Facial Fillers – Juvederm Voluma

Juvederm is a family of injectable hyaluronic acid facial fillers used to provide correction for moderate to severe facial wrinkles and folds, such as nasolabial folds (lines from the nose to the corners of the mouth).

One of the products in the range of 5 facial fillers, called Voluma, replenishes lost skin volume to regain a youthful curve to the cheeks and can be used to enhance the overall shape of your face. Voluma is a brand of injectable hyaluronic acid facial fillers that adds fullness to areas that need a little more support or enhancement. Shortly after treatment with Voluma, you should notice that your facial contours appear fuller and rounder, giving your face a softer, more youthful appearance.

facial fillers

Juvederm aims to rejuvenate.

Voluma was specifically created to restore lost facial volume in the cheeks, cheekbones and chin. It was developed to be smoother than other hyaluronic acid facial fillers, making it easier to inject during the facial fillers treatment and resulting in a smooth, natural look and feel. Voluma was developed with Vycross technology to deliver a natural look and feel, with results proven to last up to 18 months.

facial fillers

Voluma facial fillers have been FDA approved for the treatment of volume loss in the mid-face – and have been in use for some years now. Below is a review of the facial filler on the website Realself. Realself gets reviews from real life patients and then forms a score to show how many patients were happy with the treatment. It generally gives a good indication as to whether a treatment works or not.

facial fillers

Realself is a website that rates cosmetic treatments. 92% of users rated the treatment as “worth it”.

 

 Appointments

Contact us today if you would like to know more about Facial Fillers in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox Injections | Facial Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Acne Scars

Acne Scars were once a doctors nightmare – but these days, they can be easily treated.  Acne a skin condition whereby the pores in the skin becomes blocked or clogged. The material blocking them is normally dead skin cells or sebum (a type of oil produced by each individual hair).  Interestingly enough, certain medications and creams can actually make acne worse! Most acne sufferers are teenagers – this is as they are going through hormonal changes as a result of puberty. The increase in hormones increases the skins oil production and the pores become blocked. Once the pore is blocked, it becomes irritated and it swells. Swelling can either take the form of a blackhead or a puss filled whitehead. Adults can also suffer from acne – this is known as Adult-type acne.

acne scars

Black heads as seen on the nose.

 

acne scars

Whitehead pimple as seen on the cheek.

Mild to moderate acne generally only has blackheads and whiteheads and it generally doesn’t form scars – unless the acne is scratched, pressed or picked at by the person. So as a general rule, don’t ever pop acne pimples – you can form scars. That said, when acne is very bad it is called sever acne – and it is this form that can very easily form scars.

acne scars

Severe acne has pimples which are large and sore to touch.

Acne scars form as any scars in our bodies do – as a result of trauma to the skin.  When the skin is broken or you get a cut the body quickly begins to heal itself by forming a scar in that area. When skin is broken and there is infection (like acne) there is a bad type of scarring that occurs – this is the reason for the deep acne scars.

acne scars

Deep acne scars on the cheeks.

In our next blog post we will talk about the treatment options for acne scars.

– Dr Wade

 

Appointments

Contact us today if you would like to know more about Acne Scars treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox  | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Liquid Facelift

The liquid facelift is the non-surgical method whereby the face is lifted using a combination of dermal fillers and Botox injections. Facial aging is as a result of numerous factors namely, genetics, sun-exposure, smoking, diet and exercise. All of these factors cause the face to sag – everything “droops”. More often than not if you are concerned about the lines on your face you will look in the mirror and gently pull the skin in the middle of your face upwards – that is what a liquid facelift aims to do. Gently Lift the face – without the risk or downtime of surgery.

liquid facelift

In order to create lift the face must be looked at holistically.

In order to do this your face is thoroughly assessed by your aesthetic doctor. Photos are taken and the problem areas are identified. With this information in mind, your face is cleaned and then marked out with a white eyeliner. Marking the face allows your doctor to identify which areas are deficient in volume. Our faces are never symmetrical (sleeping on a favorite side causes one side to sag more than the other) – marking also helps to clearly show which side has the deeper lines.

liquid face lfit

Juvederm Product Range

The liquid facelift starts with the dermal filler treatment – 3 points on the cheek are injected – this replaces volume that has been lost and also lifts the skin below the cheek. Together with the lifting effect, it also rejuvenated the eyes. As you are probably aware, the first place we look we when we see a face is the eyes. Friends, family and colleagues usually comment on how happy or well rested you look – this is all because of the filler treatment. This lifting lasts anywhere from a year to 18 months. Hyaluronic Acid – the substance found in fillers – has also been shown to stimulate collagen production. So in the months after the treatment, you will continue to look great.

