Noiren K Carrigg Skin and Aesthetic Clinic

Dermal Filler Treatment

As we get older mother natures forces appear on our skin and the volume and tightness and glow of youth starts to to slowly but surly diminish , we look tired and gravity and age takes it toll. Fillers are an amzing way to intercept and reverse aging fillers give a more youthful glowing appearance to our skin ,restoring what time has eroded.
Dermal filler or “ Filler “ is a gel-like injectable that is naturally in your body , it instantly restores your skin’s volume and smooths away deep lines and facial creases immediately , revealing a more youthful appearance.Tiny amounts of filler can make a huge difference to the human face , to YOUR face.
Dermal filler injections are FDA-approved and a generally safe alternative to more invasive surgical treatments. Dermal filler treatments are extremely popular, with millions of women worldwide undergoing the treatment each year.

Temple Fillers

A real sign of aging is volume loss in the temples , the temples does not have a lot of volume to start so when it decreases it gives a hollow effect that has a knock on “aging” effect to the symmetry of the face .Temple filler works by injecting a dermal filler, often containing hyaluronic acid, into the temples to restore lost volume and address hollowness. During the procedure, a qualified practitioner strategically injects the filler into the temple area, replenishing the lost volume and enhancing the contours of the face. The hyaluronic acid attracts water molecules, providing an immediate plumping effect and restoring a more youthful appearance to the temples.
By adding volume to the temples, the filler creates a smoother and more rounded contour, reducing the appearance of sunken or hollow areas. This enhancement not only addresses the signs of aging but can also contribute to improved facial symmetry and balance. The results are typically immediate, and while they are not permanent, they can last several months, providing individuals with a non-surgical option to rejuvenate and harmonize their facial features.

Cheek Filler

Wondering what the secret to full, plump cheeks is? Look no further than cheek fillers. With age or weight loss, the cheeks naturally lose volume and can look sunken or hollow. Injectable cheek fillers offer a non-surgical solution to this common cosmetic concern.

What Problems can cheek filler address ?

Cheek fillers can address various cosmetic concerns. With their versatility and quick recovery time, fillers have become popular for those seeking a non-invasive way to refresh their appearance and target the following concerns:

Addressing cheek volume loss can affect the depth of lines lower down the face such as Nasolabial folds and marionettes and is one of the most successful place to start your filler journey.

Age related volume loss

The face naturally loses volume as we age due to decreased collagen and elastin production. Collagen and elastin are proteins that maintain the elasticity and firmness of the skin. Collagen is key for volume, and elastin helps the skin to bounce back into place after being stretched or pulled during facial movements. As we age, collagen and elastin fibers decrease, resulting in wrinkles and sagging skin.

Reduced collagen and elastin can result in flat, sunken cheeks that make us look older and more tired. Loss of volume in the midface can even prompt the early development of jowls along the jawline. Cheek fillers are an effective treatment option for addressing age-related volume loss in the face. By restoring volume and lift to the cheeks with hyaluronic acid, cheekbone filler can help to reverse the signs of aging, firm the skin throughout the lower face, and create a more youthful, refreshed appearance.

Improved Cheekbones and Symmetry

By using filler on the cheekbones we can sculpt a sharper more elegant and defined shape to the cheekbones , giving a natural lift to the face.

Marionette Lines

Marionette lines, a.k.a. oral commissures, are the lines, or shadows, that run from the corners of the mouth downward toward the jawline. When deep, these lines can resemble the lines seen on the chins of marionette puppets. We also see the corners of the mouth become downward turned giving a “ sour or grumpy “ look to us at times.Marionette are one of the most popular dermal filler requested treatment and can be done at any age bur typically late 30 is when they become very visible. As all filler results are immediate and can improve over the following few weeks.

Marionette lines are caused by shadows that are created by a small ledge, or step-off, between the cheek skin and the skin around the lower mouth. The skin around the mouth collapses for several reasons, including:

• Fat loss under the skin around the mouth, which typically happens with aging

• Decrease in jawbone density with age; as a result, the chin becomes smaller and less projected

• Loss of skin elasticity

As the mouth skin collapses, the difference in height between the cheek and the mouth area causes the crease and the corresponding shadow we call a marionette line.

How does filler work to fix marionette lines?

Filler treatment supports the sunken skin by the corner of the mouth, raising it to be level or flat with the lower cheek skin. When the skin around the mouth and at the lower cheek are on the same plane, shadows and skin folds are eliminated. We attempt to use filler to lift and support the corner of the mouth/ the oral commissure to give a more youthful and happier appearance.

Nasolabial Folds

Nasolabial folds are creases in your skin extending from both sides of your nose to the corners of your mouth. They can become more prominent and permanent as you age. They’re often called laugh lines or smile lines.

With age, those noticeable creases running from the sides of the nose down to the corners of the mouth, become more pronounced called Nasolabial folds.

The natural decrease in collagen and elastin not only deepens these folds but also shifts how we see ourselves in the mirror, making us look older than our age.

Nasolabial Fold Filler offers a gentle, respectful solution. By reintroducing hyaluronic acid—a naturally occurring substance in our skin—these treatments delicately fill and smooth out the lines, supporting your skin’s own ability to rejuvenate. It is one of the most popular and gives incredible results immediately

Chin Filler

A strong chin is an important element of an attractive, balanced face in both men and women, and it adds definition to the remaining facial features. Patients who want to improve the appearance of a poorly-defined or underprojected chin without undergoing surgery now have the option of chin augmentation with the use of advanced dermal fillers.

