I have talked a lot about Sculptra (the most attractive and natural way to rejuvenate your face, IMO) but a client that I saw last week reminded me that dermal fillers are still very important when it comes to rejuvenating the face.

This particular client is going to a family reunion soon so she can’t wait the 6 months or so that it would take to see results with Sculptra. For instant results, fillers are ideal. I use Teosyal, a 3rd generation hyaluronic acid (HA).

Hyaluronic acid occurs naturally in humans. It is found between the cells of the tissues and helps to hold moisture there. Our bodies naturally make the enzyme hyaluronidase that breaks down the HA.

Hyaluronic acid fillers include Restylane (and the related Perlane), Juvederm, Teosyal and a few others. Teosyal is the most purified and the most cross-linked of the 3.

Purity is important because it reduces the likelihood of reactions to the filler. The more cross-linked a product is, the longer it will last because the body breaks down the HA by attacking the cross-links.

People usually find that Restylane and Juvederm lasts 3 – 6 months, whereas Teosyal lasts 6 months to a year.

Dermal fillers are sometimes called a “liquid facelift.” Here are before & after pictures showing the effect of injecting Teosyal into the cheeks.


BEFORE This cheek is actually concave rather than flat. The skin has lost its stuffing and lies in pronounced folds around the eyes. The sagging skin also drapes down to form lines around the mouth and jowls (not shown in this image).


AFTER Here you can see that the cheek is filled out and actually has a highlight on it. The lines around the eyes are softened. This individual looked remarkably younger after the injections. What was really interesting though, was that no one realised what had been done. He was complimented on his new work-out rather than his face.

I talked about Teosyal KISS in the lips here.