A guide to treating your wrinkles with HA dermal filler

How long do the HA dermal filler results last?

Hyaluronic acid (HA) dermal filler treatments are not permanent and typically last between 3 to 12 months, depending on individual factors.

The longevity of your results can vary based on:

  • Skin type and condition

  • The depth and severity of the wrinkle or fold being treated

  • The specific HA filler used

  • The amount of product injected and the injection technique

At The Cosmetic Skin Clinic, we tailor every treatment to your unique facial anatomy and aesthetic goals. During your consultation, your practitioner will advise on the most suitable product and expected treatment duration based on your needs.

Maintenance treatments can help to preserve and prolong your results, keeping your skin looking refreshed, balanced, and naturally rejuvenated.

What are the benefits of volumisers?

The use of HA volumisers for the restoration or creation of facial volume can significantly help to rebalance facial disproportion and, by reducing wrinkles and volume loss, can produce a younger and healthier appearance.66,97

Volumisers can be used to create volume in targeted areas such as cheekbones and the chin.

They can also be used to recover volume in wide areas such as the cheeks, temples and the jawline.

66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21. 97. Figus A, Wormald JC, Wade RG, Bistoni G. Hyaluronic acid for facial rejuvenation. In: Curinga G, Rusciani A, eds. Minimally Invasive Procedures for Facial Rejuvenation. Foster City, USA: OMICS Group eBooks; 2014

How can HA dermal filler treat facial lines and wrinkles?

Hyaluronic acid (HA) dermal filler is an effective and clinically proven treatment for softening the appearance of facial lines and wrinkles.

As we age, the natural volume within the face gradually diminishes. This is due to a combination of factors, including thinning skin, reduced collagen and elastin production, and declining levels of hyaluronic acid. The result is a loss of facial structure and definition, often accompanied by the formation of fine lines, creases, and deeper-set wrinkles.

At The Cosmetic Skin Clinic, we use advanced HA dermal fillers to restore lost volume and replenish hydration, subtly smoothing lines for a refreshed and more youthful appearance.

Find out more about how Hyaluronic Acid works on facial lines and wrinkles

Dermal Filler in the Upper Face

Forehead “Frown Lines” & Glabella Wrinkles

Frozen Face and how to avoid it, picture of woman with wrinkles on forehead
Female face with wrinkles on forehead – skincare treatment

Although these facial lines that are etched across our foreheads can be the result of natural ageing, they are more commonly caused by years of brow-raising, frowning, and daily sunscreen neglect.

Because HA attracts and holds water when injected, it plumps our skin so that these unwanted lines and wrinkles in this dynamic zone become less visible.5

Glabella lines (frown lines), also result from frequent frowning and can be treated with HA fillers.42

Although botulinum toxin injections are usually used to treat the upper face, very good results are observed with newer generation HA dermal fillers.

42. Lemperle G, Holmes RE, Cohen SR, Lemperle SM. A classification of facial wrinkles. Plast Reconstr Surg. 2001;108(6):1735-50; discussion 51-2.

Tear Trough

Bags Under eyes

Even after a good night’s sleep, do you find that you look tired all the time? The truth of the matter is that circles under the eyes occur not only in people who do not sleep enough or lead an unhealthy lifestyle.

Even in healthy people who get adequate rest, dark circles or bags under the eyes can emerge.

Dark circles and “bags” under the eyes can make us look tired or older than our years.58,66

58. Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J. 2006;26(1s):S4-9. 66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

To refresh and rejuvenate tired looking eyes, injection of fillers into the tear trough is a quick and effective procedure. At The Cosmetic Skin Clinic, we choose gels have been specifically designed (lightweight with minimal gel swelling to reduce the risk of adverse effects) for natural looking result and long-term correction of this difficult to treat area.90 90. Data on File. 13.

Products containing HA that is particularly adapted to this challenging and fragile area can help fight dark spots and circles under our eyes.66,76,89,90,91 66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

Treating the area under our eyes with HA dermal filler may also stimulate the production of collagen leading to a higher quality of the skin in terms of hydration, elasticity and radiance 77,89

77. Wollina U, Goldman A. Hyaluronic acid dermal fillers: safety and efficacy for the treatment of wrinkles, aging skin, body sculpturing and medical conditions. Clin Med Rev Ther. 2011;3(107-121). 89. Berguiga M, Galatoire O. Tear trough rejuvenation: A safety evaluation of the treatment by a semi-cross-linked hyaluronic acid filler. Orbit. 2017 Feb;36(1):22-26.

Book a Tear Trough Fillers Treatment Consultation

Crow’s Feet Wrinkles

Polynucleotide Injections Under Eyes

There are essentially two main types of crow’s feet lines:58,66

58. Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J. 2006;26(1s):S4-9. 66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

Those that appear due to the actions of our underlying muscles. This can easily be illustrated if we smile or squint: this activates the muscles around the outside of our eyes to form crow’s feet.

