Clinics in Plymouth & Wells

Before (left) and after (right) the application of Silhouette Soft sutures, to lift and correct jowl laxity, and the injection of 3 ml of
Ellansé-M, to correct the volume loss in her cheeks


Volume loss is one of the first signs of facial ageing and dermal fillers have become an increasingly popular cosmetic intervention for this indication. Collagen stimulating fillers are a safe and effective treatment for restoring shape and redefining contours. Ian Strawford explains the mechanism of action of the Ellansé dermal filler range and shares three patient case studies.

In recent years, the recognition of the importance that facial volume loss plays in the ageing process has shifted the focus of treatment from isolated problem areas, such as the nasolabial folds, to the entire face, to restore shape for a more harmonious and natural effect (Lupo, 2008). Dermal fillers have become a popular means of addressing volume loss and contour defects resulting from ageing, disease or trauma. The most widely used dermal fillers are the ones based on hyaluronic acid (HA) gels (Smith, 2008; Carruthers et al, 2015); however, non-permanent collagen-stimulating dermal fillers have become an increasingly important and popular treatment over the last decade, with over 4 million treatments worldwide (Pavicic, 2013).