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VOLUMETRY AND FILLERS

A young face has a centre of gravity in its upper part. It is the widest around the cheekbones and narrows towards the bottom Unfortunately, these proportions change with age. The centre of gravity shifts to the bottom, and the oval of the face gains an unattractive inverted triangle shape. Volumetry restores correct proportions and fill in tissue defects, such as nasolabial folds or “pits” under the eyes. When shaping the face, we accentuate the cheekbones, sharply outlining the jawline to hide the sagging cheeks and slimming the chin to make it more pointed and optically slimmer. Additionally, with the help of hyaluronic acid, we can correct the nose in a few minutes, hiding a hump or sharpening the tip.

Most of the volumetric procedures are performed with a micro cannula – it is a blunt needle, which is much safer for the tissues than a classic needle, reduces the risk of bruises, shortens the recovery time and causes much less pain during the procedure. The hole for injecting hyaluronic acid is located on the side of the micro cannula, which eliminates the risk of the most dangerous complication that can be caused by injecting hyaluronic acid – intravascular injection of the preparation, which if not noticed soon enough may even lead to tissue necrosis.

VOLUMETRIC PROCEDURES

1

CHEEKBONE SHAPING

Prominent cheekbones lift tissue, optically slim the face and give it defined features. At Princesse we strive to ensure that the procedure effect actually looks similar to natural bones rather than unsightly “buns”. That’s why during this procedure we use the densest hyaluronic acids, such as Juvéderm® Volux and Neauvia® Intense. It allows for maintaining the shape without the risk of product migration into unwanted areas.

2

CHEEK FILLERS

With age, the cheeks lose their volume, as the fatty tissue atrophy occurs and the skin loses collagen and elastin. This leads to a sunken face and makes a person look noticeably old. These tissues can be filled by injecting hyaluronic acid into the appropriate areas with a cannula. The face immediately becomes younger and gains a more friendly and cheerful appearance. The whole looks very harmonious and does not produce an artificial effect. The procedure is also used for correction after a failed saddlebag removal surgery.

3

JAWLINE SHAPING

Precisely outlined jaw perfectly defines the face oval, refining it and optically subtracting weight. The procedure makes the face look more slender. It is also willingly used by men, but in such a case, in contrast to women, instead of narrowing the jawline, we widen it, giving the face a more masculine look.

We use the densest hyaluronic acids, such as Juvéderm® Volux and Neauvia® Intense, to ensure visible and lasting results.

4

CHIN SHAPING

We shape the chin in two ways. The first is to slight sharpening, so that the face takes on a “V” shape, which optically slims and rejuvenates it. The second method is applied in case of mandibular retrognathism, i.e. malocclusion in the form of a receded jaw. In such a case, we emphasise the chin, which gives the face a harmonious character. This is an excellent supplement to orthodontic treatment.

We use the densest hyaluronic acids, such as Juvéderm® Volux and Neauvia® Intense, to ensure visible and lasting results.

5

NOSE CORRECTION

A nonsurgical nose correction can be performed with hyaluronic acid. It allows to hide a hump, correct asymmetry, optically narrow the nose, as well as shape and sharpen the tip of the nose. A properly performed procedure is safe and provides a great alternative to rhinoplasty in case of minor nasal defects. It also allows to perform a minimally invasive correction in case of previous unsuccessful rhinoplasty or after destructive cortisone injection.

6

TEAR THROUGH FILLERS

Injecting Tear through fillers is a popular procedure that allows for quick correction of unsightly defects and eye bruises. When performed correctly, it does not carry the risk of Tyndal effect, i.e. hyaluronic acid shining through from under the skin. To ensure perfect safety, at Princesse we perform the procedure with a micro-cannula and the only preparation medically registered for use in the eye area, namely Teosyal Redensity II by Teoxane. This makes the procedure safe and gives immediate and sensational results that restore face’s youth.

7

WRINKLE FILLERS

Hyaluronic acid can be used to fill any wrinkles formed on the face. We use it mainly for nasolabial folds and marionette lines, i.e. wrinkles running from the corners of the mouth to the chin. The procedure is performed in a safe way, using a cannula.

To fill the wrinkles we use a modern preparation of hyaluronic acid, Neauvia® Stimulate, containing a small addition of calcium hydroxyapatite, which stimulates regenerative processes in the skin by stimulating it to produce new fibroblasts.

