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What is the difference between 0.5ml & 1ml lip filler?


We get asked very frequently what is the difference between 0.5ml and 1ml and the effect it has on your lips. This diagram is just a rough guide to show the difference and how this will look on your lips. Excuse the artistic talent! And please remember this is a rough guide! 0.5ml adds a very subtle amount of volume into your lips. You can choose whether you want to distribute this on top/bottom lip or both or even your doctor can advise what is best for you. By concentrating this on the top lip you can add shape to your lips enhancing the Cupid’s bow and making them more heart-shaped. This look is very aesthetically pleasing, and dramatically modify the dynamics of the face. 1ml allows for adding volume, and help shape the lips further. Either by enhancing its natural shape or by correcting asymmetry or creating the heart-shaped lips which is becoming increasingly popular. If your lips are quite small or thin to start with this result in a beautiful pout. With the right injection technique you can avoid the trout pout and still look very natural.




Do you offer Filler Correction Treatment?


Too much filler? Hard lumps? We offer correction treatment from too much filler injection at Bodylines Skin Clinic. Hyaluronidases are a family of injectable enzymes that act as dispersion agents. These help speed up the natural breakdown of hyaluronic acid through hydrolysis. There are, of course, several complications associated with having a HA dermal filler treatment, such as bruising, mild swelling and tenderness at the injection site, which can be easily managed through observation and support on the patient’s behalf. It is the more serious complications, such as when filler is injected into a vein or an artery, that will require medical intervention and the administration of hyaluronidase as part of its management. Over injection can be a potential risk when injecting HA fillers, leaving the patient with unsightly lumpiness or looking ‘pillow-faced’, with large volumes of filler visible in the mid face. Nodules can also occur following hyaluronic acid injection anywhere on the face, and those that start within 48 hours of injection may be inflammatory – however, those occurring sub-acutely (up to two weeks post-treatment) or late (after two weeks) are more likely to involve infection. Hyaluronidase is an injectable enzyme solution that speeds the natural breakdown of hyaluronic acid. It is used to counteract the effects of hyaluronic acid-based fillers like Juvederm or Restylane—for those whose original dermal filler treatments did not turn out as they had envisioned.




What is Botox?


Botox - Anti-wrinkle injections Anti-wrinkle injections block the nerve receptors of the muscles that cause movement and lines on your face. In effect they prevent the muscle contraction which stops wrinkles from forming, and smooth out areas giving a younger, fresher look. When injected, this relaxes muscles, preventing skin from creasing and causing wrinkles. It's effective for "expression lines", such as frown and surprise lines on the forehead and crow's feet around the eyes, and "turkey neck" – lines on the neck. It can also be used to treat a condition called hyperhydrosis which when a person experiences excessive sweating. When injected in the underarms it will prevent sweating for 9-12 months.




What are lip fillers made of?


Most practitioners use a Collagen or Hyaluronic Acid (HA) based filler which is injected into the lip, to increase volume and size. Collagen works purely by plumping the lip whilst the hyaluronic acid fillers work by not only plumping the lip directly but also trapping water within lips for a natural, plump pout. One of the biggest things people often don't realise with lip augmentation is that achieving the look you want won't necessarily happen overnight. If you have very thin lips and want to achieve a very full but natural look, this can take a few sessions. The key is building layers in stages.




What is the difference between the different brands of Anti-Wrinkle injections?


