MID & LOWER FACE SCULPTING
Nasolabial Folds & Marionette Lines
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The Signature Lower Face Refresh
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As gravity and time impact the face, the natural fat pads and structural support in the mid-face begin to deplete, leading to characteristic shadow lines. Our bespoke treatment focuses on restoring lost volume, smoothing deep creases, and lifting the corners of the mouth to reveal a softer, more youthful, and naturally uplifted appearance.
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This dual treatment targets:
• Nasolabial Folds : The deep lines that run from the side of the nose down to the corners of the mouth.
• Marionette Lines: The lines that run from the corners of the mouth downwards toward the chin, often creating a sad or downturned expression.
Your Bespoke Treatment Approach
We believe that exceptional results require a deep understanding of facial anatomy and the latest techniques. We offer an entirely customised service using the gold standard of Premium Dermal Fillers to achieve your desired outcome.
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Needle vs. Cannula: Precision & Comfort
During your consultation, we will assess your specific anatomy and desired result to determine the optimal technique:
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Needle Technique: Used for precise, small-volume placement deep within the tissue, often for structural support or treating superficial fine lines.
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​Cannula Technique: A blunt-tipped instrument used for product placement across a wider area with fewer entry points and a significantly lower risk of bruising and swelling. It is often the preferred method for safety and comfort in larger volume treatments.
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The Decision: We will discuss which technique is best suited to your unique anatomical structure and comfort level, ensuring a treatment plan we both confidently agree upon.
PRE-TREATMENT INSTRUCTIONS
To minimise the risk of bruising and ensure the best outcome, please adhere to the following guidelines:
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Avoid Blood Thinners: Stop taking all non-essential blood-thinning medications and supplements, including Aspirin, Ibuprofen (NSAIDs), fish oil/Omega-3s, Vitamin E, St. John's Wort, and Garlic supplements. (Only stop prescription medication after consulting your GP.)​
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Alcohol: Avoid consuming alcohol for at least 24-48 hours before your appointment, as it can thin the blood and increase bruising risk.
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​Arrive Fresh: Come to your appointment with a clean face, free of makeup.
Typical Timeline & Factors Decreasing Duration
Immediate Effect: Immediately Visible Volume is restored instantly, and folds are smoothed.
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Peak Result 2 to 4 Weeks: Final results are visible after any mild swelling fully subsides and the filler integrates with the tissue.
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Duration 9 to 18 Months: This is highly variable, with premium fillers often lasting 12-15 months in this area.
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Top-Up Recommended upon the first sign of volume loss to maintain results. Consistent maintenance can lead to longer lasting results over time.
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Individual Results Vary: Longevity depends on the type of premium filler used, the depth of injection, your body's metabolism, and external factors like sun exposure.
POST-TREATMENT AFTERCARE
Adhering to these instructions is vital for comfortable recovery and optimal results:
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Avoid Touching/Pressure: Do not touch, rub, or apply pressure to the treated area for at least 6 hours.
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​Makeup: Avoid applying makeup for 12 hours post-treatment to minimise infection risk.
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​Strenuous Exercise: Avoid vigorous exercise, saunas, hot tubs, or any activity that significantly raises your body temperature for 24-48 hours.
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​Alcohol & Heat: Avoid alcohol and excessive sun/UV exposure for 48 hours.
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​Pain Relief: If needed, use Paracetamol (Acetaminophen). Do NOT use Ibuprofen/NSAIDs for pain relief, as this can increase bruising.
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​Sleeping: Sleep on your back with your head elevated for the first night, if possible.
Expected Side Effects & Potential Risks
Expected Side Effects (Common & Normal)
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Swelling: Mild to moderate swelling is the most common side effect, typically peaking within the first 24-48 hours and resolving over 5-7 days.​
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Bruising: Possible, especially in the delicate lower face. Bruises can last 3-10 days but can be easily covered with concealer after the first 12 hours.​
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Tenderness/Redness: The area may feel tender to the touch for a few days.
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Potential Risks (Rare, but Important to Know)
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Lumps/Bumps: Small palpable lumps may be present initially. These are usually temporary and can often be massaged out by your practitioner at the review appointment.​
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Infection: Extremely rare when following strict aftercare.​
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Vascular Occlusion: An extremely rare but serious complication where the filler inadvertently enters a blood vessel, restricting blood flow. This is why we prioritise precision, aspiration, and the use of cannula techniques where appropriate. Your safety is our paramount concern.
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Action: If you experience severe pain, colour changes (blanching or mottling of the skin), or extreme coolness in the treated area, contact us immediately.