Islamabad Clinic Address:
House 25A, Street 52, Sector F6/4,
Super Market, Islamabad, Pakistan
Tel : 92 51 8733552
92 51 8733553

 

Liquid Face Sculpting /Dermal Fillers

It’s time to release your beauty potential

 


What is the 3D Liquid Facelift?

The 3D Liquid Facelift is a facial contouring procedure that involves the use of strategically placed Botox and dermal fillers around the face. The 3D Liquid Facelift, also known as the 3D Vector Facelift, is the latest cutting edge technology . 3D Vectoring is used to accomplish a safer 3D Liquid Facelift by use of cannulas instead of needles. Blunt-tip cannulas represent a paradigm shift in the injection techniques used by aesthetic physicians who perform injectable filler treatments. Cannulas have varying flexibility giving the physician accuracy in dermal filler placement and result in significantly less bruising as well as a less painful and safer procedure compared to traditional hypodermic needles.

 

This “injectable facelift” can create a younger, plumper look and address concerns such as lines, wrinkles, volume loss and sagging. This “injectable facelift” has been making a noticeable impact in aesthetic medicine during the past few years. It is typically more subtle than surgery and an increasing number of individuals are trying 3D Liquid Facelift procedures instead of traditional face lift procedures.

Dermal Fillers

The dermal fillers used in our clinic are all FDA approved.

 

Is a skin allergy test done before performing the filler procedure?

No skin test needed before treatment as the hyaluronic acid used in the filler is not extracted from animal sources and hence cannot elicit allergic reactions in a patient.

 Uses

  • Fill out and smooth away
  • Nose to mouth grooves
  • Forehead lines
  • Frown furrows
  • Lipstick lines
  • Crow’s feet
  • Marionett folds
  • Neck horizontal lines

 

  • Lip augmentation/ Plumping/ Shaping
  • Facial contouring
  • Highlighting cheek bones
  • Defining the jaw line
  • Correction of minor deformities in chin and nose
  • Lost volume replenishment in cheeks
  • Filling tear trough or hollowing under eyes
  • Lifting droopy eyebrow
  • Lifting droopy corners of mouth

 

How a Liquid Facelift or Lunchtime Face Lift is done?

Four components of the facial structure change as one ages: the skin, muscle, bone, and fat. A variety of techniques are available to help with the aging process and restore volume to the face with the help of dermal fillers.

 

After an examination, we will draw up a treatment plan designed specifically for signs of aging and one’s personal goals. Temporary fillers such as hyaluronic acid-based fillers are used. Botox is often used in conjunction with fillers to relax facial muscles that contribute to wrinkles and furrows. Injecting fillers at varying depths to fill creases and restoring volume creates a more youthful contour and appearance.
It is performed using needles for lip augmentation, nose fixing and chin enhancements and with the help of blunt tip flexible cannulas on the rest of the face like tear trough, cheeks, pre jowl sulcus, marionette folds, jowls.

How is the procedure performed with a blunt tip cannula?

Dr Abbasi uses blunt tip cannulas to place fillers deep in the skin or under the facial muscles. Her special technique helps the patient to enjoy the following

  • Minimal downtime possible with virtually no bruising, mild to no swelling
  • Increased life or longevity of filler in patients skin as her technique involves placement of the product not in the skin but under the skin, deep down the muscle, over the bone
  • No risk of damaging major blood vessels and nerves
  • No formation of permanent lumps and bumps in the skin as product is skin deep and not in the skin
  • No permanent, disfiguring bluish discoloration seen through the skin especially in tear trough fillers due to the superficial placement of fillers in the skin due to poor amateur techniques
  • No permanent skin color changes due to extensive and intense bruising that can happen in needling procedures
Does it hurt during the procedure?

No, because before starting the cannula procedure, patient is given a nerve block after numbing the oral mucosa with a numbing spray.

How long does it take for the procedure to complete?

It varies. But from 15 to 60 min on average.

What to expect from a Liquid Facelift or Lunchtime Face Lift?

Injectable lunchtime facelift results are usually visible instantly giving a youthful look.

How long does the effect of fillers last?

Duration depends on which fillers were used in the facelift procedure and longevity is measured in months.
It varies on different parts of face. Due to the use of blunt tip cannulas and specially devised liquid face sculpting techniques by Dr Abbasi, the longevity of fillers gets enhanced and it could be anywhere from 9-15 months on average or even more.