We get asked what is the difference between Botox, Azzalure and Bocouture. We thought we go through each one, and explain why we choose to use Botox. This is the brand name for Botulinum Toxin type A. This is the first Botulinum toxin to be licensed for cosmetic use and the most well known. Each of the three products - Botox, Azzalure and Bocuture all contain the active ingredient - Botulinum Toxin type A. This is produced by a bacteria Clostridium Botulinum. Each product uses the same strain of bacteria, therefore the active ingredient in each is identical. The differences are the manufacturing process and the additional ingredients added into the finished product. They also have different amounts of the non-active proteins mixed in. Botox® The most famous brand, mass-produced first in the 1990’s for treatment of facial aesthetic concerns. The product contains a 900kD complex, composed of the 150kD neurotoxin plus complexing proteins. Similar complexing proteins are found in nature around the natural toxin. Azzalure is a combination of 2 different complex sizes, one of 600kD and one of 300kD. Bocouture weighs in at 150kD. This is the weight of the active component, and there is no additional complex proteins in the mix. The other differences are the substances added to the vial to help maintain the stability of the medicine before it is reconstituted and injected. BOTOX has added Human Albumin and Sodium Chloride, Bocouture contains Human Albumin and Sucrose, whilst Azzalure contains Human Albumin and Lactose Monohydrate. None of these have any biological/ medical activity. What does this mean...? all good products Sometimes the lactose in Azzalure has been shown to cause an adverse reaction in those that are lactose intolerant. Botox is most similar in composition to the natural product and reconstituted with sodium chloride - meaning least likely to cause any adverse reactions Bocouture contains least non-active proteins - in essence makes it the most ‘pure’ but difference in chemical compound means it does not have all the benefits of Botox such as longevity and may not last as long. Most importantly your doctor must be familiar with the product they are using the dosing. Often it is down to the results you get as to which brand works best for you. Everyone is an individual and can react differently to each brand, with regards the clinical effect and longevity of results following treatment. The differences in prices between the brands are reflected by these chemical differences, and also by the brand name.




What are fillers?


Fillers are made of synthetic hyaluronic acid, and are temporary as they are naturally metabolised over time. There are some fillers such as those from the Juvederm range that have a very similar chemical composition to the body, and therefore are very safe, and compatible within the body; unlikely to cause adverse reactions. Permanent fillers have a combination of materials within them. Some of these are not very compatible with the body, and can leave you with very unpredictable results, that would be difficult to undo. What is hyaluronic acid? This is a naturally occurring substances with the body, that add volume, structure and hydrates the skin, the main component of keeping the skin looking young. When we are young, we have hyaluronic acid in abundance. However, as we get older, this hyaluronic acid starts to diminish,leaving the skin sagging and looking wrinkled. When a hyaluronic acid based filler is injected in small amounts under the skin, the end result is to lift and smooth targeted folds and wrinkles by replenishing and adding subtle volume.




Which parts of the face can filler be injected to?


We usually divide the face into two. The upper face is the forehead, area between the eyebrows around the eyes on the temples. This area is usually reserved for Botox. The rest of the face is for fillers, (although Botox can be injected into specific areas in the lower face). In the lower face filler can be injected into the lips to add volume, make them more plump and lush. Also to smooth out any wrinkles forming in and around the lips. It can also be injected to the cheeks to lift, sculpt and contour this area and enhance the cheekbones. This treatment also greatly improves your side profile, as does injecting filler into your chin and jawline. Carefully placed fillers under the eyes can reduce the appearance of dark, sunken eyes. It is also a popular alternative to having rhinoplasty. Filler injected into the nose, can correct a dorsal hump, straighten the bridge of the nose and reshape the tip of the nose. It is also commonly injected into the nasolabial lines - which are lines that run from the nose to mouth area. This will temporarily restore volume to the folds that can become quite deep with time, softening the face and making it look more attractive.




Where should I get my treatment done?


