Case Study

Our patient, in her 50’s, recently came in for full facial treatment with a combination of dermal filler and anti-wrinkle treatment.

We used more filler than most patients would normally use (7mL total dermal filler and 100 units of anti-wrinkle treatment) but the overall effect looks fantastic and natural without looking ‘overdone’.

Patient’s concerns

Our model patient’s main concerns were the forehead lines, loss of lip volume and marionette lines. Our practitioners assessed that she had an attractive profile with good cheekbones, strong philtral columns in the lips and good eyebrow height/shape.


Upper face rejuvenation

Dermal filler treatmentforehead and temple dermal filler treatment. Dermal filler to lift outer brow. 2.5mL dermal filler used.

Anti-wrinkle treatment: frown linescrow’s feetinfrabrow (brow lift) and forehead lines. 50 anti-wrinkle units used.

Our patient’s upper face was treated with a combination of dermal filler and anti-wrinkle treatment. The treatment has reduced the forehead lines, lifted the brow, and reduced the appearance of crow’s feet.

Dermal filler was used to replace volume in the temples, under the outer eyebrow to lift the brow and small amounts of filler in the forehead to reduce the appearance of lines. The dermal filler will last approximately 12 months.

Anti-wrinkle treatment was used to reduce forehead lines (7 units), frown lines (20 units), to lift the brow and reduce crow’s feet (10 units each side). The anti-wrinkle treatment will last between 3 and 4 months.


Mid face rejuvenation

Dermal filler treatmentTear troughcheeks and nasolabial folds. 3mL dermal filler used.

The midface was treated with dermal filler to reduce the hollows in the inner cheek area, tear trough (the dark area under the eyes) and outer cheek. Mr Koppert also treated the bridge of the nose with a small amount of dermal filler to reduce the bump in the nose. The before/after photo below shows improved cheek fullness and reduction of the under eye bags (the ‘tear trough.‘)


Lower face and lips

Dermal filler treatmentLip dermal fillermarionette lines, chin crease and nasolabial folds. 2.5mL dermal filler used.

Anti-wrinkle treatmentfacial slimming (25 units each side).

We have discussed in previous articles on the Cityskin website about how to restore lip proportions to enhance their appearance. The before photo shows a smaller lower lip to upper lip. The ideal lip ratio is 1:1.6 in Caucasian patients, meaning the lower lip should ideally be 1.6 times fuller than the upper lip. By placing filler in the lower and upper lip, Mr Koppert has restored this proportion giving a lovely natural result.

Dermal filler was placed in the nasolabial folds, marionette lines/mouth corners and upper lip lines. The overall effect is a softening of shadows/lines and lifting the mouth corners.


Pre-jowl and chin

Dermal fillerPre-jowl and chin crease. 1.5mL dermal filler used.

This 45 degree view shows how dermal filler has been along the jawline to reduce the appearance of what is known as ‘jowls‘. Lesser amounts of dermal filler have been placed in the chin crease to soften the line.

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