FILLERS
Neil Bulstrode has a wide experience using Botulinum toxins, such as Botox®, Azzalure® and Dysport®, and Fillers such as Juvederm®. He has published papers regarding Botulins in both cosmetic and reconstructive patients in leading Plastic Surgery Journals.
Patients will be seen and assessed for the most appropriate treatment for them.
GENERAL DISCUSSION
Topics to be considered and discussed
Soft tissue fillers are an exciting way to enhance and rejuvenate areas of the face
A hyaluronic acid based filler will be used called Juvederm
Hyaluronic acid is found in the connective tissue of the skin
The effects last between 6 to 12 months depending on the area that is injected
Lip augmentation normally lasts for up to 6 months because it is such a mobile area
The effect gained from subsequent treatments can last longer, sometimes up to 8-12 months
Injecting Hyaluronic acid can be painful and may require local anaesthetic
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
SURGICAL PROCEDURE
Details of the surgical procedure and follow up
Careful assessment and planning by a Consultant Plastic and Reconstructive Surgeon
Local anaesthetic
- Injection (like the dentist) 10 mins to work
- Cream 45 mins to workA calm and relaxed patient sitting comfortably
Targeted areas are injected when the face is relaxed
Combination treatment may be required eg Botulinum toxin
Gentle pressure may be required
GENERAL ADVICE
Advice for before and after the procedure
Patients encouraged to move the muscles that are injected
Cooling with ice packs when home
Avoid lifting bending or staining for 3-4 hours
Unrestricted activities after 4 hours
Flying and heat is not thought to have an adverse impact
The first effect may be as early as 6 hours and maximal effect is at 14 days
POTENTIAL RISK
Whilst the chance of risk is very low, it must be discussed and understood
Local (Normally resolves quickly)
- Pain
- Tenderness
- Erythema (redness)
- Bruising
- Numbness
- Swelling for 3-5 daysRare complications of infection and granuloma formation
Hypersensitivity occurs in 1/2000 patients
CONTRAINDICTIONS
Conditions or factors that serves as a reason to withhold a certain medical treatment
Previous Hypersensitivity
Telangectasia and rosacea (redness) may worsen
Tendency to excessive bleeding
Thrombocytopaenia (low platelets)
Haemophilia
Anticoagulation therapy
Aspirin
BAAPS ADVICE
Additional advice provided by the British Association of Aesthetic Plastic Surgeons