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How can I achieve more volume on my face and a lifting effect?

Aesthetic Medicine

I desire for my face to achieve more volume and a facelifting effect. 

DOCTOR’S ANSWER (2)

The answer is skin fillers.  

As the face ages, it loses fat volume and bony support on the front of the cheeks, temple, around the eyes, chin, and jawline.

Hyaluronic fillers i.e. Juvederm, Voluma, and Volift are biologically natural fillers that have a good lifting capacity and natural effect to restore the volume in the areas described above and give an immediate lift to the sagging cheeks.

A full treatment can take up to 8ml in one sitting and they are injected in strategic points to support the deep ligaments that hold the soft tissue up.

The procedure is done using a combination of needles and cannulars.  There is very minimal downtime i.e. pin-point bruising and the results are good for 1 year.

It is important to go to an experienced injector as complications such as skin necrosis, infection, and even blindness (rare) have been described in the literature.[1][2]

The advantage of using a hyaluronic acid filler is the quick remedy called hylase that can dissolve the filler within minutes if a problem occurs or if downsize adjustments are required.[3]

I hope this has been helpful.

Regards,

Dr Benjamin Yim Fu Chuen

Dr Benjamin Yim Clinical Aesthetics & Laser Centre

 

References:

1. https://www.nhs.uk/conditions/cosmetic-treatments/dermal-fillers/#risks. NHS. Accessed March 2019.

2. Funt D, Pavicic T. Dermal fillers in aesthetics: an overview of adverse events and treatment approaches. Clin Cosmet Investig Dermatol. 2013;6:295-316.

3. King M, Convery C, Davies E. This month's guideline: The Use of Hyaluronidase in Aesthetic Practice (v2.4)J Clin Aesthet Dermatol. 2018;11(6):E61-E68.

0 95 views 27 Mar 2019

Thanks for your question. I presume that you have some volume loss on your face that makes you look tired and more aged.

The usual areas for volume loss concerns are the under eye areas, Temples, anterior cheeks and lower lateral cheek extension.  The cause for this volume loss is usually attributed to aging causing fat loss and or migration. 

Fillers especially the hyaluronic acid fillers are a good option to replace this volume loss and create a lifting effect.  There is technique developed by Restylane called True Lift which is able to create a lifting effect by targeting the true retaining ligaments of the face. These ligaments help support facial tissues but tends to sag with age . Filler injections into the base of these ligaments helps to restore them to a more youthful state enabling them to create support and lift the face. Additional fillers injected into the volume depleted areas of the face helps restore the support originally provided by these facial fat pads. 

The filler procedure can be complemented by a non invasive HIFU procedure about 2 weeks later if needed to provide more lift and facial contouring . All these can be further complemented by use of neurotoxin like Botox or Xeomin to relax the muscles and create a more youthful look.

Hope this helps 

Regards

Dr KK Chew

0 115 views 20 Mar 2019
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