First of all it is important to think carefully and decide whether you want the treatment done. These treatments are temporary, however, they will still last at least 6 - 12 months depending on the treatment and the filler you have. Most client are exceptionally happy in the treatment they have done and their confidence and satisfaction is overwhelming. It is also a financial investment, it is also very likely that you will want to maintain the results achieved initially. We run doctor led clinics. Our doctors have vast knowledge facial anatomy and are experts at injecting. This is a necessity in our opinion, as some of the treatments can be quite precarious if filler is not injected to the right area, with disastrous consequences. The main overall aim is create a fresher, less tired, rejuvenated look without anyone noticing that 'you have had something done'. Fillers can also sculpt, contour, lift and add volume. It is important to find an aesthetic practitioner that will choose the right filler for the designated area, and also good quality filler too that is smooth, not grainy in texture and which will metabolise nicely within the body. For example only a low density filler should be injected under the eyes, otherwise it could be dangerous if migrated, and has the potential to cause visual problems. This could occur if the wrong type of filler was chosen for the treatment. It is also important to ensure that you get your treatment at a clinic where the aesthetic practitioner gives you honest advice; and not over injects just for monetary benefits. It's very important to research your clinic beforehand. You are well within your rights to see their qualifications prior to treatment, and see their portfolio of work. Also it is very useful seeing reviews left by other previous patients treated by them. We predominantly only Juvederm filler which we believe is the premium market leader. It most closely resembles the body's chemical composition. The Vycross range - Juvederm Voluma, Volbella, and Volift have additional cross-linkages that make the consistency of the filler firm, yet smooth and last longer than others. The quality of the fillers may even be reflected in the price. We believe it is better to proceed with caution in clinics/ salons/ beauty rooms offering major deals and discounts - they probably either offering very cheap, poor quality filler or may not be injecting what they say they are.




What should I expect at my appointment?


You should initially have a full medical and aesthetic consultation. It is really important to establish if there are any conditions or medications that preclude you from having the treatment. For example - if you have hypothyroidism and are taking the medication levothyroxine, you may metabolise the filler much faster than others. This should be explained to you in the consent. Filler injections are also not licensed during pregnancy. It is also important to have an aesthetic consultation. This means, that your practiser must understand what look you are trying to achieve, and also guide you in what is best for you, and what will suit your face. This comes with experience, and in our opinion, it is as important as having excellent dexterity in injecting. The area to be treated will then be anaesthetised. This is usually via local anaesthetic within numbing cream. Then you will have the treatment. This usually takes 10-15 minutes depending on the treatment you are having done. You will then be explained the aftercare of your treatment, and then... You can go! The whole process takes only 30-45 minutes. The recovery and downtime is minimal.




Is it painful & should expect swelling?


It is best to expect some discomfort. These are dermal fillers. Even though the epidermis will be numbed by the local anaesthetic, the dermis may not completely be numb. Also areas such as the lips have such an abundance of nerves, it can be slightly uncomfortable. What are the side effects of fillers? You can expect redness, swelling and bruising post treatment. This can last up to 72 hours. It can be alleviated by applying ice to the area, and Arnica before and after treatment. There is a less than <1% of allergic reaction. This is very unlikely with Juvederm products as they do not contain animal protein within them. There is minimal risk of infection as these are dermal injections. This also stresses the importance of going to a clean sterile clinic environment to have your treatment done. Also the aftercare is very important.




What can I not do after fillers?


It is important to avoid any hot drinks, steam, sauna and hot bath/ shower post treatment if you have had lip filler or lower face filler. It is also important to avoid the gym, any heavy exercise, smoking and alcohol for at least 24 hours. It is also important to avoid drugs such as ibuprofen and aspirin for a couple of days which can promote bleeding and bruising post-treatment.




How do I book?


You can book online or you can call 0203 189 1901 or send us an email on info@bodylinesskinclinic.co.uk
We are not shy - why not have a conversation by sending us a DM on Facebook or Instagram?




Do I need to pay a deposit?


Yes please. This is just to secure your slot. Should you decide that after consultation that you don’t want to go ahead with the treatment, we will return this to you.




Can I have a top up?


Yes you can. Occasionally you may feel like need a top up. Should you need one, we offer 1 within 3 weeks of the initial treatment. The cost for this is: Botox - £80, Lip Filler - 0.5ml - 70, 1ml - £100.




How long does each treatment take?


Each treatment, including time for consultation takes approximately 30 minutes.




Can I go back to work after treatment?


There is nothing stopping you returning to work post treatment.




What can I not do post treatment?


Botox - No alcohol, no heavy exercise, no laying down for 3 hours, no rubbing your eyes or the areas injected for 2 hours post-procedure, no makeup.
Filler - No alcohol, no steam, sauna, bath or hot drinks or smoking for at least 8 hours, no makeup for 4 hours.
Microneedling - no makeup or other facial creams.