Results after the filler procedure are final or touch up session is required?

Patient needs to be informed that the result directly after the treatment may not be the final result depending on the extent of injection related swelling. Touch up treatment is necessary to achieve full correction after about 1-4 weeks. In order to fine-tune results additional follow-up treatments may be necessary.

Additional injections are required in the event of asymmetry.

Are there any side effects?

With the use of blunt tip cannulas, the usual side effects of fillers that used to be seen with needles are reduced to only mild swelling resolving spontaneously in 2-7 days after the filler procedure. At times there is no noticeable swelling making the procedure absolutely side effect free.

 

To minimize swelling, patients are advised not to exercise for the first few hours to prevent an increase in heart rate or blood pressure. Patients should avoid vitamin E, aspirin, herbal supplements and other medications that promote bruising. They are asked to purchase a skin repair cream from the clinic pharmacy so healing can be promoted at a faster pace.

Are there any risks of a Liquid Facelift?
  • Granulomas or Permanent lumps or bumps

These lumps can form in anybody whose body tends to perceive the injected filler as an alien to the skin and tries to ward it off by inducing an inflammatory response and giving rise to what we call a lump or a bump. Most of the times it is a permanent problem. This can be a disfiguring problem especially if the doctor has placed the filler in the superficial part of skin due to his poor technique or insufficient injection experience.
This risk can be avoided in hands of a professional. Dr Abbasi uses a blunt cannula instead of a sharp needle to place the filler in the deeper layers under the muscle so even if a lump gets formed will not be seen or felt though skin as it would be lying deep under the facial muscles.

  • Intensive bruising

It can happen if a major blood vessel is punctured. This can give rise to permanent skin color changes. This can be avoided as Dr Abbasi uses a blunt cannula instead of a sharp needle to place the filler in the deeper layers without any fear of puncturing any blood vessels.

  • Tindell Effect

This is a bluish discoloration that is very commonly seen in tear trough areas as the filler injected is very superficial. This is avoidable in experienced hands.

  • Nerve Damage

With needles, unprofessional or inexperienced injectors can damage the nerves giving the patient a life long facial disfigurement or facial paralysis in extreme cases.

  • Overly done results

These are commonly seen giving a fake/ clown like look. Hence it is of utmost importance to give yourself in safe and professional hands as it is not only an experienced hand but also a sharp aesthetic sense that plays a pivotal role in dictating that final outcome of the procedure making a patient happy or sad towards the end of liquid face sculpting.

 

Definition of a “Blunt-tip microcannula”

In Aesthetic Medicine, a blunt-tip microcannula is a small tube, with an edge that is not sharp, designed for atraumatic intradermal injections of fluids. Depending on the size of the inter diameter, it can be used either for fat transfer, or for the injection of fillers, like Hyaluronic Acid, Collagen, poly-L-lactic acid, CaHA, etc

 

Blunt-tip microcannula VS sharp needle

Advantages of using a Blunt-tip microcannula instead of a sharp hypodermic needle:

 

  • Virtually no bruising
  • Considerably less pain
  • Minimal downtime
  • Single point of entry for wider coverage
  • Minimal swelling
  • Chance of hitting a major blood vessel is nil
  • Placement of filler in the deeper layers under the muscles without any fear of damaging blood vessels and nerves
  • Increased longevity of filler as placement is deep under the muscles

 

Tear Trough Correction /Dark Circle & Eye Bag Treatment

Small deposits of the filler are placed in precise locations filling in depressed areas between the cheek and the eyelid, called a tear trough. This removes the shadow, which creates the dark circles, and eliminates the look of protruding lower lids or eye bags.

A common reason for dark under-eye circles is the tear trough deformity. The tear trough deformity is a depression under the eyes which is often mistakenly perceived as just skin discoloration. In reality, the dark color of the circles is often greatly exaggerated by a pronounced tear trough under the eye. The tear trough will deflect light, thereby creating a shadow and an apparent increase of under eye circles and discoloration.

 

The nature of the tear trough deformity is very complex and often has multiple factors such as genetics, aging skin and unique anatomy of the area under the eye. Until recently, plastic surgeons have had limited options in improving tear trough deformity. Surgical options involved major surgical interventions with long down time and potential side effects. These were the main reasons why most patients had to settle for living with dark circles under the eyes, giving them a chronically tired appearance.