8

HAND SKIN FILLERS

The hands are often the first to reveal age. Hand skin is exposed to many irritating factors, so it sags quickly, become wrinkled, and the subcutaneous fatty tissue disappears. Hands can be easily rejuvenated within a few minutes by injecting a hyaluronic acid-based filler subcutaneously with a micro-cannula.

As hand fillers, we use Neauvia® Stimulate, containing a small addition of calcium hydroxyapatite, which stimulates regenerative processes in the skin by stimulating it to produce new fibroblasts.

9

OTHER MICROPIGMENTATION

Hyaluronic acid has many other uses in aesthetic medicine and can fill literally any area that you can imagine. We often use it during such procedures, as acne scar fillers, earlobe regeneration, body wrinkles, bone loss after surgery, and many more.

At Princesse, we carry a full range of top-brand fillers, so we can always match the perfect product to Patient’s problem.

WHAT IS HYALURONIC ACID?

Hyaluronic acid is a substance naturally occurring in the body, and its most valuable property is hygroscopy, or the ability to bind water. One molecule of the acid binds about 250 water molecules, which is about a thousand times more than the mass of this one molecule. Today, hyaluronic acid is created in laboratories, where it is produced by bacteria. During the manufacturing process it is purified from bacterial proteins. The level of purification influences acid quality.

Hyaluronic acid may be non-cross-linked or cross-linked. Non-cross-linked hyaluronic acid is used for skin hydration, mesotherapy, while cross-linked acid is a filler and bio-stimulator. The acid is cross-linked with BDDE or PEG. This “organizes” its particles and as a result it is released very slowly in the skin, allowing us to enjoy the long-lasting effects of fillers.

A degree of crosslinking determines the period of acid effectiveness. The more compact it is, the slower it will dissolve, meaning the longer it will last in the tissue. Soft acids remain in the tissues for about 6-8 months, dense acids for 12-24 months. Soft ones as tear through fillers the tear through, medium ones for lips and wrinkles, while hard ones for volumetric procedures, such as jawline, chin or cheekbone correction.

In aesthetic medicine, we do not use pure hyaluronic acid, but preparations containing 20-30 milligrams of HA per 1 gram of preparation, i.e. 2-3%. The rest is saline and auxiliary substances, including stabilisers and crosslinking agents.

A degree of crosslinking determines the period of acid effectiveness. The more compact it is, the slower it will dissolve, meaning the longer it will last in the tissue. Soft acids remain in the tissues for about 6-8 months, dense acids for 12-24 months. Soft ones are used for filling the tear through, medium ones for lips and wrinkles, while hard ones for volumetric procedures, such as jawline, chin or cheekbone correction.

Hyaluronic acid itself is very safe. The risk of complications results mainly from its improper administration. The most dangerous complication occurs when the acid is injected in the wrong place and occludes the lumen of the main artery in the site of injection. Blood stops flowing to the skin, causing necrosis development over time. An experienced physician can immediately recognise this complication and react by administering a hyaluronic acid dissolving agent, which will prevent necrosis.

BEFORE AND AFTER GALLERY

I highly recommend!

JUSTYNA GRADEK

PROCEDURE

During the consultation, we discuss the expected effect and chose the best method for the Patient. Before the procedure, an anaesthetic ointment is applied to significantly reduce pain sensations. During the procedure, hyaluronic acid is introduced under the skin or into deeper parts of the tissues with the use of a needle or micro-cannula.

Finally, the preparation is shaped manually and the Patient receives written recommendations with documentation of the origin of the preparation administered.

RECOVERY

The healing process after volumetric fillers varies greatly, depending on natural physiognomy, the method used and a treatment site.

After the procedure there is usually a slight swelling that disappears within 2-3 days, although in case of tear through fillers it can last for up to a week.

There is usually slight bruising after the procedure.

For the first two weeks after the procedure, you should drink a lot, because hyaluronic acid binds water and its lack in the body may result in a weaker effect.

When healing, you can feel lumps and deposits of hyaluronic acid. Do not massage them! After about a month, they will soften and you will start to feel natural.

To reduce swelling, you can apply arnica ointment or an ointment such as Altacet on the treatment site from day two. Do not apply ice to prevent acid clumping. You can also apply make-up from day two to hide any bruises.

It is very important to sleep on your back for the first two weeks, especially in case of cheekbone and jawbone fillings, so as not to deform the injected preparation.