Those that are present all the time, even when we are at complete rest or asleep. They result from a long history of, for example, squinting, frowning and sun damage.

Hyaluronic acid dermal fillers are an excellent option to correct fine lines and superficial wrinkles in sensitive areas such as the crow’s feet and eyebrows.

Hyaluronic acid dermal fillers are a minimally invasive treatment option..29 We can temporarily improve our skin’s appearance by getting injections (using a very small needle) of an HA dermal filler directly into our crow’s feet.66,71

66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21. 71. Muhn C, Rosen N, Solish N, Bertucci V, Lupin M, Dansereau A, et al. The evolving role of hyaluronic acid fillers for facial volume restoration and contouring: a Canadian overview. Clin Cosmet Investig Dermatol. 2012;5:147-58. 29. Data on File. 3.

Dermal Filler in the Mid Face

Cheeks

Our cheeks have a huge impact on how we look. Round, plump cheeks (does the phrase “baby face” ring a bell?) create a youthful appearance and high cheekbones are generally considered attractive.

Volumising the cheeks has an extraordinary rejuvenation looking effect.

The quality of our skin decreases with the loss of collagen, elasticity and hyaluronic acid. Bone is reabsorbed around our eyes, cheeks and jawline. As a consequence, our face may appear deflated and sunken in the cheek area, leaving us with a bitter, sad and tired appearance.50,58,66,79

50. Emre IE, Cakmak O. Ageing face, an overview – Aetiology, assessment and management. Otorhinolaryngol. 2013;6(3):160-6. 58. Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J. 2006;26(1s):S4-9. 66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21. 79. Dayan SH, Bassichis BA. Facial dermal fillers: selection of appropriate products and techniques. Aesthet Surg J. 2008;28(3):335-47 79. Dayan SH, Bassichis BA. Facial dermal fillers: selection of appropriate products and techniques. Aesthet Surg J. 2008;28(3):33

The simplest and quickest way to restore the lost volume in your cheeks is with HA dermal fillers that are specially formulated to replenish volume such as Teosyal RHA4. 27,29.

27. Brandt FS, Cazzaniga A. Hyaluronic acid gel fillers in the management of facial aging. Clin Interv Aging. 2008;3(1):153-9. 29. Data on File. 3

Besides restoring volume in the midface, superficial lines and wrinkles, such as accordion lines, can also be treated with dynamic HA filler to improve skin surface texture, radiance and hydration.29,66

29. Data on File. 32. Tosti A, De Padova MP. Atlas of Mesotherapy in Skin Rejuvenation. London, UK: Informa Healthcare; 2007.

66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

The results of HA dermal filler treatments can last up to 24 months.31

31. Topical report. Injectible products to fill wrinkles. France: ANSM: Agence nationale de sécurité du médicament et des produits de santé; 2012.

Learn more about Mid-face Fillers and book a consultation in London and Buckinghamshire

mid face lift with fillers before and after

Dermal Fillers in the Lower Face

Lips

how long do lip fillers last, lip filler results duration

Full lips have always symbolised glamour and sensuality, especially in women. It is no wonder that lip augmentation remains one of the most requested aesthetic treatments, in young and old patients alike.

Although most lips will lose volume and definition with age, pursing or puckering our lips frequently, when sipping or smoking, along with increased sun exposure, are major causes of wrinkles and lines around the lips (also known as bar code and smoker lines).42,66 42. Lemperle G, Holmes RE, Cohen SR, Lemperle SM. A classification of facial wrinkles. Plast Reconstr Surg. 2001;108(6):1735-50; discussion 51-2. 66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

Hyaluronic acid dermal fillers are well adapted to replenish the volume lost and re-establish the pleasing aesthetic look of well-proportioned and voluminous lips.

At The Cosmetic Skin Clinic, we choose a filler that respects the movements/dynamics of the lips.

The amount of treatments needed to see satisfactory results vary from individual to individual & depends on several factors, including, age, lifestyle, skin type & expected outcomes. 77

77. Wollina U, Goldman A. Hyaluronic acid dermal fillers: safety and efficacy for the treatment of wrinkles, aging skin, body sculpturing and medical conditions. Clin Med Rev Ther. 2011;3(107-121).

Chin

Our chin plays an important role in the overall silhouette and symmetry of our face. Balanced and harmonious facial features are key to a beautiful appearance and self-confidence. If we have a short or stubby chin, the entire facial structure is affected.85 85. Sykes JM, Fitzgerald R. Choosing the Best Procedure to Augment the Chin: Is Anything Better than an Implant? Facial Plast Surg. 2016 Oct;32(5):507-12.

As we grow older, our chin tends to lose volume and projection.50,58 To combat this, HA can be used to gently reshape the fullness and soft contours of our chin for a completely natural looking result.66 50. Emre IE, Cakmak O. Ageing face, an overview – Aetiology, assessment and management. Otorhinolaryngol. 2013;6(3):160-6. 58. Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J. 2006;26(1s):S4-9. 66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

If you feel that your chin is not adequately prominent or is not balancing your other facial features, a chin augmentation with HA may be the solution.

