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Nasolabial Fold Filler
Nasolabial Fold and Marionette Line Filler
The nasolabial folds run from the sides of the nose down to the corners of the mouth. Marionette lines run from the corners of the mouth toward the chin. Both deepen as the face loses volume higher up.
Gemma treats both areas with hyaluronic acid filler. She also, often, suggests looking further up the face first.
Further up the face usually means cheek filler, because lost cheek volume is what lets the fold deepen in the first place. Treating the fold alone can work, but it treats the symptom. See dermal fillers in St Helens for how that assessment works.
At Hannah Clarke Advanced Skin and Beauty in Rainford, filler is administered by Gemma Fletcher, a Registered Nurse and Independent Nurse Prescriber with over five years injecting daily.
Treat the cause, not just the fold
Nasolabial folds are frequently a symptom of lost mid face volume rather than a problem in themselves.
When the cheeks lose support, the tissue below settles downward and the fold running from nose to mouth deepens. Filling that fold directly can help, but if the cause sits higher up, restoring the cheek often does more for the fold than treating the fold itself.
That is the sort of assessment a consultation is for. Gemma's clients are historically forty and over, most of them wanting subtle restoration rather than a visible change, and the answer is regularly a smaller amount of product placed somewhere other than where the person was expecting.
Marionette lines are treated on the same principle. Both areas use a filler with more structure than lips, so results tend to last around twelve months.
Safety, honestly
Most people asking about filler are really asking about safety, so here is the honest version.
Mild effects are normal. Bruising and swelling after treatment are expected rather than a problem.
Infection is uncommon and usually avoidable. The procedure is as sterile as it can be and the skin is thoroughly cleansed. Where infection does occur it generally follows aftercare being ignored, most often makeup going on the area too soon. That is why Gemma asks you not to rub or touch the area for the first four hours.
Vascular occlusion is the serious one. It is where filler blocks an artery supplying the treated area. It is rare, and in Gemma's words it is usually a problem of unsafe hands. If left unrecognised it can lead to tissue necrosis, which is what people have seen on social media and in the papers. That outcome almost always traces back to a practitioner who did not react quickly enough, or who sent the client away without properly explaining aftercare.
Gemma will not let you leave the clinic if she has any concern about occlusion. After treatment she assesses the colour of your skin and any pain you are experiencing, and she is looking at the treated area specifically before she is happy for you to go home. If a complication did occur, hyaluronic acid filler can be dissolved immediately, and beyond some bruising there would be no lasting result.
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Meet Gemma Fletcher, Nurse Prescriber
Dermal filler treatments at Hannah Clarke are delivered by Gemma Fletcher.
- Registered Nurse with the Nursing and Midwifery Council.
- V300 Independent Prescribing qualification, so she consults, prescribes and administers independently.
- Trained at Northwest Aesthetics and Dr. Hennessy Aesthetics, with ongoing training.
- Over five years injecting dermal filler, performing treatments daily.
- Carries hyaluronidase, the enzyme that dissolves hyaluronic acid filler, on site at every appointment.
That last point matters more than it sounds. In her words: "I would have hyaluronidase on site at every appointment just to ensure in an emergency I would be able to treat." Not every injector can prescribe it, and not every injector has it in the room.
FREQUENTLY ASKED QUESTIONS
How long does nasolabial fold filler last?
>These areas use a filler with more structure than lips, so results tend to last around twelve months, against six to nine months for softer filler in lips and lip lines.
Should I fill the fold or treat my cheeks?
>Often the cheeks. When the mid face loses support the tissue settles downward and the fold deepens, so restoring cheek volume can do more for the fold than filling the fold itself. That is assessed at consultation.
What are marionette lines?
>The lines running from the corners of the mouth down toward the chin. They are treated on the same principle as the nasolabial folds.
Who will be treating me?
>Gemma Fletcher, a Registered Nurse with a V300 Independent Prescribing qualification, trained at Northwest Aesthetics and Dr. Hennessy Aesthetics, with over five years injecting dermal filler daily.
Is dermal filler safe?
>On the whole it is a safe treatment. Bruising and swelling are normal. Infection is uncommon and usually follows aftercare being ignored. Vascular occlusion, where filler blocks an artery, is the serious complication, it is rare, and Gemma assesses your skin colour and any pain after treatment before she is happy for you to leave. Hyaluronic acid filler can be dissolved immediately if needed.
What is the aftercare?
>No makeup on the area for four hours, no rubbing or touching the area for four hours, and no exercise or alcohol for the first 24 hours.
How soon before an event should I have it done?
>Leave two to four weeks. You will see an immediate improvement, but swelling and bruising need time to settle and the result is better at two weeks.
How much does it cost?
>Filler is priced by volume, from 1ml upwards, and what you need depends on the outcome you are working towards. Discounts are available for treatment plans using multiple vials. Pricing is confirmed at your consultation.
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