DERMAL FILLERS TREATMENTS at Excellence Medical

Dermal fillers are non-surgical cosmetic treatments used to bring a more youthful appearance by restoring volume and natural fullness to the face and lips. Dr. Roy is highly skilled in helping you decide how you want to enhance and restore the contours of your face in a very natural way.

What are Dermal Filler treatments Meant For?

As the ageing process continues, collagen production in our skin gradually decreases giving rise to:

Skin laxity
Appearance of fine and deep wrinkle lines with loss of facial volume and fullness.
Dermal fillers are very effective in treating these complaints. They give immediate aesthetic effect due to elastic gel matrix injected and impart longer term effects due to bio stimulation, promoting new collagen formation.
As we age, we lose fat from different facial areas. Dermal fillers can be used to restotre this lost fat volume in a very natural looking way.

The Cosmetic Effects of Dermal Fillers

It is a revolutionary and increasingly popular clinic based aesthetic medical treatment that:

Smoothens out wrinkles and skin folds,
Provides volume for facial volume restoration,
Used for contouring for restoring facial definition, treating flattening facial contours and skin laxity and hence provides a non-surgical way to achieve rejuvenated and attractive aesthetic look.
In addition, the treatment promotes skin renewal by an internal mechanism of collagen formation.
The aesthetic results are very natural looking and subtle.
Dermal fillers are also an option for people who wish to visibly reduce the signs of ageing without undergoing invasive and expensive cosmetic surgery.

Dermal filler face treatment illustration on a diagram

Dermal Filler Treatment Benefits :

The following dermal filler treatments can be carried out with outstanding cosmetic outcomes.

Wrinkles, fine lines and deep creases can be smoothed, restoring a fresher and younger appearance.
Facial volume depletion can be restored, which may result from weight loss or the ageing process in which the facial volume is decreased over time from the cheeks, under the eyes and other parts of the face.
Enhancement of the lips, with excellent lip definition, filling and volume restoration for thin or wrinkled lips (sometimes referred to a barcode lips), restoring aesthetic look of the lips and correcting the balance and proportions between the upper and lower lip.
Cheeks dermal filler treatment has a lifting, contouring and volume restoring effect on the cheeks, restoring and contouring high cheek bones.
Gross and visible asymmetry of the face can be improved.
Under the eyes hollowness (tear trough deformity) and hollowness of temple area can be corrected and restored.
Non surgical rhinoplasty/ nose correction can be carried out for reshaping nose imperfections without the need for surgical intervention.
The treatment can also be used on the neck and hands to improve skin texture and laxity by promoting more robust thicker and
healthier looking skin.
Contouring of lower jaw line and chin enhancement and the treatment of jowls, making them aesthetically pleasing.
Improving imperfections like scars and depressions due to trauma or volume loss.

Ageing typically causes volume loss in the soft tissues and facial bones, coupled with loss of skin elasticity, causing wrinkles, hollowness and flattening.

Dermal fillers treatments reverse the above and provide a youthful and fresh appearance. These procedures are sometimes referred to as ‘injectables’, ‘temporary fillers’ or ‘soft tissue fillers’.

Lip rejuvenation with Dermal Filler- great before and after photo

A bit more detail about Dermal Fillers :

Hyaluronic acid is present in all living organisms. In your skin it creates volume, resulting in a healthy and vital appearance. The Dermal Filler contains hyaluronic acid in the form of a crystal-clear gel injected into the skin to lift the lip, wrinkle or fold. Once in the skin, it works together with the body’s own hyaluronic acid and joins forces to create volume.

Dermal Filler, Dissolves with time leaving you a choice:

Hyaluronic Acid’s ability to bind water is unique, and when the molecules dissolve even they turn into water and depart without leaving any trace in your body. Unlike permanent implants, it always leaves you a choice when the effect of the treatment has worn off. Who knows what the concept of ideal beauty will be in 5, 10 or 20 years? Furthermore, a face is constantly changing and beauty is best maintained by periodically evaluating the need for further treatment.

In contrast to other biodegradable implants, Hyaluronic acid is not extracted from animals. This means no risk of allergic reactions. Therefore, it is perfectly safe to use instantly without pre-testing.

How long the effect of the dermal filler treatment lasts is very individual. It depends on many factors such as the structure of the skin, lifestyle and age as well as on the degree of perfection demanded by the individual. However, we know that for the majority of the patients treated about 50-80% of the effect remains after 6 months. Most people choose to have a touch-up done within a year of the original treatment.

The great thing about dermal fillers is that you can replenish your natural beauty whenever you feel the need. A touch-up can be performed any time you like after the previous treatment.

The treatment takes about 30 minutes and the result is prompt. When treating wrinkles, pain relief is usually not needed but can be easily achieved. The treated area can be slightly swollen and red for I2-24 hours. For further details concerning your specific treatment, please consult us.

There are many different products on the market. Some information is provided below about the individual products. Mr.Roy will decide as to which product is best for your particular treatment.

JUVÉDERM VOLBELLA®
This is a new product developed especially for the lips and this is extra long-lasting. It is a completely new type of filler that will give a soft and natural look and will last up to 12 months. Volabella is using the VYCROSS™- technology, which will give a product that is soft and smooth and makes the effect last for up to 12 months.

JUVÉDERM ULTRA
All faces are individual, with different needs and with different expected results. For this reason there are different versions of ULTRA.

JUVÉDERM VOLUMA
This hyaluronic acid filler gives volume that can correct volume loss and contour defects of the face. Voluma will restore volume in chin, cheeks and cheek bone, if it has become thin or loose due to weight loss as a result of aging skin.

