The cheeks are a centre point to the face and an important element in facial attractiveness. Well-defined the cheeks symbolise a youthful appearance, they create balance to the face and improve the facial profile.
Cheek fillers are used to create high-arched cheek bones, with a natural appearance, for younger patients wanting more contour or to restore mid-face volume/fullness for clients who have lost volume through the natural ageing process. Over time the face loses structural fat in certain areas causing the cheeks to become flat and saggy, giving way to a "sunken" look.
With the correct thickness of hyaluronic acid filler placed directly and specifically around the cheekbones and moulded we can lift and define natural cheekbone structure. The main aim of subtle cheek treatments is to reestablish a youthful face shape in the correct proportions.
Using a combination of needle and cannula technique treatment can be carried out in a single session or gradually built up over multiple appointments. With use of topical numbing cream the discomfort is minimal with results seen instantly.
We often treat cheeks as part of full-face and combination treatments to lift the mid and lower face- deepening of the nose to mouth (nasolabial) and mouth to chin (marionette) lines is often due to a combination of problems caused by ageing. With age, we lose fat and volume in the midface/cheek which leads to the skin becoming unsupported (like a tent) and the excess skin sliding down the face. This leads to deepening of these lines and eventually jowls forming. By re-supporting the skin where there has been volume loss i.e the cheeks it will soften developing lines and creases below it.
Jawline, jowl and chin fillers can be used as standalone treatments or in combination with other areas.
Beautification and masculinisation - a 'weak' chin and jawline can be genetic, caused by the underlying bone structure of the face and act as a major source of unhappiness and self-confidence for patients. Dermal filler can be injected using a combination of safe needle and cannula techniques to create and sharpened jawline, mandibular angle and well-proportioned chin. Whether it be to masculinise the male face to produce a squarer stronger jawline or to feminise the female face to create and more oval or "upside-down" triangle of youth, treatment to this area can enhance the overall facial appearance.
Restoration and Rejuvenation - as part of the natural ageing process fat deposits are redistributed in the face. In women this can change the face from a feminine inverted triangle shape to a more masculine square appearance. As 'jowls' develop definition to the jaw line can be lost leading to a dissatisfying appearance. Using high density filler contour can be returned to the jawline, restoring a youthful appearance. When planned and placed correctly in this region, filler treatment can create a slimming effect or balance your front or side profile with effects ranging from subtle enhancement to transformational change.
Non-surgical jawline, chin and jowl treatment uses soft hyaluronic acid dermal filler, a substance that is found naturally in the body. With age as we lose fat around the midface and excess skin falls onto the lower face and jowls develop. Fillers can be used along the jawline to soften the appearance of jowls to give back that youthful look. As part of the full-face approach, we do have to consider combination cheek/mid-face filler treatments to the cheeks to support the excess skin which has fallen and caused the development of jowls.
The area between our lower eyelids and upper cheek is referred to as the “tear trough”.
As we get older, this area alters in appearance, by becoming hollower, darker, deeper, and less revitalised. These depressions can make the eyes look somewhat sunken and create dark shadows, giving the appearance of tiredness, exhaustion, and premature aging.
Careful filler placement helps to recontour facial contours around the lid-cheek junction and avoiding or delaying the need for surgery.
This treatment restores volume, rejuvenates and brightens the area, reducing the appearance of dark circles — it is subtle but extremely effective.
Nose fillers are a series of small injections of premium dermal filler which are carefully placed into the soft tissue in the nose to shape, straighten and contour. Non-surgical rhinoplasties aim to:
Treatment can be an ideal solution if you are unhappy with the shape of your nose and do not want to undergo invasive surgery.
If you have a bump on the bridge of the nose, filler is injected above and below the bump to make the nose look straighter and the bump less noticeable. A common issue is a ‘hooked nose’ which can be treated by injecting filler into the tip of the nose, giving you a lifted appearance.
The nasolabial fold is the deep crease running from either side of the nose down towards the corners of the mouth. This crease becomes more noticeable as part of the natural ageing process. Fat is lost from the cheeks, reducing skin volume and making this fold appear deeper. Repeated smiling or having a “big smile” may result in permanent, deep creases in this area.
