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Dermal Fillers

Turn Back the Clock for a More Youthful and Refreshed Appearance

Dr Fay uses dermal fillers to restore lost volume, lift, and contour the face & lips. None of our patients want to look dramatically different, they just want to look like the best version of themselves. We use premium fillers to rejuvenate the face holistically rather than treating individual features. To this end, Dr Fay prefers a subtler approach, whereby precise doses of filler are placed around the periphery of the face (as well as centrally) to replace the structural volume lost with time. We try to restore symmetry while preserving individuality.

Remember, dermal filler enhancements need not be dramatic to have an impact. There is artistry in subtle enhancements.

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Treatment Summary


Procedure time
30 mins
Downtime
Minimal to none
Duration of results
6-12 months
Anaesthetic
Topical, nerve block
Sessions required
1-2 sessions
Discomfort level
Mild

Understanding the Ageing Process and Facial Changes

As we age, our face undergoes natural changes that impact its appearance. These changes affect different structures within the face, including the skin, muscles, fat pads, and even the underlying bones. To help understand how each of these elements contributes to the ageing process, let’s break it down into the face’s three main areas: the upper, middle, and lower thirds.

  1. The Skin

The skin is often the first to show signs of ageing. Over time, it loses elasticity and moisture, making it more prone to lines, wrinkles, and sagging. You might notice thinner skin, especially around the eyes and mouth, where fine lines tend to appear first. Sun exposure, lifestyle, and genetics all play a role in how quickly these changes become visible.

  1. Muscles

The muscles in our face give us movement, expression, and tone. As we age, some muscles lose firmness while others become more active, which leads to expression lines. For example, frequent frowning or squinting can cause lines between the eyebrows or at the corners of the eyes (crow’s feet). Botox can help by relaxing these muscles, reducing the intensity of lines and creating a smoother appearance.

  1. Fat Pads

Fat pads are the natural cushioning areas beneath the skin. When we’re younger, these fat pads are full and give our face volume, especially in the cheeks and around the eyes. As we age, fat pads gradually diminish, causing the face to lose its youthful fullness. This change can result in hollow cheeks, deep lines around the mouth (nasolabial folds), and jowls along the jawline. Dermal fillers can restore volume, lifting the face and softening lines.

  1. Bone Structure

Beneath the skin, muscles, and fat pads is the foundation of the face—our bones. Even our bones undergo changes with age, especially along the jawline, chin, and cheekbones. This bone reabsorption or thinning reduces support for the soft tissue, leading to a drooping or sagging appearance. As a result, the face may look shorter and wider, with less definition in areas like the jawline and chin. Fillers can add structure and support in these areas, enhancing facial contours.

Ageing by Facial Quadrants

To better understand how ageing affects specific areas, we can divide the face into three main sections: the upper third, middle third, and lower third.

Upper Third (Forehead and Brow Area)

As we age, the brows often begin to lower due to gravity and the loss of bone support, giving the eyes a “hooded” appearance. Botox in this area can gently lift the brows, creating a more open and refreshed look. Crow’s feet around the eyes also tend to become more prominent, which can be softened with Botox.

Middle Third (Cheeks and Nose Area)

In the middle third of the face, the most noticeable changes are flattening cheeks and deepening lines around the nose and mouth. This area is where fat loss is most evident, leading to volume loss and sagging. Fillers in the cheeks can restore youthful fullness, lifting and softening the face while reducing the appearance of nasolabial folds.

Lower Third (Jawline, Chin, and Lips)

In the lower third of the face, signs of ageing often appear as jowls along the jawline, a receding chin, and thinner lips. The bone structure in the jaw and chin decreases, and combined with fat loss, the lower face loses definition. Fillers along the jawline and in the chin can enhance the shape and support of this area, achieving a balanced look. For lips, subtle fillers can restore volume lost over time without creating an overly plump appearance.

Understanding these changes enables us to create personalised treatment plans to address specific concerns, restoring balance and volume in a natural way. If you’re interested in learning more about how to address these changes, feel free to reach out and discuss options best suited to you.

Why Do Some People Age Faster Than Others?

Aging varies based on factors such as genetics, lifestyle choices, and environmental exposure. Key contributors to premature aging include:

  • Genetics: The primary factor influencing aging rates.
  • Smoking and Alcohol: Both accelerate the aging process and affect skin health.
  • Sun Exposure: UV damage contributes to wrinkles, pigmentation, and loss of elasticity.
  • Diet and Stress: Nutritional deficiencies and high-stress levels can accelerate signs of aging.

What Are the Common Signs of Aging in the Face?

As we age, the face undergoes several noticeable changes:

  • Flattened Cheeks and Nasolabial Folds: Loss of volume leads to deeper folds around the mouth.
  • Thinning Lips: Lips become thinner, and the Cupid’s bow begins to flatten.
  • Jowling and Sagging: Gravity pulls the face downward, causing sagging around the jawline and chin.
  • Hollowing of the Tear Troughs and Temples: Volume loss in these areas can create a sunken appearance.

Why choose Dr Lisa Fay Rooms?


24/7 Post-Treatment Doctor Care
Flexible Appointments
Accredited Expertise
Highly-Qualified Team

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FREQUENTLY ASKED QUESTIONS


Why Use Hyaluronic Acid for Dermal Fillers?