Chin augmentation with HA dermal fillers is a good way to improve beauty with minimal risk, no down time and results.27,66,85,86 27. Brandt FS, Cazzaniga A. Hyaluronic acid gel fillers in the management of facial aging. Clin Interv Aging. 2008;3(1):153-9. 66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

Even with a modest amount of filler, the chin can have a noticeable improvement. This can also help to define the jawline. 85,86 85. Sykes JM, Fitzgerald R. Choosing the Best Procedure to Augment the Chin: Is Anything Better than an Implant? Facial Plast Surg. 2016 Oct;32(5):507-12. 86. Data on File. 11.

ha filer for chin augmentation, hyaluronic acid filler for chin

Book a consultation with one of our expert practitioners in London and Bucks

Dermal Fillers for Wrinkles in the Lower Face, Chin & Neck

Jaw

A well contoured jawline is an important aspect of the overall aesthetic correction of the lower face.

In fact, the main typical youthful features are:66

Hyaluronic acid fillers can be used to safely and effectively reshape and contour the jawline, as well as restore volume loss to create a youngerlooking appearance

66. Michaud T, Gassia V, Belhaouari L. Facial dynamics and emotional expressions in facial aging treatments. J Cosmet Dermatol. 2015;14(1):9-21.

Neck and Decolletage Wrinkles

neck wrinkles

With age, the skin on your neck loses collagen, elastin and fat. Necklines appear initially fine but with time, they get deeper. The skin on your décolletage starts looking crepey.

Sagging skin and folds as well as, wrinkles, on the neck and décolletage are often the first noticeable signs of skin ageing.42,50,58,87 Along with the normal ageing process, increased sun exposure of this area can also take a toll on the skin of our neck and décolleté, which may become droopy and “turkeylike.”42,50,58

42. Lemperle G, Holmes RE, Cohen SR, Lemperle SM. A classification of facial wrinkles. Plast Reconstr Surg. 2001;108(6):1735-50; discussion 51-2. 87. Redka-Swoboda W. Treatment of neck lines and décolleté with HA fillers: specific protocols associating TEOSYAL® Redensity [I] to the new resilient semicrosslinked TEOSYAL® RHA1 depending on patient morphotypes. 2016. Anti-age magazine #24.

These changes are caused by the loss of elasticity and accumulation of fat in the neck area.50,58

50. Emre IE, Cakmak O. Ageing face, an overview – Aetiology, assessment and management. Otorhinolaryngol. 2013;6(3):160-6. 58. Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J. 2006;26(1s):S4-9.

By nourishing the skin from within and restoring its density, HA is a highly desirable candidate to tighten and redefine our neck and jawline to regain a youthful looking neck.

If you would like to find out more about our treatments or book a consultation with one of our specialists, please don’t hesitate to get in touch with our clinics in London and Buckinghamshire, and we will be happy to help.

How to find our clinics?

The Cosmetic Skin Clinic in London

The Cosmetic Skin Clinic in London is located in Harley Street and within walking distance of Baker Street, Oxford Circus and Bond Street tube stations. We’re also conveniently located and just a quick train ride away from Paddington or Kings Cross St Pancras Train Stations.

The Cosmetic Skin Clinic in Buckinghamshire

The Cosmetic Skin Clinic in Buckinghamshire is situated in Stoke Poges and near Gerrards Cross (Chiltern Railway) and Slough’s (First Great Western) station. If you’re travelling by car, the M25, M4, M40 and A40 roads, makes it very convenient to reach from Kingston upon Thames, Wembley, Richmond, and from the Surrey area.

The Cosmetic Skin Clinic in Bournemouth

The Cosmetic Skin Clinic Bournemouth is situated in the centre of Bournemouth, the golden strand of the South Coast. Our Bournemouth location is a stone’s throw away from award-winning beaches and a short drive from luxurious Sandbanks, home to ‘Millionaires Row’.

The Cosmetic Skin Clinic in Northampton

The Cosmetic Skin Clinic Northampton is situated in a charming period building called The Gatehouse within St Andrew’s Hospital grounds on the outskirts of Northampton city centre where we are co-located with our surgical sister clinic – The Private Clinic, providing a peaceful and discreet setting for your skin treatment or consultation.

The Cosmetic Skin Clinic in Lymington

The Cosmetic Skin Clinic Lymington can be found in a beautiful mews on Gosport Street, Lymington.

The Cosmetic Skin Clinic in Kent

The Cosmetic Skin Clinic Kent is located within Barham Court, a beautiful English country house in the village of Teston, Maidstone.

For more details about our clinic’s locations and the best way to reach us based on your means of transportation, please take a look at our dedicated clinic location pages.

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