When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. All dynamic wrinkles, with age, will eventually lead to static wrinkles as collagen is depleted and constant motion "cracks" the skin. Dynamic Wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, and these grooves become permanently etched on the face as fine lines and wrinkles.
There is a range of Dermal Fillers available, the type, cost, and amount of fillers used will be determined by the area you wish to treat and your attending Doctor's discretion.
These fillers include:
- Juvederm Ultra 4 is used for volumizing and the correction of deeper folds and wrinkles, including enhancing volume in the cheeks and chin.
- Juvederm Ultra 2 is used for the subtle correction of medium facial lines and skin depressions. It also enhances lip contour.
Dermal fillers placed into the following MD Code areas will help lift jowls and strengthen the SMAS (superficial muscular aponeurotic system), which is the layer of the muscles of facial expression in their own connective tissue envelope.
The SMAS lies beneath the skin and subcutaneous tissue, and it is one of the most critical support structures for the face and neck. The strengthening of the SMAS and foundation of the face with dermal fillers placed strategically into areas called the MD Codes. These will lift the sagging excess tissue due to lack of collagen, bone loss, deep fat pad loss (destabilising the ligaments attaching to the facial skin), and muscle weakness. Volumising the deep fat pads with dermal fillers lifts these ligaments that support the foundation of the face.
The FOUNDATION CODES; CK1, Ck2, CK4, and T1 strengthen the SMAS and pull the jowls up and outwards. CK3 volumises the deep cheek fat pad in the mid-face and the banana fat pad under the eyes and thus improves deep hollows under the eyes. CK 5 volumises hollow cheeks and lifts jowls.
The CONTOUR CODES; C 1 to C6 feminise the jawline area, soften the marionette lines and jowl area, lift a downturned mouth corner and soften a protruding chin. JW1 to JW5 improves the jawline, jowls and double chin,
The REFINEMENT CODES; soften nasolabial folds, improves tear troughs and softens lines around the mouth; smokers lines and lip augmentation can also be artistically done to achieve "natural "looking lips.