Hyaluronic acid (HA) fillers are a popular choice due to their safety and adaptability. One significant advantage is that they are reversible; if needed, an enzyme called hyaluronidase can dissolve the filler. HA also naturally attracts water, which adds volume and enhances the skin’s plumpness. At Dr. Lisa Fay’s clinic, we work primarily with TeosylRestylane, and Belotero fillers, which are designed to address a range of aesthetic concerns across various facial areas and depths.

What Are the Key Products We Use at Dr. Lisa Fay’s Clinic?

  • Teosyl: Known for its versatility, Teosyl provides options for smoothing lines, restoring volume, and enhancing contours. Depending on the specific product, results typically last from 6 to 12 months.
  • Restylane: Ideal for adding volume in areas like the cheeks and for treating moderate to severe facial lines, Restylane products are injected at varying depths to match the needs of each area. Effects generally last up to a year.
  • Belotero: Renowned for its smooth integration into the skin, Belotero is particularly effective for fine lines and lip enhancement, with results lasting 6 to 12 months depending on the treatment area.

How Long Will My Filler Last?

The longevity of fillers varies based on the product used, generally lasting between 6 months and 2 years. Results also depend on individual factors like metabolism, lifestyle, and the specific area treated. Some patients may find their results last longer, while others might require touch-ups sooner. We discuss all expectations with patients to ensure they have a realistic understanding of their treatment.

How Can I Minimise Common Side Effects?

Mild side effects, such as swelling, bruising, or redness, can occur after filler treatments. Here’s how to reduce these effects:

  • Avoid Blood Thinners: If possible, avoid products like aspirin, vitamin E, and fish oil before treatment to reduce the risk of bruising.
  • Take Arnica Montana: This herbal supplement may help reduce bruising and swelling; we recommend taking it before and after your treatment.
  • Eat Fresh Pineapple: Pineapple contains bromelain, an enzyme that can assist in reducing swelling.
  • Apply Ice: Use ice intermittently (20 minutes on, 20 minutes off) on the day of your treatment to help minimise swelling.

Why Choose Us for Your Dermal Filler Treatments?

At Dr. Lisa Fay’s clinic, safety and patient satisfaction are our top priorities. Here’s what sets our approach apart:

Comprehensive Training and Expertise

Our practitioners are highly trained in advanced injection techniques and facial anatomy, ensuring a safe, precise approach tailored to each patient’s unique features. This expertise is especially crucial for high-risk areas like the nasolabial folds and glabellar region, where the potential for complications is higher.

Rigorous Safety Protocols

To prevent risks like vascular occlusion, we follow best practices, including:

  • Slow, controlled injectionsto avoid pressure on blood vessels.
  • Aspiratingto confirm we’re not in a vessel when necessary.
  • Staying current with the latest safety protocols and techniques in aesthetic treatments.

Infection Control and Sterilisation

We maintain strict infection control by thoroughly cleansing the treatment area with medical-grade antiseptics, such as chlorhexidine. For those prone to cold sores, we recommend pre-treatment antiviral therapy to prevent flare-ups. Our focus on cleanliness and patient safety ensures a secure environment for all procedures.

Emergency Preparedness and Patient Support

While complications are rare, we are fully prepared to respond quickly should any issues arise. Our team is trained in managing adverse events, including the use of hyaluronidase (Hyalase) if filler dissolution becomes necessary. We also provide thorough post-treatment support to give every patient peace of mind.

What Post-Treatment Care Should I Follow After Dermal Fillers?

Following these aftercare instructions will help maximise your results and minimise risks:

  • Avoid Touching the Area: Refrain from touching, massaging, or applying makeup to the treated area on the day of your treatment to reduce the risk of infection.
  • Limit Exercise: Hold off on intense physical activity, including exercise, for two days following treatment.
  • Sleep on Your Back: If you received cheek fillers, try sleeping on your back for the first two nights to avoid putting pressure on the filler.
  • Avoid Laser or IPL Treatments: Steer clear of IPL or laser treatments for minimum 2 weeks or longer, as they could interfere with the placement and effect of the filler.

How Do You Make Dermal Filler Injections More Comfortable?

We prioritise your comfort during treatments and offer several options to make the process as comfortable as possible:

  • Topical Numbing Cream: A lidocaine cream can be applied to numb the skin before injections.
  • Injectable Lidocaine: In certain cases, a local anaesthetic can be used for additional comfort.
  • Nerve Blocks: For especially sensitive areas, a nerve block can provide relief.
  • Ice Application: Ice is applied before injection to cool and numb the area, reducing discomfort.


At Dr. Lisa Fay’s clinic, our commitment to excellence in care, personalised treatment plans, and rigorous safety protocols makes us a trusted choice for dermal filler treatments. We’re dedicated to achieving beautiful, natural results that enhance your features and boost your confidence.

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Cosmetic Doctor Dublin

CosmeticDoctor.ie
6/7 Merrion Court,
Ailesbury Road,
Dublin 4,
D04 DD58

Tel: 01-6853100

Dr Lisa Fay MB BCh BAO, DCH, MRCGP, HDip Derm, MSc Derm, BTEC, FPC, MBACD

Dr Lisa Fay is the founder of CosmeticDoctor.ie. She has over 19 years of clinical experience and has been performing aesthetic treatments for over 15 years.

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