Cheek Contouring

Put simply, it is the use of dermal fillers to alter and enhance the contours of the face in order to achieve the desired appearance. This can be done using our range of Teoxane filler treatments and is tailored to the individual’s facial anatomy.

 

Cheek fillers can bring the face into balance by making the cheekbones more prominent.

This can give you instant, razor-sharp definition and a natural-looking, youthful appearance. The treatment also smooths the nose-to-mouth lines, effectively lifting the entire face.

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Aesthetic and anatomical assessment of the face is essential before I carry out any injections. Based on this I select products that have the most suitable rheological charateristics for the targeted anatomical compartment and the phenotype of the patient. These can vary depending on the quality and thickness of the skin.

I start by injecting into the deep fat layer with a very cohesive gel which has a strong G’, capable of PROJECTING. This may then be augmented by injecting into the superfi cial compartments with a product that is able to adapt to the dynamic of facial expression.

 

As with building a house, I like to lay the foundations first  for a stable base in the deep fat layer.

Therefore I use in combination Teosyal® Ultra Deep and Teosyal RHA® 4 from Teoxane Laboratories, available in 1.2 ml syringes, which act differently from any other product. I will either use Teosyal® Ultra Deep, with a needle  in a patient  with thick subcu-taneous fat or thick skin which provides very good projection with a single bolus at a supraperiosteal level.

In contrast other products with a lower G’ would require me to inject a higher quantity of product for a similar result. However in an individual with thinner skin I will instead use Teosyal RHA® 4 at a supraperiosteal level, with a  cannula.

Due to its rheological properties Teosyal RHA® 4is also extremely powerful at using in the superfi cial fat layers as it has suffi cient ‘stretch’ to adapt to facial dynamic. Teosyal RHA® 4 is the only volumizer on the market capable of following the movements of the face without losing its viscoe-lastic properties and giving a truly natural result.

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The results are immediate and the effects are visible between 9 and 18 months. Thereafter, it will be necessary to maintain the treatment with annual follow-up sessions.

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Common side effects

According to the AAD, the following side effects — which tend to occur around the injection site — can be immediate, but usually clear within 7 to 14 days:

  • Redness
  • Swelling
  • Pain
  • Bruising
  • tching
  • Rash

Rare side effects

While less common, you should be aware of the following side effects:

  • infection
  • leakage of the filler through the injection site
  • nodules around the injection site, which may need to be surgically removed
  • granulomas, a type of inflammatory reaction to the filler
  • movement of the filler from one area to another
  • injury to blood vessels
  • blindness, which occurs when the filler gets injected into an artery, blocking blood flow to the eyes
  • tissue death, again due to blocked blood flow

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It is important to follow instructions about dermal filler aftercare.

Immediately after your treatment you may notice a few of the following things

  • Swelling
  • Bruising
  • Red needle puncture marks
  • Asymmetry
  • Tenderness
  • Itching in the area

These issues above are common with dermal filler aftercare, and should resolve over the next few days to weeks. Your final result will be seen at about 4 weeks after treatment, and you can be reviewed to see if further treatments are required to achieve the planned results.

Immediately after the injections you face will be cleaned. You should not touch your face for 6 hours. After this you may clean your skin with water and a gentle cleanser.

Things to avoid:

  • Do not expose the area to intense heat (eg solarium or sauna)
  • Avoid pressure on the treated areas for the first few nights (i.e. sleep on back of possible)
  • Avoid strenuous exercise for 24 hours.
  • Avoid alcohol for 24 hours
  • Do not use AHA, Retinols/Vitamin C therapy or oil based make-up for 24 hours
  • Avoid facials, facial waxing, Glycolic or AHA peels, IPL or energy based treatments and microdermabrasion for two weeks after treatment. Please check with your physician before undergoing other facial treatments within this time

Pain relief

Pain is usually mild and sometimes moderate after filler injections. There are areas which can be quite painful like the chin and the lips. Pain relief such as paracetamol may be taken as directed by your Physician

Swelling relief

Apply a cool compress for 10 minutes every hour on the day of treatment (do not apply ice directly on your skin). A cool compress applied regularly for the first 24 hours after injections may help to reduce the amount of swelling. Some patients use arnica before and after treatment to reduce the swelling.

Bruising relief

Patients on aspirin, fish oil or other drugs associated with increased bruising may find their risk increased. For the treatment of bruising, there are over the counter treatments available such as arnica

Some patients take Bromelaine as a preventative for bruising.

Massage

Massage of the filler areas are not  advised by us.  Gentle massage may be used once the pain and tenderness has resolved and at your review

Cold sores and dermal filler

There may be a small chance that a treatment may induce an outbreak of cold sores in patients with a previous history.

Some patients take preventative antivirals to help reduce the risk of cold sores. If you get cold sores after a treatment please inform us. We can prescribe aciclivor for a small cost of £10 on the day of treatment which must be taken for 5 days.

Aesthetic review

Reviewing the results of dermal filler should be performed at 4 weeks (except for cosmetic emergencies like infection or vascular occlusions, which should be reviewed immediately)

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Teoxane

1.2cc RHA 4 £260

1.2cc Ultra Deep £260

Cannula added per treatment £5 which will be added to the costs at checkout.

Restylane 

1cc Restylane LYFT £250

Cannula added per treatment £5 which will be added to the costs at checkout.

Great combined with:

Crows Feet

Botox for crows feet

Frown

Great For Between The Eyebrows

Forehead

Horizontal Creases

Hyperhydrosis

underarm Sweating

Great Combined With

Dermal Fillers For Volume Loss

Vectra 3D analysis

Your age is catching up to you and you see it every time you look at your reflection in the mirror. You feel like you are twenty years old on the inside, but the outside is telling you another story. As you age, your skin loses it’s elasticity and healthy glow. You can begin to see hollows, skin that sags, and wrinkles. You want to do something about the effects of ageing, and by combining dermal fillers with botulinum toxin could give you the results you have been looking for and also give you more youthful skin that is sure to make you smile.

By having some treatment to the areas of concern such as botox for crows feet can help soften the lines and prevent new lines from forming.

Let us capture your images on our Vectra 3D analysis Tayside’s only clinic to offer this photography. We can take images in 3D to allow you to see what we can achieve before the treatment.

Used by the top clinics in the UK and USA we are always at the forefront of the industry

How Can Dermal Fillers Help You?

Dermal fillers are injected into areas of concern to add volume, and also help to smooth the lines in your face. They can be used on the lips and around the mouth to provide fullness and address lines that form, giving the mouth a pinched appearance. Use both in combination for results that last longer and look natural.

Starting from as little as £175

botox-dundee-renu

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