In a recent survey, women stated that one of the main reasons they have not yet had a cosmetic injectable treatment was fear of looking overdone or “wrong”. Unfortunately, there are people out there who have had bad cosmetic work done and they look very obvious.

Cosmetic injectable treatments such as muscle relaxing injections and dermal fillers should produce results that are subtle and completely natural. For this to happen and for these medical treatments to be as safe as possible, the injector must have both an artistic eye as well as a thorough understanding of facial anatomy. Is is also essential to understand how the face ages with time.

What are the Key Features of Facial Ageing

There are well recognised changes that occur in the face as we age. Identifying and treating these changes will help to restore balance and give a refreshed and more youthful appearance. Not everyone ages in the same way.

Influences affecting facial ageing:

  • genetic factors
  • environmental factors such as sun exposure, smoking and general health status, including nutrition and hormonal balance.

Ageing at Different Levels

  • Skin – At this level we see problems with superficial lines and wrinkles, skin texture, pigmentation, broken capillaries and redness
  • Underlying tissues – including fat, muscle and bone. Volume loss occurs in a number of these key areas.

Effects of Volume Loss

  • There is a slow change in the facial shape. As skin becomes lax and moves south (because of loss of underlying support), the face becomes more “bottom heavy”.
  • There is some loss of the natural curves in the face typical of youth, resulting in flattening of the cheeks, formation of tear troughs (darkness or circles under the eyes), brows become lower and temples become more hollow – making the shape of the underlying skull more visible – a very ageing, but often overlooked feature.
  • Deepening of nasolabial lines (lines running from the sides of the nose to the corners of the lips)
  • Formation of jowls with loss of jaw definition.
  • Formation of marionette lines that turn down the corners of the mouth and may run to the sides of the chin.
  • Accordion lines – bracket lines running out from the corners of the mouth
  • Lips – also lose volume with age, and can develop fine lines around the edges.

Dermal Fillers for Volume Replacement and Lifting the Lower Face

Dermal fillers are used to address all the above concerns. Obviously the best way to address volume loss is with volume replacement. A dermal filler is a type of “gel” and this not only replaces the volume, but also assists in lifting the lower face.

After a treatment with dermal fillers, a person should look a little fresher and “lifted”, but not different. It should not look like they have had a cosmetic injectable treatment.

To get the best results using cosmetic injectables, the cosmetic physician must have a thorough understanding of facial anatomy and how facial ageing is occurring in each individual. Skill and experience means a lot.


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