Lower face. Higher standard.
Lower face. Higher standard.

Refine and enhance your unique looks with the versatile range of Restylane dermal fillers.

Expect a higher standard in your aesthetic treatments

The fast development of aesthetic treatments has enabled people all over the world to refine their looks for a healthy and more youthful appearance with safe, minimal-invasive, and gentle treatments. This trend is driven by the advancements of dermal fillers, but also by new injection techniques and better knowledge of facial aging. Also, a new area that has come into focus in the last years is the lower face, which encompasses the lips and the area around the mouth as well as the chin and jawline.

What this means for you as a patient is that you have many more treatment options. You can simply expect more. More natural and more personalized results.

Below you will find what you need to know about aesthetic treatments and the optimal treatment for you.

What happens with the face as you age and what can you do about it?

To fully understand what aesthetic treatments can do for you, a good start is to understand how your face ages. Your face has many parts – cheeks, nose, chin, forehead, and lips. There are also many different types of body tissues such as bone, muscles, fat, and skin. All of these parts and tissues age differently and must therefore be targeted in a precise and specific way to achieve your desired result.

All of this complexity could make you realize that you cannot treat every part of your face using the same method and the same product.

Here is a short description of how the different parts of your face change as you age and what you can do about it.

The facial aging process explained

The facial bones are supporting everything else

A beautifully defined face is a face with a proportional bone structure. Human bone is not static but is constantly reformed. When you are young, bone formation is faster than the rate of bone resorption. As you age, however, it is the other way around. Especially the lower face suffers from bone resorption. The jawline and chin become less defined, which affects the whole appearance of the face.

The lower face has for a long time been a somewhat forgotten area within aesthetic treatments. Over the last few years it has become apparent how much this area impacts our facial features. Jawline and chin augmentation have become much more sought after, by people of all ages. With injectable fillers, jawline and chin augmentation have become much more accessible.

Your facial bones support everything in your face – the muscles, the skin, and the fatty tissues. With age the facial bones start to deteriorate resulting in sagging of the overlying tissue. This is where a filler enhancement can help restore the sagging effect and make a tremendous difference to your appearance.

Facial fat is lost and descend as you age

Facial fat is immensely important to soften the face and to make it look young and healthy. As you age, you will lose some of your facial fat. In addition, the fat compartments in your cheeks will descend, towards the jawline, where they will contribute to a loss of definition and sharpness. As fat is primarily lost in the upper part of the face and accumulated around the chin and jawline, the shape of your face will change. Especially for women, the loss of volume in the midface (also aggravated by bone resorption) can change the facial features to become less feminine. In men, loss of definition of the jawline will give a less masculine appearance.

Generally, people associate a young appearance with high and rosy cheekbones and soft and plump skin. Without the fat, this youthfulness disappears. This is the reason why the midface has been in focus for aesthetic treatments for a long time. With the use of injectable fillers, the look can be refined – providing shape and contours through lift, by filling lines and wrinkles or by adding volume for a healthy and more youthful appearance.

The skin becomes thinner and begins to sag

Everyone wants a smooth and radiant skin. As you age, the body is not able to produce as much collagen and elastin any longer, those very materials that give the skin its structure and elasticity. Furthermore, the skin is not able to retain as much water as when you were young. The result is a skin that becomes thinner, more wrinkled and brittle, and that begins to sag.

You often hear about intrinsic and extrinsic factors that contribute to skin aging. Intrinsic factors are your genetic predisposition to specific aging processes, such as a reduced ability in the skin to produce collagen or to combat free radicals (chemical compounds that make our tissues “go rancid” and age prematurely). Extrinsic factors are things that you can do a lot about – exaggerated UV exposure, smoking, too little sleep, and excess alcohol.

No matter if it is intrinsic or extrinsic factors that have caused skin aging, there are specific products based on hyaluronic acid – Skinboosters™ – that can improve skin elasticity, structure, and hydration.

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A molecule of HA attracts a thousand times its own molecular weight in water. So it sits within the skin and the idea is to hydrate the skin.

What is a dermal filler?

The vast majority of dermal fillers, and the kind of dermal fillers discussed here, are injectable fillers composed of hyaluronic acid gel.

Hyaluronic acid is a native molecule that occurs naturally in our bodies. It is a polysaccharide, a kind of sugar molecule, which can bind huge amounts of water – 1,000 times its own weight. Hyaluronic acid therefore helps our bodies to retain water and to keep our body tissues soft, hydrated, and flexible.

Native hyaluronic acid in the body has a high turnover rate and is quickly degraded by enzymatic cleavage and the activity of free radicals. To make the hyaluronic acid based injectable filler last longer, the molecule must be prevented from degradation. This is accomplished by using a cross-linking technology such as NASHA or OBT (see below). In the cross-linking process, the hyaluronic acid chains form a three-dimensional network, a gel that is very similar to hyaluronic acid but that does not degrade at the same rate. The gel is fragmented into microscopic particles, which are injected into the face and skin and the treatment results typically last for several months or even a year. Depending on the firmness and particle size of the gel, different fillers have different distinct uses, all to optimize an individualized treatment. They can for example build volume, shape the contours of the face, or reduce fine lines and wrinkles.

