to give it a little more definition before adding volume. The brands I like to use are Juverderm Ultrasmile, Restylane Lip and Teosyal Kiss. Average prices for these range from about £275 up depending on amount used. Generally they last for around 4-6 months.
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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What options do I have for my weak chin?

June 24th, 2013
Q.
Hi
I would like to find out about the options to help with a weak chin.
I would imagine that augmentation would be required however for my job and hobbies I’m not sure this is suitable. On a side profile My chin is far behind the end point of my nose, even the position of my lips, this causes me great confidence issues as I am very aware of the issue
I have been reading about the the fillers and would like to find out more.
permanent or not etc
Any further help would be great
many thanks 
A.
Hi there I would look at your jaw position first and how the upper jaw sits with the lower jaw – as you could consider some orthodontics (braces that can be invisible) that would provide a more long term solution and support the lips and soft tissue.
If you are more inclined to consider using fillers, I’d suggest looking at Restylane, Juvederm or Radiesse and a non-permanent solution first.
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 treatment can I get for the lines on my face?

June 24th, 2013
Q.
Hello Dr Thorne,
I am 34 years old and have always looked after my skin but have noticed a few lines around my eyes and also just above my eyebrows on my forehead. I have read about women using a mix of Botox and dermal fillers to achieve a youthful look and wondered what your thoughts on this are?
I would like treatment that will stifle the ageing effect to a degree so could you recommend a cream or something I could use as well?
A.
Hello
From the areas you are describing I would recommend starting with a low dose of Botox to soften some of these lines and create a fresher look first. Dermal fillers can be used later if further treatment is needed or for hydrating the areas.
For anti-aging, I like the ZO range of Obagi creams (http://www.zoskinhealth.com) and using a Dermalux (http://www.dermaluxled.com/#!ageing-skin/cgem)
Always try to use sun protection creams with a SPF 50.
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

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

I am worried about getting fillers for my upper lip

March 12th, 2013
Q.
Hi Dr, I would like some advice about getting fillers for my lips. I have quite a good sized lower lip, but my top lip is very thin. So, generally i dont draw attention to them by wearing gloss or lipstick. I would like to increase the volume of my top lip, just so it looks better with my lower lip. The problem is that I am worried it will go wrong and I think the celebrities I have seen have it look dreadful. I don’t want to look like a duck, or for them to look unnatural.I live in Guildford don’t know where to go.Thanks Dr Forrester for your time.
A.
Hi There,
The media gives a lot of exposure to over-done celebrity lips and so called ‘trout pouts’. Naturally this leads people to think that it is always done that way. Of course, if someone has subtle and natural lip filler you wouldn’t even notice. You probably see them every day without a second look.
The lips are a sensitive area and so some initial swelling and bruising may be apparent for a day or so.
I’d happily see you in Esher to discuss the issues. Alternatively if you email me directly (see my website for email address) I can give you the name of a highly recommended doctor in Guildford.
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 treatment would be best for my facial lines?

March 7th, 2013
Q.
Hi Dr Forrester,
I wondered if you could give me some advice?I have some lines above my eyebrows and also around my eyes. I was thinking about having some sort of fillers as I am 38 and want to keep on top of any lines or wrinkles. What fillers would you recommend to fill out these lines? Or do you think Botox might be better?I would like a natural look as I work as a teacher and wouldn’t want to scare the children! I look forward to hearing from you.
A.
Hi there,

Lines in those areas are usually ‘dynamic’ lines. That means that they get deeper during facial movement and smooth out when the muscles are relaxed. In this situation Botox is usually the best option. When subtly done Botox will still look natural and your pupils won’t notice.
It may be that fillers could be an option but I could only really give an opinion face-to-face.

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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