Dermal Fillers and Ultherapy

Our patient was in her early 50s when she noticed changes had started to occur in her lower face, which she was keen to combat. She had concerns mainly around the jowl area, some mid face volume loss and darkness under her eyes. She wanted to achieve a natural-looking result which was very important to her, so she came to Health & Aesthetics to discuss her options.


I wanted to lift my lower face to give a more youthful appearance and having heard of Ultherapy and read the good reviews, I really wanted to try it! I had only ever tried a course of Caci treatments in the past which I never really found had any effect although they were quite pleasant to have. I had also tried a treatment called HiFu once but did not see any difference and I was concerned about the safety of the device.

Ultherapy had been on my radar for a while and I had discovered it was the leading non-surgical treatment for lifting. The treatment was FDA approved which means it has undergone vigorous testing for safety and results. I wanted to try this treatment to target my lower face and I knew that, as I had lost volume in my face, it was likely I would also need dermal fillers.


Following her initial consultation, in which Dr Rekha discussed her concerns thoroughly, as well as exploring her medical and lifestyle history, she diagnosed:

  • photodamage
  • laxity of the skin and deep tissues due to loss of collagen
  • loss of facial fat especially in the mid face

The patient had some pigmentation due to sun damage which she wanted to address.. She is very slim, which can make ageing more noticeable as the fat pads in the face deflate. As well as having a lower weight she also has a fast metabolism, meaning she suffers from hollowness in her face.

The patient says: “When I spoke to Dr Rekha during my first consultation, she explained that, due to my slim build and age, I had fat loss in my midface leading to sagging to the lower face. This would be best treated by combining fillers to restore the volume in my face with Ultherapy to rebuild the structure of my tissues in the lower face.”


From the recommended treatments, the patient chose:

  • Ultherapy;
  • Fillers;
  • Hydrafacials;
  • ZO Skin Health Products
  • Skinade;

The patient and Dr Rekha agreed on treatment plan:

  • Ultherapy of lower face to lift and tighten the lower face and reduce sagging (December 2018);
  • Dermal fillers to treat her deflated cheeks and improve the lower facial lines and reduce sagging. Also, to treat tear troughs and deflated lips
  • Improved skin quality with a combination of bi-monthly Hydrafacials, ZO cosmeceuticals and Skinade (monthly since January 2019);
  • ZO Skin Care Fundamental 5, Retinols and Growth Factor serum to address pigmentation and ageing, texture and skin quality.

“My Ultherapy consultation was really thorough and took over an hour. The Aesthetician worked out the depths she could treat my skin and the number of lines of Ultherapy possible This made the procedure completely bespoke to my face and unlike other treatments such as HiFu, this is a tailor-made treatment bespoke to each patient.

I decided I would take the medication offered by Health & Aesthetics to help me relax as I knew that Ultherapy can be uncomfortable in certain areas. I was relaxed and confident, and once the treatment began I was fine. Some areas such as under the chin and along the jawline were a little uncomfortable but others didn’t hurt at all. The treatment was completely bearable although quite lengthy as the Aesthetician had to cover three depths of the skin. Treatment took two hours to complete. I was comfortable throughout and could have taken breaks if I had wanted but I preferred to keep going.

Immediately after the treatment, I was a little red and tender but it was not noticeable and I could have happily gone back to work or out later that day.”


“I felt absolutely fine and was able to go about my normal daily routine, the redness had gone and there was no swelling.”


Choosing the right filler for the patient was essential, partly because her fast metabolism means that she metabolises fillers quickly, but also to achieve a natural effect.

We use the Juvederm Vycross range of fillers, for many reasons. It is one of the few fillers that is FDA approved, and is made from Hyaluronic acid, which occurs naturally in the skin. It is smoother and easier to inject than other fillers and produces safer and more natural results.

The patient had a total of four appointments for her fillers treatments. This allowed Dr Rekha to monitor how the fillers settled and ensure the most natural appearance for her patient.

Dr Rekha first treated the mid face, then addressed the lower face followed by the lip area. She finally treated the mid face again and tear trough area, using the latest MD Codes techniques and drawing on her personal experience of 14 years.


“I spent some time talking to Dr Rekha about fillers and chose to do small amounts in stages to see how it settled in the face. Dr Tailor knew I was looking for completely natural results. ”


“In the next 24 hours I noticed the injection areas were a little bumpy, so I put on a cold compress as instructed. I had already been taking arnica prior to the treatment and I continued this for a few days to ensure that I didn’t bruise and to help with the healing process.”


“I feel great and can see a definite improvement in the areas treated. My jawline is noticeably more defined, my cheeks look fantastic and the fillers combined have really lifted my lower face and neck. I am really pleased with these results.”


“Results for Ultherapy do take six months as this is how long it takes for the collagen to be properly produced. During this time I have been using ZO Skin Health products to help tackle pigmentation damage and improve the quality of my skin. I am really pleased so far, I love using these products! I now find that I hardly wear any makeup and my skin looks really fresh. You can see a noticeable lift in the jowl area. People keep telling me I look really well which is lovely and a subtle enough compliment proving that my results are very natural.”


The before and after photos show really beautiful, natural results. The patient has restored volume in her cheeks, and a lifted and defined lower face due to the combination of Ultherapy and filler treatments. Her skin quality has also improved considerably. Her skin is radiant, has smooth texture, less lines and diminished pores, and there is a reduction in the appearance of sun damage.


“Ultherapy is certainly worth it and combined with dermal fillers, gives the best most natural results. I feel I have lifted my lower face and restored the loss volume, giving more structure to my face again. Very pleased!”

Before & After Gallery

Related Treatments & Advice


A non-invasive, non-surgical treatment that uses ultrasound energy to lift and tighten skin.

Dermal fillers

Dermal Fillers

Dermal fillers are used to remove lines and wrinkles and areas of the face and body which are suffering for…

Ultherapy and HiFu

Ultherapy vs HiFu

Several of our patients have asked us what the real difference is between HiFu and Ultherapy®. Here, our Medical Director, Dr Rekha…

About our Consultations

At Health & Aesthetics, we believe that the fundamental basis for a successful aesthetic procedure is an in-depth consultation with a skilled qualified practitioner to assess your needs and develop a bespoke personal treatment plan so that you achieve outstanding natural looking results. You can call us on 01252 933 133.

Book a Consultation

Newsletter Sign Up