Dermal fillers and safety?

As described above, a dermal filler based on hyaluronic acid is very natural for us and therefore dermal filler treatments are very well tolerated. When injecting the gel, the discomfort is mild to moderate. Nowadays, injectable fillers contain lidocaine, a local anesthetic, which reduces most of the discomfort during the treatment. Depending on the depth of the treatment and the volume of gel that is injected, you might feel a bit of tension under the skin, which subsides after a few days. You can get a little bruised and sometimes it can bleed a little at the injection point.

 

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With the lidocaine in the gel and with the mix of needles and cannula that we are applying, most treatments are quite comfortable.

A huge advantage of injectable fillers is that they are not permanent. The body will gradually degrade the hyaluronic acid gel in a period of about six months to two years. This means that you can continuously adjust your aesthetic treatments according to your preferences but also adapt the treatments according to how your face will change with time. In parts of your face that you move a lot, such as the lips and cheeks, the body will degrade the hyaluronic acid faster, whereas it will last longer in the jawline and chin.

Remember: always select a high quality, well-documented dermal filler as well as a certified healthcare practitioner. You will find more detailed advice in our article - How to find a clinic you can trust.

 

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As clinicians and physicians we kind of have to be the boundary or draw the line between what should be done and what shouldn’t be done.

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Natural results

Used correctly, dermal fillers will give you a natural result that will refine and refresh your own unique facial features. Most people do not want to look sad, tired, or angry when they are not. The best result is a result that looks so natural that no one knows that you have had a treatment, but perhaps notice that you look happy, fresh, and rested.

 

How to refine and refresh your unique facial features with aesthetic treatments

Understanding the facial anatomy and what happens with the different facial compartments during the aging process, it becomes obvious that these areas need different kinds of treatments. When it comes to injectable fillers, the filler that you use to shape the contours of the face must be considerably firmer than the injectable fillers that you use for the lips or cheeks.

Gel firmness and its ability to make for example the jawline and chin more projected, is expressed as G’ (pronounced G prime). A firm gel has a high G’.

So, what types of aesthetic treatments are available and what can they do for you? Here we will start with the lower face since, as mentioned before, it has been a somewhat neglected area in the past. The lower face has now gained a lot of focus, not least treatments such as jawline and chin augmentation.

 

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Aesthetic treatments in the lower face 

Jawline

A well-defined jawline is seen as an attractive feature in both women and men, though for women a gently curved-up and sloping jawline border is desirable whereas for men a wider, almost square jawline is ideal. How important it is for your overall look is something that many of us are not aware of. This is because we do not see ourselves in profile. The jawline is an area where there is a visible bone loss as you age.

To treat the jawline, you will need a firm dermal filler, a filler with a high G’. The gel must be able to project the jawline. If the gel is too soft, it will be flattened with time and the definition will be lost. This is especially important for men. For women, a slightly softer gel can be used.

Chin augmentation

Just as with jawline treatments, you will need an injectable filler with a high G’ for chin augmentation if you want to add structure. The chin is important for your overall look and defines your facial shape. If you have a short chin, no matter how the rest of the face looks, your face will look round. In this case, a chin augmentation can elongate the face and make it more oval.

For chin augmentation in women a softer gel can be used, to give volume and to produce a softer and more rounded shape. Male chin augmentation needs a higher G’ to produce the angular shape that is usually associated with an attractive male look.

The chin actually is responsible for determining our facial shape.

The lips and the area around the mouth

As we age, the lips do not only become thinner. The skin and tissue above the lips (the part under the nose) will get longer and flatter. Aesthetic treatments for the lips can therefore start with restoring the philtrum (the “number 11” below your nose). This will give your lips a little “lift”. As you can see from this example, there is a lot more to lip treatments than just injecting a dermal filler in the lips themselves.

Aging in the area around the mouth can make you look sad or angry. Some wrinkles, such as marionette lines, can be caused by sagging skin and a loss of volume in the midface, which will depress the corners of the mouth.

Dermal fillers used for the lips and the area around the mouth must be much softer than the ones used for the jawline and for chin augmentation. The fillers have to be able to integrate with the skin and underlying tissues, so that you look good not only at rest, but also when you smile and talk.

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Ask for Restylane Kysse
Ask for Restylane Kysse

Aesthetic treatments in the midface

Cheeks and nasolabial folds

This is an area that has received a lot of attention in recent years, as aging is very visible in this area, especially for women Sagging skin and loss of volume in the cheeks result in creasing of the nasolabial folds. To refine the look for a healthy and more youthful appearance by providing shape and contours through lift, or by adding volume in the cheeks, you need an injectable filler that is quite firm. With a firmer filler, the volume lasts for a long time, but it should not have as high a G’ as for treatment of for example the jawline.

