Dermal fillers were originally developed to simply fill in lines and wrinkles on the face.
As our understanding of the ageing progress has advanced and become much more sophisticated the way in which we use fillers has changed to focus on more complex treatments of global volume restoration. The objective is not to simply make our patients look better: the key is to restore our patients self confidence and psychological well being.
As treatments have become more complex however it is sometimes easy to forget the basic uses of filler to simple reduce or remove wrinkles and lines. Done well, filler injection to lines and wrinkles can have a transformative effect on the facial appearance.
One of the reasons that use of fillers to soften lines and wrinkles has fallen out of favour is that for quite some time there was a period in which excessive use of filler around the mouth became fashionable. The result was a smooth complexion, but one that appeared bulky and did not always look natural. In order to avoid creating the bulky and unnatural look judicious use of filler is required. This is where the experience and judgement of the practitioner is key. The key is using the smallest amount of product, at just the right level within the skin to optimally correct the wrinkles without weighing the tissue down creating the ‘bottom heavy – smooth, but odd’ look.
This is something which takes years of experience to perfect, learning to respect the limits of the filler and knowing when to stop.