Non-Surgical Procedure

Dermal Fillers

Dermal fillers are a group of injectable products that are mostly made from a naturally occurring sugar like compound called Hyaluronic Acid (HA). (An exception to this is Radiesse, which is a specialised dermal filler that acts to increase the production of collagen in the region of the injection)

They differ from anti-wrinkle injections in that they are intended to ‘fill’ spaces and so restore volume or correct contours that are lost in the facial ageing process to give a more youthful appearance.

Anti-wrinkle injections in contrast, strategically block nerve signals to muscles, thereby relaxing treated muscle groups and reducing movement wrinkles.

Dermal fillers are used for an enormous variety of treatments which range from filling fine lines and wrinkles, to replacing volume in areas such as the cheeks which thereby counteract the facial sagging appearance that can occur with age.

HA is a natural constituent of our connective tissue and hence is the natural choice to replace tissue that is lost with ageing. The preparation comes crosslinked and this means the HA is not broken down readily by the body and thus stays in place for set periods of time.

HA aids facial hydration by attracting up to one thousand times its weight in water.

Importantly, HA dermal fillers are reversible (unlike anti-wrinkle injections). This is achieved by the injection of a naturally occurring enzyme known as hyauronidase which melts the filler into water.

Dr Rory exclusively uses the Juvederm Vycross range of HA fillers , produced by Allergan, because of their long history of safety and extensive evidence supporting their use in specific anatomical patterns using a system known as the MD Codes.

MD codes is a technique that approaches full facial rejuvenation with your safety at its core. Dr Rory encourages you to think about your full face as opposed to isolating individual features. Treating a full face always has a more impactful result.

He is an international key opinion leader (KOL) for Allergan and as such is an expert and global trainer in the use of anti-wrinkle and Juvederm dermal filler treatments using the MD codes.

The Experience

Your suitability for this treatment will be determined during a full face assessment no-commitment consultation with Dr Rory and he will provide all the necessary details for your particular case.

All treatments are performed in the luxurious state of the art treatment rooms within the clinic either on the day of consultation or after a period of reflection following consultation. The choice is entirely yours.

Depending on the areas treated, no formal anaesthesia is required but you may choose to have some topical anaesthesia (numbing cream applied). The Juvederm vycross range of dermal fillers has a local anaesthetic combined with the HA which means the area is numbed whilst the treatment is being performed.

Dr Rory has a number of other techniques to make your anti-wrinkle injection experience as comfortable as possible.

Many patients have their treatment and return to work or normal activities that same day with no downtime.

Frequently Asked Questions

To reduce the symptoms associated teeth clenching and grinding.

You will also notice a reduction in the bulk of the masseter chewing muscle and therefore a jawline narrowing effect.

There will be three small injection both sides but the total dose is the variable

This is can very variable and is determined during your full face assessment consultation with Dr Rory. It depends on the bulk of the masseter muscle and the severity of the symptoms being treated and the desired effect and also differs between men and women.

Typically the dosages range from 30-60 units in total. This is highly variable between individuals.

The neurotoxin acts to block specialised receptors on muscles that receive the nerve signals. This accounts for the muscle relaxing and bulk reducing effect.

The body will start to rebuild these receptors and the speed with which this happens obviously depends on the dose of injection but also the muscle and nerve biology of each individual.

With reference to masseter treatment, this can take anytime from six to twelve months. This means most individuals can expect movement and therefore symptoms and muscle bulk returning slowly at about the six month mark and repeat treatments before eight months have elapsed is recommended if you want to maintain the effect.

On the day of consultation Dr Rory will obtain a full medical history assessing your suitability for the treatment and perform a full facial assessment and explain which areas of your face can be treated and why.

It is important to appreciate masseter injections are not suitable for all patients. They are considered unsafe if you are pregnant, breastfeeding, suffer from certain neurological diseases, have an allergy to human albumin and also if certain medications are being taken. This will be explained during the consultation process.

If you are suitable, he will then run through the process of consent and injection techniques with you if you are having injections for the first time.

You can choose to have your injections that same day or choose to think about your options and return another day.

If you do choose to go ahead, clinical photographs will be taken and you will be checked in by a nurse to the treatment room and given consent information to read and sign. All your details will be confirmed with you. Your makeup is removed and numbing cream may be applied if you wish and after a period of time this is cleaned off and your skin is further prepared.

The injections themselves take no more than five minutes and a number of techniques are employed to make your experience as comfortable as possible. You are then given post injection instructions and can be discharged when you are feeling comfortable and ready to go.

If done in isolation, the antiwrinkle injections take just five minutes.

This does not include anaesthesia time. In total, the whole procedure may last longer if numbing cream is used.

No, one of the primary aims of any procedure performed by Dr Rory is to create a pain free experience and you have the option of having numbing cream.

Other techniques are also employed to make your experience as comfortable as possible.

In terms of recovery, there may be some very mild tenderness in the injection areas on the day but this is minimized by applying a cold compress after the treatment.

This is essentially a lunchtime treatment and there is no recovery period.

There is always a theoretical risk of bruising as a very small guage needle is being introduced to the skin. There may be some discomfort chewing for the first two weeks or so, as other chewing muscles may work harder to compensate.

The effects of the treatment will start to be apparent from six weeks onwards and the maximum effect is at approximately two months. This is when your review appointment will be conducted.

Any judgements on the treatment outcome should be left until this time and any adjustments can be made at this important clinic appointment.

If you are entirely happy and are very experienced with masseter injections, then there is no need to attend this review appointment and just book your repeat treatment at your normal interval.

The cost of the treatment is based on the number of units used. Each unit is priced at 50 AED (excluding VAT).

Therfore, as an example, if 50 units are used the price is 2,000 AED (excluding VAT).

The final cost is determined on a case by case basis dependent on complexity and additional procedures. Combination treatments may lower the price of individual treatments if done together.

A full face no-commitment consultation with Dr Rory will provide all the necessary details for your particular case.

These include some discomfort on chewing, infection, risk of bleeding, bruising, bulging of superficial muscle.

It’s a quick and simple procedure requiring no downtime with very high satisfaction rates and Dr Rory will tailor your treatment to your needs.

It is the very effective at reducing your grinding and clenching related symptoms.

Typically it involves seeing Dr Rory approximately two months following your masster injection for review.

If you are entirely happy and are very experienced with these treatments, then there is no need to attend this review appointment and just book your repeat treatment at your normal interval

Dr Rory is the primary physician in charge of all your care. He performs all procedures himself and is meticulous about every aspect of your care.

Once he has performed a procedure on you he is available for you as your on-call doctor.

He will provide you with contact details and will be available for you. If you have any questions or concerns at any time he is available to support you.

He has trained his team around him to an exceptionally high standard from his aesthetic coordinators to aesthetic nurses.

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