Deep nasolabial folds can be corrected through injections of dermal filler into the surrounding area, restoring the lost volume and softening the appearance of these creases. The goal of nasolabial fold injections is to even out the skin volume, leaving you with a smoother, refreshed-looking appearance.
Marionette lines take their name from marionette puppets, as the lines run from the corners of the mouth down to the chin and resemble the mouth of a puppet. These lines are caused when the skin loses elasticity due to ageing and the damaging effects of sun exposure. Weight loss can also cause marionette lines, when fat is lost on the face and causes crease lines from the mouth to the nose. Whatever the cause, they are ageing and cause women distress related to ageing and they can be improved.
Dermal fillers are an effective treatment for marionette lines; they increase volume under the skin and reduce the marionette fold lines. They work by providing extra fullness to the area where wrinkles are apparent.
Hyaluronic acid is a naturally occurring complex sugar in your body that helps to provide volume, structure, elasticity and moisture to your skin. As you age you lose your natural hyaluronic acid. The bones, muscles and fat pads also change affecting your facial shape. This leads to the signs of ageing as seen by facial volume loss, reduced skin elasticity, folds and wrinkles.
One third of the body’s hyaluronic acid is naturally removed and replaced every day. However, naturally occurring hyaluronic acid production decreases with age. Synthetic hyaluronic acid used in facial aesthetics, dermal fillers and lip fillers has been cross-linked and stabilised to produce natural, long lasting smooth result.
Dermal filler is a smooth injectable gel containing hyaluronic acid designed to replace the hyaluronic acid you have lost. It does this by filling the space of volume loss which improves folds and wrinkles, as well as attracting water to replenish moisture to your skin. It also has a biological effect on your own hyaluronic acid by encouraging it to increase collagen and elastin production which improves skin integrity and quality. Overall, this restores a natural and youthful appearance.
We can numb you with numbing cream (or with a full dental block (numbing injections) for lips treatments) to ensure your treatment is totally pain free. The hyaluronic acid filler is then injected into the treatment area with very fine needles to ensure minimal discomfort and bruising, allowing us to sculpt the lips to the desired shape and fullness.
In many cases, we can use a round, blunt ended micro cannula to deliver the product to the treatment area with one tiny entry point either side of the mouth without the need to use any needles!
Amy has had advanced training in an alternative, in addition, to using needles called micro-cannulas to inject dermal fillers. There is a role for both methods of injection, the cannula method offers excellent benefits to patients. Using a single access point, it is possible to use fillers in the cheeks, all the way from the middle to the outer edge of the face. Instead of using multiple injections to the lips, it’s possible to get to the top and bottom lips from two access points located at the corners of the mouth. Reduced entry points are needed instead of using multiple injections with needles. Those same corners of the mouth points also offer access to nasolabial folds and the marionettes lines, which extend from the corner of the mouth down towards the jawline.
With just four injection points, it’s possible to add volume to the lips, lower face, middle face, and cheeks.
- Reduced discomfort with fewer injections with sharp needles There is very little discomfort using a microcannula (often just a strange “pushing” feeling) but there is very little pain.
- Decreased Risk of Bleeding and Bruising- Sharp needles can pierce veins and arteries beneath the skin. Since blunt cannulas simply push aside any arteries and veins encountered beneath the skin, there’s a reduced risk of bleeding and bruising.
- Safer When using needles for filler injections, one of the riskier (and thankfully very rare) potential complications is placing filler into an artery, which can cause tissue death. Cannulas do not pierce arteries, so they offer a much safer option for patients.
- Minimal Downtime Needle injected filler treatments can cause minor swelling and bruising and they often have some social downtime. Micro-cannula methods cut down on swelling and bruising so there is minimal downtime post-procedure.
- Greater Flexibility A much larger surface area can be treated with just a single entry site when using micro-cannula, making it possible to treat more areas with fewer injection points.
When are needle techniques preferred?
