Over time our cheeks can flatten and our original natural cheek curvature can start to soften and appear lower.
Written by Dr De Silva
Ageing changes take place under the surface of the skin where the gradual loss of supportive tissue structures and the long-term effects of gravity means that larger areas of your face lose volume and shape. These changes particularly affect the cheeks and chin.
Restore volume loss; enhance beautification of the face
Long-acting Hyaluronic Acid fillers, natural results achieved with the Phi Golden Ratio rule
Only FDA-approved fillers used. Our experts use the ‘No-needle cannula technique’
12-18months (exact duration varies for each individual)
Depends on quantity. The average quantity of filler is 2-4 vials
Bespoke topical anaesthesia and the cannula technique result in minimal discomfort
Mild redness, swelling for 1-4 days, occasional bruising
Most patients can resume normal activity the next day
Skin rejuvenation; fillers to chin, lips, skin rejuvenation
Long-term surgical enhancement (including fat transfer, implants)
At The Centre, you can expect to see relatively ‘Instant Results’ with our filler treatments. There will be minor swelling after treatment that for most patients resolves overnight. More rarely, there can be mild swelling for 5-days (in approximately 5%). There is a small possibility, <2% of a minor bruise, this will resolve over a few days.
We use the latest techniques to enhance recovery such as the ‘no-needle” cannula. Although technically a more difficult technique, in the hands of our experienced practitioners there are more advantages for using this method, including less swelling, bruising and discomfort for patients.
For most patients, the final results of cheek fillers will be evident approximately 5 days after the swelling subsides. With our cannula-based technique, application of filler at deeper levels and filler choice the results may last between 18 – 24 months, although results vary from patient to patient.
We believe in a natural augmentation of the cheek area and at The Harley Street Face Clinic, we are specialists in obtaining the most natural-looking results.
Our aestheticians have pioneered research in the area of facial beauty. This has been published in the mainstream media and has been featured on multiple TV channels. We have also developed the application of the Phi Golden Ratio (used in many of the most famous Renaissance paintings of Leonardo Da Vinci) to the human face and we have multiple trained specialists that apply the principles of this facial balance and beautification technique.
Using the Phi Golden Radio, we have treated A-listers and celebrities and beautified their face with a natural appearance. Of key importance with filler is avoiding excessive use which doesn’t look natural or beautiful. The application of filler in specific areas of the face differs depending on each individual’s facial characteristics.
For example, the application of eyelid filler is different in masculine and feminine faces. In women, it is focused along the Phi Golden Ratio lines of the eyes. In men, it focuses along the lines of the chin and jawline. If you have already had a treatment that has been excessive it may be necessary to dissolve the existing filler or wait for it to dissolve naturally.
At The Centre, we have pioneered research and understanding into the aesthetics of the face.
Studies on the safety of fillers have reported theys are relatively safe with few side effects when completed by trained specialists. Recorded adverse events are usually minor including temporary injection site redness for less than three days.
Patients may occasionally report temporary symptoms of redness, swelling, discomfort, lumps and bumps, bruising, itching or changes in the colour of the skin. Infection is very rare.
However, it is important that the treatment is performed at a CQC registered site (Care Quality Commission) with sterile precautions. At The Centre, all treatments are carried out in our specialist Facial Centre on Harley Street.
Serious side effects such as damage to the skin (termed Necrosis) or damage to vision have very rarely been reported. Our staff are experts and have been involved in teaching other doctors how to avoid these serious issues at both National and International Conferences.
Fillers are currently lacking from regulation, which remains a controversy in the UK. Precautions can be taken with competent practitioners to avoid these serious complications.
We use a combination of treatments to focus on natural rejuvenation that are both safe and long-lasting. Fillers have become more and more popular over the last 5-years, as the product has reached new levels of quality, and our techniques and skills at using them have matured with experience.
Our team has been using non-surgical treatments with patients for over ten years. At The Centre, we believe that it is important to avoid potential issues, believing that certain products are associated with higher risks, including permanent and semi-permanent fillers.
In some patients, this can result in long-term issues. In addition, several highly marketed products have been shown to have minimal results, and many patients have come to us disappointed by the lack of changes from treatments including Thermage, Ultherapy and thread lifts. Because of this, we do not offer any of these treatments at The Centre.
Some patients’ facial anatomy is characterised by the marked recession of cheeks and these patients are better suited to a surgical correction including the use of a fat transfer or cheek implants.
This largely depends on the viscosity of the dermal filler that is used and your own individual response to dermal fillers for the cheeks. Here at The Harley Street Face Clinic, we use only clinically proven and approved dermal fillers for longer-lasting results and a natural look. Expect your cheek enhancement results to last between 6 and 12 months, after which, you can return to the clinic for another treatment.
Dermal fillers for the cheeks will instantly plump and lift the areas of the skin that need more support. They are injected into the underlying skin tissues and create a ‘scaffold’ for the uppermost layers. When expertly injected into specific areas, they can even perform a face-lifting effect to create a more pleasing and youthful face shape.
We utilise fillers in the area of the cheek in accordance with our research on the Phi golden ratio, to enhance the natural beauty of the cheek, in medical jargon termed the Ogee curve.
Results can be seen straight away as the dermal filler will physically plump, lift and support the tissues of the skin. There may be some slight swelling immediately after your treatment which can mask the true results, but this will ease in a day or so.
The product can take up to 2 weeks to fully settle and soften, and this is typically when optimum results can be experienced. After such time, you may wish to return to the clinic for a top-up or balancing which might be required.
The longevity of your results somewhat depends on your individual response to dermal fillers and how quickly your body will metabolise the product injected. Some dermal fillers are longer lasting as they are more viscous and contain a cross-linking agent, which stabilises the product and makes it ‘thicker’.
At The Harley Street Face Clinic, we use products that are proven to provide the highest safety records as well as exceptional performance. Some patients only need to have their cheeks enhanced once a year. However, expect to visit your practitioner every 6 to 12 months for repeat treatments. You will soon get to know your individual responses and the longevity of results.
You may have some slight swelling, tenderness and in rare cases, bruising following your treatment. However, this will ease in a day or so and will not prevent you from undertaking your normal everyday activities.
Aftercare will include avoiding saunas, hot baths, steam or excessive exercise for 24 hours post-procedure, as well as avoiding rubbing or touching the area for at least 48 hours. It’s important to be careful with your face after any cosmetic treatment and to use facial products that are approved for post-procedure care.
On extremely rare occasions there may be an allergic reaction to the product. This tends to happen however when the treatment has been administered by non-medics using counterfeit or ‘cheap’ dermal fillers.
At The Harley Street Face Clinic, we only use FDA approved, tested and proven dermal fillers, renowned for their safety records, their purity and their stability. Additionally, all our practitioners are medically qualified.
More often, some slight swelling, bruising and tenderness may be experienced for 24 to 48 hours after your dermal filler treatment, but this is very normal and can be treated with ice and arnica gel to speed up the healing process.