Secondly a Botox Brow Lift is performed – the frown and the tail of the brow are injected. This relaxes the frown (so you appear happier!) and gently lifts the eyebrows. It is a great treatment that will leave you looking refreshed and energized. At the end of the day the liquid facelift is all about facial rejuvenation and less about looking like you’ve have a facelift (which is probably a good thing!).

Botox

The treatment itself is relatively pain-less but if you are at all concerned please ask your doctor for a numbing cream to be applied beforehand – they will happily oblige.

– Dr Wade

 

Appointments

Contact us today if you would like to know more about liquid facelift treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox  | Liquid Facelift with Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Dermal Fillers

Dermal Fillers go by many names; Fillers, Facial Fillers, Injectable Fillers – essentially they are all the same thing. And that thing is a very broad category of products that can be very different to one another. Now that I’ve made it look complicated, let’s take a step back to review what exactly a filler is.

A filler fills. It’s as easy as that – although where it fills and how it fills are the more difficult questions! A filler can either be permanent or non-permanent – that is they either get absorbed over time or they last for life.

Dermal Fillers

Permanent Vs Non-Permanent Dermal Fillers – Table courtesy Wollina and Goldman (Fillers in the improvement of acne scars).

The current thinking is that non-permanent dermal fillers such as Hyaluronic acid based fillers are the safest to use. As they are not permanent, if you don’t like the result, it will eventually go away. Also, in special circumstances if the dermal filler needs to be removed, it can be dissolved using an injectable enzyme. So for the most part, most doctors today use Hyaluronic Acid based dermal fillers.

And what is Hyaluronic Acid you may ask? Hyaluronic acid is a carbohydrate that is found naturally in our skin. It is a water holding molecule (so it hydrates) and fills the spaces between our collagen and elastin fibers in the dermis of our skin.

Dermal Fillers

Hyaluronic acid is a molecule made up of N-acetyl glucosamine and Glucuronic acid. It provides hydration to the deeper layers of the skin. Image: source unknown.

Initially dermal fillers were used to fill the lines associated with facial aging. So doctors would typically inject the lower face (nasolabial folds and marionette line). This would reduce the visibility of the lines but it never dealt with the cause of the line – which is facial fat loss.

Dermal Fillers

Over the decades our faces lose fat from the fat pads in our cheeks. Image source: unknown.

The current thinking is that instead of injecting the lines in the lower part of the face, we inject the cheeks first – to replace the fat that has been lost. What happens when we do this is that the cheeks are lifted and the lines under the eye, between the nose and mouth and below the mouth are all reduced. If then the person still has lines in these areas, the second treatment would be to directly inject these lines – although most of the time this is unnecessary as the client looks and feels rejuvenated.

The type of Hyaluronic Acid dermal filler we use depends on where we inject it and how deep we inject it. All filler brands have a variety of different fillers within their brand – from the thick gel-like ones to the thin silk-like ones, each has its use. The thicker gels tend to be used for deep injections in the cheeks – they provide the “foundations”. The thinner silk-like ones are injected more superficially – they are like the “curtains”. Foundations of a house provide support and generally last a long time – cheek fillers lift the cheeks (support) and last longer than thin fillers. The curtains of a house get blown around in the wind (thin fillers can easily be moved by the injector) and are usually changed frequently (thin fillers only last around 9 months to a year).

Dermal FIllers

The size of the Hyaluronic Acid particle influences whether it’s a thick or thin filler. As seen above, large sized particles like Restylane Sub Q are thick fillers, which are injected deep. Small sized particles like Restylane Touch are thin fillers and are injected superficially. Image courtesy Galderma.

All of the above is just a very small introduction into the world of Dermal Fillers. There are so many more things to know! At the end of the day, one thing stands true: For the most part, it is the injector that you should be concerned with and not the dermal filler choice!

 

–  Dr Wade

 

Appointments

Contact us today if you would like to know more about dermal filler treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox  | Dermal Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Silhouette Soft Threads – Technological innovation serving rejuvenation

When women are asked what they consider their two main signs of facial ageing, the answer is invariably loss of skin tone causing sagging of facial contours and the appearance of wrinkles, fine lines and creases.

This phenomenon, which worsens with age and the menopause, is due to the loss of collagen, the protein found in all structures of the body, especially the skin, and which ensures the cohesion, elasticity and regeneration of tissue. With age, collagen diminishes and the skin becomes less firm and saggier. The face also loses fats (becoming more skeletal), becoming hollow on the sides, and heaviness accumulates under the chin, and the lower cheeks.

Solutions exist, but choices have to be made: either to restore volume, using targeted injections, or to tighten the skin, by means of more invasive interventions.

Silhouette Soft Lift

Silhouette Soft Threads are a unique treatment enabling two combined actions

• A discreet and immediate lifting effect : as soon as the suture is applied, the doctor reshapes the treated area by means of a double action: compressing and elevating tissue.
• A gradual and natural regenerating effect : in being absorbed, the component of the suture, polylactic acid allows to restore shapeliness to the face.

