Wrinkle treatments at the Hertfordshire Clinic, St Albans

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Facial Contouring

How is contouring treatment performed?

The practitioner performs a series of small injections of Hydrafil or Radiesse, to fill out lines and any facial furrows. Pre-testing is not required.

The results can last from 3- 12 months for Hydrafil, and 18-24 months for Radiesses.

What is Hydrafil?

Hydrafil is a gel made from the natural substance, Hylauronan, that is injected just below the skin surface to replace the collagen and hylauronan layers that have deteriorated.

Since Hydrafil is based on natural hylauronan, your body biologically accepts it as its own.

Hydrafil also mimics the same hydrating and lifting effect of hylauronan, which keeps the skin hydrated and elastic.

No pre-test is required for Hydrafil so that treatment can occur on your first visit.

Do the injections hurt?

You may find that the injections are slightly uncomfortable, particularly around the nose or lips.

For this reason topical anaesthetic gel is used, and sometimes an anaesthetic injection.

How will my skin look and feel immediately after treatment?

Immediately after the treatment, there may be a slight redness, swelling, tenderness and an itching sensation in the treated area. This is a normal result of the injection. The inconvenience is temporary and generally disappears in a day or two.

Most patients feel comfortable in resuming their normal activities following treatment. Temporary puffiness of the treated areas, however, should be expected.

What can I expect after lip treatment?

The initial swelling after lip treatment may last longer than other treatments. Some patients experience swelling for about a week and the lips can look somewhat uneven during this time. This means that the result directly after treatment should not be seen as the final result.

Please tell the doctor if you have previously suffered from facial cold sores as the treatment may contribute to a further eruption. Your practitioner will be able to advise you on steps to take should this occur.

What other special precautions are necessary?

All facial injections should be used with caution in people on immuno-suppressive therapy and in people with a history of allergic reactions. Be sure to tell your practitioner of any allergies you may have, and any medicines or treatment you are currently taking.

You must understand and appreciate the risk of bruising, which occasionally can be unpredictable. Although this bruising is only temporary, it needs to be considered and make up concealment many be needed. If you are using aspirin, or any similar medication, be aware that these may increase the bruising and bleeding at the injection site. If needed you should use Paracetamol for pain relief.

After dental anaesthetic blocks your face and lips will feel strange and swollen the evening of the injection.

Facial injections have not been shown to be safe during pregnancy or lactation, or in children.

Although the material is generally not visibly distinguishable from the surrounding skin, some patients have reported that they were initially able to feel the outline of the injected material.

There have been infrequent reports of the injected collagen being visible in the skin, in the form of a small raised or white area in the treatment site, which may persist from a few weeks to several months. However, as the new material is incorporated into your own skin, the treatment site takes on the natural look and feel of healthy skin.

Can facial injections take the place of surgical procedures such as face-lifts and dermabrasion?

No. Injectable filler treatments are not meant for people who have excess facial skin, or for those who want a major resurfacing of the skin.

Does the correction last forever?

No. Top up injections will be needed to maintain maximum correction. Because Hydrafil or Radiesse are so similar to your own skin they will be altered by the same ongoing mechanical forces that caused the original skin depressions.

How often will I need a top up injection?

The time between injections varies from person to person. The injected material will eventually be absorbed and broken down, and that is why you need ongoing treatment to maintain the look you want. If you choose not to continue treatment, any remaining material is simply absorbed by your body over time, and your skin gradually returns to its natural contours.

Most patients who choose to receive top ups for lines or furrows do so within 3 to 24 months of the original treatment. For scars, and deeper depressions the time between top ups may be longer. Top up injections will help you maintain your correction and can provide a long-term solution to skin contour problems.