- When a very small amount of filler are needed for adjustments and when fillers are planned for small places like the cupid’s bow of the upper lip. Cannulas may not be ideal for filling acne scars or injecting extremely fine lines located on the skin’s superficial surface.
Amy's aim is always to create treatment results which are in harmony with your facial features and that are within the limits of accepted natural beauty proportions.
Unnatural results including over-contoured, “alien-like” features, over-filled “pillow-face” and lip treatments that are referred to as “trout pouts”, are caused when too much product is used often with incorrect or poorly planned placement.
For most areas of the face, we can build a result over time for a more balanced, gradual result. For the treatment of asymmetry or where the areas of the face and profile are out of proportion, dermal fillers can enhance and balance with targeted treatment.
As an experienced dentist, Amy is very aware of what natural anatomy should be like, and we are familiar with facial proportions in addition to assessing our patients from the front and side profile alongside the role of dental support in the face shape and profile.
Due to the nature of the procedure, there is often some short-term swelling associated which with good aftercare and techniques we can minimise and help you plan for.
There are many types of filler. Each differs in the concentration of hyaluronic acid, the number of cross links, and the stiffness or hardness of the gel. As we all age differently this will affect which type and how much dermal filler you will need depending on your degree of volume lost, the depth of the fold or wrinkle being treated and the desired treatment outcome. You’ll see results as soon as your appointment is over as the aesthetic results are immediate.
Hyaluronic Acid Fillers are absorbed into the body over time, so the aesthetic effects are not permanent- but it is important they are placed correctly for safety and long term structure/shape.
Treatments can slow and halt undesired effects of aging but you will require top-ups if you want to maintain the same effect. Most fillers provide an immediate noticeable improvement with lasting results (up to one year). The longevity of the product varies pending on age, area injection site, quality of skin, lifestyle, healthiness and is usually 6-12 months (face) and 3-6 months (lips).
At Contemporary Aesthetics, we use high-quality, extensively tested dermal filler product ranges with an excellent safety profile. Products by Juvederm (Vycross and Ultra), Restylane and Teoxane/Teosyal can be requested and Amy will always recommend the product that would best fit your treatment goals.
Please click below to find out more about the dermal filler ranges used by Amy:
Dermal filler treatments area safe procedures when performed in experienced hands. Amy uses a combination of micro cannula (tiny blunt-ended tubes) where possible and very fine needles which reduces bruising and downtime. In the event that bruising does occur, it usually fades in a week or so and can be covered with make up the following day.
Risks of complications are low, though complications can happen even in the most experienced of hands. Some minimal bruising and swelling is not uncommon (post procedure that can last 24-48 hours)- though the extent is significantly less than any surgical procedure.
Dermal fillers are made of naturally occurring hyaluronic acid which is dissolvable and reversible in both an emergency situation or by choice after the settling period- though this is rarely ever required. As Amy is prescribing dentist, both clinics hold stock of all appropriate emergency products, ensuring the safest possible environment for your treatment.
At Contemporary Aesthetics, we want to give a boost to your confidence and our goal is to make you feel safe and cared for in a friendly clinical environment.
Face and neck rejuvenation treatments such as muscle relaxing injections and dermal fillers are designed as non-surgical methods to enhance, revitalise and restore desired features of your face and neck.
Whether you want to prevent certain lines occurring, "press pause" on any further lines developing while still maintaining a natural appearance or enhancing features you wish to improve- Contemporary Aesthetics can guide you to the most appropriate treatments.
As we age naturally, wrinkles, folds and lines develop on our face. Additional factors e.g. sun exposure (UVA and UVB), pollution, habits such as smoking and drinking alcohol, not drinking enough water to hydrate your skin will exacerbate and accelerate the ageing process.
Aging is inevitable, but that doesn’t mean any unwanted wrinkles have to be.
Facial rejuvenation treatments are extremely safe and have been carried out in UK and around the world for many years with very few serious or lasting side effects.
Amy carries out a comprehensive, face-to face consultation where she can explain the most beneficial treatment/s for you in the short and medium term.