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Specialised dermal filler treatments are the application of dermal fillers beyond targeting signs of ageing. This can be body contouring, for example buttocks and hips, or facial feminisation or masculinisation.
These treatments are definitely on the rise, and the fact that they are temporary and minimally invasive is a major bonus to patients. Globally speaking, body contouring with fillers is extremely popular in Asia and the Middle East. It is gaining traction in the UK, and I believe demand will grow in the coming years. Around five to 10 per cent of my patients currently book in for this type of treatment.
Medical application
Specialised dermal filler treatments are generally carried out according to the patient’s needs and aesthetic goals, however they can also be used in medical cases—for example, body contouring with fillers in the buttocks and hip region can be used in patients who have lost a lot of weight or are suffering from eating disorders, to help them look and feel healthier.
A gap in care
I also perform facial feminisation and masculinisation treatments for the transgender community, which is a big gap in the care that transgender individuals are receiving.
Hips and buttocks
Other specialised body contouring treatments include threads, bio simulators and mesh suspension technology— mesh suspension is almost like a thread, it works very well in areas of heavy tissue such as the bottom.
Hip and buttock contouring is a relatively new treatment in the UK but is popular in other countries as it is linked with cultural backgrounds. Calves can also be treated.
The hip region is also a popular area for 'hip-dip' treatment, and you can get really good results with filler alone. Mesh suspension technology helps lift the entire buttock area; the treatment mainly focuses on the upper and middle buttocks because fat distribution changes afterwards.
We can't perform treatments in certain regions because it will give the opposite results of what we want to achieve in terms of lifting and repositioning, as the tissues are a lot heavier.
With bio simulators, results last longer—12 to 18 months compared to fillers. However, the downside is that it requires a long time to boost collagen—up to three months—and results can vary from person to person.
Also, if the patient is unhappy with the results, the only way to remove it is via surgery which can be invasive for the patient.
TRAIN WITH DR VINCENT WONG AT WIGMORE MEDICAL
Using the RELIFE Definisse filler range, the R-Technique has been specially designed by Dr Vincent Wong to give patients a refreshed and lifted look, by targeting the lateral part of the face. This technique is a multi-layered approach using different thickness of fillers in the temporal region, zygoma and the lateral temporal cheek fat to help support ligaments in the face. This technique can be adapted to cater for patients of different ethnicity and gender.
What is the ‘R’?
The ‘R’ is a continuation between the temple crests, all the way down to the orbital rim and in a straight line down to the angle of the mandible aligned, joining the line at the zygomatic cutaneous ligament and masseteric ligament.
Training
Our one day course with Dr Wong teaches this technique, and will encompass anatomy, theory and practical training. Furthermore, we will cover complications management and patient selection. This technique is for anyone with volume loss in the lateral compartment and is suitable for all ages, all gender permutations, and all skin types.
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Dr Vincent Wong is a highly experienced, award-winning Cosmetic Doctor, specialising in advanced non-surgical cosmetic treatments, facial balancing and feminisation and masculinisation of faces within the LGBTQ+ community.