JUVÉDERM HYDRATE
This product maintains the moisture in the skin and helps make it smooth, soft and elastic. When the hyaluronic acid content of the skin is restored, the skin regains its natural shine and luster. In comparison with other products, HYDRATE also contains mannitol, which has an antioxidant effect. The antioxidants prevent free radicals in the skin which may breakdown the hyaloronic acid. It is the addition of mannitol that results in HYDRATE having a prolonged effect.

JUVÉDERM ULTRA SMILE
This product was developed to be even smoother than other fillers with hyaloronic acid. Its smooth consistency makes it easy to inject, and results in an even result with a natural feeling and appearance.

Restylane Lip volume and Restylane Lip refresh

These are espescially developed to shape and augment lips and are specially adapted to match the sensitive tissue in the lips.

Lip Volume – suitable if you wish to give your lips volume.
Lip Refresh – ideal if you wish to rejuvinate and restore the moisture in your lips.

The lip products contains lidocaine (local anaesthetic) to reduce pain from the injections.

Restylane Skinboosters (Vital and Vital Light)
This series of products aims to rejuvenate the skin with improved elasticity and structure and will give the skin a healthy glow. The skinboosters rejuvenates your skin in a natural way, smoothing out the skin from the deeper tissues outwards. These products can be used to rejuvenate skin on the face, neck, decolletage as well as the back of your hands.

Restylane Perlane
This is a product that removes wrinkles and skin creases between the eyebrows, between the nose and mouth as well as marionette lines, or laughing wrinkles. We also use this product to treat scars, acne-scars, to shape the nose, for facial contouring and to enlarge lips.

Restylane SubQ
This product can help restore lost volume in the face in a natural way. Carefully added volume in cheeks and chin, SubQ will mark these area and the appearance will be more distict and youthful.

We at Excellence Medical in Ireland do not recommend products that are non-absorbable, i e not taken up by the body and spontaneouly disslove over time, which leave a permanent result. The reason is that we try to avoid situation where injected material has to be removed, which would leave unwanted scars.

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Dermal Fillers FAQ’s

How long does the treatment take?

It depends on the nature and extent of treatment but on an average takes 20 to 30 minutes.

Does the treatment hurt or is it painful?

The treatment is very well tolerated and considered relatively painless by most patients. Most dermal fillers have 0.3% local anaesthetic pre mixed that numbs during treatment and makes the procedure comfortable.

What is the dermal filler made of?

A dermal filler usually consists of a substance called hyaluronic acid, which is a naturally occurring substance and is part of human connective tissue. It is an ingredient of our skin and other tissues, including joints. Being a physiological substance it metabolises and degrades in a similar way as our own hyaluronic acid. As a dermal filler, it is in a non-animal origin stabilised form, and is has a crystal clear appearance. Calcium compounds are also used as excellent dermal fillers.

How long does the dermal filler last in the body?

It depends on which part of the face is treated and the depth of the placement of the dermal fillers. Usually it would last for six to nine months but may last up to 18 months.

How long does it take to visibly see the results?

The results are apparent immediately after the treatment and tend to improve over a period of two weeks.

How long is the downtime to recovery?

There is usually no downtime to recover and you can go back to work after the treatment. Occasionally there can be mild swelling and redness, which subsides without any treatment over a few days. There is a possibility of bruising due to micro trauma of the needle, which can be covered with makeup and will fade within one to two weeks.

Who performs the treatments?

All treatments are performed by Medical Director, Dr. Roy, who specialises in facial aesthetics and body contouring procedures and has very wide experience of advanced dermal filler procedures.

What is the difference between other anti-wrinkle treatments and Dermal Fillers treatments?

Other anti-wrinkle treatment is the treatment of choice for movement or dynamic wrinkles/lines acts by relaxing the muscles that cause the movement wrinkles. Dermal Fillers on the other hand, are the treatment of choice for non-movement or static wrinkles/lines as it fills in the wrinkle lines and softens them immediately in a very natural looking way. The two types of treatment can sometimes be used in combination to impart the best cosmetic results.

What are the possible complications of dermal fillers?

The rare side effects include allergy causing skin redness (in which case most fillers can be dissolved), bluish discolouration on the injection site (Tyndall effect) which can be treated promptly and effectively, lumpiness under the skin, which is not visible but may be slightly palpable, can be treated, if needed, but usually regresses spontaneously in 2-3 weeks.

Are dermal fillers safe to use?

Dermal fillers can rarely be associated with certain risks, but these risks are very uncommon. The treatments are generally very safe in skilled hands (should be a Doctor led treatment who know the anatomy of a patient’s face) and have been used in clinical practice for over 25 years.

The results from the treatment of Dermal Filler may vary person to person

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About
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Dr. Shunil Roy

Medical Director at Excellence Medical

Mr.Roy has a specialist interest in Facial Aesthetics and Minor Surgical Procedures performed under Local Anaesthesia with the little to no Down Time to Recovery. Mr Roy is a pioneer and is to the forefront as a specialist in a range of latest and advanced anti-wrinkle treatments, Dermal filler treatments with a range of Advanced Facial Aesthetic Contouring and Volume Restoration treatments, including the latest generation treatments with botulinum toxin, dermal fillers and Platelet Rich Plasma. He is Ireland’s most experienced practitioner for Silhouette Soft and Definisse Upper Face, Mid-Face and Lower Face, Eye Brow lift and Neck thread lift procedures. He introduced and pioneered the latest generation Silhouette Soft Suture Lift Procedures in Ireland in 2012, in addition to the previous generation Silhouette Lift Procedures introduced by him in Ireland in 2008. Mr.Roy carries out many non-cosmetic surgical procedures e.g. mole removals, cyst removals, lipoma removals to name a few.

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