Cosmetic Fillers (Juvederm®)

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1. Soft tissue fillers are an exciting way to enhance and rejuvenate areas of the face
2. A hyaluronic acid based filler will be used called Juvederm
3. Hyaluronic acid is found in the connective tissue of the skin
4. The effects last between 6 to 12 months depending on the area that is injected
5. Lip augmentation normally lasts for up to 6 months because it is such a mobile area
6. The effect gained from subsequent treatments can last longer, sometimes up to 8-12 months
7. Injecting Hyaluronic acid can be painful and may require local anaesthetic
8. Areas that can be treated
   Lip augmentation (producing a fuller pout)
   Glabellar complex, vertical or transverse frown lines between the eye brows and above the nose
   Wrinkles around the mouth
   Acne scarring
   Mild deformities of the nose
   Nasolabial fold
   Marionette lines
   Chin

Contraindications for Hyaluronic acid use

1. Previous Hypersensitivity

Cautions for Hyaluronic acid use

1. Telangectasia and rosacea (redness) may worsen
2. Tendency to excessive bleeding.
   Thrombocytopaenia (low platelets)
   Haemophilia
   Anticoagulation therapy
   Aspirin

Administration of Hyaluronic acid

Careful assessment and planning by a Consultant Plastic and Reconstructive Surgeon

1. Local anaesthetic
   Injection (like the dentist) 10 mins to work
   Cream 45 mins to work
2. A calm and relaxed patient sitting comfortably
3. Targeted areas are injected when the face is relaxed
4. Combination treatment may be required eg Botulinum toxin
5. Gentle pressure may be required

Post treatment care

1. Cooling with ice packs when home

Restylane injections result in some sequelae (consequences) that are temporary

1. Discomfort and Pain during injection
2. Needle marks
3. Swelling
4. Bruising
5. Mild erythema (redness)
6. If a local anaesthetic injection is used there may be some temporary muscle paralysis

Risks and complications

1. Local (Normally resolves quickly)
   Pain
   Tenderness
   Erythema (redness)
   Bruising
   Numbness
   Swelling for 3-5 days
2. Rare complications of infection and granuloma formation
3. Hypersensitivity occurs in 1/2000 patients

Our Aim

All patients will be assessed and treated to achieve the desired cosmetic result and minimise complications to ensure complete patient satisfaction.

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