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Facial Contouring and Sculpting The Mid-face As we age the middle of the face looses volume, ( collagen and fat is lost) this process starts in our late thirties, before we noticeably loose skin elasticity. The result of this is flatting of the mid-face, retraction of the area around the mouth (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 aging 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 Midface? 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 filler using Juvderm Ultra VOLUMA (from the USA), TEOSYAL ULTRA DEEP (Swiss) are both NASHA fillers. Either a high cheek bone look that is more sculpted a be created or a softer less prominent mid-face lift can be created. Cheekbone sculpting is effective in a younger person below 50 years. For some people, a heavy jaw line can be balanced out with these techniques. Teosyal Ultra Deep is very effective, holds its positions well and looks natural. If the skin is thin, I would not recommend this. Alternately 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 preformed 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 9-12 months .There can be a little swelling, tenderness and maybe a little redness. There may be some bruising The Lower face A receding chin? - Both in 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 theses fillers give instant effects which can last for 1 year or more. About 1- 2 mls is needed and the product is placed deeply under the chin muscle (though some people need much more - around 6 mls). For a 2 mls fill I would recommend you have it performed over 2 procedures about 1-2 weeks apart to allow the muscle to settle, else it can be uncomfortable. A stronger more defined Jaw line? A jaw line loosing its definition for a loss of volume and elasticity can be improved with semipermanet fillers. Some younger people may want a “wider strong” 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
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