Wrinkle Relaxers and Wrinkle Fillers
Dermal Fillers - Lips & Wrinkles
Dermal fillers, or wrinkle fillers, are substances which can be injected into the skin to soften lines and wrinkles or to create fuller lips. Wrinkle fillers are also used to correct loss of volume in areas of the face such as the cheeks and the under eye area (tear troughs). Dynamic lines around the eyes and frown areas may be more suited to treatment with a muscle relaxant injection. Combination treatments are commonly used, with wrinkle relaxing injections used in the forehead and lateral eyes, and wrinkle fillers in the lower face, lips or cheeks.
What are fillers and what are they used for?
Wrinkle or dermal fillers are gel substances which can be injected into or under the skin for a variety of effects. These gel fillers are fully biocompatible with skin tissues (which naturally contain significant amounts of this substance). The fillers are gradually broken down but due to their ability to absorb water during this time, they maintain their volume over a prolonged period.
As we age, lips tend to thin, and the injection of even small volumes will create a fuller effect. Wrinkle filler may be injected to improve definition, increase fullness, or to reduce lines. Vertical lines on the top lip are best treated with tiny amounts of filler placed in the line.
The concern that most people have when considering lip treatments is to maintain a natural look - the doctors at Laser Skin Care have many years experience in using fillers for lips and are committed to achieving a natural appearance.
Many lines around the face area will improve with injection of wrinkle fillers directly under the line, but often further treatment is necessary in order to strengthen the structural supports of the skin around the line.
A wrinkle relaxer injection may be beneficial in terms of further line prevention and also to improve longevity of the filler. Lines especially around the mouth are often injected - nasolabial lines, the marionettes and the chin crease. The tear trough is very successfully injected and has the effect of making the face and eyes look less tired.
Restoration of lost volume in the cheeks is easily achieved, relieving hollowness or gauntness and returning the cheeks to a natural youthful plumpness.
What fillers are used at Laser Skin Care?
We use fillers with a long history of safe and effective use. We only use fillers from highly reputable companies who are world leaders in this field. They have a longevity which varies from 6 to 18 months, depending on the area treated and the amount of wrinkle filler used. It is gradually reabsorbed, but maintains filler effect due to the absorption of water over time.
What is involved in treatment?
For the injection of lines or wrinkles, treatment involves some discomfort, and an anaesthetic cream may be applied an hour beforehand. With regards to the treatment of the lips, a local anaesthetic injection is usually used to numb the area.
The procedure generally takes around 30 minutes with the effect usually lasting between 6 months to a year but is extremely variable. Due to variations in the individual response and the degree of fullness desired, the effect is often assessed at 3 to 4 weeks post treatment. Further injection may be undergone at this stage.
What are their side effects?
Side effects include:
- local swelling
- lumpiness or irregularity of the filler
- granuloma (long-term nodules), allergy, infection and ischaemia ( rare)
This procedure is not recommended for:
- pregnant or breast feeding women.
- Patients who have Roaccutane in the last 3 months.
- Those with a medical history of auto-immune type diseases (lupus or rheumatoid arthritis) or multiple allergies.
Since 1973 doctors have used injectable muscle relaxants for muscular and nerve disorders such as squints, chronic eyelid twitch and muscle spasms such as those seen in cerebral palsy. More recently (since 1988) they have been used for cosmetic purposes.
Our Doctors at Laser Skin Care have many years experience in wrinkle relaxer treatment. We only use genuine branded relaxers, and all our stock is carefully managed to ensure your treatment is performed with the highest quality.
Find out the potential Risks and Effects of Wrinkle Relaxers.
Platysma Neck Bands
Because of their ability to relax muscles, these injectables are useful where overactivity of muscle groups cause unwanted skin lines such as:
- Frown lines
- Forehead lines
- Crows feet
- Bunny or scrunchy lines on the nose
- Dimpling of the chin
- Upper lip lines
- Platysmal or neck bands
It may also be used to prolong the effects of wrinkle fillers which would be "squeezed" out prematurely in areas such as:
- Marionette lines
- Chin creases
Wrinkle relaxers are also used for treatment of migraine - see Migraine Treatment
How are wrinkle relaxers used?
Tiny amounts are injected in and around the area. There is a stinging sensation with the procedure, which is very short lived. The procedure itself usually takes less than 10 minutes, and you can go straight back to work afterwards if needed.
Within a few days the effects start to become noticeable, although the peak of action may not occur for 1 to 2 weeks. Over a period of 3 to 4 months the effects gradually wear off and to continue the effect, repeat injections are required. Repeat injections over time may lead to longer intervals between treatments, but it is unlikely that it will ever be permanent.
Does it work for everyone?
No. A very small proportion of patients have pre-existing antibodies which renders the substance ineffective. Unfortunately there is no way of identifying this small group of people beforehand.
What are the risks?
General after effects:
- Bruising. This is temporary only
- Pain or headache. This passes quickly.
Upper face injections:
- Ptosis or weakness of the upper eyelid.This causes drooping of the eyelid and occurs in less than 1% of patients. This may last up to four weeks but is minimised by not lying down for 4 hours after treatment, and not massaging the area.
- Overuse in the forehead can result in 'heavy brows' or an excessively frozen look to the forehead.
- 'Peaky' eyebrows - this can occur when the frown area is treated due to compensatory overactivity of the outer forehead muscles.
- Double vision related to treatment under the eye. This is very uncommon but will usually disappear within two weeks.
- "Bags" under the eye. May appear more prominent in susceptible persons.
- Neck weakness(where injected into platysmal bands)
- Difficulty with swallowing, whistling and speaking(around mouth)
- Asymmetrical smile(treatments around mouth)
Wrinkle relaxer injections are not recommended for:
- Pregnant or breastfeeding women
- Patients with Multiple Sclerosis or Myasthenia gravis
Find out more on the potential Risks and Effects of Wrinkle Relaxers and Fillers.