Silhouette Soft Threads

The 30 – 60 minute procedure

After a small local anaesthetic, the doctor inserts the suture under the skin to a depth of about three to five millimetres. No incision is required, as the suture is inserted using a fine needle. It is held in place with absorbable cones oriented in opposite directions (bidirectional). Once the suture as been applied, the doctor performs slight compression of the tissue to reshape it by hand and to obtain the desired lifting effect.

The non-inserted ends of the suture are cut off. One or more sutures may be applied, depending on the patient and treated area. Silhouette Soft Threads can be used as a single treatment or in combination with fillers and botulinum toxin.

Silhouette Soft Threads

After treatment : a few recommendations

After the Silhouette Soft Threads treatment, as with any cosmetic treatment, some slight swelling, redness or bruising may sometimes be observed, but these disappear within days.

There is sometimes a slight wrinkling of the skin (required for optimisation of the treatment) which disappears very quickly.

 

Recommendations for good post-treatment follow-up :

✓ During the week after treatment, do not undergo any dental surgery, and avoid facial and  beauty treatments.
✓ Avoid all contact sports for the first few weeks.
✓ Preferably sleep on your back.
✓ In the event of pain, take a pain reliever according to your doctor’s prescription.

 

Silhouette Soft Threads

Appointments:

Contact us if you would like to know more about Silhouette Soft Threads treatments or would like to schedule consultation to discuss the various aesthetic treatments we can offer.

Natural Aesthetics – Silhouette Soft Threads Lift

Cape Town| Green Point | Camps Bay | Somerset West

Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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The way we think about facial aging has changed significantly in the last 5 years. Previously, when we saw a line on the face, our first thought was to fill it with something like a dermal filler. For some patients this worked – the line was filled and everyone was happy, but for others, the results were less than perfect.

Nasolabial Fillers Cape Town Somerset West

As we age, the first line that seems to bother us in the lower face is the nasolabial fold – this is the line from the corner of the nose to the corner of the mouth. When fillers first came out, this was the line that everyone had filled. The problem comes when you think about what makes a youthful face look youthful. In a youthful face there is very little volume (forward projection of tissue) in the area between the nose and the mouth. The bulk of facial volume is held in the cheeks.

When you place a filler in a nasolabial fold you run the chance of over-filling the area. This phenomenon has been referred to as the “baboon face” effect. The images seen below are examples of the typical face that results when fillers are injected incorrectly.

Nasolabial Fillers Cape Town Somerset WestNasolabial Fillers Cape Town Somerset WestNasolabial Fillers Cape Town Somerset West

The new and correct approach is to look at the face in 3 dimensions. Rather than filling lines, we aim to rejuvenate the face by adding volume where it has been lost. Once facial volume has been restored to what it once was, we see a marked improvement in nasolabial folds – without adding any filler to this area. This is as a result of the lifting effect that the fillers give. The end result is a more natural look.

I like to think of the face as if it’s a 3 dimensional diamond, rather than a 2 dimensional triangle. A diamond sparkles from all angles, whereas a triangle is invisible when turned sideways!

 

Nasolabial Fillers Cape Town Somerset West

 

At the end of the day, the lack of a nasolabial fold in a person doesn’t make them look younger or more attractive. As seen in the well-known actress, Blake Lively, in the right circumstances a nasolabial fold can be an attractive feature rather than a flaw. What we notice in her is that she has great cheek volume – this is the reason why she appears youthful. Without the use of fillers in years to come, her cheeks will lose volume and her face will sag downwards. This will deepen her nasolabial folds as well as create a line under her eye called the tear trough. Looking at the face as a whole prevents us from treating incorrectly or over-treating.

Nasolabial Fillers Cape Town Somerset West

CANNES, FRANCE – MAY 15: Blake Lively attends the “Mr Turner” premiere during the 67th Annual Cannes Film Festival on May 15, 2014 in Cannes, France. (Photo by Ian Gavan/Getty Images)

To restore volume to the cheek area and reduce the appearance of the nasolabial folds we typically inject 3 to 4 points on either side of the mid-face. Everyone is different and therefore we map out the face using anatomical landmarks. This allows us to see where volume has been lost – it also allows us to be precise so that the result can be a symmetrical one.

Nasolabial Fillers Cape Town Somerset West

Results from this treatment are immediate. Sometimes there may be some swelling or redness – this usually only lasts 1 to 2 days.

For more information and to make a booking with Dr Wade in Green Point, Cape Town or in Somerset West please contact us via telephone or email – our relationship manager will gladly be of assistance. Nasolabial Fillers Cape Town Somerset West – for natural results.

t: 021 433 0967

e: bookings@naturalcape.com

 


Nasolabial Fillers Cape Town Somerset West

Cape Town| Green Point | Camps Bay | Somerset West

Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

 

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