Facial Sculpting

Facial Contouring and Sculpting

The Mid-face

As we age the middle of the face loses volume, (collagen and fat is lost). This process starts in our late thirties, before we noticeably lose skin elasticity. The result of this is flattening of the mid-face, retraction of the area around the mouth (if you look at someone in their twenties the lower face is very convex, filled with fat and elastic tissue). We develop tear-troughs running from the corners of the eyes across the upper portion of the cheek. As we get older the face may become drawn, gaunt and tired looking. This process may be exacerbated by weight loss, poor diet, sun-damage or illness. However, in some people this process is not a result of ageing but normal facial structure; the face may look flat with little or no cheekbone definition, and eye-bags may be more prominent as a result.

How can volume be restored in the mid-face?

If there is significant loss of volume all over the face and skin thinning I would recommend SCULPTRA first in most people. This product can be used from the mid twenties and all the way up!

Facial dermal fillers – using more dense, longer semi-permanent lasting fillers give instant volume over the cheekbones and mid-face.

More instant results can be created using the newer generation of fillers. Juvederm Ultra VOLUMA (from the USA), TEOSYAL ULTRA DEEP (Swiss) are both NASHA fillers. Either a high cheek bone look that is more sculpted can be created or a softer, less prominent mid-face lift can be created.

Cheekbone sculpting is effective in a younger person below fifty years. For some people, a heavy jaw line can be balanced out with these techniques. Teosyal Ultra Deep is very effective, holds its position well and looks natural. If the skin is thin, I would not recommend this.

Alternatively a more subtle diffuse mid face volume can be added back using Juvederm 4. It can be used in all age groups. This can be performed in the clinic as a “one stage procedure” or volume can be built up over time. Either way the effect of these NASHA fillers is instant and lasts nine to twelve months .There can be a little swelling, tenderness and maybe a little redness. There may be some bruising

The lower face

A receding chin? - Some men and women may find the profile of the chin can be improved by bringing the chin forward. This can be achieved using RESTYLANE SUB Q or Juvederm Volum. Both these fillers give instant effects which can last for one year or more. About 1- 2 ml is needed and the product is placed deeply under the chin muscle (though some people need much more - around 6 ml). For a 2 ml fill I would recommend you have it performed over two procedures about one to two weeks apart to allow the muscle to settle, otherwise it can be uncomfortable.

A stronger more defined jaw line? A jaw line losing its definition with a loss of volume and elasticity can be improved with semi-permanent fillers. Some younger people may want a “wider, stronger” jaw line. Careful consideration is needed first, as squaring of the face in women may not be desirable but if the mandible is small it may make a visual change for the better.

How will it feel? Expect a little bruising, it may feel a little tender and warm for a day or two. The contours of a cheekbone augmentation can soften over a few weeks.

Price
From £550 - please see price list for more details