Cosmetic physicians have recently become increasingly aware of the role that volume loss plays in the way a face ages. Whereas once the only answer to loose and sagging skin on the face was to cut and remove skin in a face lift, it has since been realised that an excess of skin is not the only problem and that a loss of facial tissue volume also contributes to the wrinkled appearance of maturity.
There was a need, then, to find a way to improve facial volume in a more long-lasting manner whilst still inducing some tightening of skin. Enter our three-year voluminising filler for thin faces. This filler is a suspension of natural sugar-like particles, and stimulates your own fibroblasts to produce your own collagen under the skin, leading to skin tightening and thickening, thus improving volume deficiencies.
How does it work?
You will remember that when you exercise a lot you build up lactic acid in your muscles. It’s a natural part of your biochemistry, and breaks down very rapidly, but is a bit irritating to your muscles which is why they burn with excessive exertion. Lactic acid molecules can be strung together to form the active ingredient this filler. Once it is injected under your skin, the particles in the filler will stimulate your collagen-producing cells, the fibroblasts, to make collagen. The thickening effect produces better volume in the face, and the tightening effect will smooth out lines.
What’s a treatment like?
This agent doesn’t work by simply pumping in volume like so many other fillers. Rather, it acts on skin to make the skin thicken itself. Therefore we have to ensure this substance is widely and evenly distributed under the skin we wish to tighten. We will ask you to come in to the practice an hour prior to your treatment time in order for us to apply some anaesthetic EMLA cream. This has to be applied thickly, as if we are icing a cake. Then we have to apply a little clear plastic film over the cream to ensure it doesn’t dry out and to improve skin absorption.
One hour later you are ready for treatment. Your facial skin is cleaned and we discuss again with you our treatment goals and the areas of the face requiring treatment. Once we agree on our plan, the skin is marked out to ensure the product is placed exactly as we want, and as evenly as possible. The EMLA has a great effect to reduce the sensation of the needle, and we furthermore mix this product with a local anaesthetic that further reduces discomfort during and after treatment.
The Agent S is spread under the skin using a fine needle, with each needle covering an area of 1-2 square centimetres.
We then like to give the treatment area a firm massage to further ensure the collagen-stimulating powder is evenly and thoroughly distributed where we want it.
What will it look like?
This product comes as a powder in a little vial, for preparation by dilution two days beforehand. We dilute it out with 7ml of anaesthetic, so that when you first look at your face after the treatment you will notice a fullness and improvement in volume, but at this point you are looking at the volume effect of 7ml of fluid, not the treatment effect per se. Over the following hours to days this volume effect will go down. A certain amount of bruising may appear, but is easily covered. Actual collagen formation takes at least 6 weeks to begin, and is maximal about 12-18 months after the treatment.
All authorities and experienced users recommend that you undertake several treatments to get the result you want. Here at Peach we would recommend at least three treatments, typically spaced 2 months apart.
Patients with large facial areas to treat or with moderate volume loss to repair are advised to have two vials injected on each treatment occasion. This gets results happening faster, and because the price of two vials injected at once is less than twice the price of one vial the treatments are more economical.
Come and see us for more information and for a specific assessment of your needs.