Non-surgical chin enhancement/ OR Chin Filler  is a safe, minimally invasive alternative to traditional chin augmentation with implants. The procedure is designed to enhance the appearance of the chin and the lower face. It involves injecting specially selected dermal fillers into precise areas of the chin to increase its width, length, or projection, using a needle or a microcannula.

Treatment is performed with topical anesthesia, and patients experience very little pain or discomfort. With a customized procedure, we have the ability to mold a person’s chin to add definition, create symmetry, and bring the chin into a more pleasing balance with the remaining facial features.

Jawline Filler

we offer non-surgical techniques for chin and jawline enhancement that can accentuate and bring out the chin, enhance the prominence of the jaw, and tighten sagging skin in the jowls and neck with minimal downtime. These non-invasive techniques are enjoyed by younger and older patients.

Having a strong jawline is considered an attractive feature in both men and women. A strong jawline should have a prominent chin and sharper, angular transitions into the neck unlike the softer contouring of the higher areas of the face. The appearance of the chin and jawline can be hindered due to sagging skin around the jowls and neck that occur over time.

Filler can be injected towards the top of the mandible close to the ear to accentuate the jawline giving it a tight defined look, It can also be placed along the lower jawline and close to the chin to reduce the jowls and sagging skin in the area. Filler can also be used to shape and bring out the chin for improved definition, and for gently extending the balance and symmetry of the face. This defined or “chiseled” effect of filler placed in these areas leads to a more youthful and attractive appearance for both men and women when performed by an experienced injector.

FAQs About Dermal Fillers

Contraindications of Fillers

Conditions that would mean you were not able to have this treatments:

• Pregnant/Nursing
• HIV/AIDS
• Cancer (all forms)
• Undergoing chemotherapy or immune therapy
• Immunodeficiency
• If you are allergic to lidocain
• Lupus
• High blood pressure (uncontrolled)
• Insulin dependent diabetics
• Prednisone and other steroid medications (treatment will increase inflammation)
• Heart problems or diseases
• Haemorrhagic disease, trauma or bleeding
• Scleroderma
• Family history of hypertrophic scarring or keloid formation
• Solar Keratosis
• Anticoagulants / Blood thinners (including but limited to Warfarin or aspirin)
• Nickel or stainless steal allergies
• Active Acne

Conditions that need a doctors letter to confirm the treatment is suitable before treatments can begin:

• Epilepsy
• Transplant Anti-Rejection Drugs
• Thyroid Disease
• Heart Disease
• Hypertension (High blood pressure treated with medication)
• Cancer – after 12 months

The list below is of things that require a waiting period until you can start treatments:

• Active skin infection of any type, such as herpes simplex, impetigo, flat warts. (wait until healed)
• Sunburn in the treatment area ( wait until completely healed)
• Have bacterial or viral diseases of the skin (wait until clear)
• Inflammation (wait until healed)
• Laser treatments — face only — 4-6 weeks post treatment
• Active Herpes – cold sores — must take anti-viral meds 2 weeks pre and post treatment (peels & needling)
• Warts (avoid Area)
• Ro-accutane (6 – 12 months post treatment)

Wait 3 months before commencing with treatments:

Recent facial operations — must wait at least 3 months post surgery

Tattooing / Cosmetic Tattooing (Treatment Area)

Wait 2 week before commencing treatments:

Strong chemical peels – PH lower than 3.1.

Botox and fillers

Any recent invasive or stimulating skin procedures i.e. micro-dermabrasion, electrolysis, IPL

Pre Treatment Advice

• Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of bruising)
• Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, aspirin and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections.
• Discontinue Retin-A 2 days before and 2 days after treatment.
• Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on the area.
• If you have a history of cold sores please let your provider know, use your anti-viral medication prior to treatment.
• Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the chances of lightheadedness during your treatment.

Post Treatment Advice

• There may be some redness, swelling, tenderness, bruising which should settle within days.
• Clean your face with a gentle cleanser and warm water
• Try not to wear makeup.
• Use creams with antioxidants and hyaluronic acid to reduce irritation and hydrate the skin.
• Avoid active skincare products which contain: Alpha Hydroxy Acids, Beta Hydroxy Acids, Retinol (Vitamin A), and Vitamin C (in low pH formula). Continue to do so for 3 days post treatment.
• Avoid strenuous exercise for 24 hours.
• Avoid sun (and sunbeds), Saunas, Steam rooms or heat for 72 hours.
• Avoid consuming excess amounts of alcohol or salts to avoid excess swelling.
• If you have swelling you may apply a cool compress for 15 minutes each hour.
• Use Paracetamol for discomfort. Do not take Ibuporfen for two weeks after the treatment.
• Try to sleep face up and slightly elevated if you experience swelling.
• Take Arnica to help the bruising and swelling, start at least 2 days prior to injections.
• If you are planning to attend a special event when a bruise, should it occur, would be unacceptable to you.
• Results will not be immediate, but will develop over time. and a course of treatment will be required

Are there any risks and side effects for Dermal Fillers

are generally considered safe, but there are some risks and potential side effects to be aware of, such as:

• Mild swelling at the injection site
• Redness
• Tenderness
• Bruising

When side effects do occur, they typically only last for a day or two. Most patients return to regular activities immediately following their procedure.Like all invasive treatment there can rarely be complications.

How Long will they last ?

At Noiren Carrigg Skin and Aesthetic clinic we use Cross Linked Hyaluronic Acid Dermal Filler that is approved by both the Medical Board and carries a European CE Mark for additional safety. We use a choice of recognised and well trusted Dermal Filler such as Juvaderm, Restylane, Revolax, Teostyle to name a few .   The results last from 12-18 months depending on which filler is chosen .The quality and condition of your facial skin will be carefully evaluated to determine which fillers will be most effective for the targeted areas.