To reduce fine lines and wrinkles, much softer fillers must be used. In addition, Skinboosters can increase elasticity, structure, and hydration (see more below in Aesthetic treatments for the skin). Tear troughs are the narrow depressions or grooves below the lower eyelids. With age, tear troughs become more pronounced and can give rise to dark shadows and under-eye circles, which make you look tired and worn out. In addition, with age the skin’s content of hyaluronic acid decreases, which can further exacerbate the problem as the skin thereby becomes thinner and more transparent.

Tear troughs can be treated efficiently with dermal fillers that can fill out the depression. Dermal fillers can also help to even out other irregularities below the eyelids. For example, dermal fillers can make eye bags less visible. Small amounts of hyaluronic acid gel can be injected just below the eye bag and give the area a little “lift”, whereby the eye bag will get a small push upwards and become less apparent.

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Sibel, 27 years

Areas treated: nose, cheeks, marionette lines, chin
Products used: Restylane Lyft, Restylane Volyme, Restylane Defyne

Aesthetic treatments in the upper face

Temples

Bone resorption can be particularly visible at the temples. For women, a heart shaped face is often seen as an attractive facial feature. When bone is lost at the temples, the volume in the upper part of the face is reduced. This change is often made worse by loss of volume in the cheeks and by fat compartments in the cheeks moving down toward the lower face. This means that you have a loss of volume in the upper face and an increased volume in the lower face, which is the complete opposite of the desired heart shape. Lost volume at the temples can be restored by a firm filler with a high G’.

Forehead and eyebrows

Expression lines and wrinkles often appear between the eyebrows and on the forehead. They often give an angry or sad impression. A soft injectable filler can be used to reduce fine lines and wrinkles.

Aesthetic treatments to restore skin health and youthfulness

A youthful appearance is often associated with a smooth and radiant skin. A smooth skin will reflect light better, thereby giving the skin a healthy color and glow. A rough, brittle, and wrinkled skin surface will not be able to reflect the light so well, resulting in a dull and unhealthy appearance.

There are many aesthetic treatments that target skin health, some of which are very effective and some are not. A very effective and well-documented treatment for improving skin elasticity, structure and hydration is Skinboosters. Skinboosters deposit small amounts of hyaluronic acid gel underneath the skin surface, thereby restoring the loss of this important substance in the skin.

Restylane – the gold standard of dermal fillers

Restylane was launched more than 20 years ago and has become the gold standard of dermal fillers. It is the injectable filler that every other filler brand is compared with.

Before Restylane was introduced to the market, hyaluronic acid gels were of animal origin. These gels had an elevated risk of causing unwanted immune reactions and in today’s world, to use a gel of animal origin would be unethical and unthinkable for most people.

Restylane is made from hyaluronic acid produced by bacterial fermentation. The process results in pure hyaluronic acid that is safe and natural to our skin and bodies. At the time, this innovation totally revolutionized the market and is partly the reason why aesthetic treatments with dermal fillers are so popular, safe, and accessible today.

Since the launch, there have been more than 40 million Restylane treatments worldwide. More than 6,700 patients have taken part in sponsored clinical studies and there are over 300 peer-reviewed articles on the effectiveness and safety of Restylane. The importance of all these numbers is of course that Restylane is a product you can trust.

 

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Sofia, 39 years

Areas treated: chin, cheekbones, lips, smile lines, marionette lines
Products used: Restylane Lyft, Restylane Defyne, Restylane Kysse

The most diverse portfolio of injectable fillers on the market

What started out as one dermal filler has become the most diverse portfolio of dermal fillers on the market.

To achieve a higher standard in aesthetic filler treatments, and the results that you should expect, it is all about precision and personalization. If you have been reading this page carefully, you know by now how important it is to use the right product for each part of the face. With a larger toolbox, your healthcare practitioner can work with precision and adjust the treatment to your personal needs and wishes. This is the reason why Restylane produces such beautiful and natural results.

The portfolio consists of gels using two different technologies:

– NASHA

– OBT (Optimal Balance Technology)

NASHA gels have a firmer gel texture and provide lifting and precision to for example your jawline and chin. OBT gels are softer and more flexible and are designed for contouring and preserving the natural movement of your face.

Lower face. Higher standard.

When Restylane was launched, dermal fillers were mostly used to treat fine lines and wrinkles. After that, aesthetic treatments with injectable fillers focused on volume, to enhance and restore volume in the lips and cheeks.

The last years have been all about the lower face – the chin and jawline. Treatments that were seen as impossible without surgery just a few years ago are now easily accessible to anyone who wishes to refresh or refine their individual looks.

Together with healthcare practitioners all over the world, we are constantly pushing the boundaries and always strive to maintain the highest standard in aesthetic filler treatments. To learn more about what Restylane can do for you, contact your certified Restylane healthcare practitioner.

If you are looking for guidance as to how to choose which clinic to visit, please click here.

Be comfortable with the person that you want the treatment from.

Match the doctor with yourself, not only his qualifications.

Clinic locator
Clinic locator

Find a clinic near you to discuss your individual treatment needs with an aesthetic healthcare professional