HOW SHOULD I PREPARE?

The procedure does not require much preparation.

Do not consume alcohol, caffeine or drugs 24 hours before the procedure.

One week before the procedure, do not take common painkillers, as they thin the blood and may cause more bruising after insertions. Garlic and onion have a similar effect.

If you take NSAIDs, talk to your GP and ask if you can discontinue them two weeks before your procedure. If your GP refuses, don’t discontinue your medication on your own! The procedure can still be performed, but you must expect more bruising.

Two weeks before the procedure, you can start taking vitamin C, which will strengthen capillary walls and thus reduce formation of bruises.

EFFECT

Volumetry gives the face a youthful appearance. The facial oval is clearly defined, the skin is tightened and the tissues are lifted.

The effect is immediately and clearly visible. Depending on the selected procedure and the amount used, your face may look completely natural or your facial features may be completely altered – the choice is yours!

Hyaluronic acid used for facial volumetry lasts from 8 to 24 months. Assumedly, this depends on many factors. The preparation used for tear through restorations usually lasts for a shorter period of time – from 4 months to a year.

Metabolism significantly affects how long the acid remains in your body. Hyperthyroidism can reduce it even two times.

CONTRAINDICATIONS

There are not many contraindications to volumetry, but they must be taken into consideration. Below you will find the most important of them.

Asymptomatic carrier of hepatitis B or hepatitis C.

Viral hepatitis often affects autoimmune reactions. It mainly depends on the stage of the disease as well as its activity. Only your attending physician may decide whether you are eligible for a aesthetic medicine procedure. Ask them for a written consent for the procedure. Only then, we can perform the procedure.

Diabetes.

In case of advanced diabetes wound healing is impaired. However, when treated and controlled, diabetes is not a problem. If you have diabetes, please ask your attending physician for a written consent for the aesthetic medicine procedure and present it to us on the day of the procedure.

Active cancer.

Cancer that occurred less than 5 years prior to the procedure.

Chemo- and radiotherapy

Autoimmune diseases apart from thyroid disease, acquired vitiligo, and alopecia areata. For example, these diseases include psoriasis, rheumatoid arthritis, lupus, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis, sarcoidosis, Crohn’s disease, ulcerative colitis.

Treatment with Izotec or its substitutes less than 6 months prior the procedure date.

Steroids, except asthma medications and inhaled steroids, taken less than one month prior to the scheduled procedure.

Fungal medications or antibiotics taken less than one week prior to the procedure.

Tendency to keloids.

Hemofilia.

Epilepsy.

Pregnancy and breastfeeding. We do not perform procedures in pregnant ladies or nursing mothers, even with the physician’s consent. When it comes to children, one can’t be too careful!

Asymptomatic HIV infection or active AIDS.

Skin diseases in the planned treatment site.

Fever, viral or bacterial infection on the day of the procedure.

WHY IS IT WORTH VISITING PRINCESSE?

EXPERIENCE

Our clinic was established in 2005, thanks to which we have gained vast experience. We have performed over 30,000 procedures. We are also one of the leading training facilities for physicians and cosmetologists in Poland.

QUALITY

At Princesse, we use only the highest quality preparations obtained directly from manufacturers. Avoiding wholesalers, we fully reduce the risk of purchasing inauthentic or substandard products.

SAFETY

We have all medical devices that are needed in case of sudden complications and we employ physicians with experience not only in treating aesthetic medicine complications but also in emergency procedures.

ABOUT PRINCESSE

Princesse is a modern aesthetic medicine clinic and training centre. It was established in 2005. Thanks to extensive experience and over 30,000 procedures performed to date, we have been able to select only the best procedures and equipment.
Princesse employs highly specialised medical and cosmetology staff, who continue to improve their skills by participating in seminars and conferences devoted to the fields they practice, both in Poland and worldwide.
At Princesse, we focus on naturalness and perfection as well as spectacular effects presented by models and celebrities. We believe that aesthetic medicine procedures are meant not to be a disguise, but to emphasise and highlight the strengths that each of us has.

THESE ARE THE PRODUCTS THAT WE USE

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Address in Warsaw:

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ul. Instalatorów 5a/U2

02-237 Warsaw

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Trams no. 7, 9.

Address in Cracow

Cracow, Old Town

ul. Józefa Dietla 50/15

31-039 Cracow

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