 

Recent advancements in minimally invasive aesthetic procedures have made it possible to significantly reduce dark under-eye circles which are caused by the tear trough deformity.

 

In the hands of an experienced injector and the use of the highest quality dermal fillers, the procedure will take only several minutes, with no to little down time, and the results are a significant reduction in dark under-eye circles and eye bags. Within minutes you will look younger, more relaxed and energized.

 

Dr. Abbasi has performed numerous such procedures. If you are one of the millions of people who are bothered by their dark under-eye circles or puffy eyes, please call us to schedule your consultation with Dr. Abbasi.

 

Non-Surgical Cheek Fillers

Three main reasons for redefining  and restoring cheekbones include:

  • The area is flattening with age.
  • The cheekbones are becoming bony or gaunt looking.
  • The skin over the cheekbones is sagging.

 

There are 3 ways to restore cheek bones or hollow cheeks

Surgery  :  Surgeons insert a silicone implant through an incision made inside the mouth, into the cheek. This procedure is invasive and carries several days of downtime and discomfort. Also, cheek implants are appropriate only for the arch of the cheekbone. They cannot effectively augment the front of the cheek under the eye.

 

Fat transfer : Fat can be harvested from another part of the body and placed in the cheek as an injected fat graft. The problem with fat injections is that they are still an unreliable enhancement method. The duration of the fat graft depends on the patient, on the skill of the doctor and on the area injected. While one cheek may last 2 or 3 years, the other may get absorbed and disappear in 8 months.

 

Cheek Fillers : Fillers provide volume to the cheek bone area in order to improve the overall balance of the face.
Non-surgical cheek enhancements are non-invasive and safe. Injectable fillers are injected using blunt tip cannulas in a very precise manner into the deepest tissues of the cheek. There is no down time as patients can return to work immediately.

 

Lip Augmentation/ Shaping/Plumping

Lip Augmentation is a non-surgical cosmetic procedure which uses hyaluronic acid fillers to safely enhance or augment the lips. The doctor may use a variety of products of different brands.

 

Doctor Abbasi understands that the greatest fear of patients seeking lip enhancement is an overdone, unnatural result. Dr. Abbasi also finds such a look unacceptable and works with every client to make results appear natural and not overdone.

 

The procedure generally takes about 15-30 minutes after the lips are gently numbed using lidocaine. As the lips may appear a bit swollen for 5-7 days, it is best to plan ahead before a special date or event.

Who is a candidate for lip enhancement?

-If you desire to have fuller or more defined lips
-Men and women are both candidates for this procedure

Is anesthesia used during lip augmentation cosmetic procedure?

Yes, your lips will be numbed so that you feel no or minimal discomfort. Usually, a topical anesthetic is used, as well as lidocaine intra musosal injections, to numb the lips.

How is the actual procedure performed?

Dr. Abbasi injects the desired treatment area, using a small needle, with fillers.

Is lip augmentation a painful procedure?

Some minor discomfort can occur, numbing of the area beforehand will minimize any discomfort.

How much time will I need to take off from work after lip augmentation?

Patients can typically return to their normal activities immediately after the procedure in most of the cases but it is recommended to take this procedure during week end so the patient can recover from swelling before the working day.

Is it done in one session?

Mostly yes but in few cases a 2nd treatment session is planned after 2 to 4 weeks to achieve desired results.

What are the side effects?
  • There could be swelling resolving in 2 to 7 days.
  • Tiny bluish nodules (hematomas) can form resolving in 5 to 14 days.
  • There could be asymmetry which can be addressed in the 2nd treatment session planned after 2 to 4 weeks after the 1st one.

To minimize swelling, patients are advised not to exercise for the first few hours to prevent an increase in heart rate or blood pressure. Patients should avoid vitamin E, anti-inflammatories, herbal supplements and other medications that promote bruising. They are asked to purchase a skin repair cream from the clinic pharmacy so healing can be promoted at a faster pace.

