Why Might I Need Dermal Fillers?

Over time your face will naturally start to lose volume, and your skin will lose some of its natural elasticity. This is mainly what causes the visible signs of ageing: loose skin, lines and wrinkles.

As we age, our bodies start to produce collagen at a slower rate, and struggle to renew skin cells as quickly. Of course, there are some things that can speed up that process, like exposure to UV (ultraviolet light), heavy drinking, smoking, stress and lack of sleep.

Unfortunately, we can’t prevent these visible signs of ageing. But we can make them a lot less noticeable.

With dermal fillers, you can lift and restore the volume in your cheeks, temples, chin and other areas of the face. They can also be used to reshape your face, giving you a fuller, more youthful appearance without the need for invasive surgeries.

Appledore clinicians use the Juvederm range of dermal fillers produced by Allergan. They are well researched and they encourage and support their clinicians to keep up to date with new techniques.

Young skin is smooth and elastic and contains a large amount of hyaluronic acid that helps the skin look healthy. As we grow older, the ability of the skin to produce hyaluronic acid decreases and the amount of hyaluronic acid begins to fall. As hyaluronic acid helps to bind water, the ability of the skin to retain water also declines with age. As a result, the skin becomes drier, thinner and less able to restore itself. The loss of skin fullness also means that the skin becomes looser. This leads to wrinkling and the older appearance of the skin.

The dermis is the skin layer responsible for the skin’s elasticity and resilience. The dermis functions as the skin’s support structure, containing collagen, elastin and biological substances whose main function is to hold moisture in the skin. One of these substances is hyaluronic acid. As we age, the amount of collagen and hyaluronic acid decreases and the elasticelastin fibresbecome looser and tend to gather in formations, creating wrinkles and folds. However, age is not the only cause of wrinkles. Smoking, sun bathing and pollution damage the structure of your skin, irrespective of age.

Your skin consists of three main layers:the epidermis, dermis and subcutaneous tissue. The epidermis is the outer layer that protects you from heat and cold. The condition of the epidermis determines how your skin looks and also how well your skin absorbs and holds moisture. Wrinkles, however, are formed in lower layers. The dermis is the middle layer of the skin and the skin’s support structure. It is the thickest layer and comprises a network of collagen and elastin fibres. The subcutanous tissue consists mainly of fat that keeps us warm, stores energy and protects inner organs.

All of the Juvederm range are hyaluronic acid. This is a natural constituent of skin, and is essential for making your own collagen and elastin. As we age, we produce less of it so our skin starts to sag and wrinkle. To make the hyaluronic acid more stable, it is produced so that the molecules crosslink together making it more difficult for your body to dissolve it.

The Juvederm range has various levels of cross linking to produce different stiffness of dermal filler.

We use the ‘stiffer’ dermal fillers for cheek lifting and chin/jaw remodelling, and the ‘softer’ dermal fillers for lips and tear tough.

Lips are a very delicate area to place fillers and we have all seen some awful ‘trout pouts’ where far too much filler is used and the poor recipient ends up with over inflated lips.

Well done lip fillers should be an enhancement of your natural features. For a simple lip enhancement, we would use one of the softer dermal fillers of the Juvederm range to gently restore what has been lost.

If you have lost a lot of lip volume, we might need to use a layered technique with a stiffer dermal filler in the base, and the softer dermal filler above. This way we can achieve a natural look.

Before And After Lip Enhancement Treatment by Dr Teresa @ Appledore


Before the treatment


After the treatment