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Fillers: How Much Is Too Much

July 20, 2015

Dark circles under the eyes, deep “smile lines,” droopy nose, and sunken cheeks are some of the most apparent signs of aging that appear on the face as we get older. However, in recent years, technological advancements in the cosmetic field have allowed millions of Americans every year to flock to cosmetic surgeons in order to turn back time and restore their youthfulness. According to the American Society of Plastic Surgeons (ASPS), a total of 15.6 million cosmetic procedures, both surgical and non-surgical, were performed last year. A large percentage of these procedures included the use of injectable fillers.

Fillers are substances which can be injected directly through the skin using a syringe. They are very versatile and can be used for various purposes. Some common uses include fixing scars, filling up wrinkles and creases, enhancing cheeks and lips structure, and improving the contours of the face.

Two of the most common types of fillers include hyaluronic acid (used in Restylane and Juvéderm) and purified botulinum toxin A (used in Botox and Dysport).

  • Restylane: This filler is most effective for increasing the plumpness of the face and bringing more volume to the skin. Deep wrinkles and skin folds can be easily reduced by Restylane fillers. On average, this filler will maintain its effects for six months and may even last for up to nine months.
  • Juvéderm: Another popular choice of filler is Juvéderm. This works great for lip augmentation, reducing lines around the lips, treating acne scars, and minimizing “smile lines.” If done properly, Juvéderm should last for six months.
  • Voluma: A newer generation of filler that has the advantage of a cross-linking structure, this enables the filler to last for considerably longer, 1-year or more. This filler works well for volume augmentation in specific parts of the face.
  • Botox: As the most well-known filler available for cosmetic procedures, Botox is the ideal choice for you if you are looking to get rid of crow’s feet, wrinkles on the forehead, frown lines, or to treat muscular spasms on the face. Typically, Botox will maintain its results anywhere from three to four months.
  • Dysport: Dysport is a relatively new filler which is very similar to Botox. It relaxes muscles that cause wrinkles on the face. Thus, it is a good option for treating wrinkles around the eyes, lips and on the forehead. When compared to Botox, Dysport is less expensive, as well.

Regardless of which injectable filler you use, inserting too much filler or improper treatment can cause severe side effects, such as malformed and irregular features, excess swelling and bruises, or weakened muscles. Therefore, it is crucial that you only have an experienced surgeon perform the procedures to ensure your safety and to achieve impeccable results.

Some of the fillers, like Botox, have been used by doctors for more than a decade. And many of them are approved by the Food and Drug Administration (FDA). These are all strong proofs that these things work well and can genuinely give you a more attractive overall look.

Dr. De Silva is proficient in the use of fillers and specializes in facial cosmetic and plastic surgeries. Unlike other surgeons who work on various parts of the body (and sometimes fail to produce desired results), Dr. De Silva’s exclusive focus on facial surgeries has enabled him to become exceptionally innovative and highly experienced in his work. Moreover, he goes above and beyond his work to show extra care and concern for his patients.

To him, his patients will always come first. This is evident from his philosophy because he chooses to only perform facial procedures when he is certain that he can make a positive difference in his patient’s life. He will not conduct any procedure if he deems it to be harmful to his patients. So, when you visit Dr. De Silva, you can rest assure you are in safe hands!


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Liquid Facelift vs. Traditional Facelift- Which One Should You Get?

December 16, 2014

London Facelift and Non Surgical Facelift - image


As a leading plastic surgeon practicing in the UK, Dr. De Silva is proud to offer his patients an extensive range of procedures. He understands that having work done is a big decision, and that no two patients’ conditions are exactly the same. When deciding between a liquid and traditional facelift, for example, Dr. De Silva makes sure that his patients have a clear understanding as to exactly what each treatment entails, so as to make a more informed decision when choosing which route to take. Both treatments are designed to target facial wrinkling and are directed at tightening the overall look of the face to achieve a younger, rejuvenated look, but each takes a different approach to achieving that goal.


One of the main differences between the two options is that a liquid facelift is a non-surgical alternative to the traditional facelift procedure. While a traditional facelift requires an incision, the use of either general or local anesthesia, and involves a more intensive recovery period, the results of a liquid facelift are nearly immediate and require no downtime. A liquid facelift, as performed in our office, is a broad term that generally includes injectable fillers, like wrinkle reducing treatments and Juvederm. The term can also include the PRP facelift, a treatment in which platelets from your own blood are extracted and transported to the face in order to revitalize and refresh your complexion. A liquid facelift will leave no signs of scarring, can visibly restore lost facial volume, and is a good option for those who are hoping to achieve a younger, more refreshed look but who are afraid of or otherwise unwilling to undergo surgery. Whereas a traditional facelift can take up to two hours to perform and requires you to take about a week off from work, your liquid facelift will be complete in 15 minutes. You will be in and out of the office without having to sacrifice your daily routine to devote to a proper recovery and can literally have the treatment done during a lunch break from work.


Still, this shorter process is directly reflected in the results that the respective procedures yield. Perhaps the most important difference when evaluating the liquid vs. traditional facelift is that the results of the traditional facelift are more dramatic and long-lasting. A traditional facelift has the ability to make you look up to 15 years younger, and is generally sought after by relatively older patients whose skin has loosened as a result of aging, exposure to the sun, or the body’s natural decrease in the skin’s collagen supply. During a traditional facelift, Dr. De Silva will essentially “lift” the saggy skin that has accumulated around your face. This approach is meant as a solution for a more pronounced condition, where the patient demonstrates considerable skin laxity and looseness. As expected, a surgery will yield much more dramatic results than that of a liquid facelift and since underlying muscles are put back to their original location and excess skin is removed, patients will look younger than their age even 10 or 20 years after their facelift surgery. Traditional facelift is recommended for patients who are between the ages of 45-70, while the liquid facelift is more popular among younger patients who are not experiencing as much wrinkling, sagging, and skin laxity.


Dr. De Silva is experienced with variations of facelift surgery, such as neck lift that targets double chin, fat and wrinkles in the neck area and along the jawline; mid facelift that mainly targets the middle facial area around the cheeks; mini facelift for younger patients with smaller scar; fat stem cells facelift to augment surgical results with rejuvenating stem cells; and other facelift techniques. He will advise you as to the best facelift surgery for you as part of your consultation.


Dr. De Silva will more thoroughly explain the pros and cons of both options upon your initial consultation visit so that you can choose the route that works best for your specific needs. As always, Dr. De Silva is devoted to giving you the most natural results so that you can feel confident that your treatment does not look overdone or fake. Whichever route you choose to pursue, liquid or traditional, you can rest assured that you are under the care of one of the most trusted surgeons in London and that your new face will look considerably less aged and tired.

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