What is the intended result from having lip augmentation?
  • The intention is to give you the fuller lips you desire
  • For some patients with very thin lips, the goal may be to have a more facially balanced appearance
  • For some patients, very thick and sexy lips are the goal
  • Some patients desire a defined edge to the lip or a return to more youthful looking lips.
  • At times, it is done to fix the asymmetrical lips
  • It is also done to fix the droopy corners of mouth giving the patient a sad look

Non Surgical Rhinoplasty/Nose Job

 

Rhinoplasty is one of the most desired cosmetic procedures, but many patients are frightened by the potential complications of surgery and anesthesia and the risk of unfavorable cosmetic results. In non-surgical nose job, dermal contouring fillers are used to fix the nose deformities.
Results are usually visible instantly giving a balanced profile to the face.

 

Non-Surgical vs. Surgical Rhinoplasty

 

Safety

 

Traditional Rhinoplasty

 

Risks specific to rhinoplasty surgery include:

  • permanent difficulty breathing through the nose
  • unexpected and unwanted cosmetic result
  • persistent swelling
  • cartilage collapse or unexpected scarring causing a crooked appearance several years after surgery.
  • recurrent nosebleeds
  • persistent numbness

Non-surgical Rhinoplasty

 

It has no effect on nasal breathing .Does not cause nosebleeds or persistent swelling. The procedure is much more precise than surgical rhinoplasty, as more detailed adjustments to nasal contour are possible. During the procedure, you are fully awake. You hold a mirror and you are in complete control of the procedure’s results. The procedure is temporary and there are no long term scarring complications.

 

Recovery

 

Traditional Rhinoplasty

 

Basic recovery from traditional rhinoplasty typically lasts about two weeks, normal activities can be resumed after several weeks, and the final results can take up to a year to appear. For the first week after rhinoplasty surgery, a splint is worn on the outside of the nose. Severe nasal congestion typically lasts about one week to ten days. Bruising around the eyes and the majority of swelling typically resolves in about two weeks. Strong pain medication and cool compresses are typically required during recovery.

Non-surgical Rhinoplasty

 

Most patients return to work on the same day as the procedure. The results are immediate. There is no significant swelling or pain. Sunglasses or heavy eyeglasses may be avoided for two weeks after the procedure, as the filler material becomes integrated into the skin of the nose.

 

Cosmetic Results

Traditional Rhinoplasty

 

The results of traditional rhinoplasty, whether good or bad,  are always permanent. It can take a year for the final results to be visible. In the meantime, the look of your nose may not be desirable and the end result can be hard to predict.

 

Non-surgical Rhinoplasty

 

The filler is injected in small amounts and in precise locations so that there is total control over the shape and contours created by the procedure. During the procedure you will be asked to look at your nose and provide feedback, meaning that you have total control over the end result.
The results are immediate and last from eight months to a year, depending on the type of filler that is being used. Because the results are relatively temporary, adjustments can be made as your face changes over time and you always retain a natural look.

 

Non-Surgical Chin Augmentation

 

This technique corrects a weak chin or receding chin using dermal contouring fillers and balances your profile without the pain, risk, and recovery time of surgical chin implants.

 

Non-Surgical vs. Traditional Chin Implants

 

 

Safety

Traditional Chin Implant

 

Surgery always carries inherent risks including scarring, infection, and anesthesia complications. It involves inserting a chin implant. This implant can, rarely, move after surgery, having to be repositioned. If there is a significant infection after surgery, the implant must be removed. In both of these situations, the cosmetic result can be ruined.

Non-surgical Chin Filler

 

Non-surgical chin enhancement avoids the basic risks of surgery and anesthesia. Fillers do not move after they are injected (they become part of the skin) and infections are unheard of with injection of fillers into this area of the face.

 

Recovery

Traditional Chin Implant

 

The majority of the swelling should go away after two to four weeks, but some swelling can last for several months. If the incision was made inside of the mouth you will need to eat soft foods and use special procedures for brushing your teeth. Strong pain medication, ice packs, and special mouth rinses are required during recovery.

Non-surgical Chin Filler 

 

Minor swelling, bruising and tenderness lasting no more than 5-7days. Most people can go back to work the same day with some cover-up on their chin.

 

 

Cosmetic Results

Traditional Chin Implant

After surgery, implants can shift, giving an undesirable look. Over the years, as your face changes, the implant remains the same and may begin to look unnatural and no longer blends with the rest of your face.

 

Non-surgical Chin Filler

The fillers are injected in small amounts and in precise locations so that there is total control over the shape and contours created by the procedure. Results last from 9months to a year.